The West Wing: Rosslyn, Virginia (A Medical Breakdown)
Hospital Nurse: "Station One."
Ron Butterfield: "We're coming in!"
Hospital Nurse: "I copy that. Is this a drill?"
Hospital Nurse: "The thing is I have a few patients, not many but I do have a couple of kids with alcohol poisoning. We're expecting more in a bit, so if this is a drill, I'd just as soon..."
Did you not hear Ron say “no”? It’s not a drill, stop talking. Why would Ron lie about it not being a drill?
Claudia Jean "C.J." Cregg
“Scalp laceration, secondary to fall.”: A deep cut of the scalp skin which was caused by the fall.
“No LOC.”: Did CJ lose consciousness? No.
“Are you CJ Cregg?” “Can you tell me what day it is?”: Questions to determine whether or not someone has a concussion.
Josiah Edward "Jed" Bartlet
"He’s been shot in the abdomen. Visible entry and exit wound.": A through and through. It is unlikely that the bullet hit anything vital as Bartlet is conscious and talking.
B.P. 134 over 78: Pre-high blood pressure, expected for someone bleeding out.
Pulse 108: Bartlet is tachycardic, also expected for someone bleeding out.
Pulse ox 98: Good oxygen level. Average is 95 to 100.
Anesthesia and MS: The risks of general anesthesia are not generally higher in people with MS. But one should always inform the doctors operating anyway.
Gunshot wound, no exit (left fifth intercostal space): See above for “intercostal space”. No exit means the bullet hit something and is stuck.
Decreased breath sounds in the left: Caused by a pneumothorax (collapsed lung). Unable to get air properly into the left lung.
Pluse ox 92 on 15 liters: The oxygen level is low even though they have him on an oxygen mask. But the oxygen is okay for now.
Pulse ox 88: Never mind, the oxygen level is low. He took the oxygen mask off.
Chest Tube: A flexible plastic tube that is placed in the pleural space to allow the lungs to fully expand.
“Bradying down”: Dramatic drop in heart rate. Has become bradycardic. Slow heartbeat. Less than 40 beats a minute.
Cricoid Pressure: A technique used in endotracheal intubation to make sure the tube enters the lungs and not the stomach, thereby, reducing the risk of regurgitation.
Crash cart: A wheeled chart with medication and equipment to use in the event of CPR.
Endotracheal intubation: Placement of a flexible plastic tube into the trachea to maintain an open airway.
Hemocue: Hemoglobin tester.
Hemoglobin: Responsible for transporting oxygen in blood.
LOC: Loss of consciousness
Pleural space (pleural cavity): See above purple space.
Tachycardic: Over 100 heart beats a minute.
Trauma panel: A series of tests done after a trauma. A complete blood count (CBC), electrolytes, BUN, creatinine, amylase, protime (PT), prothrombin time (PTT), blood type and screen (T&S) or type and crossmatch (T&C), urinalysis (UA), ethanol level, urine toxicology screen, arterial blood gas (ABG), lactate, and an electrocardiogram (ECG).
Ultrasound: Machine using vibrations with an ultrasonic frequency to see internal organs.
Patients are almost always loaded into the ambulance head first, so that they are unloaded feet first. Josh is unloaded headfirst, meaning he was put in the ambulance upside down.