OFFICIAL: Health Care Thread. Health Care Crew Unite!

[Megalomaniacal]

TFW

Taking a black trash bag with a 3.5 month aborted fetus and "sliding" it out into a tub of formaldehyde.

34 y/o mother. P:4 G:9
Nonchalant about the whole thing.
2 kids looking at me. Mom didn't mind them being in the same room, told the kiddos to look away.

Can't get it out of my head. The little black eyes, undeveloped head, the limbs, in a fetal position.

I am so disturbed and weirded out.

why would you be putting the fetus in the formy in the same room as all them?

[GetHimABodyBag]

why would you be putting the fetus in the formy in the same room as all them?

Don't know, just an ER Tech man doing what I was told. Now that I think about it, yeah should have done it in the preggo result room.

In other good news, few weeks ago we had a walk in with chest pain, and diaphoretic, 50 something male. Confirm MI with the 12. Cath team called.
He codes, I jump on his chest. He becomes conscious. "What happen?". Cardiologist is there, but not the whole team. He is shockable. Cardiologist zaps him. "Ouch!". Codes again. I start compressions again. Pulse back. Goes to the cath lab. Successful. Should follow up with some of the ICU nurses

[Megalomaniacal]

Don't know, just an ER Tech man doing what I was told. Now that I think about it, yeah should have done it in the preggo result room.

In other good news, few weeks ago we had a walk in with chest pain, and diaphoretic, 50 something male. Confirm MI with the 12. Cath team called.
He codes, I jump on his chest. He becomes conscious. "What happen?". Cardiologist is there, but not the whole team. He is shockable. Cardiologist zaps him. "Ouch!". Codes again. I start compressions again. Pulse back. Goes to the cath lab. Successful. Should follow up with some of the ICU nurses

love the faces and reactions from nurses/staff when I am test zapping the defibs.

[guyman123]

You should figure out the diagnosis and read about it so you're prepared for when it happens again



Definitely bleeding disorder but there are many others beside FVIII deficiency, some far more severe

Depending what it is, even a massive transfusion protocol may be useless



plasma or cryo may be useless and not contain enough FVIII in regards to hemophilia - the development of antibody is independent of that and a risk with almost any FVIII preparation. Even if vWD is more common it would depend on the severity of the disorder



desmopressin is effectively useless in life threatening hemorrhage.....if vWD you'd give an impure FVIII concentrate - but you should be doing this with appropriate concentrate respectively prophylactically for either vwd or "hemophilia"

hematologist signing off

She came to the floor as I was leaving for the day. I was supposed to have her that night, but she died the afternoon before I got onto shift so I really don't know specifics aside from what I'm hearing. L&D noticed the baby's heart rate was dropping, checked on the mom, and found her unresponsive. They did an emergency C-section and she wouldn't stop bleeding. She was intubated and sent to my floor. When they found out where she was bleeding from, they took her down to have a hysterectomy, but she died on the table. She had an amniotic fluid embolism that also led to DIC? The PCCM doctors were talking about it when I came onto shift that night. She had some history of clotting problems, but I'm not sure what it was specifically.

[Megalomaniacal]

She came to the floor as I was leaving for the day. I was supposed to have her that night, but she died the afternoon before I got onto shift so I really don't know specifics aside from what I'm hearing. L&D noticed the baby's heart rate was dropping, checked on the mom, and found her unresponsive. They did an emergency C-section and she wouldn't stop bleeding. She was intubated and sent to my floor. When they found out where she was bleeding from, they took her down to have a hysterectomy, but she died on the table. She had an amniotic fluid embolism that also led to DIC? The PCCM doctors were talking about it when I came onto shift that night. She had some history of clotting problems, but I'm not sure what it was specifically.

would she have had similar complications with vaginal birth?

[2Rude4MyOwnGood]

TFW

Taking a black trash bag with a 3.5 month aborted fetus and "sliding" it out into a tub of formaldehyde.

34 y/o mother. P:4 G:9
Nonchalant about the whole thing.
2 kids looking at me. Mom didn't mind them being in the same room, told the kiddos to look away.

Can't get it out of my head. The little black eyes, undeveloped head, the limbs, in a fetal position.

I am so disturbed and weirded out.

Ew dude.

[DatMurse]

Don't know, just an ER Tech man doing what I was told. Now that I think about it, yeah should have done it in the preggo result room.

In other good news, few weeks ago we had a walk in with chest pain, and diaphoretic, 50 something male. Confirm MI with the 12. Cath team called.
He codes, I jump on his chest. He becomes conscious. "What happen?". Cardiologist is there, but not the whole team. He is shockable. Cardiologist zaps him. "Ouch!". Codes again. I start compressions again. Pulse back. Goes to the cath lab. Successful. Should follow up with some of the ICU nurses

ouch

[swimmd99]

She came to the floor as I was leaving for the day. I was supposed to have her that night, but she died the afternoon before I got onto shift so I really don't know specifics aside from what I'm hearing. L&D noticed the baby's heart rate was dropping, checked on the mom, and found her unresponsive. They did an emergency C-section and she wouldn't stop bleeding. She was intubated and sent to my floor. When they found out where she was bleeding from, they took her down to have a hysterectomy, but she died on the table. She had an amniotic fluid embolism that also led to DIC? The PCCM doctors were talking about it when I came onto shift that night. She had some history of clotting problems, but I'm not sure what it was specifically.

DIC can definitely cause uncontrollable life threatening bleeding. Unfortunately, see it quite a bit

[arman24]

TFW

Taking a black trash bag with a 3.5 month aborted fetus and "sliding" it out into a tub of formaldehyde.

