Originally Posted by bill4745
ER question: In what order would you see these patients and why? 1. 65 year old male with chest pressure, diaphoresis and SOB 2. 44 year old male with a kidney stone in severe pain 3. Young man needing conscious sedation to reduce a dislocation.
Ooh! Ooh! I want to try: I would: 1. w/u the guy with pressure and SOB, IV, H and P, call cardios, send off some labs and get an EKG, then see 3. to briefly visualize how severe the dislocation is. If not wildly out of place, then I'd run next door to see 2. (we know for sure he has a kidney stone and not avulsed kidney, swiss cheese gallbladder, AAA, right?), start an IV and give him some narcs. Then back to 1. and check on him, assess what ever I need to assess and back to 3 to start an IV, call anesthesia and lay out instruments, while keeping an ear open for 1.
So how'd I do? Am I hired? ;p