September 18, 2003
Monsters & Goblins

Another night, another code, another lost patient. During this month's rotation, the Night Floats the past two weeks had no worse than calling security to help catch a disoriented, combative little old lady; and now in the last three days there've been two codes on the floor. This last one we ran for 35 minutes, shocked more than I can count, and ran through just about every med in the cart, to no avail.

My pager goes off: "There's an emergency in room X". The JAR and fellow are already in the room. He's bagged. V-Fib. Clear. Epi. Shock. Shock. Shock. RT is here. Intubate. She starts compressions. I shoulder in and relieve her--compressions are extremely fatiguing and you need to relieve the person delivering them. Rhythm? Pulse? Clear. Shock. Pulse? Compressions. The JAR and fellow start placing chest tubes on both sides. Stop compressions. More Epi. Rhythm? Pulse? I hit the charge button and grab the paddles. His chest is a slick of conductive gel. Clear. Shock. Pulse? Round after round. V-Fib. Pulse? Shock. Shock. V-Fib. Vasopressin. Bicarb. Amio. Lidocaine. Torsades. Magnesium. Do we have Bretylium? We're running out of ideas. Finally we call it. The pitched whine of the defibrillator charge chime in the background. We've given the unfortunate fellow every chance we could. A medicine resident turns it off.

His mother is a huddled wreck wrapped in a blanket in the waiting room. The Chaplain is stuck in another code situation. We sit down with her.

Later, after the rest of the family arrives, there's a horrific wail that echoes down the corridors. The other residents are dealing with an MI in the unit. I'm sorry, we tried everything. I know you all did. Thank you. His wife's knee is quaking.

Monsters & Goblins come out at night.

Posted by erich at September 18, 2003 02:53 PM
Comments

This is my first time here and was wondering how often posts are made?

Posted by: Steph on August 11, 2004 04:43 PM

Online casino

Posted by: online casino on August 19, 2004 12:46 PM

fast cash

Posted by: fast cash on August 27, 2004 06:51 AM

Texas Holdem

Posted by: Texas Holdem on August 30, 2004 05:12 AM

Online Degrees

Posted by: Online degrees on August 30, 2004 08:46 AM

Omaha Poker

Posted by: Omaha Poker on August 31, 2004 08:50 AM

Flooring

Posted by: Flooring on August 31, 2004 01:31 PM

Traffic School

Posted by: Traffic School on September 1, 2004 05:57 AM

Birth Control

Posted by: Birth Control on September 1, 2004 08:06 AM

Online casino

Posted by: online casino on September 2, 2004 05:09 AM

I rarely speak in absolutes when discussing texas holdem, but it is absolutely worth the study. Texas holdem is a people game played with cards, not a card game played by people, at least once you get out of the penny-ante level.

Posted by: holdem poker on September 2, 2004 09:14 AM

Home Sales

Posted by: Home Sales on September 3, 2004 05:47 AM

Research Papers

Posted by: Research Papers on September 3, 2004 06:32 PM

Fast Wares

Posted by: Fast Wares on September 5, 2004 05:49 AM

I really think the psychology of texas holdem is way hyped, it is portrayed like there is minimal luck involved at all at the pro level.

