In a Row

Worked 12 hours in the city. Six calls. Six emergencies.

A chest pain at a medical facility. They gave the poor guy three nitro, 2 of morphine and he says 10 baby aspirin. The nurse said three, but he said other nurses gave him more. So they were on their toes about the need to give ASA for chest pain. The problem was his pain was in his back and it was clearly reproducable. he flinched when you touched a certain spot. been going on for two days. Good 12 lead. The drugs they gave him dropped his pressure to 80, but then it came back up to 100. He was a COPDer on a cannuala at 2. The nurse said he couldn't get more than two. She said when she put him up to three, his SAT dropped from 91 to 86. I asked how that was possible. She said it was because he was a COPDer. But his SAt still will go up if you increase his oxygen. he's a COPDer, she said. I just looked at her. Since he was a little short of breath, I bumped it up to 3 in the ambulance, his SAT went up to 95 and he said he felt better.

We did a nursing home hemoturia, a 31 year old with abd pain, a 34 year old with a sore throat, a 60 year old obese woman with an arthritic hip, and an unresponsive diabetic.

The lady with the arthritic hip was the great grandmother. She weighed about 350, the grandmother was three hundred, the mother was 250, and the daughter who was maybe five was a little fatty at maybe 100. I wanted to line them all up and take a photo.

Working eight tomorrow.