I found this post that I wrote back in October, but never published. ahhh memories...
The last 8 hours in the CCU...
10pm: get sign-out from the other team
11pm: first admission arrives (pt#1) heads straight to the cath lab for inferior STEMI
1215am: pt#1 hits the floor, begin to write up h&p
1230am: pt#1 is in Vtach, has BP 70/50, and is vomiting repeatedly
1245am: discover pt#1 is actively infarcting his right ventricle
115am: 3L of fluid later BP still 80/60 --> start Dopamine gtt
2am: second admission arrives (pt#2)... Atrial fibrillation with complete heart block (ie HR is 30)
4am: third admission arrives (pt#3)... 88yo F in cardiogenic shock, no pulse --> code ensues
445am: pt#4 codes four flours up
5am: pt#3 codes again after being stabilized!
515am: pt#4 is pronounced
530am: pt#3 is pronounced
6am: pt#5 HR is 170
630am: sign-out to the primary teams and get the heck out of the CCU!
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"Do not deceive yourselves. If any one of you thinks he is wise by the standards of this age, he should become a 'fool' so that he may become wise." - I Corinthians 3:18. Some might describe me as contentious, I prefer to think of myself as impassioned. Here are my unadulterated thoughts - some insightful and thought-provoking, others witty and jovial - on variegated subjects stirring within my head. Take my ramblings as they are, the sentiments of a lost soul infused with unimaginable grace.
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