Friday, January 7, 2011
The last month and a half have been surprisingly slow. Acuity had been down. I had been complaining the last two weeks about my lack of intubations, central lines, codes, etc.
Last night things finally blew up the way I was hoping for.
A 54 year old with a big head bleed that required IV anti-hypertensives and eventual intubation....
Then a healthy 42 year old male with chest pain. Good chest pain story for angina. He had murmur though, so I scanned him for an unlikely aortic dissection. Sure enough he had one, so it was time for an Esmolol drip and a cardiothoracic surgeon...
Then a good old case of respiratory failure that required intubation and a central line.
Then a seizing febrile 9-year-old little boy. After a full workup including lumbar puncture...it was apparent that the flu got the best of him.
As I was wrapping up the LP, the charge nurse grabbed me b/c a trauma CPR was 3 minutes out. A 29-year-old was shot in the chest with a 9mm by his wife. I did a thoracotomy (cracked open his chest to try and repair the hole in his heart and clamp his aorta), but he died. I was feeling great tho!
Then 35-year-old who kicked the shit out of a concrete wall. He fractured and dislocated his ankle, meaning I got to consciously sedate him and reduce the injury.
My last patient was not exciting. He was a homeless man who wanted me to trim all his toenails. Fastest discharge EVER!
Posted by SerenityNow at 3:44 PM