Posted by: texas holdem on September 6, 2004 01:00 PM

poker tips

Posted by: poker tips on September 9, 2004 06:54 AM

poker sites

Posted by: poker sites on September 9, 2004 09:38 AM

Cruise line

Posted by: Cruise line on September 9, 2004 03:22 PM

online poker tips

Posted by: online poker tips on September 10, 2004 07:51 AM

poker tournament

Posted by: poker tournament on September 10, 2004 10:27 AM

online poker tournament

Posted by: poker tournament on September 10, 2004 12:51 PM

party poker

Posted by: party poker on September 13, 2004 05:28 AM

pacific

Posted by: pacific poker on September 13, 2004 08:10 AM

empire poker

Posted by: empire poker on September 13, 2004 10:47 AM

online poker

Posted by: online poker on September 13, 2004 05:19 PM

hair removal

Posted by: hair removal on September 14, 2004 05:22 AM

mortgage loan

Posted by: mortgage loan on September 14, 2004 05:35 AM

poker online

Posted by: poker online on September 14, 2004 09:03 AM

texas holdem

Posted by: texas holdem on September 14, 2004 04:30 PM

online poker

Posted by: online poker on September 15, 2004 07:13 AM

poker tips

Posted by: poker tips on September 15, 2004 12:38 PM

online poker

Posted by: online poker on September 16, 2004 09:43 AM

poker tournament

Posted by: poker tournament on September 16, 2004 02:31 PM

online poker

Posted by: online poker on September 17, 2004 05:45 AM

online casino

Posted by: online casino on September 17, 2004 07:30 AM

online poker

Posted by: online poker on September 17, 2004 07:50 AM

texas holdem tips

Posted by: texas holdem tips on September 17, 2004 08:17 AM

online casino

Posted by: online casino on September 17, 2004 08:29 AM

texas holdem

Posted by: texas holdem on September 17, 2004 08:36 AM

online poker

Posted by: online poker on September 19, 2004 06:05 PM

online poker

Posted by: online poker on September 19, 2004 06:05 PM

internet gambling

Posted by: internet gambling on September 19, 2004 06:05 PM

online gambling

Posted by: online gambling on September 19, 2004 06:06 PM

online gambling

Posted by: online gambling on September 20, 2004 06:03 AM

online poker

Posted by: online poker on September 20, 2004 06:04 AM

online casino

Posted by: online casino on September 20, 2004 06:41 AM

texas holdem

Posted by: texas holdem on September 20, 2004 06:42 AM

As long as man continues to be the ruthless destroyer of lower living beings he will never know health or peace. For as long as men massacre animals, they will kill each other.

Posted by: online texas holdem on September 22, 2004 06:00 AM

Driving is a spectacular form of amnesia. Everything is to be discovered, everything to be obliterated.

Posted by: poker online on October 8, 2004 03:43 PM

Proper names are rigid designators.

Posted by: online texas holdem on October 9, 2004 08:27 PM

Paley's argument is made with passionate sincerity and is informed by the best biological scholarship of his day, but it is wrong, gloriously and utterly wrong.

Posted by: poker online on October 9, 2004 11:55 PM

The only principle that does not inhibit progress is: anything goes.

Posted by: free casino online on October 10, 2004 04:06 AM

Whenever morality is based on theology, whenever right is made dependent on divine authority, the most immoral, unjust, infamous things can be justified and established.

Posted by: free poker online on October 10, 2004 07:51 AM

We are mad, not only individually, but nationally. We check manslaughter and isolated murders; but what of war and the much vaunted crime of slaughtering whole peoples?

Posted by: poker online on October 10, 2004 11:31 AM

Consciousness is a being, the nature of which is to be conscious of the nothingness of its being.

Posted by: online poker on October 10, 2004 04:51 PM

My first act of free will shall be to believe in free will.

Posted by: online poker on October 11, 2004 04:51 AM

It is both necessary to say and think that being is: for to be is possible, and nothingness is not possible.

Posted by: free online poker on October 11, 2004 07:09 PM

God can stand being told by Professor Ayer and Marghanita Laski that He doesn't exist.

Posted by: online texas holdem on October 12, 2004 03:52 AM

Suicide is not abominable because God prohibits it; God prohibits it because it is abominable.

Posted by: free poker online on October 12, 2004 11:17 AM

Cut the pie any way you like, 'meanings' just ain't in the head!

Posted by: poker online on October 12, 2004 08:11 PM

It is a little embarrassing that, after 45 years of research and study, the best advice I can give to people is to be a little kinder to each other.

Posted by: poker online on October 13, 2004 02:05 AM

The banality of evil.

Posted by: free poker online on October 13, 2004 08:21 AM

As the brain changes are continuous, so do all these consciousnesses melt into each other like dissolving views. Properly they are but one protracted consciousness, one unbroken stream.

Posted by: online poker on October 14, 2004 02:57 AM

The greatest happiness of the greatest number is the foundation of morals and legislation.

Posted by: free online poker on October 14, 2004 09:18 AM

Whenever morality is based on theology, whenever right is made dependent on divine authority, the most immoral, unjust, infamous things can be justified and established.

Posted by: texas holdem poker on October 14, 2004 04:46 PM

Great men can't be ruled.

Posted by: holdem poker tips on October 14, 2004 09:47 PM

Every man takes the limits of his own field of vision for the limits of the world.

