October 4th, 2009 by DrWes in Better Health Network, True Stories
Tags: Code Blue, Code Team, Coordination, Death, Emergency Medicine, Theater, Unsung Heroes
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It was midnight and the Emergency Room door opened like a curtain on a Broadway. A lone man sat in blue at the countertop, writing. Behind him, the chorus, working feverishly on the protagonist – the script rehearsed a thousand times before.
Clothes off, Story?, facemask, C-collar, endotracheal tube, breath sounds, telemetry, IV’s, blood work, pulse ox, Stop.
Resume, Pulse?, patches, register, call the lab, Allergies?, epi, atropine, Pressure?, twitching, NG, x-ray, Stop. Pulse?
Resume, pacing wire, max output, capture?, not quite, “potassium?”, not ready, blood gas, foley, Capture! Stop.
Resume, blood gas, no capture, damn, tweak, better, pulse?, yes. Lab?, no, Which meds?, cardiologist, Go.
Vent, hoist, prep, stick, contrast, open, shock, balloon pump, a-line, movement, labs, blood gas, peep, transport, c-spine, CT, Go.
Then intermission. Read more »
*This blog post was originally published at Dr. Wes*
October 4th, 2009 by CodeBlog in Better Health Network, News
Tags: Blogging, Confidentiality, HIPAA, Legal, Nina Yoder, Nursing, Obstetrics And Gynecology, Social Media
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When University of Louisville nursing student Nina Yoder blogged about her experience watching a patient give birth in a post entitled “How I Witnessed the Miracle of Life,” she may have thought she was just blowing off some steam. Well her school saw things very differently.
When school officials read Yoder’s post, which included a description of the baby as a “creep” and “a wrinkly, bluish creature, all Picasso-like and weird, ugly as hell, covered in god knows what, screeching and waving its tentacles in the air,” they moved to expel her from school by calling her into an office, searching her for weapons (apparently because Yoder had separately blogged about her support for the Second Amendment), and informing her she was no longer enrolled at the school. Read more »
*This blog post was originally published at code blog - tales of a nurse*
October 3rd, 2009 by Berci in Announcements, Better Health Network
Tags: ePatient, John Sharp, Journal of Participatory Medicine, Online Health, Social Media
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I discovered the new Journal of Participatory Medicine in a guest post on E-Patients.net written by John Sharp of the Cleveland Clinic.
Now comes the Journal of Participatory Medicine to fill a gap in journals which acknowledge the active role of the patient in current medical practice. While other journals publish articles on patient participation in health care and social media, but a single journal devoted to this topic will be a welcome addition and make the topic more officially sanctioned as a valid field of medical study. The editorial board is very impressive and lends an important boost to this new journal.
Read more »
*This blog post was originally published at ScienceRoll*
October 3rd, 2009 by Bongi in Better Health Network, True Stories
Tags: Acute Abdomen, Diaphragm, Free-Air, Incompetence, Medical Student, Radiology, South Africa, Surgyer, Training, X-ray
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Some things make me feel so powerless (yes, even i can be powerless in the face of incompetence).
I have previously mentioned a thing or two about my opinion of where medical training is going in this country. Basically the powers that be are not-so-gradually degrading the degree. To them somehow it seems like a good idea. Ideas I suppose can easily seem good when you are safely hidden away in your nice air conditioned office far from the reality of the consequences of essentially negligent doctors released into the community. Well I get to see the consequences up close.
He was referred from an outlying hospital on a Friday. The peripheral hospitals so like to empty their wards for the weekend. After all there is some good fishing in these parts. Thank goodness for good fishing. Otherwise many more would die unnecessarily. Read more »
*This blog post was originally published at other things amanzi*
October 3rd, 2009 by Toni Brayer, M.D. in Better Health Network, Health Tips
Tags: Dermatology, Emergency Medicine, Eye, Eye Lid, Family Medicine, Pediatrics, Primary Care, Skin, Super Glue, What To Do
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This little girl accidentally got Super Glue onto her eyelid. She came to the doctor without pain and she was able to move the eyeball under the lid but could not open it.
Her doctor in Decatur, Ala gently irrigated the eye area with normal saline and applied antibiotic ointment and a gauze patch over the eye area but the lid remained stuck together. The next day he was able to gently pull the lid open.
If you should ever glue parts of your body together with Super Glue (cyanoacrylate), the treatment is easy. Acetone, the ingredient found in nail polish remover will dissolve Super Glue. A Q-tip with acetone, gently applied to the area, will dissolve the bond without damaging the skin. Don’t pull the skin apart, but gently roll or peel it.
If Super Glue gets in the eyeball, the eye protein will disassociate from it over time. A warm sodium bicarbonate solution eyewash will help remove the adhesive.
Photo/story credit: Consultant
*This blog post was originally published at EverythingHealth*
