The first rotation was a big leap. It felt like I dove into the deep end and had to either sink or swim. There were moments of splashing about and close calls. Overall I think I still have my head or at least my nose above water managing to breathe. Here are a few things that I was able to do, see and diagnose.
- Sutured including injecting local anesthetic – sutured a few times on the fingers and the face :S It went well :)
- Observed incision and drainage of an abscess
- Observed code blues – including CPR and epinephrine administration
- Observed cardioversion – when a shock is given to a patient with fast arrhythmia of the heart in atrial fib/flutter and ventricular tachycardia.
- Observed thoracentesis – removing fluid in the lung
- Observed lumbar puncture – collecting spinal fluid from the spine
- Assisted in intubation – the doctor inserted a guide wire with the laryngoscope and I inserted the endotracheal tube. Also used a bag-valve-mask to help with a patients breathing.
- Observed a central line being inserted
- Assisted in reductions of different broken or dislocated bones such as the shoulder and wrist with conscious sedation and assisted in casting
- Assisted in removal of a foreign body in the ear
- Observed packing of epistaxis (nosebleed)
Fractures – Coles, ankle, hip, hand
Lacerations – fingers, chin, eyebrow
MI (myocardial infarction – heart attack)
TIA (transient ischemic attack – “mini strokes”)
Shortness of Breath
Minor complaints- unspecified
There are more things I’ve seen and done but these are the first things that come to mind. I did take a picture of my first prescription for diverticulitis. I just wrote down what the doctor told me to :)
|My First time writing a prescription dictated from the doctor :P|
Last shift in emerge is on Tuesday then off to our first academic day. My next rotation in Orthopedics starts on Thursday!