Something for you all to look forward to

[ERMudPhud]

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3:00 A.M. Paramedics come in with a 400 pound trucker wasted on alcohol, crystal meth, and who knows what else. Completely out of control. Signed out of hospital AMA two days ago after being admitted for unstable angina now having an acute MI. 8 people (cops, security guards, techs, nurses) trying to hold him down. No IV access and oh yeah, a note in old chart says that it took IR over an hour to get a line in him last time. Single coverage in the ER. What fun

 

[jashanley]

what did you do? sounds like he needs to be tubed.........but with no IV access that is made a whole hell of a lot harder to accomplish. Did vitamin H make an appearance?

 

[ERMudPhud]

I figured without a line we were screwed and he was screaming enought that I wasn't worried about his airway yet. Unfortunately he was so fat I couldn't even feel his clavicles and he had no neck. His right groin had some weird purulent wound and completely distorted anatomy. His left groin had a bunch of puncture wounds from 3 days ago but between all the flesh and his jumping around I couldn't even feel a pulse. I stuck blindly and got the femoral vein on the first shot. Unfortunately the only way the needle would reach was to push hard enough to hub the needle and depress his skin at least an inch. In spite of that I was able to thread the wire and after that it was all gravy. Benzo's and Geodon and then the evil spirits went away. I am going to have to do some more reading on geodon vs haldol but it sure seems cool. Oh yeah through the whole thing he was ripping these absolutely huge, deadly farts about every 30 seconds.

 

[docB]

The one cool thing about those guys is that you know they'll never die. They're indestructible, resistant to bullets, trucks, knives and doctors. It's like some species of preverse, latter day schmuck supermen. The pinnicle of evolutionary fitness.

 

[DOtally great]

pretty close 2 300 lbs yourself? and just as strong as that dude? hmmm sounds like FUN to me lol na im only 225 😛 😛 lol only huh

 

[DrQuinn]

IM Geodon vs. Haldol... some of the EM attendings at our residency are using it... and they seem pretty happy. Went to a dinner on it, and it seemed the biggest positive of using Geodon was that it didn't quite snow them as Haldol used to (so your H&P would be useless in an hour). Although in your situation that's pretty irrelevant.

Sorry to hear it bro.

Got my first shift in the ED tomorrow as an EM intern!

Q, DO

 

[Annette]

Maybe it is all just a first of July test? Heaven knows I've been ready to quit several times, and I've only been to work 2 days. Hmmmmm.

Good luck on your first shift, Quinn!