1. Getting an LP, talking to someone (then chief resident) while holding the tube upside down and the fluid spills everywhere.
2. Sticking in a central line in the MICU after noone could get it (first try) and saying to the nurse "Yes, you know who the badass is." and pulling the dilator out and having it spray (in an almost...arterial fashion) all over my shirt.
[not me] Someone gooped too much dermabond on, then tried to wipe it with a 4x4 and glued it to the guy's head.
As a tech, I was hlping with a trauma case; the patient was mid-20s and he had piercings, tattoos, etc. I noticed little black X marks on the lateral and dorsal sides of his feet, and I'm thinking 'what kind of ritual marking thing is this? Is this guy into some sort of kinky stuff? Why, that's right where his pedal pulses are going to be...'
So I point it out to the docs. Who calmly explain that the trauma surgeons JUST put those there two seconds ago. So they can find the pedal pulses easily.
ICU month....3 am call.....Patient not breathing....I've been awake literally 10 seconds when I'm at the bedside bagging this patient. Decide to intubate....push Succ.....Can't get the tube, can't get tube with lightwand....patient still baggable so call for back-up.....anesthesia attending (anesthesia backs up the ICU) shows up and secures airway 1 hour later with fiberoptic scope. Then proceeds to chew me out for 1) Not calling them for intubation (debatable, I found out later I was supposed to have the attending in the room when I tubed) 2) Using succ in patient with a 1 week old C-spine fracture AND (get this, not just one contraindication but two) some type of muscular myopathy. What the H...E....Double Hockey sticks was I thinking! It's not like I didn't know either...I just wasn't thinking quite right.
Luckily the K stayed within normal limits, but this was by far my biggest mistake in residency.
P.S. This was the day I became a huge fan of work hour limits. I don't think ANY physician should work more than 16 hours straight.