Medicine Rocks

[MB333999]

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I was going through the EM faq and stumbled into the "Medicine Sucks" thread, talking about all the worst cases all you guys come across...

So here I am thinking there should be a thread for the all the best cases, the ones that make you think medicine rocks.

AND THIS IS IT!

who's gonna start us off?!

 

[deuist]

Every emergency physician secretly desires to perform an airplane rescue, deliver a baby in a car, and to pull one of their neighbors out of a pool or burning house. I've gotten to participate in two of those things this year.

 

[ILEMres]

Every emergency physician secretly desires to perform an airplane rescue, deliver a baby in a car, and to pull one of their neighbors out of a pool or burning house. I've gotten to participate in two of those things this year.

Agreed. 100%. 👍

 

[ILEMres]

Every emergency physician secretly desires to perform an airplane rescue, deliver a baby in a car, and to pull one of their neighbors out of a pool or burning house. I've gotten to participate in two of those things this year.

I even carry around a cric pen (on keychain), just in case.

 

[dchristismi]

Every emergency physician secretly desires to perform an airplane rescue, deliver a baby in a car, and to pull one of their neighbors out of a pool or burning house. I've gotten to participate in two of those things this year.

Dude, you totally nailed it.

Baby in car? Check. 'Twas truly awesome.
Airplane? Does an ortho case count? Sorta check.

Neighbor catastrophe? Well...

I missed it by 5 minutes. I was out on a run, but my brother-in-law who is an ICU nurse was visiting, noticed the 84 yo neighbor down, started CPR, called 911 and EMS tubed and shocked him on the lawn, +ROSC, and no neuro deficits. Had a bypass, but declined a pacer and lasted another 9 months before the Big One got him.

And sorta cheesy, but who else has pulled the George Clooney? (ie riding the stretcher doing chest compressions). Yep, I have. And it was epic.

And only great stuff here, ok? No perimortem c-sections.

Oh, and for the record, I LOVE nasal foreign bodies and nursemaid's elbows. Those are the BEST.

 

[Birdstrike]

Had a 6 year old a few weeks ago: fever, body aches, petechial rash.....yep, you heard me right, petechial rash spreading before my eyes. Slammed an IV in, gave antibiotics within minutes, worked him up, shipped him to the tertiary referral center and prayed that he wouldn't die like a dog like my last case of meningococcemia. 1 week later, the kid's off pressors, awake, alert and happy, and walks out of the hospital like nothing happened with all ten fingers and all ten toes. Meningococcemia. No sequelae at all. Life saved. No doubt about. Next case. Almost makes you want to be an ER doctor.

 

[Birdstrike]

P.S. Where the heck are you guys hanging out that you're delivering babies in cars? In the OB/GYN parking lot?

 

[Tone2002]

P.S. Where the heck are you guys hanging out that you're delivering babies in cars? In the OB/GYN parking lot?

I think I like you. Hehehe....

 

[pagemmapants]

And sorta cheesy, but who else has pulled the George Clooney? (ie riding the stretcher doing chest compressions). Yep, I have. And it was epic.

Oh, and for the record, I LOVE nasal foreign bodies and nursemaid's elbows. Those are the BEST.

Did thing 1 before Christmas on my IM rotation.

Did things 2 and 3 yesterday. 🙂 Ah, a night in the kids ED...

 

[DeadCactus]

P.S. Where the heck are you guys hanging out that you're delivering babies in cars? In the OB/GYN parking lot?

Apart from delivering babies, it's a great place to pick up chicks that put out...

 

[MB333999]

Apart from delivering babies, it's a great place to pick up chicks that put out...

haha i dunno... i think these chicks have learned their lesson

 

[WilcoWorld]

Had a 6 year old a few weeks ago: fever, body aches, petechial rash.....yep, you heard me right, petechial rash spreading before my eyes. Slammed an IV in, gave antibiotics within minutes, worked him up, shipped him to the tertiary referral center and prayed that he wouldn't die like a dog like my last case of meningococcemia. 1 week later, the kid's off pressors, awake, alert and happy, and walks out of the hospital like nothing happened with all ten fingers and all ten toes. Meningococcemia. No sequelae at all. Life saved. No doubt about. Next case. Almost makes you want to be an ER doctor.

Dude - either you see a lot of meningitis, or I'm missing a lot.

I hope it's not the latter...

 

[Birdstrike]

Dude - either you see a lot of meningitis, or I'm missing a lot.

I hope it's not the latter...

Didn't see any for years, then recently had 3 bacterial meningitis cases and 1 meningococcemia without meningitis all in a few months. Crazy. I know how to fix this problem: work less, see less patients, see less meningitis. I like that solution.

 

[EM2BE]

haha i dunno... i think these chicks have learned their lesson

Are you kidding? Many are pregnant again within a year. Sometimes I just want to ask if they know how they are getting pregnant.

 

[MB333999]

Are you kidding? Many are pregnant again within a year. Sometimes I just want to ask if they know how they are getting pregnant.

really eh, how silly. but LOL it certainly makes you wonder!

 

[mojo]

Dude, you totally nailed it.

Baby in car? Check. 'Twas truly awesome.
Airplane? Does an ortho case count? Sorta check.

Neighbor catastrophe? Well...

I missed it by 5 minutes. I was out on a run, but my brother-in-law who is an ICU nurse was visiting, noticed the 84 yo neighbor down, started CPR, called 911 and EMS tubed and shocked him on the lawn, +ROSC, and no neuro deficits. Had a bypass, but declined a pacer and lasted another 9 months before the Big One got him.

And sorta cheesy, but who else has pulled the George Clooney? (ie riding the stretcher doing chest compressions). Yep, I have. And it was epic.

And only great stuff here, ok? No perimortem c-sections.

Oh, and for the record, I LOVE nasal foreign bodies and nursemaid's elbows. Those are the BEST.

Nursemaid's elbows are the best. Love them.

 

[bonesawz]

Nursemaid's elbows are the best. Love them.

I think a successful precordial thump would be the greatest moment in medicine. Bringing someone back with only your bare hand...Hard to top that. Anyone ever seen it work?

 

[Dwindlin]

I think a successful precordial thump would be the greatest moment in medicine. Bringing someone back with only your bare hand...Hard to top that. Anyone ever seen it work?

Twice actually. Both witnessed arrests.

 

[MB333999]

I think a successful precordial thump would be the greatest moment in medicine. Bringing someone back with only your bare hand...Hard to top that. Anyone ever seen it work?

what does that mean exactly? cpr or something?

 

[Dwindlin]

what does that mean exactly? cpr or something?

Essentially it's a punch in the chest. Take a balled fist and thump them on the sternum. Apparently its about the equivalent of 10 joules of energy.

[YOUTUBE]xdMYHsfyLX8[/YOUTUBE]

 

[Hawkeye Kid]

I think a successful precordial thump would be the greatest moment in medicine. Bringing someone back with only your bare hand...Hard to top that. Anyone ever seen it work?

Once, during a subclavian line in which pulling the wire back didn't stop the VTach. It was actually the intern whom I was helping that did it (I was a third year resident). I have to admit--it was pretty cool.