34 y/o mother. P:4 G:9
Nonchalant about the whole thing.
2 kids looking at me. Mom didn't mind them being in the same room, told the kiddos to look away.

Can't get it out of my head. The little black eyes, undeveloped head, the limbs, in a fetal position.

I am so disturbed and weirded out.

Strong username to post ratio lmao

[StickLegs78]

DIC can definitely cause uncontrollable life threatening bleeding. Unfortunately, see it quite a bit

As I'm sure you know, DIC after an AFE has super high mortality. What are your thoughts on the "A-OK protocol" consisting of atropine, zofran, toradol? One of our docs gave a talk about it a little while ago.

[swimmd99]

As I'm sure you know, DIC after an AFE has super high mortality. What are your thoughts on the "A-OK protocol" consisting of atropine, zofran, toradol? One of our docs gave a talk about it a little while ago.

I think it's intriguing but certainly not something you could stand on a foundation of evidence for. I think a large part of it would depend on where you are in the DIC continuum

[Megalomaniacal]

hands up if you are on call for Thanksgiving



<-------------------------

[Ivan7x]

have a 78% average for my skills class......75 is passing......1 more exam left before the final.....

am i gonna make it brahs???

[arman24]

hands up if you are on call for Thanksgiving



<-------------------------

I can't wait to work every single holiday I can srs I give 0 fuks about holidays

[Megalomaniacal]

I can't wait to work every single holiday I can srs I give 0 fuks about holidays

your call must be different than mine lol

brb called into downtown hospital, finish up and soon as I pull into garage at home, called across town for another facility...brb woken up at 2am because a nurse unplugged a network router to use her phone charger.

[arman24]

your call must be different than mine lol

brb called into downtown hospital, finish up and soon as I pull into garage at home, called across town for another facility...brb woken up at 2am because a nurse unplugged a network router to use her phone charger.

I'm still in school but fuking lol @ that potato nurse

[Megalomaniacal]

you don't even know

any medical equip that requires battery backup needs to be plugged in. Telling this to a nurse is like talking to a wall, even the murses sometimes.

they think it all runs on magic.


the only thing I can guarantee stays charged is their cell phones

[DatMurse]

even the murses sometimes.

stfu slave

[Megalomaniacal]

stfu slave

"pager goes off"

"what's up?"

"My wireless tele transmitter signal is fading and giving artifact"

"how old is the battery?"

"these things have a battery?"

[guyman123]

hands up if you are on call for Thanksgiving



<-------------------------

Tfw you are scheduled 12/24, 12/25, 12/26. I was going to cry when I saw I had to work those days.

[DatMurse]

Tfw you are scheduled 12/24, 12/25, 12/26. I was going to cry when I saw I had to work those days.

people dont plan when they are gonna die brah.

[spicyprice]

would she have had similar complications with vaginal birth?

The embolism occurs prior to delivery (edit, or at delivery I believe.) The DIC is a result of the embolism, not the route of delivery. You have to get the baby out STAT so that means C/S.



I';ve witnessed it once, mom didnt make it, baby was OK. She had a history of dry cough, was in to be induced for some no-good-reason (before c/s were a hot topic) and also had a pulmonology consult. Started coughing uncontrollably, then seizing and foaming. I was in another c/s when they called us to the next room and brought her in. I became the "runner" because of some logistical problems and had to go back in her room where her son and her sister were sitting there. The whole thing was absolutely heart wrenching .

APPARENTLY, according to the MFM, this dry cough can occur prior to one being thrown? If Im ever pregnant and cough, panic/100000000000.

[spicyprice]

DIC can definitely cause uncontrollable life threatening bleeding. Unfortunately, see it quite a bit

Can you explain to me a baby having A+/- blood?

[swimmd99]

Can you explain to me a baby having A+/- blood?

I'd need more info what your blood bank reports. To me at a quick glance that looks like Blood type A, Rh+, coombs -
but again, it depends exactly what they are reporting

[spicyprice]

I'd need more info what your blood bank reports. To me at a quick glance that looks like Blood type A, Rh+, coombs -
but again, it depends exactly what they are reporting

Ah, that would make sense. I've never seen it reported like that and I keep hearing it in rounds and seeing it on signout and havent had a chance to ask. None of the nurses there know.

Now I can't remember if they are reporting the coombs separately (A+/-, coombs neg) but ill look next time.


Thanks!

[Megalomaniacal]

Tfw you are scheduled 12/24, 12/25, 12/26. I was going to cry when I saw I had to work those days.

I'm off christmas but on call new years

[fbreaker]

off xmas too, but working all the days around and the days around new years. all 7a-7p, would rather work 7p to 7a haha

[Megalomaniacal]

off xmas too, but working all the days around and the days around new years. all 7a-7p, would rather work 7p to 7a haha

I get the nice 7-330 shift

but On-call kicks in before and after the shift for 7 days total.

brb called in at 3am then go home and try to go to sleep again before shift starts at 7 lol

[fbreaker]

I get the nice 7-330 shift

but On-call kicks in before and after the shift for 7 days total.

brb called in at 3am then go home and try to go to sleep again before shift starts at 7 lol

just so I know, what annoys the chit out of you when you get paged

[Megalomaniacal]

just so I know, what annoys the chit out of you when you get paged

when it is not a mission critical failure, when they leave a bad callback number, when they leave a callback number and nobody fukking answers, when they can't follow simple directions over the phone and I have to bring my ass in.