>be me, ER nurse
> only worked in boring bumblefuck ER, just started a new job in one of America’s worst cities
> 60-something year old ER doctor told me that the shit that happens in our ER at night is the most horrible shit in the world, I figure he’s full of shit
> get a trauma call, something about a 24 year old who got “hit by a train”
> I roll my eyes, where I’m from that usually means “a slow moving train broke my pinkie”
> EMS rolls the dude in, he looks drunk but he’s moving around. EMS is running to the trauma bay and they look panicked
> get in trauma bay and see freshly dissected cadaver
>whyaretheyteachinganatomyhereRightnow?.jpg
>omg that’s not a teaching cadaver
> the dude has gaping wounds where his thighs were
> he was clearly lying on the railroad track and the train cut him in half 4” below his exposed ballsack
>two industrial tourniquets are wrapped around his leg stumps
> he dies, no pulse
> how he survived this long is a fucking mystery, his wounds should be fatal in under a minute
> I do chest compressions
> doctor intubates
> his pulse returns
>backfromthedead.mp3
> Put an IO line into his fucking armbone because his veins are flat and his legs are in plastic bags in the corner
> put in a central line in his shoulder and Arterial line in his groin
> catheter dick
> that makes 5 tubes running into this guy, 3 of which are surgically implanted
> trauma surgery takes him to the OR
> I’ve seen tons of rekt shit, a few gunshot wounds, and dissected a million cadavers but this was some very, very dark shit
> Doctor laughs at me
> “Welcome to the night shift. God abandoned this city a long time ago.”
>posting on Yea Forums because I can’t sleep and trying to avoid ptsd
Be me, ER nurse
Good luck
Sounds like an amazing place to learn if you can survive it.
I started working in EMS about two years ago
Honestly feel like killing myself but it's my life now so
That was a good greentext, op. Got anymore ER horror stories?
I just started at a dementia care unit as the 3p to 11p medication Aide. In the week I've been there, I've already witnessed several fights, two attempted rapes, and a woman get her hand slammed in a door so hard that two of her finger were hanging off and had to be amputated. Im fucking dreading coming back, but I need the money, so oh well.
why try that hard to keep him alive though? he'd be better off dead
my aunt works at a place like that...she says the old people all have a bunch of STDS because the few old dudes who are still alive fuck all the bitches, and no one uses condoms haha
Any tips for a housekeeper starting monday?yes I will be working in a mental ward and they kept asking if piss/shit bothers.
me be ER resident
first patient of the day
Trauma level 2 called, no info just "guy has flail chest"
EMS rolls in, all 3 guys are sweating balls, but patient is most diaphoretic
patient screaming "don't let me die, I'm gonna die, I'm gonna die, I can't breath!"
Primary survey commence
Fast +
His chest is paradoxically moving aka flail chest
"I can't breath!"
At the head of the bed, looks straight into my eyes, sweat dripping from his forehead, breathing fast shit
"tell me I'm not gonna die"
I tell him he's gonna make it before I intubate him
Taken to OR, dies in OR
Last words he ever heard were a lie.
Intern? Think I can match EM if I have really good step scores but potentially meh SLOEs?
isn't it because of the doctors pledge or something like that. They say they will do everything in their power to keep someone alive. Your ideas are basically what people deem as physician assisted suicides, and that still has a lot of debate surrounding it
holy fuck...
Attending now. And yea probably, its a packaged deal, as long as ur SLOEs are not down right horrible.
Some gruesome shit may come through that door, but you'd be a hero for stomaching it and helping save people. Brutal accidents happen, and someone has to be there to save these poor fucks, and that's you OP. Be proud of yourself.
>doing compressions in traumatic cardiac arrest
Whatyearisit.jpeg
>a nurse doing central lines “in the shoulder”, art lines and IOs..
Yeah, sure you did.
I just don’t think I can compete with the other dudes in my rotations that may have lower scores, but were paramedics before med school, who lived and breathed EM for the last 3 years, and who could put in central lines before they even started med school.
Thanks for what you do; you're a fucking rock star. Nurses don't get paid enough. I cannot believe as a shitty programmer I probably make 3x your salary and I sit around all day. Thank fucking christ people like you exist and can handle this shit.
On what planet would a paramedic need to put a central line in?
They don’t. It’s an exaggeration.
Rn makes around 100k a year. Pretty decent given the tasks at hand
Any of you med fags familiar with hocm?
Everyone who’s gone through the second year of med school knows hocm lol
That's good to know, I figured they made much less.
I did my residency at Northwestern Memorial Hospital in Chicago.
On my first night, we treated nine gunshot victims.
>compressions in traumatic cardiac arrest
This is standard procedure in every hospital I’ve ever been in. A patient codes, you do CPR. I’m not sure what your issue is. He was alive and moving when he came in the door and the rapid infuser had just started up.
>nurse doing central lines, IOS, A lines
I didn’t do these. All I did was chest compressions. I never said “I” did them.
> “in the shoulder”
Because Yea Forums probably doesn’t know what a subclavian vein is
Why are you trying to poke holes in everything?
Most make substantially less. I usually see 55-85k. 100+ is possible if you 1) have seniority 2) work for the right hospital, and 3) work horrible hours (all nights, 24 hour shifts, 90+ hour weeks).
the best ones are the dropped off in the valet area
Doing chest compressions in a traumatic arrest is pretty old hat. You’re compressing a beating heart in a low output state.
Also, you intentionally worded your post to be ambiguous, implying that you put the lines in.
All in all, I find americlap medical glory seeking pretty cringe.
Just wondering, it sucks living with it
>Yea Forums probably doesn’t know what a subclavian vein is
We have Google
Subclavian vein is where they run pick(not sure if spelling is correct) lines right?
i was an EMT. pics or it didn't happen!
They’re usually placed in a more peripheral vein before reaching the SVC via the subclavian.
PICC line (peripherally inserted central catheter)
What city?
You don’t know if the heart is beating unless someone does an echo. Until then, you just have PEA, which ACLS dictates should be addressed with chest compressions and Epi.
dont break hippa op
Fuck hippa
In a traumatic arrest, the likely causes are going to be hypovolaemia, in which case you will have a pseudo PEA or complete stand still (beyond dead). If you compress a heart in pseudoPEA, you’re compressing an empty heart, or destroying what little stroke volume there was.
Alternatively it will be obstructive, especially in thoracic trauma, in which case priority is given to thoracostomy +/- thoracotomy.
Either way, the evidence for chest compressions is poor, has been largely abandoned or deprioritised in most of Europe.
Essentially, you’re incorrectly applying an algorithm designed for medical cardiac arrest.