Tuesday, June 25, 2013

You want me to give what?

Our residents last month were a special breed of special. There were two of them with the perfect combination of not being the brightest + not taking direction well + thinking they were in fact the best and the brightest. Really goes over well in a specialty service/ICU known for its picky surgeons and its independent (bossy) nurses. 

Depending on who you asked, Vladimir was the better or the worse of the two. He certainly was less obnoxious than the other resident, but by god was he dumber. 

Best/worst interaction of the month:

Mrs Corpse is coding. We temporarily resuscitate her. I have given her 3mg of epi in the past ten minutes or so. 

A: "Oh nice, I got a pulse back. Looks like a narrow complex tachycardia."

Vladimir: "Oh no! Give her 6mg of adenosine."

A, head whips around like The Exorcist: "You want me to give adenosine to the lady who was dead ten seconds ago? You know her heart rate is only fast because I've pushed a bunch of epi during the code right?" 

Vladimir: "But... It is an SVT? We give adenosine for SVT?"

Yogi Bear (my junior fellow): "Not this time we don't. Listen to the nurses." 

Mrs Corpse died anyway. But I bet she would've died faster if I'd given her adenosine...

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