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Tips from the ER...Follow

#27 Jan 10 2005 at 11:57 AM Rating: Good
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Quote:
Some more inside info:
From the moment you walk into the ER youve been classified as either a:
-genuine sick/injured patient,
-someone who just wants an excuse not to go to work on monday,
-a bad parent letting your child swallow coins/buttons.
-or a drunk dumbass.


...or a narcotic addict. You can always spot 'em a mile away : They're allergic to Toredol and Ibuprofen (but oddly enough, not Percocet or Demerrol)

Quote:
My mother is a nurse on the SNF unit. She had a guy in last month or so who was in there for over dosing. While he was there his friends were bringing him "gifts". You couldnt prove it except by blood tests. He didnt want any of the "weak sh*t" (pain killers) the hospital had, no no his friends could get him better. Yeah, good friends helped him to OD when they took him outside for a smoke. They left him outside too. The nurses had to go looking for him. Found him dead.


If that's actually the case the hospital should be sued, and all of the psych staff fired.

In OD's (which are classified as psych patients), the patient is isolated, often in a locked-by-code section, and usually classified as a no info patient other than to immediate family, and usually not even then until he's stabilized.

If he's conscious, he'd be under suicide watch. He would not be allowed out of sight, not even to take a ****. If he's unconscious, he would be too busy taking charcoal or whatever means they need to clear his system.

To allow such a patient out of a secured environment,without a babysitter even, would be incredibly stupid of the hospital.

I've been in the ER for almost a year now; on third shift for the past two months.

Not much surprises me anymore -- except that level of incompetence by professional staff (or a ******** story to look funny).
#28 Jan 10 2005 at 12:03 PM Rating: Good
I knew if I took the quote out of my sig you would come back.

/wave Dalliance
#29 Jan 10 2005 at 12:24 PM Rating: Excellent
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My mom, who was a nurse, used to tell us ER stories over dinner. Probably accounts for my lack of shockability now.

One of her favorites was the man who walked in with a hatchet sticking out of the top of his head. Seems he and his brother-in-law had had a little argument over whose turn it was to chop wood. Loser got to go to the ER (and then presumably cut the damn wood).
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#30 Jan 10 2005 at 12:54 PM Rating: Decent
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I've heard some wonderful stories from EMTs and Paramedics. One of my favorites was about finding a car wrecked in the woods, and determining how long it had been there by the larvae growing in the driver's eyeballs.
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#31 Jan 10 2005 at 1:10 PM Rating: Decent
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When I worked in a hospital, I read a report from a surgeon who removed an apple from someone's ******.

It didn't come out in one piece. Smiley: disappointed

#32 Jan 10 2005 at 3:59 PM Rating: Good
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omenomen wrote:

Some more inside info:
From the moment you walk into the ER youve been classified as either a:
-genuine sick/injured patient,
-someone who just wants an excuse not to go to work on monday,
-a bad parent letting your child swallow coins/buttons.
-or a drunk dumbass.


This just reminded me of a story. The moral is that when you are really injured, sometimes you need to act like it. It seems like ER personel are used to everyone with a serious medical condition to be in a panic and crying and screaming. This can cause some interesting misunderstandings when you hang out with a bunch of friends who *don't* panic in those situations...

We're having a Christmas Eve party with a group of friends doing a gift exchange. Lots of people there into live full steel mideval fighting, so knives, swords and the like are common gifts (in addition to the usual computer games, DVDs, and whatever). One of my friends is checking out his new knife (don't remember what the hell he was doing, but he screwed up) and he ends up slicing his arm and severs the artery. Bloods spurting out, but he clamps some pressure on it, his brother grabs some cloth to use as a bandage, they wrap it up and head off to the ER in someone's car. The wife meanwhile is more concerned about bloodstains on the new carpet (this was their first year in their new home after all).

So... A group of us pile into the car and drive to the ER. We walk in. No one's panicing. It's not like he's going to die or anything. We explain that he's got a bad cut on his arm and needs immediate attention. The nurse there apparently assumed this meant *small* cut. She's handing him forms to fill out. We're calmly explaining that maybe she should get a doctor and that it really is a bad cut. Nope. Gotta fill out the forms and wait in line with the people that apparently don't know how to go to the sudafed isle at the grocery store.

Finally, after about 10 minutes of insistence that she really should take a look at him, she (giving us that "you're bothering me" look) kinda sighs and unwraps the cloths and pulls it away. Blood starts spurting across the ER quite nicely (we'd told her like 10 times that he'd severed his artery, but did she believe us... no...). The look on her face was priceless! Suddenly, she starts panicing and running around calling for a doctor. Needless to say, we didn't have to wait in line anymore.

