One Shift in my Life in ER
Friday, February 15th, 2008My duty in the ER began as an old man comes in with his chest being clutched. It seemed he was having a chest pain. I immediately pointed him to the a nearby bed and allowed him to lie down comfortably. I made the head part elevated and started taking history from him. At the same time, I took his vital signs. His blood pressure was elevated and his pulse was pounding. He seemed do nervous amd tensed, so i told him to stay calm and relax, as everybody in the ER were here to help him out.
The ER doctor came in the scene and started ordering tests such as ECG, lipid profile etc etc. To make the story short, the old man was transferred to the ICU after they found out that he was suffering from a Myocardial Infarction.
Another patient came immediately after I transferred the first one to ICU. This one was a motor-vehicular accident patient. He seemed unconscious and there was some bleeding from his head. I suspected a severe head injury resulting from a car accident. The people who came in with the patient started telling the story how the accident happened. I took the vitals signs and found out that his blood pressure was very high, indicating increased intracranial pressure. The temperature is high as well indicating damage to the thermoregulatory center. The pulse and RR are down. Glasgow scale was 3.
The patient was immediately brought in to xray after the doctors confirmed of some obvious skull trauma. The patient also had a CT scan of the brain. The brain damage was severe as noted from the results.
The patient arrested after he was placed back in ER. We started resuscitating the patient. His pulse came back, and we immediately wheeled him to the ICU.
And that’s about it. A action-filled day in my life as an ER nurse.