AZQuik replied to pthelper777's topic in Emergency
I usually find a few docs I can bounce things off as well. Many people enjoy showing of their knowledge. Docs are no different. I also study cases that stumped us. Humans are dynamic creatures which...
We do finger sticks on anyone who is AMS even if EMS did one. Any suspicion of stroke we also do a finger stick even if they aren't altered. Tuck this one away for future
A flush would have pushed more dec in. And yes it should have been flushed. Given dec thousands of times and haven't had a pt tell me this was their experience. Maybe I pushed it slow enough (most...
Oh, rarely does anyone ever ask me where I went to school, and nobody has ever asked me what kind of grades I got. Most coworkers want to know if I'm going to show up when scheduled, and if I can hold...
Work hard, be humble, work hard to fit in with the team, don't be arrogant and show people up. Continue to learn, and don't act like you know more than somebody else. Nobody wants to be around...
Awesome perspective in this post! Thanks! Enjoy the rocking chair. Here's hoping my retirement allows me to use all the fly rods I'll have collected while working. Maybe teaching a future grandkid...
AZQuik replied to optimistic92's topic in Emergency
Just to prepare you, you don't spend most of your time in the ED feeling like you're," making a difference and saving lives" It does happen, but this is probably not how you will feel most of the...
I use the the word unstable over sickest. When walkie talkies tell me they are unstable while I am running through the hall trying to find enough epi to make an epi drip on a guy we are coding at 4 am...
AZQuik replied to russianbear's topic in Emergency
Don't worry too much about ESI out of the gate. Get the free book and become familiar with it. To really be able to use it you kinda need to know what work ups will be done with what presenting chief...
AZQuik replied to Nursechamp1's topic in Emergency
Yes but a lot of flight programs value ICU experience. Some don't. Kinda depends on their specialty. I know several flight programs around here that drool at RN's that have
AZQuik replied to dannygirl315's topic in Emergency
Everyone is different. Schedule is horrible though. If you are going to work overnights it really needs to be: you decide when (as in you work days but pick up a night here and there) or a dedicated...
Pharmacy. We have a couple great PharmD's on through the daytime and into the night. When it's late and they go home we call Central Pharmacy. We have some great ones there as well. This kind of...
Yup. We have many regulars who have ended up tubed, in the ICU with dt, or after they arrived we found out there was spice/cocaine/heroin/bath salts involved and it was another adventure all together....
Yeah. We try to shoot for their "sober" or baseline. Usually around a etoh level of 100. Then po challenge, road test, and let them go to medicate their own dt's. When we overshoot that mark they...
AZQuik replied to xxMichelleJxx's topic in Emergency
I disagree. Plenty of hospitals orient on one shift and then someone spends the last few weeks on their soon to be primary shift. I was oriented for 6 months. 5 were on nights. Maybe it's not your...
AZQuik replied to joyful_wanderer's topic in Emergency
Unresponsive and bradycardic has been a common presentation here. Particularly after an initial episode of hallucinations and violent towards ems/ER staff. Also etco2 drops into the low