Interesting, complex case. Dobutamine isn't as common as it used to be. It sounds like it was added precisely because of the mitral insufficiency. Vasopressin and the NE would make the mitral resurge...
It sounds like you might be getting the brush off by people who don't want a hassle. They don't know you. You need a personal "in" somewhere, a person who can set it up for you. It's definitely not...
Where the transducer is when it is zeroed makes no difference at all, as long as the atmospheric pressure where the patient is is the same as where the transducer is. You could zero with the...
What patients bring to the OR in terms of chronic pain determines analgesic strategy for anesthesia. Patient's having an ACDF don't necessarily bring chronic pain. They do hurt though, and good...
Most difficult part of peds ICU for me was not the death of a child (pretty awful) but the devastation of the parents. No anguish to match it on the planet and very difficult to witness. Was not a...
So, you've a ventricular drain that allows drainage of CSF. You've also a drainage bag apparatus that is on a ruler thingy with a laser level. The gradations on the ruler are cm's. When you shoot the...
Been doing this for a very long time.... and I do not want to sound snarky... you used the word "I" by far more than any other word in your post... By and large, cynical and burned out people have the...
offlabel replied to Emergency.RN's topic in Emergency
Since when is the ER not anywhere near as much bona fide emergencies as routine complaints? It's always been that way. Even in the late 80's during the 'crack wars' in inner city hospitals it was...
offlabel replied to littleluvbugnavy's topic in Emergency
Not a routine intubation at all. Definitely a risk of prolonged laryngoscopy and desaturation because of disrupted anatomy and in line stabilization of the c-spine. Atropine would preempt reflexive...