The nights we live for #everyonesokay #theroofisonfire #noliterallyitsonfire;stopdancing
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@medicintraining289-blog
The nights we live for #everyonesokay #theroofisonfire #noliterallyitsonfire;stopdancing
via Artbiotics
Come to work in the dark and leave in the dark #wheresthelight #butitsdaytime #notgraveyardshift
So today,
Wasn't a difficult day. But I had this patient from a nursing home. Apparently her husband saw her go unconscious while lying in bed. So we get there and shes breathing, but not responding to anything except my finger dragging on the bottom of her foot. I'm only BLS for now so I call for ALS and we load and go. No ALS available. So here I am, with an unconscious pt, not very many details, and her husbands in the front seat and I'm praying to god she doesn't code. Her BP was 194 over 96 She holds out through out transport. Unfortunately, on my third trip to the same hospital the doctor shows me her brain scan and this woman suffered a massive stroke and is on life support.
And it didnt phase me, it's just another patient that I got to the hospital alive. But when I was telling someone about my day they asked me how we do it, and honestly I have no clue, it's just ingrained in us over time to keep our distance
But every once in awhile, you get those patients that never leave our minds. And I think she's going to stick to me for awhile.
âThe only person you should try to be better than is who you were yesterday.â â Unknown
Just so you know,
When you start a new job, where some people are paid and some arent, there will be drama, people will try to make you look like you have no clue what your doing, and things that you normally do in your volly world will not be accepted. This will distress you, you'll feel like giving up, and perhaps you'll feel like you have no clue why you do what you do.
My advice? Fight through it, accept when your wrong and when you are, face up to it. And when you're right, keep your mouth shut, continue to do your best and hope everything works in your favor.
Scary scenario: patient codes
Scarier scenario: patient presents knocking on EMS Door and you watch them code in the doorway
Scariest scenario: you go to secure the airway and see his jaw is wired shut.
Scream for help and a Cricothyrotomy kit.
Me: This drug is zofran, itâs gonna go through your IV and itâs going to help control your nausea. *pushes med* Patient: oh no. Me: what? Patient: you pushed that too fast. Now Iâm gonna throw it up. Me: Excuse me?⊠Patient: I said Iâm gonna throw it up! Me: ⊠thatâs literally not possible. Patient: *literally shoves finger down her throat to throw up* Patient: see?? you made me throw it all up Me:
please make sure that wherever youâre at in life, you donât treat it like a transitory period. donât waste your college years wishing to already be graduated & have a job. donât waste your single years wishing for someone to be in love with. if/when those things come, they will come in due time and they will be good. but there is nothing like looking back and feeling empty because you wasted literal years ignoring what you had because you were hoping for something better. while itâs important to better yourself and reach for your goals, donât neglect the present because thatâs where you are now and itâs your now that determines your future.Â
via CDC
And its only monday
It kind of keeps me human. You see, Iâm about to change their lives â your mom and dad, that is.
A bit of a heavy read but necessary.
This speaks to my soul.
The little voice.
I get a 54yo male from home c/o severe lower back pain that was sudden onset while watching tv at home. Heâs hypertensive on arrival 220/110. I put in my triage, line and lab him. The med student comes in to do her physical assessment and talk with the pt. I see her leave the room with a worried look on her face but she goes back and sits at the doctors desk, the attending is seeing another pt. I asked her what she thought and she very meekly says âI think he may be having a dissectionâ (he has an extensive cardiac hx) I tell her I agree itâs a possibility and that we need to inform the attending immediately. She looks nervous and she says âbut I donât know, I could be wrongâ I said listen you need to trust your gut, if you think this, and this is your assessment, then be confident in it. We inform the doctor who agrees with the med student, I run the pt to CT for a stat CTA, which confirms an aortic dissection. I was so proud of that little med student. And I made sure to tell her that. She saved a mans life and was able to see the full picture and not just the cc of âback painâ. The confidence comes in time but that little voice that tells you something is wrong even if youâre not 100% sure is so important to not ignore. Iâm sure she will always remember this, as will I. Sheâll make a fine doctor one day. Nursing students, med students, even post school and licensure, we wonât and canât know everything and will sometimes feel like we know absolutely nothing but we should feel confident in what we do know, strive to learn more each day and always trust your gut. If you at least know normal youâll know if something is abnormal even if youâre not quite sure exactly what it is.
WHEN A PATIENT HAS ATRIAL FIBRILLATION PLUS ATRIAL FLUTTER
Thatâs âAtrial Flubberâ