Posted by: online poker on October 15, 2004 02:42 AM

Payday loans are a quick and easy way of getting cash advances until your next paycheck. They are perfect for emergency situations when you are short of cash and need money fast. Once you are approved for a payday loan, it usually takes not more than 24 hours for the money deposited directly into your account. Can I use my payday loans for whatever I want? Yes. It's totally up to you what you want to use the payday loan cash advance for.

Posted by: Payday Loan Cash Advances on October 20, 2004 12:51 AM

Reserve car rentals of all types from luxury and minivans to compact and economy rentals from most world wide airports. Online instant quotes and discount rates from the top car hire companies including Alamo car rentals. Our reservation and rate search facility pulls information from Avis car rentals agency system and then displays them on a single page allowing you to compare Budget Car Rentals rates almost instantly. Many of these rates are at a discount and exclusive to us and cannot be obtained from the Dollar Car Rentals themselves. So go ahead, rent-a-car and compare all the major Enterprise car Rentals online instantly today. We have partnered with several Leading Fox Car Rentals Companies and has created one of the most powerful online car rental search engines. Our Hertz Car Rentals search gives you access to what we think is the largest selection anywhere of low rates on car rentals. Reserve National car rentals of all types from luxury and minivans to compact and economy rentals from most world wide airports. Online instant quotes and discount rates from the top car hire companies including Thrifty car rentals. Our reservation and rate search facility pulls information from cheap car rentals agency system and then displays them on a single page.

Posted by: Car Rentals on October 21, 2004 01:29 AM

Driving is a spectacular form of amnesia. Everything is to be discovered, everything to be obliterated.

Posted by: free online casino on October 21, 2004 02:57 AM

There is no female Mozart because there is no female Jack the Ripper.

Posted by: online casino on October 21, 2004 09:44 AM

When you need a rental car for vacation or business, it's a good idea to consider several factors while reserving to help make your trip more enjoyable. Rental Car Rates. Besides your rate, you should also consider the service you will receive when you get off the airplane, how quickly you can obtain your rental car. Luxury Car Rental Thrifty Car Rental When you need a rental car for vacation or business, it's a good idea to consider several factors while reserving to help make your trip more enjoyable. Hertz Car Rental. Besides your rate, you should also consider the service you will receive when you get off the airplane, how quickly you can obtain your rental car. Budget Car Rental. Besides your rate, you should also consider the service you will receive when you get off the airplane, how quickly you can obtain your rental car. California Car Rental When you need a rental car for vacation or business, it's a good idea to consider several factors while reserving to help make your trip more enjoyable. Florida Car Rental. Besides your rate, you should also consider the service you will receive when you get off the airplane, how quickly you can obtain your rental car. Car Rental Agencies. Our Compare Rates & Book Guide shows the complete rental base total for additional days and hours Rental Cars

Posted by: Michelle Norris on October 21, 2004 11:59 AM

We offer thousands of vacation rentals and lodging in hundreds of locations. To find cheap vacation Rentals simply click on the desired destination to view vacation rentals by owner location. Contact the property owners directly, for availability, rates and booking. Anaheim Vacation Rentals
Atlanta Vacation Rentals
Baltimore Vacation Rentals
Boca Raton Vacation Rentals
Boston Vacation Rentals
Chicago Vacation Rentals
Dallas Vacation Rentals
Denver Vacation Rentals
Detroit Vacation Rentals
Fort Lauderdale Vacation Rentals
Fort Myers Vacation Rental
Hartford Vacation Rentals
Honolulu Vacation Rentals
Houston Vacation Rentals
Jacksonville Vacation Rentals
Jamaica Vacation Rentals
Knoxville Vacation Rentals
Las Vegas Vacation Rentals
Lihue Vacation Rentals
Long Beach Vacation Rentals
Los Angeles Vacation Rental Maui Vacation Rental
Miami Vacation Rentals
Minneapolis Vacation Rentals
Myrtle Beach Vacation Rentals
Nashville Vacation Rentals
New Orleans Vacation Rentals
New York City Vacation Rentals
Oakland Vacation Rentals
Orlando Vacation Rentals
Palo Alto Vacation Rentals
Philadelphia Vacation Rentals
Phoenix Vacation Rentals
Portland Vacation Rentals
Sacramento Vacation Rentals
Salt Lake City Vacation Rentals
San Diego Vacation Rentals
San Francisco Vacation Rentals
San Jose Vacation Rentals
Seattle Vacation Rentals
St. Louis Vacation Rentals
Tampa Vacation Rental
We have been offering cheap vacation rentals since 1994 on the world wide web. On our website you will find accommodation that includes condominiums, private vacation homes, beachfront hotels, oceanfront villas, mountain lodges and all other types of vacation rentals.

