sk8rn

Not a bad order, just a slammed/sleepy PA. On a pt's script for discharge. "0.5 mg of anxiety p.o. prn"

Head CT on pt who had complained of nausea and near syncope during blood donation.

I like teasing the elderly ladies about being pregnant, It always gets them going.

Always sit down to start your lines, always sit, always sit, always sit, take your time; study the veins direction, size, get correct cath size, use a bp cuff for hard sticks, try "floating in" ivs with fluid when pts have that see through skin and veins blow easily. Aim small/miss small. Best of luck.

Any thoughts, Right before the end of shift last night we got a code by private vehicle, 40 something yo, 240ib, heroin OD (dime bag injection, per hooker) down for approx 15-20min still warm. Cpr to room from carport, flatline, hard iv, io,then iv,narcan, 3 rounds of meds, et was placed which yeilded bloody mucus; then a water fountain (really) of pulsing, warm blood out of the ET tube. Tube replaced with no blood return, 30mins of cpr. Flatline and called it. Took a sugar postcode because of a bad feeling/ bsg 37. No doubt we will add accuchecks to all code situations but it still takes some time to free up somebody for that task. Does anybody start coding with nacan and d50 right out of the gate? Noted some relation with heroin od and hypogylcemic state in some research? We don't see much heroin, maybe 3 in 10 years, any tips or tricks? I'm guessing this et tube bleed out was do to varices in the intubated esophagus? Never seen it before and I was not sure were to go with it; our MD was new to the ER and was no doubt suprised and wanted to put a c02 monitor over the gusher (anybody ever see a lacerated trach from tube placement?) Thanks for any tips.