PA life in the emergency room
Medgeeks with Andrew Reid
Medgeeks
4.8 • 997 Ratings
🗓️ 22 January 2018
⏱️ 6 minutes
🧾️ Download transcript
Summary
Today, I'm going to be sharing my day with you in the emergency department. I had a patient coming in with isolated third cranial nerve palsy. I wasn't quite sure how to approach this and so we got a consult.
Something clinicians struggle with is knowing when to call for help. They feel pressured to handle everything which comes there way - for fear of looking "stupid". But, as you'll see in today's video, that shouldn't be the case.
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Transcript
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| 0:00.0 | What's up guys? So I'm going to do things a little bit differently this week. |
| 0:03.4 | I just got done with a really, really long shift today and I wanted to talk about a couple of things |
| 0:09.1 | that were on my mind that I think you guys might find useful. So we got bombarded today because it apparently |
| 0:16.2 | snowed in the south and I thought it wasn't supposed to do that, but everybody that had appointments |
| 0:22.0 | at their doctor's office couldn't go and we had a lot of sick |
| 0:25.7 | patients here today. |
| 0:27.2 | So what do you guys do when you have just very complicated patients, when you have very sick patients how do you handle those |
| 0:35.4 | patients so like I said today was crazy we had an influx of patients and right |
| 0:40.0 | off from the get-go the first patient I saw he was just doing very bad. He was |
| 0:45.8 | hypoxic, encephalopathic, and I stabilized him, left the room immediately |
| 0:52.0 | after that, brought my physician up to speed, and I told him |
| 0:55.1 | that he needed to come in there immediately because his patient is going to need some advanced |
| 0:58.4 | care and some advanced procedures that I'm not going to be capable of doing. |
| 1:03.0 | So we worked on this patient together and then I had another patient shortly after that |
| 1:09.0 | that was also very complicated. |
| 1:11.0 | He presented with a solitary third cranial nerve palsy and it had |
| 1:16.1 | been going on for 24 hours. I really wasn't quite sure. I didn't have a great |
| 1:19.8 | explanation for it. Everything came back normal and I had my physician get involved again |
| 1:26.1 | reassess the patient and we kind of talked about it collegiially and devise a plan. |
| 1:33.6 | Well, the plan ultimately was that we weren't sure. |
| 1:37.5 | So I consulted a neurologist at a nearby hospital |
| 1:41.8 | and we ultimately needed to get the patient over there. I had a couple |
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