WHat an amazing first day of rotation in the ER. I followed your advice and made it aware that I was there to do everything and anything I could for them. I looked around to familirize myself with everything, memorized the stock room and even made coffee for everyone.
It started out pretty slow with 2 ladies one 72, one 67 both complaining of dizziness. They did complete works ups on them and we just basically monitored them.
1 hour into the shift we had a 76 year old male /c Hx of a cabbage and carotid obstruction come in via Ambulance after being found unconcious in his driveway. He had a GCS of 9, then later a 15. I took V/S inserted a Foley and we continued monitoring him. He was molted, diapheretic and vomiting. His BP was 76/42 and tachycardic. We administered Dopamine and NS wide open. His BP came up but he was still doing "bad" stuff as the RN put it. He was sent for a CT and he started to sieze on the table, then I yelled "he's in asystole"!
he coded on the ct scan table and then they started compressions and I was the bagger after they iintubated him! I looked up and there were like 15 people swarming in there.. We worked on him, he came back to us and then we went back to ER with him. We continued to monitor him and he coded again. They shocked him with 200, he came back and then coded again, they shocked him with 300 and we continued chest compressions all in all we spent about 3 hours on him, eventually losing him after we maxed out all the meds. It was hard to see the familys reactions and I actually broke down after leaving the room.
Then we had a patient who presented with complaints of severe abdominal pain which later turned out to be severe constipation the patient was so confused that he took a dump while squating on the gurney. !!!
Anyway, I cant wait to go back tomorrow!!
Thanks again for everyones advice on my previous post