I just found it amusing seeing the other side of that. The ER staff is pretty used to people thinking their problems are much more severe then they are. Must not get a lot of calm people who really do need immediate attention.
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#33 Jan 10 2005 at 4:09 PM Rating: Good
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Drayfitt wrote:
Reminds me of the time my girlfriend mentioned that some guy came into the ER because he took a whole bottle of nytroglicerine pills and tried to commit suicide by slamming into a wall. Hoping to explode.




yeah.


hahahaha!!!! That just made my whole day.

Also, major props to the OP for the Foamy avatar. Foamy makes happy monkeys.
#34 Jan 10 2005 at 5:04 PM Rating: Excellent
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Gbaji, your post reminds me of the time a friend of mine went to the ER with abdominal pain (because his girlfriend made him go).

He's a very calm, stoic person, so he was sitting there forever reading his book while the noisier crowd got pushed ahead of him. When he finally got shown to a room his temp was way up and the pain was pretty bad. Hard to know how far he was from a ruptured appendix, but my guess is, not far at all.
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#35 Jan 10 2005 at 6:01 PM Rating: Decent
Two EMT stories from a friend. Within 1 year of his becomming an EMT he encountered not only the normal ammounts of false alarms, elderly patients needing a ride to the hospital, nut cases flipping out, drug addicts OD'ing etc. But the occasional car accident and accident in the home.

Bringing us to our first story, with a moral even.
Ambulance is called to home because patient is unresponsive to family members. Blood is on bathroom floor. Patient is naked. Ok.
EMT's arrive, including my friend, to find said man expired. No CPR would help this poor *******. See he was enjoying the wooden end of a plunger as he squated down on it. Yep right up the ol plumbing tubes. But he slipped on the flood and impaled himself, tearing his large intestine. Must be painful I'd assume. He bled to death right there with the plunger up his ***.
Moral is: Don't ever do anything you'd be embarrassed to be found dead doing. Or your familiy embarrassed.

Number too. Not so happy. 30ish women is crusing on the highway in her pretty little convertable sports car. Just'a having a good time. She decides to cut off a tractor trailer by a few feet. Does so then is forced to slam on her brakes when the person infront of her slams on his brakes. For whatever reason.
Skip to my friend's arrival. Said woman is DOS (deceased on scene). Her car rolled under the truck, or rather it rolled over hers. I did mention it was a convertable sports car right? Well when my friend arrived all they could do was grab handfuls of her off the car seat. She had a tire tread all the way up her body.

Edit: Thanks to SamiraX for correcting my idiotness.

Edited, Mon Jan 10 19:48:21 2005 by Drayfitt

Edited, Mon Jan 10 19:49:46 2005 by Drayfitt
#36 Jan 10 2005 at 6:24 PM Rating: Excellent
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Quote:
Said woman is DOS (diseased on scene).


So, she was squashed AND diseased?
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#37 Jan 10 2005 at 7:46 PM Rating: Good
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Hiya, Moe.

/wave

The ER has easily been the most educational job I've ever had. I've seen stupid crap: We're on a first name basis with patients that come in 7-12 times a week. I'm not kidding, sometimes we're up to a 8-9 hour non-urgent wait -- they'll come in, sign in at triage, and then leave. Only to come back later.

Just woke up, but trying to think of some of the stuff I've seen : a man coming in with his index finger in a bag; an 18 year old dying of cardiac arrest, 16 year olds coming in for "abdominal swelling, tender breasts, and lack of period for several months" and having NO CLUE that they could be pregnant. We're a trauma unit too, but luckily I don't have to deal with that often. A lot of abuse cases from nursing homes; a couple of gunshot wounds, OD's, homicidal/suicidal ideations, and "alleged sexual assaults."

I've seen a 13 month old infant that had been f*cked to death; I've seen drunks that have changed my life.

It's been a weird ride, and I'm not the same person I was when I went into it.

I'm both more compassionate and less tolerant than I was before.
#38 Jan 11 2005 at 2:03 AM Rating: Decent
given the number of reponses from people who work at hospitals/trauma centers or have had friends in one, i find it hard to believe that there are so few out there that have spent time in them as patients. between a reckless youth and a work related accident(and those can really suck in the military), all i can say is the people working those units kick ***. i definitely would not be around if not for people like them.
#39 Jan 11 2005 at 4:04 AM Rating: Good
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Drayfitt wrote:
Reminds me of the time my girlfriend mentioned that some guy came into the ER because he took a whole bottle of nytroglicerine pills and tried to commit suicide by slamming into a wall. Hoping to explode.




yeah.


