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We've all heard it: nurses can't watch medical shows without getting annoyed about how inaccurate they are. Lately, I'm finding that the most ridiculous medical mistakes happen on police procedural dramas (Law and Order, Criminal Minds, etc.); at least the medical shows have people with medical backgrounds advising them.
Anybody have some funny tv medical mistakes to share??
Last week I was watching a rerun of Criminal Minds. The victim had been drugged with haldol by her kidnapper. When the police rushed in to save her, the EMS gave her a bolus of narcan and she magically awoke. It was a flipping miracle!! ?
My biggest pet peeve, besides the bent-elbow CPR, was an episode of Desperate Housewives. Not a medical show, but this was a big storyline one season. Susan needed immediate surgery because she had a "wandering spleen which could crash into her heart" so she remarried her ex-husband the day before surgery to get on his health insurance. Don't get me started on her medical diagnosis, but the insurance fraud and pre-existing condition would have been huge problems! LOL.
How about the fact that Susan later ended up on dialysis, but never had an AV fistula?
How do I make code/nursing accuracy consultant for TV/movies a thing? I would to that job.
The sad thing is, they DO have medical consultants listed in the credits for these shows. I think the person just glances at the cover of each week's script and signs off, though, b/c they certainly don't examine the dialogue, props, or watch the actual taping!
In an episode of Nurse Jackie, she diverted a bunch of fentanyl patches. At the very end of the episode, they show her wearing one of the patches on the back of one of her arms (in the tricep area). The patch very clearly said "Fentanyl 100mg" -- you better hope there's not 100MILLIgrams of fent in that patch or she'd be dead!! 100 MICROgrams sounds more like it.
Are you sure it was afib rvr and not SVT? We cardizem our rvrs. I was under the impression that this is the standard.
Old post, I know, but just noticed and I feel like responding. :)
We usually end up doing cardizem or amio, but if the patient is crazy unstable with the a-fib with RVR (as in, we gave them adenosine to slow it down so we can see it's a-fib, but the rate is 180 and the BP is really in the toilet), we sometimes try cardioverting first. It takes higher levels of energy than converting SVT - we start at 200J, usually. It rarely works, but it's sometimes worth a shot.
Old post, I know, but just noticed and I feel like responding. :)We usually end up doing cardizem or amio, but if the patient is crazy unstable with the a-fib with RVR (as in, we gave them adenosine to slow it down so we can see it's a-fib, but the rate is 180 and the BP is really in the toilet), we sometimes try cardioverting first. It takes higher levels of energy than converting SVT - we start at 200J, usually. It rarely works, but it's sometimes worth a shot.
I just had an RVR patient get a pacemaker for rate support. Didn't even consider that a pacemaker will zap people at a higher rate. Same idea as what you're saying, though. Thank you for your response. I like not looking surprised when the MDs suggest something not regularly done. :)
megRNn
33 Posts
I know I love when they just keep shocking and no one is doing CPR!