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Posted

Like I've said before, in the ER, the foley catheter is the great equalizer, especially in men.

Posted

Like I've said before, in the ER, the foley catheter is the great equalizer, especially in men.

You'd have loved having me as a patient;

Nurse: Have you passed urine yet?

Me: No, this oral fluid you want me to drink so I take a slash is just making my gastroenteritis much worse

Nurse: Well, look you have to drink it or I'm going to catheter you

Me: Bloody hell no you're not, may I speak with the House Surgeon please?

Nurse: She is tubing somebody, I'll get her to come see you when she is free

Next minute ... House Surgeon

Me: Can you prescribe me a litre of fluid so I go pee and if that doesn't work you can catheter me?

House Surgeon: Sure, why you ask tho?

Me: Coz I don't like having a plastic thing shoved up my dick, you know ...

House Surgeon: Hmm yes ... are you a doctor or something?

Me: Something like that :D

Oh and a sternal rub is great for painful stimulus

Posted

Have you ever used a "Q" tip twirled just at the opening of the Nares? It takes a deeply unconscious person to not react to that gentle stimuli.

Especially the "unconscious" fake seizures. Just be care to not get sneeze on.

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Posted

I keep waiting for the decade when the stupid arm drop test is relegated to whackerdom. Providers still bring it up, usually with a stupid grin cause they are oh so smart.

I touch the eyelashes. The corresponding reflex movement of the eyelid is enough to reassure me that my patient is protecting their airway.

I am not sure this assessment in a vacuum would reassure me that a patient is adequately protecting their airway.

Posted

I haven't, but that's a cool idea! Well, assuming that I can keep them from sneezing all over me...

Posted

You could always do the sack thump.

Posted

You could always do the sack thump.

Try not to derail the thread with your personal fetishes...

Posted

Try not to derail the thread with your personal fetishes...

Not your own sack ...

Posted

I am not sure this assessment in a vacuum would reassure me that a patient is adequately protecting their airway.

yeah.. I mis-spoke. I use it as one tool.. sometimes a sternal rub is necessary, but not nearly as often as people do it. I can't tell you how many drunks come up swinging from a provider's sternal rub when one really isn't needed

Posted
I can't tell you how many drunks come up swinging from a provider's sternal rub when one really isn't needed

I and a partner have been chased down the ER corridor at Montifiore Hospital in the "Boogie Down" (Bronx), after the partner administered a sternal rub to an intoxicated "unconscious" patient. We could run faster, and Security intervened.

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