The day started off with the pyxis upgrade throughout the department. Pyxis reps, pharmacy techs, pharmacists, etc were all over the department. Way too congested at 0700. They went in to replace the pyxis in room 3 and I had told them that if we need to use that room they would have to move out quickly.
When in Charge, we get numerous calls for an 'unresponsive' patient at the front door. I turned around and saw Diane and told her to come with me. We went to the front door of the ER and there is a mini-van with a man sitting in the passenger seat who was slumped over into the drivers seat, the driver, a woman, was standing by her door, screaming. Diane went around to the drivers side and I yelled at Diane to push the patient up. From his neck up was blue...not good! As a went to find a pulse, there was none. The woman had moved to my side of the mini-van, as she was talking on the phone, I asked her what had happened and then screamed at Gilberto to get me a stretcher. A stretcher was brought out, and I screamed at the lady to move out of the way and get off the phone. It took everything we had to get the man out of the car. The doors didn't open all the way and Gilberto was the biggest person we had out there. We finally got him on the stretcher, I jumped on top of him, started chest compressions, Diane threw up the side-rails and Gilberto went briskly through the front of the ER. Before we hit the doors, I had screamed "I need a doc",
As we came through the front door, there were people running from Room 3, Dot was attempting to get the Room 3 stretcher out, as we rounded the room trying to get in. Dr. Casey came in and we proceeded in working the code.
Little did I know in the last 2 minutes, what had actually happened until much later:
Jo was on the 3-run and when she heard me yell, she knew something was coming and told the people in room 3 'you guys have to get out, move!'. Dr. Casey, who was talking to MLP at the time, told me later, there are certain people that when they yell for help, you just know..... Jo then proceeded to tell me that the Pyxis rep and the Pharmacy Director came out of Room 3 and then the 'shock' factor hit, as Gilberto rounded the corner, his back-side bumped them as they bumped into each other trying to get out of the way. I guess what was so funny was Jo telling me later "yeah, I walked by, they were on the floor, and I said 'yep, they're still breathing' and she kept on going to Room 3! If you know Jo, you can picture exactly how she looked! Mind you, her heartrate never got above 42! ha ha
All I saw were the whites of their eyes as we rounded the corner. It was the 'shock' and don't know what to do feeling. It all happened so fast, but later reflected on the events outside of the patient, it was freaking hilarious.
All I could think of was Bambi on a frozen pond. It was bodies flailing everywhere. And, again, remember this all happened in a matter of seconds. But thinking about it for days, made me laugh.
The pyxis rep actually ended up with a tibia plateau fracture and is out of work for 3 months. Thats not good, but it is an ER and E M E R G E N C I E S do happen, sometimes life-or-death emergencies. I love the people I work with and aside from the fracture, and the patient outcome, my co-workers ROCKED!
Bob, was there in spirit! So we had to get a picture to attempt to replicate our lovely morning! And this all before 1000.
No comments:
Post a Comment