Hot and Cold
So 75 year old man on a roof. Am I the only person who has a problem with that? Falls through the rafters 12 feet onto concrete. Transfers in from another hospital with about a million rib fractures, a hemothorax and oh yeah, did I mention he was 75? Chest tube put out over 900cc of blood. WTF?!?!?! Why were we fucking around here? He was in the trauma room for almost 2 1/2 hours. That's fucking ridiculous. He finally went up after he put out another 200cc of blood and received 2 units of PRBCs. His family was upset that the trauma docs weren't available to come to the phone and talk to some random family member from West-by-God.
Another thing I have learned.... when the guy with the gun says "Give me your money!" ... fucking give it to him. 20 year old college student wanted to argue and got her ass shot in the leg. Is it sad that she was in the trauma room a matter of 10 minutes, and then was moved out. She just wasn't sick enough to stay in there!
In the midst of the 50 million traumas we get a dude that walked out of the bar and got his ass fucking beat down. He was altered on arrival and complaining of chest pain. (24 years old with an MI hx) He was also really REALLY drunk. He got through CT and then the switch got flipped. He turned into the biggest drunken prick. His IV's got ripped out and his skinny white ass wrapped in a blanket went running out of the trauma room. We were perfectly content to let him go, but the trauma attending wanted him kept, so the police got involved and his scrawny ass got TDO'd. (what can I say.... it was a beautiful thing!)
When we have traumas inbound, the communications room will call back to the charge nurse (me) and give report on whats coming. I seriously gave up on paper and started writing on my hand, arm, pants... you name it. I seriously have about 5 patient reports written on me right now, including a dude who was a pedestrian struck by a truck and (somehow) had an unconfirmed lac to the penis.... in addition to other injuries. After a trauma evaluation it was found that Mr Winky did indeed have a lac, but how the hell did that happen? Walking done the street at 3am with your wang out? WTF?!?!?
All this fabulousness was marred by one of the cranky bitches who was none to happy that I was in charge. She had a crap-ass attitude the whole time. She even had an orientee with her and had to do very little work and she was still a complete bitch. I'm starting to think that bitch may be an acute disease process!