#anyway watch the pitt. its exceedingly medically accurate. all my ER friends love it | Explore Tumblr posts and blogs

doctorweebmd · 3 days ago

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i don't think i'll ever get over the comedic timing of being prepared to intubate an obtunded patient going into worse and worse shock on three pressors code cart in room pads on having like six people all staring at the vitals anxiously as this person might code at ANY MOMENT, me standing at the head of the bed ready to tube the second we have a safe BP and the nurse from two doors down comes into the room and says, 'hey doc, room x is in asystole' and just. walks away.

i'm just. standing there. peri-coding this patient. and i'm calling after him 'uh.... are they supposed to be?!'

absolutely insane delivery. no context no info just 'hey, btw this person's heart stopped. :) bye ' HELLO!?!

#last night was just. something out of a med drama/comedy #keep in mind that i'm. at the moment. spending no more than 2-3 shifts a MONTH in the ICU. on NIGHT SHIFT.#it has been a month. i walk in. 3 admits in past hour #one that hasn't been seen #need to eval her real quick. ok.#start my PM rounds. look at one of the 'admits' through the door #completely obtunded not moving not responding to sternal rub....like ok. not good.#ok. 'hey can i get an ABG and the bipap?' to RT. vitals ok for now but i just KNOW he's hypercapnic #keep rounding. come to panicked nurse #patient in horrible septic shock super young maxed on 4 pressors would like an art line and triple lumen.#ok. 'can you get the line cart? i'll stop by after we finish rounding if it can wait 10 more mins'#ok. we're downstairs. charge nurse gets called.#'um that patient thats obtunded their pH is 6.8'#'welp. thats not compatible with life. time to intubate.' i tell her the meds to pull and she runs ahead #SOMEONE ASKS ME TO TRANSITION INSULIN DRIP TO SQ IN THAT MOMENT?! its just like. bro. that can wait (i still do it)#now we're in the room. pushing meds. he's becoming shockier. .crash cart please. pads on just in case.#nurse comes in. just saying 'hey room x is in asystole' super casually. i'm like what #apparently they were on comfort care and it was expected #which is HOW HE SHOULD HAVE LEAD THAT SENTENCE?!? LMAO #listen. i did not sit down or start documenting for the first 7 HOURS of my shift #and the craziest thing is that like. 5 people died during my shift. FIVE.#(all not unexpected and not needing to be coded but still. that is. not normal.)#and i come in to hand off. and the doc i hand off to is like #'yeah the most i've ever had die on one of my shifts is 8'#like bro are you trying to ONE UP ME?! on THIS?#medical tw #i was really lucky. the charge and the two floats were STELLAR. i sincerely dont know what i would have done without them #there were many other difficult things on that shift that don't feel appropriate to share #anyway watch the pitt. its exceedingly medically accurate. all my ER friends love it

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