4th of July in the ER

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4th of July is her!? For trauma, it's nearly the worst holliday of the year! It's hot, there are explosives, alcohol, and usually boats or Atvs involved... Lets hear the stories!!!!

Specializes in LTC, Hospice, Case Management.
alcahol? dont call sumone out for spelling when you cant spell yourself

What you missed is the original post before the OP fixed it. "Alcahol" was just one of the many misspellings she had in the post. She went back and fixed it before you ever read it...note her reply right under mine. Who's being quick to call someone out now??

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Specializes in LTC, Hospice, Case Management.
Sorry, just trying to be funny here, but how much alcahol have you had. Go back and check some of your spelling. Tee hee.

alcahol? dont call sumone out for spelling when you cant spell yourself

Lol... uh. maybe i should have typed slower and checked my spelling.... There. that's better...

Sorry to hijack the thread, but I just have to make an additional comment. If you had seen the original post it had at least 5 obvious misspellings. I attempted to point this out in a friendly, nonthreatening way. The OP responded to this just as I had intended and cheerfully fixed the post and made a "happy" little comment in reply.

As happens all to often on this forum, someone else swoops down with claws out ready to attack on something they THINK they understand. Anyone else read that recent thread on being sick of all the snarky comments?

Please people, can we all try a little harder to play nice in the sandbox.

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i don't think i've ever seen a glucose that high or a bicarb that low! but the "bubbling out water like a witches brew" should have had a beverage alert attached. i'm wiping the water off my computer screen!

should've seen my other patient last week, hemoglobin=2.1, hematocrit=7.3 and she was alert and talking. i've been having some patients with labs that are incompatible with life and still kicking recently.

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The 5yro sister of a friend of mine had a mortar blow up near her. 2nd and 3rd degree burns on her arms, legs, and face. Luckily her blue jean dress shielded her body...

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Should've seen my other patient last week, hemoglobin=2.1, hematocrit=7.3 and she was alert and talking. I've been having some patients with labs that are incompatible with life and still kicking recently.

glucose=1,257 wow does a glucose metter even go that high???

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Specializes in OB, Med/Surg, Ortho, ICU.
i don't think i've ever seen a glucose that high or a bicarb that low! but the "bubbling out water like a witches brew" should have had a beverage alert attached. i'm wiping the water off my computer screen!

we have a lady who regularly comes in with dka and has had a few over a thousand, one at 1250. get this, she's usually awake and talking. she's probably the most brittle diabetic i've ever seen in my limited experience. isn't amazing what people can survive or tolerate?

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glucose=1,257 wow does a glucose metter even go that high???

Our meter reads "HI" whenever a value is over 600. The 1,257 mg/dl is an actual reading from our lab after sending off her blood.

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I work at a basic ER and my I had two drunk patients under involuntary psychiatric holds, a 50-year old woman who still cries "i want my mama" for a miniscule kidney stone, a lady with DKA (pH=6.8, Bicarb=3.3, glucose=1,257), a child who blew a hole into her thigh with 6cm of tunneling, full of soot, smelled of BBQ flesh, and was bubbling out water like a witches brew. Those were just my patients.

ho-lee-crap!!!! 1257??? :uhoh3: my meter doesn't even go that high!

actually I spent the 4th in the ER - and had my gallbladder out later that night!

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Specializes in Ambulatory Care.
I work at a basic ER and my I had two drunk patients under involuntary psychiatric holds, a 50-year old woman who still cries "i want my mama" for a miniscule kidney stone, a lady with DKA (pH=6.8, Bicarb=3.3, glucose=1,257), a child who blew a hole into her thigh with 6cm of tunneling, full of soot, smelled of BBQ flesh, and was bubbling out water like a witches brew. Those were just my patients.

So I'm a lowly nursing student and we've been going over those acidosis/alkalosis values lately and wow!!!! How was she even alive?? Does it get worse than that?

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Someone haha

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