Posted by: Vacation Rentals by Owner on October 22, 2004 10:56 PM

We offer thousands of vacation rentals and lodging in hundreds of locations. To find cheap vacation Rentals simply click on the desired destination to view vacation rentals by owner location. Contact the property owners directly, for availability, rates and booking. Anaheim Vacation Rentals
Atlanta Vacation Rentals
Baltimore Vacation Rentals
Boca Raton Vacation Rentals
Boston Vacation Rentals
Chicago Vacation Rentals
Dallas Vacation Rentals
Denver Vacation Rentals
Detroit Vacation Rentals
Fort Lauderdale Vacation Rentals
Fort Myers Vacation Rental
Hartford Vacation Rentals
Honolulu Vacation Rentals
Houston Vacation Rentals
Jacksonville Vacation Rentals
Jamaica Vacation Rentals
Knoxville Vacation Rentals
Las Vegas Vacation Rentals
Lihue Vacation Rentals
Long Beach Vacation Rentals
Los Angeles Vacation Rental Maui Vacation Rental
Miami Vacation Rentals
Minneapolis Vacation Rentals
Myrtle Beach Vacation Rentals
Nashville Vacation Rentals
New Orleans Vacation Rentals
New York City Vacation Rentals
Oakland Vacation Rentals
Orlando Vacation Rentals
Palo Alto Vacation Rentals
Philadelphia Vacation Rentals
Phoenix Vacation Rentals
Portland Vacation Rentals
Sacramento Vacation Rentals
Salt Lake City Vacation Rentals
San Diego Vacation Rentals
San Francisco Vacation Rentals
San Jose Vacation Rentals
Seattle Vacation Rentals
St. Louis Vacation Rentals
Tampa Vacation Rental
We have been offering cheap vacation rentals since 1994 on the world wide web. On our website you will find accommodation that includes condominiums, private vacation homes, beachfront hotels, oceanfront villas, mountain lodges and all other types of vacation rentals.

Posted by: Cheap Vacation Rentals on October 22, 2004 11:19 PM

We offer thousands of vacation rentals and lodging in hundreds of locations. To find cheap vacation Rentals simply click on the desired destination to view vacation rentals by owner location. Contact the property owners directly, for availability, rates and booking. Anaheim Vacation Rentals
Atlanta Vacation Rentals
Baltimore Vacation Rentals
Boca Raton Vacation Rentals
Boston Vacation Rentals
Chicago Vacation Rentals
Dallas Vacation Rentals
Denver Vacation Rentals
Detroit Vacation Rentals
Fort Lauderdale Vacation Rentals
Fort Myers Vacation Rental
Hartford Vacation Rentals
Honolulu Vacation Rentals
Houston Vacation Rentals
Jacksonville Vacation Rentals
Jamaica Vacation Rentals
Knoxville Vacation Rentals
Las Vegas Vacation Rentals
Lihue Vacation Rentals
Long Beach Vacation Rentals
Los Angeles Vacation Rental Maui Vacation Rental
Miami Vacation Rentals
Minneapolis Vacation Rentals
Myrtle Beach Vacation Rentals
Nashville Vacation Rentals
New Orleans Vacation Rentals
New York City Vacation Rentals
Oakland Vacation Rentals
Orlando Vacation Rentals
Palo Alto Vacation Rentals
Philadelphia Vacation Rentals
Phoenix Vacation Rentals
Portland Vacation Rentals
Sacramento Vacation Rentals
Salt Lake City Vacation Rentals
San Diego Vacation Rentals
San Francisco Vacation Rentals
San Jose Vacation Rentals
Seattle Vacation Rentals
St. Louis Vacation Rentals
Tampa Vacation Rental
We have been offering cheap vacation rentals since 1994 on the world wide web. On our website you will find accommodation that includes condominiums, private vacation homes, beachfront hotels, oceanfront villas, mountain lodges and all other types of vacation rentals.

Posted by: Vacation Rentals on October 22, 2004 11:43 PM

Penis enlargement - Feel a bit interested? Read more revealing columns!

Posted by: penis enlargement on October 23, 2004 02:42 PM
Post a comment
Name:


Email Address:


URL:


Comments:


Remember info?