(no subject)

[clintswan]

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

Comments

[quietkub.livejournal.com]

Have you noticed any changes with regards to ST Elevated Myocardial Infarction? Are you seeing fewer STEMI's?

[clintswan.livejournal.com]

huh?

changes to what assoc with MI? i deal with peds who usually don't have MI's...

and

i don't live in australia.....i have PALS here in the USA

[quietkub.livejournal.com]

ooops!..got confused :(

sorry sexy!

[thom413.livejournal.com]

All I can say is God bless you. The work you are doing is so important, yet so undervalued. On behalf of all those kids, I thank you.

[britbear.livejournal.com]

way to go! what a difference you make!

[realaustinman.livejournal.com]

Mmmm.. snot!

[bassbehr.livejournal.com]

*falls out of chair at the length of this post*

I want to work with you.

[dvord-direwood.livejournal.com]

I don't tell you this enough, but you're a hell of a guy. I may never meet you, but the crap you deal with, and the miracles you participate in are inspirational. Thanks!

[darkphuque.livejournal.com]

and I am grieving about a cat that nolonger nibbles my nose...
It seems so small compared to the parents of a dying child

[clintswan.livejournal.com]

not small

the pain is the same

never compare losses of the heart

*hug*

[dacubsf.livejournal.com]

That is so sad. they're all babies. But Yay for having you there to help them