jbird125 replied to nckayaker's topic in Emergency
Highest BP the other night 250/150, it was the night for brain bleeds, we had 3 in over the course of the night, none of which survived till dawn. The lowest was 40/30, with a pulse of 170, she ended up being cardioverted under GA, got admitted to cc...
jbird125 replied to JUSTYSMOM's topic in Emergency
In the UK, at least in our department we are aloud to send patients away from triage who do not present with an emergency probelm that could either be managed by the GP (family doctor) at a later date or managed with OTC medication. On the most redic...
We have the same problem, it seams more with muslisum female patients (i am not against the religion or racist in any way), i have noticed however that if the patient is that unwell that it needs to be carried out immediatly then usually they are mor...
jbird125 replied to Ridryder 911's topic in Emergency
Whilst unable to comment on the US, over in the UK we have just started introducing degree qualified paramedics, these have shown a huge improvement in the quality of treatment that patients are recieving in the prehosptial enviornment. Some of the A...
jbird125 replied to HealthyRN's topic in Emergency
I like that, although we sometimes say the opposite, when i have patients telling me i am going to hell because i am an unkind uncaring nurse because their abdo pain has to wait untill ive finished with the trauma patient. In that case i simply tel...
Welcome to the field, although i work across the pond so to speak one of the other posters is right, focus first on geting your assessments right, then speed will come, you will find it easier to cut to the chase when taking a patients history. In ou...
jbird125 replied to pikevillenursing21's topic in Emergency
I agree, always act confident infront of the patients, they don't know you have just started, they have just arrived with an unexpected injury or illness and are frightened, let them think you know everything and they will trust you 100%, and it will...
jbird125 replied to JUSTYSMOM's topic in Emergency
Things are a litle different the other side of the pond, in my A+E we are allowed to send patients home from triage, so the ones that come in complaining the the oral abs haven't worked after one day can be sent home, along with those that think cons...
jbird125 replied to TraumaInTheSlot's topic in Emergency
They all got the answers right for this one, however one thing that has taken off in the UK particuly with london ambulance staff is using a leg vacum splint for the child, after all the child is not beig enough to put on an adult board (and we don't...
PR Bleeds anything else if fine, its just the smell. Had one the other day and had to put one of the masks that we usually use for TB patients because of the filter, it at least made it more managable.
I work in Accident and Emergency in the UK, at one of the largest hospital in London, get in touch if you would like the views of someone from across the lake.. James
jbird125 replied to Happy-ER-RN's topic in Emergency
Good luck to you in your change! I know when i first started in A+E (the UK version of ER) my manager said there is no point staying if you don't like it, he said their were two types of people those that loved A+E and those that hated it, there is n...
I think you will find that the majority of them are said between members of staff, and not directly to the patient, and between members of staff on a 12 hour shift it can be what is necessary to make it just that little bit more bearable, its either ...
can't agree more, same thing happens over this side of the atlantic, and once you have worked for a period of time in one specific area you will be the one the doctors come up to and ask, you will know what pollicies their consultant likes and then t...