Friday, May 21, 2010
When Im in triage you really have to work to get brought straight back. Yes, I have sympathy, but at the same time I am a realist. For example, homegirl (39) with chronic menstrual cramping who is 1)here every month like clockwork and 2)can't take OTC meds because of some odd reason is not going to go straight back. I've had cramps, yes they suck. The ER at 4am is not the time or place.
The chest pain that one of the sleepy nurses gave a semi-urgent acuity... with a history of MI and stents x11. Yeah, He was going straight back. My mind was made up BEFORE i did he EKG. Before I saw him go into a run of V-Tach. Before I sent the EKG back to the attending to get looked at as I got him in a wheelchair and (gracefully) hauled balls to the treatment area.
The GSW to the back that a medic and I hauled out of a car in the driveway. He was a white-black man (in the words of the medic). He was cold, clammy and didn't have a radial pulse. He went directly to the trauma room. The resident, who is a giant douchebag, gave us a hard time about rushing straight back. The patient had a shit BP and went right to the OR.
Finally I got a "are you fucking kidding me?" from one of my favorite attendings. There are some things that I never thought I would get a chance to type in a triage note. Bit while boyfriend was giving oral sex is one of them. They seriously thought I was kidding....
Nope, this is my job. Gotta love it