(no subject)

better mood last night at work

should have known better...

critical care hallway last night :

4 mo old resp failure, acidotic, hypothermic -> 5 hour ER dwell time
• intubated
• multi IV's
• multi meds (new & unknown from ICU fellow's pharmacopoeia)
• 3 cat scans - 2 (different!) trips to CT
• constant reheating
dx : unknown chest mass, pulmonary hypertension
outcome : very probable death
social impact : parents unable to cope (aka freeked)

3 mo old CPR -> 2 hour ER dwell time
• intubated
• blown pupils
• mutli IV's
• multi meds to maintain heart rate
• axional brain bleeds
• constant reheating
dx : shaken baby
outcome : brain death protocol initiated
social impact : mother's boyfriend confessed and arrested for shaken baby

2 mo old resp failure -> 1 hour ER dwell time
• intubated
• chronic lung disease
• premature
dx : pneumonia
outcome : recovery favorable
social : family guarded

*sigh*

any bright times?

1 mo old snotty nose -> 1 hour ER dwell time
• premature
• crack baby
• 1.5 Kg (3.3 lbs)!!!
• suctioned nose
dx : snotty nose (a cold!)
outcome : homeward bound
social : foster parents relieved and continues plans on adopting...

YAY!

now for dinner before bed