Comments on: Trauma Floor http://gruntdoc.com/2007/05/trauma-floor.html Ramblings of an Emergency Physician in Texas Thu, 09 Feb 2012 18:48:52 +0000 hourly 1 http://wordpress.org/?v=3.3.1 By: Trenchy http://gruntdoc.com/2007/05/trauma-floor.html/comment-page-1#comment-5876 Trenchy Tue, 08 May 2007 11:40:01 +0000 http://gruntdoc.com/2007/05/trauma-floor.html#comment-5876 Nice shot there Devil Dawg... another thing about shoe covers, if you forget you have them on and run out of the trauma room to the STEMI that just rolled in... you can easily bust your ass. (or so I hear) Nice shot there Devil Dawg… another thing about shoe covers, if you forget you have them on and run out of the trauma room to the STEMI that just rolled in… you can easily bust your ass. (or so I hear)

]]> By: BabsRN http://gruntdoc.com/2007/05/trauma-floor.html/comment-page-1#comment-5875 BabsRN Sun, 06 May 2007 04:29:48 +0000 http://gruntdoc.com/2007/05/trauma-floor.html#comment-5875 Wonder what JCAHO would say about the mess and the trauma code...since - ya know - ERs are all nice, neat, slow-moving outpatient clinics with really patient patients and where real emergencies NEVER happen ..... Wonder what JCAHO would say about the mess and the trauma code…since – ya know – ERs are all nice, neat, slow-moving outpatient clinics with really patient patients and where real emergencies NEVER happen …..

]]> By: Terry http://gruntdoc.com/2007/05/trauma-floor.html/comment-page-1#comment-5874 Terry Sat, 05 May 2007 22:53:27 +0000 http://gruntdoc.com/2007/05/trauma-floor.html#comment-5874 Sometimes no matter how well you cover up, blood still finds a way under the scrubs. After one particularly bad night on trauma call I was griping to a colleague about my bloody socks and underwear. He said one word, "Costco". I went out that day and bought two dozen socks and underwear. They are so inexpensive I now consider them disposable and I always bring several pairs with me on call just in case. I also agree with the above comment on clogs. Wash the clogs, put the scrubs in the hospital laundry, throw the socks and underwear in the contaminated waste and put on a fresh change of clothes. Sometimes no matter how well you cover up, blood still finds a way under the scrubs. After one particularly bad night on trauma call I was griping to a colleague about my bloody socks and underwear. He said one word, “Costco”. I went out that day and bought two dozen socks and underwear. They are so inexpensive I now consider them disposable and I always bring several pairs with me on call just in case. I also agree with the above comment on clogs. Wash the clogs, put the scrubs in the hospital laundry, throw the socks and underwear in the contaminated waste and put on a fresh change of clothes.

]]> By: Type-B Premed http://gruntdoc.com/2007/05/trauma-floor.html/comment-page-1#comment-5873 Type-B Premed Sat, 05 May 2007 15:58:34 +0000 http://gruntdoc.com/2007/05/trauma-floor.html#comment-5873 Minding his own business and reading the Bible, no doubt. So do you walk around with bloody shoes the rest of the shift? Minding his own business and reading the Bible, no doubt.

So do you walk around with bloody shoes the rest of the shift?

]]> By: TheNewGuy http://gruntdoc.com/2007/05/trauma-floor.html/comment-page-1#comment-5872 TheNewGuy Sat, 05 May 2007 12:15:43 +0000 http://gruntdoc.com/2007/05/trauma-floor.html#comment-5872 He was minding his own business, no doubt. Probably another victim of the infamous "two dudes." He was minding his own business, no doubt. Probably another victim of the infamous “two dudes.”

]]> By: GruntDoc http://gruntdoc.com/2007/05/trauma-floor.html/comment-page-1#comment-5871 GruntDoc Sat, 05 May 2007 02:08:07 +0000 http://gruntdoc.com/2007/05/trauma-floor.html#comment-5871 I was wearing both a hefty bag waterproof gown and shoe covers, but the shoe covers really only protect about 90% of the shoe, so just like the rest of me the tongue sometimes hangs out. Oh, and my socks, too. I have some Crocks, but, no. Good for me for washing cars and the like, but that's about it. I was wearing both a hefty bag waterproof gown and shoe covers, but the shoe covers really only protect about 90% of the shoe, so just like the rest of me the tongue sometimes hangs out. Oh, and my socks, too.

I have some Crocks, but, no. Good for me for washing cars and the like, but that’s about it.

]]> By: ERnursey http://gruntdoc.com/2007/05/trauma-floor.html/comment-page-1#comment-5870 ERnursey Fri, 04 May 2007 21:55:49 +0000 http://gruntdoc.com/2007/05/trauma-floor.html#comment-5870 rubber clogs. Then you can just give them a good wiping with the housekeepers virex after. rubber clogs. Then you can just give them a good wiping with the housekeepers virex after.

]]> By: Anonymous http://gruntdoc.com/2007/05/trauma-floor.html/comment-page-1#comment-5869 Anonymous Fri, 04 May 2007 17:23:46 +0000 http://gruntdoc.com/2007/05/trauma-floor.html#comment-5869 isn't this why you always wear shoe covers? isn’t this why you always wear shoe covers?

]]> By: Jared http://gruntdoc.com/2007/05/trauma-floor.html/comment-page-1#comment-5868 Jared Fri, 04 May 2007 17:00:29 +0000 http://gruntdoc.com/2007/05/trauma-floor.html#comment-5868 GD, Monday, I start my first courses of medical school. This past week I have been going through the insanity of uprooting my professional career as a chemist and part-time soldier and going through orientation at medical school. The weeds are thick, and the goal is easy to lose sight of. Thank you for parting the weeds for a moment. I needed this. Semper Fi, -SSG J GD,
Monday, I start my first courses of medical school. This past week I have been going through the insanity of uprooting my professional career as a chemist and part-time soldier and going through orientation at medical school. The weeds are thick, and the goal is easy to lose sight of. Thank you for parting the weeds for a moment. I needed this.

Semper Fi,
-SSG J

]]> By: Andy Fragen http://gruntdoc.com/2007/05/trauma-floor.html/comment-page-1#comment-5867 Andy Fragen Fri, 04 May 2007 16:15:47 +0000 http://gruntdoc.com/2007/05/trauma-floor.html#comment-5867 Your patient did much better than mine. I was covering trauma last night. Single stab wound to left anterior chest about 3 cm medial and superior to nipple. +JVD. Unstable etc. Long and short is there's a reason for the high mortality associated with ED thoracotomy. By the time I was done. I'd closed the large hole in the anterior left ventricle and the smaller one in the posterior left ventricle. But by that time blood looked like Kool-Aid and stopped clotting. Lots of epi, electricity, blood and IVF just wasn't enough. Most of the folks in the ED told me that was the most blood they'd seen lost. Your patient did much better than mine. I was covering trauma last night.

Single stab wound to left anterior chest about 3 cm medial and superior to nipple. +JVD. Unstable etc. Long and short is there’s a reason for the high mortality associated with ED thoracotomy. By the time I was done. I’d closed the large hole in the anterior left ventricle and the smaller one in the posterior left ventricle. But by that time blood looked like Kool-Aid and stopped clotting. Lots of epi, electricity, blood and IVF just wasn’t enough.

Most of the folks in the ED told me that was the most blood they’d seen lost.

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