TUBE EM OR LOSE EM
We had a very busy er yesterday. We filled the ICU & used up all our
vents.
2 weeks ago
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To know that even one life has breathed easier because you have lived. This is to have succeeded. - Ralph Waldo Emerson
You know you're an RCP when
- "clubbing" no longer refers to the hitting up of the bar scene downtown
- you call someone "SOB" and are NOT calling them a son of a bitch
- you look at bigger people with no necks and think "man, they'd be a difficult intubation"
- SpO2, MDI, SOBOE, DPI, COPD, IPPB, FiO2 and R/A all mean something to you
- you DON'T encourage people to use cough medicines
- you measure the amount someone smokes in pack years
- you can hear the phrase "pulmonary toilet" and not laugh
- you know the alveolar air equation backwards and forwards, in your sleep
- you know that the "breathing tube" doesn't actually go down the "throat" per se
- "pink and frothy" no longer describes that strawberry shake you had for lunch
- "blue bloater/pink puffer" means something to you
- you realize people really have no clue how to use an Aerochamber
- you get paged to use a "vibrator" while at work, and it's perfectly acceptable and even requested by staff and patients - you can measure someone's RR just by walking by the patient
- you've been shot by an uncovered trach - you know there's an "H", a "G" and no "F" in phlegm
- you call it a "ventilator", not a "respirator"
- you measure things by color, consistancy and smell
- you know "BiPAP" doesn't involve a smear
- A/C no longer stands for "air-conditioning"
- you take the best damn care of any patient
- you call someone "SOB" and are NOT calling them a son of a bitch
- you look at bigger people with no necks and think "man, they'd be a difficult intubation"
- SpO2, MDI, SOBOE, DPI, COPD, IPPB, FiO2 and R/A all mean something to you
- you DON'T encourage people to use cough medicines
- you measure the amount someone smokes in pack years
- you can hear the phrase "pulmonary toilet" and not laugh
- you know the alveolar air equation backwards and forwards, in your sleep
- you know that the "breathing tube" doesn't actually go down the "throat" per se
- "pink and frothy" no longer describes that strawberry shake you had for lunch
- "blue bloater/pink puffer" means something to you
- you realize people really have no clue how to use an Aerochamber
- you get paged to use a "vibrator" while at work, and it's perfectly acceptable and even requested by staff and patients - you can measure someone's RR just by walking by the patient
- you've been shot by an uncovered trach - you know there's an "H", a "G" and no "F" in phlegm
- you call it a "ventilator", not a "respirator"
- you measure things by color, consistancy and smell
- you know "BiPAP" doesn't involve a smear
- A/C no longer stands for "air-conditioning"
- you take the best damn care of any patient
My Invisible Friends
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5 comments:
crap and it's not even flu season yet.
gotta love those days.
Cool. I don't think we used all our vents in... oh, I better not jinx us.
Rock on! Been there; done that; glad it's not just us.
You know it's going to be a long night when you have a code and you have to hand bag for an hour while they decide who can leave a unit unit to go to stepdown so the code can have the unit room.
How many did you rent?
Lately, we've been so busy we've been renting tons of Bipaps and some vents. Crazy days, folks...and like Heidi said, it's not even winter yet.
If Bi-PAP is supposed to help prevent the need for intubation, imagine how bad it would be without Bi-PAP.
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