The LEAST critically ill kid you've cared for in PICU :) - page 3

by marycarney

So last night I admitted an eleven-month old fro the ED into a PICU bed for acute asthma. The floor doc declined him due to his 'instability' and 'acute distress'. The first HOUR this kid spent in the PICU was spent jumping... Read More

  1. 0
    Quote from MeganNYRN
    I worked in a PICU that took every pt that had a VP shunt not just malfunctions. If a pt coming in for an t+a or appendectomy etc had a VP shunt they had to stay in PICU through discharge. Apparently due to a sentinel event but it seemed silly to have kids who were fine hooked up to monitors all the time in a PICU bed.
    There's always that one event that ruins it for the rest of them. Never mind improving education for the floors and working to make the hospital stay better for the patient, nope just tie them to an ICU bed/monitor that their insurance probably won't pay for and hope that no traumas come in!
  2. 0
    I'm not PICU, but worked in Pediatric Level ! Trauma for years. I sent a teenager to the Burn Unit one night. Report was high temp flash burns to the face, 9% BSA all to the head, with airway involvement. He was sedated, paralyzed for transport, and coming by 'copter. I've got sterlie sheets on the bed, we're all gowned up and expecting, well .. a burned kid. The 'copter crew comes strolling through the doors, chatting to each other (tip off #1), I don't smell "that smell" (tip off #2).

    This kid gets over to the gurney and my attending and I just look at each other and at the same time say, "Where's the burn?". Literally. This guy had one single strip across his forehead that was red, one little bubble of blister, 1mm X 1mm at the left end. No airway involvement at all (and he had a full mustache, no singed hairs). He went up to Burn to let the Vecuronium and Versed wear off so he could be extubated and observed over night. He arrived in the ER at around 22:00, they were gone and driving home by 09:00 the next day.
  3. 0
    A suspected rocky mountain fever patient, transferred from a small rural hospital. Found to have a common virus (causing the fever) and bedbugs (causing the bites).