Are you ready? Here's a game we play at work when captain dumbass from the major city fire rescue squad brings us a patient. It's called "find all the stupid shit on this run sheet". Whoever counts them all is the winner. Go!
On a CPR in progress-
UNIT 123 ARRIVES ON SCENE TO FIND FEMALE PT WITH MULTIPLE LOWER EXTREMITY AMPUTATIONS LYING ON FLOOR OF APT UNRESPONSIVE. PT HAS BLOOD PRESSURE OF 150/90 BUT NO PULSE WITH RESPIRATIONS OF 7. KING TUBE INSERTED AND PT TRANSPORTED TO HOOD HOSPITAL FOR FURTHER EVALUATION.
VS- BP-150/90 HR-- RR 7 ECG-Normal Sinus
GCS-Motor-Obeys commands-6, Speech- Converses normally-5, Eyes- Opens spontaneously-4
Circulation-BL upper extremities-normal, BL lower extremity-normal
Hospital-Patient's choice
Your time starts now. Make sure to show your work.
Disclaimer to the inevitable butt hurt commenters- I promise, there really are not extenuating circumstances- this particular guy is seriously that lazy and that stupid. He stayed at the hospital for 30 minutes putting this together. Just think about that for a minute.
1. you cannot have a bp and no pulse
ReplyDelete2: if youhave no pulse, your ECG is not going to be normal sinus
3: GCS of an unresponsive person is NOT 15
4. no pulse, means no circulation. therefore upper limbs circulation is not going to be normal bilaterally.
5 ,multiple lower limbs extremity amputations means that circulation is going to be pooling on the floor, not normal lower extremity circulation
6: an unconscious patient cannot choose a hospital.
cheers. cameron Hoare, a med student currently doing placement in cloncurry qld australia.
That run sheet is extremely confusing. What an unusual patient they have!
ReplyDeleteOh god my eyes hurt after reading that. Make it stop...
ReplyDeleteWow! She can do all of that without a pulse- amazing!
ReplyDeleteI was just wondering how you converse normally with a king tube down your throat....I think I would like to meet this incredibly unique patient you had at hood hospital
ReplyDeleteWait... multiple lower extremity amputations? Like, multiple legs cut off... but she's still alive and talking... although she has no pulse. um, I'm not a medical professional but that seems iffy.
ReplyDeleteSay what ???
ReplyDeleteThey were old amputations, but still, normal lower extremity circulations with no legs. Let's hear it for our winner Cameron, and stay tuned for the next round of "find all the stupid shit on this run sheet"!
ReplyDeleteI'm a social worker... and I managed to find all those things wrong with it...
ReplyDeletewow.
CPR in progress....I hope it was on captain dumbass because he shows lack of circulation/oxygen to brain as evidenced by dumbassness.
ReplyDeleteWe play the same game as doctors, except we call it, "Find all the stupid sh*t in the nursing notes."
ReplyDeleteYeah, I've been known to play that with select coworkers, although it's usually completely useless information vs. lack of understanding about how physiology works.
ReplyDeleteThe fluck?
ReplyDeleteMy head hurts now....
MMMHMMM
ReplyDeleteIt's moidah, I tell ya, moidah!
ReplyDeleteToday's world? Not surprised at all. It's scary out there folks.
ReplyDelete