February 19, 2007, 12:39 pm

Ladies and Gentlemen, Start Your Engines! It’s NASC-ER Season!

ruralnurse

Check out rural nurse Margaret W. Durham.

They don’t make ’em like that anymore.

If this nurse said to take your Castor Oil, you took your Castor Oil and you LIKED IT!

I’m concerned that she praised three Plymouths, though. Seems like she got a new one every 166,000 miles.

I wonder if her company paid for them.

Heck, I don’t consider my car broken in until it reaches 166,000 miles!

And I keep it nice and messy so no one even thinks about stealing from it!

******************************

kaseykahne

I am proud to report that I have resisted the pull of “American Idol” and that my two-year addiction to Simon Cowell and the top singer du jour has been broken.

I have not watched a single episode this season.

Ah, but an addiction-prone personality abhors a vacuum.

It appears I have caught the NASCAR virus.

I even bought a TrackPass.

I’ve got it bad.

In many ways it is similar to Notre Dame football:

  • It makes me yell and pound my fists on the coffee table.
  • My neighbors know when there has been a crash/touchdown because the scream from my family room emanates throughout the block.
  • It’s like I’ve been shot through with adrenaline for three hours.

And I’d like to thank my official NASCAR co-dependents for this particular addition:

  • My bestest-friend-ever-since-the-age-of-fourteen-when-our-addiction-was-the Osmond-Brothers: Ms. Kim (who got to run around a track with Dale Jarrett last year) and
  • My colleague-who-is-a-PhD-candidate who refuses to look at any newspapers delivered to the ER lest there be any info on the race she has TiVo’d at home.

The car pictured is that of Kasey Kahne. Hunk. Need I say more?

******************************

NASCAR is very much like a shift in the Emergency Department.

Allow me to explain.

The nurses and doctors and techs are the pit crews.

The patients are the racers.

The person who starts out in the pole position (your first patient of the shift) won’t necessarily be there at the finish line. Unless of course their particular “finish line” happens to be on your shift.

If you get my drift.

While NASCAR drivers only go to the pits when absolutely necessary, patients will come into the pits/ER at any time for any reason at all.

  • They have a flat tire (broken bone).
  • The car has an illegal additive (alcohol/drug intoxication)
  • The engine is making funny noises (wheezing)
  • The engine is overheating (fever)
  • They are out of oil (need a medication refill)
  • They have a leak (laceration, vomiting, diarrhea)
  • The engine has frozen (stroke/cerebral bleed)
  • They have hit the wall (MVA)
  • The spark plugs are mis-firing (fatigue, weakness)
  • They have run out of fuel (hemorrhage)
  • They have too much gas (abdominal pain)
  • They need a non-functioning part removed (gall bladder/appendix)
  • They need a new part put in (stent, hip replacement – see flat tire)
  • They don’t like the way the car is handling but they just can’t put their finger on it (chest pressure/heart attack)

And, just like in NASCAR, some racers will head out back onto the “track” of their lives and others will have to go straight to the “garage” to be admitted for repairs.

If life is a race, the Emergency Department is Pit Row.

Ladies and Gentlemen, Start Your Engines!

7 Comments

  • DK
    DK

    February 19, 2007 at 7:23 pm

    Oh Kim!
    NASCAR is a beautiful thing indeed.

    Fast cars.
    Left turns.
    More left turns.
    Expensive things banging into each other.
    I can’t think of a better way to spend a Sunday afternoon.

    Actually, I’m a big fan of the Truck series. I mean Cup is great and all but there’s just so much flash and band and flim and flam added with the prerace shows and whatnot that I long for a simpler time.

    Anyway, how about ol’ happy Harvick stealing the 500 from Martin?


  • Alisha Hampton-Escobedo RN
    Alisha Hampton-Escobedo RN

    February 19, 2007 at 10:25 pm

    OMG Kim, you have hit it on the head….again!
    (that is you made me laugh – combining medicine and racing)
    I just got done with 17 hours on THE MOST AWSOMEST TELE UNIT EVER, however, I was just a little bit glad to leave tonight – 3 pts expired today – err – yesterday I mean. So what are they? DNF’s, and what if they come in as DNR’s. How shall we classify them? Maybe I should ask my younger brother who is a racecar driver/instructor and who is married to a tele RN. I, infact, am going to send them this link – they’ll get a real kick outta your musings and wisdom.
    And in answer to your above poster, hey, a ‘you go Mr. Martin!’ what other man would have the (excuse me) the balls to drive the dreaded ‘Viagra’ car and kudos to the pharmaceutical co for sponsoring such. Hey, better than a free pen, stapler, note pad, whatever…..Imean comon that is their taget market! Though they really should have included some teaching at race venues – like please don’t take NTG while under the influence (of viagra of course). They just end up in the ED and then on my unit or worse. Embarassing and heart breaking all round!

    OK, I’m rambling. I really need to go to bed.

    Regards,
    Alisha RN 4th floor telemetry B North.


  • emmy
    emmy

    February 20, 2007 at 9:10 am

    Dale’s the only one around here who can come in 23rd and have the cheif communications officer praise him. I wish I could work that with my performance review.


  • Mel
    Mel

    February 20, 2007 at 7:53 pm

    Alisha said: ‘Viagra’ car and kudos to the pharmaceutical co for sponsoring such. Hey, better than a free pen, stapler, note pad, whatever…..Imean comon that is their taget market! Though they really should have included some teaching at race venues – like please don’t take NTG while under the influence (of viagra of course). They just end up in the ED and then on my unit or worse. Embarassing and heart breaking all round!

    Hmm…do you live near a track? Because I work for the hospital that staffs the infield care center at Bristol(Racin’ the way it oughta be) and Viagra sponsored a tent for men’s health checks for several years. Lots of men who had no idea that they had risk factors for heart disease, but a few minutes to kill at the track found out about high blood pressure – checked repeatedly over several days for some, high non-fasting blood sugars (fasting if they came by early to get it or have it rechecked), easy stuff like that….


  • Hannah
    Hannah

    February 21, 2007 at 11:01 am

    This is an enjoyable read–you always make great points, with great humour!

    I’m a nurse now! I’ll be going back for my RN, but am a LPN now and working. Long story. (It’s on the blog.)

    Hh


  • NPs Save Lives
    NPs Save Lives

    February 21, 2007 at 7:12 pm

    Vrooom! Vrooom! I have just gotten into the Nascar drama thanks to my husband’s friend. Now it’s an obsession when baseball season is not on the tele.


  • […] Ladies and Gentlemen, Start Your Engines! It’s NASC-ER Season! Like in NASCAR, some patients will head back out onto the “track” of their lives while others will go straight to the “garage” for repairs. If life is a race, the ER is pit row. by Kim, Emergiblog […]


About Me

My name is Kim, and I'm a nurse in the San Francisco Bay area. I've been a nurse for 33 years; I graduated in 1978 with my ADN. My experience is predominately Emergency and Critical Care, and I have also worked in Psychiatry and Pediatrics. I made the decision to be a nurse back in 1966 at the age of nine...

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