That is the funniest thing I have read/heard/saw in the last few weeks. The image in my head of a guy trying that is enough to guffaw for a bit.

Edited, Tue Jan 11 04:11:42 2005 by Vensuvio
#40 Jan 11 2005 at 4:23 AM Rating: Default
Dall, I dont know if the laws are different in your state. Here we have to have a judge sign saying that the patient be under lock and key.
#41 Jan 11 2005 at 12:14 PM Rating: Good
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Actually, my apologies, Katie. I stand corrected.

I checked with the RN pool (travelling nurses) last night at work in between huge bouts of boredom.

He confirmed that state laws varied, and in some states, you can't detain them even if they have made homicidal statements without a court order -- only if it's a direct threat to personnel. That the police *can* be called, but not they're necessarily required to.

THAT is f*cking insane.

#42 Jan 11 2005 at 12:25 PM Rating: Good
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kundalini wrote:
When I worked in a hospital, I read a report from a surgeon who removed an apple from someone's ******.

It didn't come out in one piece. Smiley: disappointed

Mmmm...pork chops 'n' apple sauce.


#43 Jan 11 2005 at 12:31 PM Rating: Decent
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1,700 posts
Quote:
kundalini wrote:

When I worked in a hospital, I read a report from a surgeon who removed an apple from someone's ******.

It didn't come out in one piece.



Mmmm...pork chops 'n' apple sauce.


/Shudder

Butt sauce with your apples, scary thoughts.
#44 Jan 11 2005 at 12:36 PM Rating: Good
Dalliance wrote:
Just woke up, but trying to think of some of the stuff I've seen : a man coming in with his index finger in a bag;....


Please tell me it wasn't because he was trying the Hitchcock lighter bet....
#45 Jan 11 2005 at 12:37 PM Rating: Good
Dalliance wrote:
Just woke up, but trying to think of some of the stuff I've seen : a man coming in with his index finger in a bag;....


Please tell me it wasn't because he was trying the Hitchcock lighter bet....
#46 Jan 11 2005 at 5:54 PM Rating: Good
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Quote:
He confirmed that state laws varied, and in some states, you can't detain them even if they have made homicidal statements without a court order -- only if it's a direct threat to personnel. That the police *can* be called, but not they're necessarily required to.
Here in Queensland (Australia), the Head Doctor on the shift, can make the call as to whether you stay or leave.
If he thinks you are a threat/danger to yourself or to others, then you will be detained, by force if needed.
We'd detain at least one person a night, more on Fridays and Saturdays.

#47 Jan 11 2005 at 8:30 PM Rating: Decent
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One of my friends is an avid dirtbike racer, and, well, accidents tend to happen a lot. He's broken so many bones and gotten so many concussions that his mom is on a first-name basis with the people at the hospital. Smiley: laugh
#48 Jan 12 2005 at 1:45 AM Rating: Decent
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Quote:
When I worked in a hospital, I read a report from a surgeon who removed an apple from someone's ******.

It didn't come out in one piece.

Mmmm...pork chops 'n' apple sauce.


Dude, that's sick.

I like your way of thinking. Smiley: wink2
#49 Jan 12 2005 at 11:22 AM Rating: Decent
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I applaud this thread btw, see? --> Smiley: clap

you guys rock.
The title should have been "Tales from the ER" tho.

/bow
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#50 Jan 12 2005 at 5:03 PM Rating: Good
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This one happened last night:

This young girl (20 to 25) is brought in around 2am. She is as drunk as a skunk and quiry drug overdose. She's collapsed on the Ambo stretcher, passed out.
The Triage Nurse comes over and wakes her up and whatever she's taken (drugs) kicks in and she starts going off and tries to get off the Ambo stretcher. She's punching and kicking and being a right little *****, so we take her inside to Resus and eventually get her onto one of our trolleys.
She then starts hacking and coughing, like she has a hairball in her throat and after about 20-30 second coughs up a large globb of what we at first think is phlem.
Then we look closer, (there's a lot of it now, on her chin and the side of her mouth) and we're all saying "WTF is it?"
Well the best guess we could make was it was a good amount of "Man Gravy".
Not often we're all grossed out by something, but everyone was a little put off by it.

We spoke to the Ambos, who brought her in and they said they had collected her from outside one of the nightclubs, in the city. Apparently she had been thrown out of the club, because she was caught giving some guy a *******, at the Bar.

Well at least we now know where the "Man Gravy" came from...
#51 Jan 12 2005 at 5:51 PM Rating: Decent
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[:puke:]


omg, that's foul, dude. mucho nastico.
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