jbird125

Highest BP the other night 250/150, it was the night for brain bleeds, we had 3 in over the course of the night, none of which survived till dawn. The lowest was 40/30, with a pulse of 170, she ended up being cardioverted under GA, got admitted to cc...

In the UK, at least in our department we are aloud to send patients away from triage who do not present with an emergency probelm that could either be managed by the GP (family doctor) at a later date or managed with OTC medication. On the most redic...

We have the same problem, it seams more with muslisum female patients (i am not against the religion or racist in any way), i have noticed however that if the patient is that unwell that it needs to be carried out immediatly then usually they are mor...

Whilst unable to comment on the US, over in the UK we have just started introducing degree qualified paramedics, these have shown a huge improvement in the quality of treatment that patients are recieving in the prehosptial enviornment. Some of the A...

I like that, although we sometimes say the opposite, when i have patients telling me i am going to hell because i am an unkind uncaring nurse because their abdo pain has to wait untill ive finished with the trauma patient. In that case i simply tel...

Welcome to the field, although i work across the pond so to speak one of the other posters is right, focus first on geting your assessments right, then speed will come, you will find it easier to cut to the chase when taking a patients history. In ou...

I agree, always act confident infront of the patients, they don't know you have just started, they have just arrived with an unexpected injury or illness and are frightened, let them think you know everything and they will trust you 100%, and it will...

Things are a litle different the other side of the pond, in my A+E we are allowed to send patients home from triage, so the ones that come in complaining the the oral abs haven't worked after one day can be sent home, along with those that think cons...

They all got the answers right for this one, however one thing that has taken off in the UK particuly with london ambulance staff is using a leg vacum splint for the child, after all the child is not beig enough to put on an adult board (and we don't...

PR Bleeds anything else if fine, its just the smell. Had one the other day and had to put one of the masks that we usually use for TB patients because of the filter, it at least made it more managable.

I work in Accident and Emergency in the UK, at one of the largest hospital in London, get in touch if you would like the views of someone from across the lake.. James

Good luck to you in your change! I know when i first started in A+E (the UK version of ER) my manager said there is no point staying if you don't like it, he said their were two types of people those that loved A+E and those that hated it, there is n...

I think you will find that the majority of them are said between members of staff, and not directly to the patient, and between members of staff on a 12 hour shift it can be what is necessary to make it just that little bit more bearable, its either ...

can't agree more, same thing happens over this side of the atlantic, and once you have worked for a period of time in one specific area you will be the one the doctors come up to and ask, you will know what pollicies their consultant likes and then t...

It is well to point out here that in business people don't very often threaten to kill you / your family / burn your house down if they don't like what you are doing. I work in accident and emergency (thats the uk version of ER) in London, England. ...

one of the good ones that i've seen is an ECG rythum strip that starts off in NSR and then goes flat line with the words 'oh ****.....' under it

Here in the UK things are slightly different, we also have CDU's, jokingly refered to as the confused doctor unit, or the can't decide unit. Due to the need in the UK for the patient to spend no more than 4 hours in the department from time of admis...

I can't agree more, when i first started my manager said don't stay in A+E and think you will settle in, you never will, you either love it or hate it. I don't know about things your side of the atlantic, but here in the UK you also have to spend a ...

two pens, i will always loose one over the course of the shift, trauma scissors, pen light, calculator, and a selection of analgesia - whatever falls out of the cupboard first