R!XTER

R!XTER

Emergency Room

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All Content by R!XTER

  1. I had a patient with Marfan's once. He was extremely tall and lanky and developed several spontaneous pneumothoraxes and bleeds in his life. When I had him he had a spontaneous hematoma the size of a...
  2. Breaking Free From Nursing

    OP you expressed my feelings exactly. I am only working as an RN for 3 years, and I love all the aspects of the job that made me choose this job in the first place, but beaurocratic nonsense won't let...
  3. What's the nurse-patient ratio in your unit?

    Level 2 trauma ER -
  4. "Reality" show about nurses begins Thursday....

    ABC had a few different hospital based shows, not focused totally on nurses but definitely portrayed nurses well. I believe you can get some or all of them on abc.com. They had Hopkins, Boston Med,...
  5. Observation of the day

    About 10% of patients who are brought in by ambulance are actually experiencing true medical
  6. What are your pet peeves?

    Old people drop-offs. Especially non-English speaking, demented old people drop-offs. This is when family decides they need a break from Mom or Dad, so they bring them in with some fabricated...
  7. Observation of the day

  8. What are your pet peeves?

    I think my #1 is patients who come in with their own plan of care, and/or refuse anything we advise, particularly blood work. This just baffles me. Patients come in with chest pain, abdominal pain etc...
  9. Ha! Auto GOMER - Love it!! Just picturing a little red button on each stretcher. As soon as the (stable) pt starts being a pain, hit the button and watch then be ejected through a trapdoor in the...
  10. "My whole body hurts, inside and out. And I feel weak. This morning I couldn't move my body was frozen." Does one part of your body hurt more than any other part? "No. My entire body hurts" Pt walked...
  11. What do people think the ER is?

    Had the female version of the OP's pt the other day - 25 yr old girl with vague complaints of dizziness, arm tingling, x2 months. Seen by PMD, told everything's ok but still doesn't feel right. She...
  12. Guy gets dragged in by his buddies at 2am with a GSW clear through the calf. He was just walking by minding his own business when these guys he doesn't even know shot him in the leg! Amazing how these...
  13. What do people think the ER is?

  14. Funny things patients say !

    "Well, my mom has a congested heart..." "I have abdominal pain. I'm not sure if I'm pregnant but my period is 2 months late and I had tropical pregnancy so my doctor said if I ever get pregnant...
  15. New residents in the ER (wee rant)

    MassED do we work together? LOL I can totally relate to what you're experiencing. Except where I work ED residents do 4 years. There are 2 particular 4th years right now who irritate me to no end....
  16. What do people think the ER is?

    How do you I/O cath someone for urine? Am I missing
  17. What do people think the ER is?

    Or the opposite - the people who storm out because we are not following THEIR plan of care. I.E. 35 year old healthy male with diarrhea x2 days. Awaiting lab results. Girlfriend inquires "did the...
  18. What happened to you happens to everyone. Don't feel alone in this. As much as we try to make the ED (and hospital in general) a "controlled environment" things do not go perfectly 100% of the time....
  19. When the joys of summertime are diagnosing venous/arterial insufficiency and pedal
  20. Maybe he was homeless or had no air conditioner and just needed a place to cool
  21. Haha I'm not sure what the whole story was, but all that was listed as the chief complaint was "calmness". One of the docs took a picture of it and showed it to me after the patient had already left....
  22. 2 gems from today: "Well, my mom has a congested heart..." "I have abdominal pain. I'm not sure if I'm pregnant but my period is 2 months late and I had tropical pregnancy so my doctor said if I ever...
  23. Calmness
  24. That awkward moment when....

    My friend works L&D at the same hospital where I work, and they call "code 100" overhead for a baby in distress during or after birth. Anyway she was in Stop&Shop the other day and heard "code...
  25. That awkward moment when....

    That's awesome. I was once driving next to a car with a digital speedometer and noticed it was at 40(mph) and my first thought was "oh no! he's