November 8, 2005, 2:52 am
This week in Grand Rounds, we are boldly posting where no man has posted before. Join Rita over at MSSP Nexus Blog as she surrepticiously gives Star Trek’s Dr. McCoy a Grand Rounds tour of the medical blogosphere. I am happy to note that Emergiblog was beamed in this week!
Rita was interviewed by Kent Bottles over at soundpractice.net. last week. I found it informative as I had very little knowledge of physician credentialing. She also discusses the medical blogosphere, blogging in general and even mentions Emergiblog! Thanks Rita!! Wow!
So, beam yourself into your favorite computer spot and settle in for a great week of Grand Rounds submissions.
Live Long and Prosper!
November 6, 2005, 11:09 pm
I had a brief blogging holiday this weekend.
Just got back from 48 hours in South Bend, Indiana where I had the opportunity to see the Fighting Irish beat the Tennessee Volunteers in the Notre Dame stadium.
Apparently this little cutie doll is available through the Danbury Mint. I’ll have to email subtle Christmas hints to all my family….
The fall colors are gorgeous in the Midwest. I need to go to the ocean this week to remind myself why I am here and not there.
Oh, it wasn’t all fun and games you know! I suffer for my team! There are many health hazards associated with being a Notre Dame fan. Such as:
- Acute lumbar pain secondary to prolonged exposure to a wooden bench, aka my stadium seat. Not that I sat in it for any length of time….oh, no, I also have:
- Acute bilateral quadriceps quivering secondary to repositioning to a standing position every time Notre Dame was, how shall I say it…on the field?
- Laryngitis secondary to prolonged use of vocal cords to express my true feelings of the referees.
- Acute hearing loss secondary to the woman behind me expressing her true feelings of the referees.
- Acute ocular strain secondary to the Tennessee shade of orange – it looked like orange sherbet.
- Anxiety, acute, secondary to potential for intimate relations with the guy on my left as we had to sit very close. Luckily hubby was on the right so I squished a millimeter in his direction.
- Hypercholesterolemia secondary to multiple ingestions of hot dogs and bratwursts.
- Increased cardiac workload secondary to doing more walking in two days than I have done in two years.
- Acute motion sickness secondary to flight turbulence. Let us say a prayer of supplication to the patron saint of Dramamine.
- Jet lag manifested by the sensation of being hit by a truck, somewhat offset by the Bloody Mary the nice Southwest flight attendant served enroute home.
Add to all this the near-syncopal episode when I discovered my son keeps his dorm room clean and the mania experienced when shopping in the Notre Dame bookstore, you can surely understand that cheering for Notre Dame football can have serious health consequences.
In keeping with the emergency department focus of this blog, let it be noted that there were two South Bend ambulances on standby at the stadium.
November 4, 2005, 1:56 am
Well, the doctor might not be calling on houses these days, but a quick phone call can get health care right to your door in minutes.
Let’s hear it for the paramedics.
Who else can stop an allergic reaction in its tracks, splint the leg that is pointing in three directions, put in the IV to start the Morphine – while in a moving vehicle, hydrate the vomiting, control the bleeding, sweeten the hypoglycemic, medicate the seizing, catch the newborn, reassure the worried, C-spine the neck, begin treatments for the asthmatic, intubate the apnec and defibrillate the defibrillating…
….all before they get to the hospital back door.
They deal with dangerous neighborhoods, hostile environments, and hysterical family members in uncontrolled working conditions. People comment on how stressful my job as an ER nurse must be. My job as an ER nurse is nothing compared to what the medics deal with out in the field.
I’ve worked in ERs where the medics were treated with respect and camaraderie as part of our team and I’ve worked in ERs where they can barely get out two sentences before undergoing an interrogation from the staff that would make Gitmo look like a cake walk.
It goes without saying that the ERs that treat the paramedics as team members are the better departments.
I’ve heard horror stories of (and seen in action) nurses treating medics badly, and I don’t understand where the animosity comes from. By the time the medics deliver the patients to the ER, they have a history, first set of vitals, an IV, the initial medications – all of these things are not only beneficial to the patient but it makes the ER intake much easier. They’re just doing their job; nothing there deserves a hostile response.
Sometimes I see patients who should have called 911 but decided against it. Patients with acute MIs, asthmatics, possible CVAs. They are usually worried about causing a fuss, or they are in denial about how severe their condition may be. Often the family will want to call but are afraid of making the patient angry. They are surprised when I mention that their pain or their shortness of breath could have been addressed much faster en route via ambulance.
Utilizing the EMS system is like having the emergency department make a house call – life saving treatment meets you at the front door….
….delivered by friendly, competent, caring professionals.
Here’s a tip o’ the hat, a raise of a glass and a big “thank you” to all the paramedics. You’re the best!