ER Slang?

[Kill]

Ok, so I?m writing this story for school and in it I need to explain what the doctors say and do in an ER. So basically the story goes as this guy is rolled into the ER and his face is all slashed up.
My questions are this?

What would the doctors say? Such as, I need this ?stat? and this much ?cc? of that thing.

What would they do, and who would do it? Clean off the blood, attach sensors, hook up an IV and so on.

If anyone knows, you have no freaking idea how helpful you would be.

Thx, KM

 

[Spac3d]

Just watch a few epiosdes of ER... thats all the research you are going to have to do.

 

[NFS4]

Gimme 5 CC's of liticain, dip of urine, chem 7. Hehe, I dunno...just repeatin' stuff I hear off E.R.

 

[Viper GTS]

Here's how you find out first hand



Just kidding, I think we have a couple ER people here who can help you out.

Viper GTS

 

[Pliablemoose]

The Dr's don't do any of that crap, the nurses do it on autopilot...

Strip & flip him (take off all clothes & examine every square inch of his body to rule out further injury).

1 liter of saline bolus, have a second ready (self explanatory, except it means you have to start an IV)

skull series X-ray stat (rule out facial fractures, typically cheekbones orbit of the eye)

KUB flat & upright, r/o free air (abdominal Xray to ensure there isn't a ruptured bowel, done in a lying & standing position)

Metabolic comp (panel chemistry labs to ensure there isn't an electrolyte imbalance)

CBC

UA (check for urine in the blood to ensure the bladder isn't ruptured)

Type & Cross (for blood if he's anemic from bleeding)

Vitals per trauma routine (q 15 min or more often)

Clean him up (wound care, flush with saline & or antiseptic)

2 grams of ancef IVPB (broad spectrum antipiotic to ward off an infection, administered intravenously, piggyback to the main IV)

Bring me a plastics tray (has all the tools needed for facial suturing)

Call the Plastics Guy (plastic Surgeon on call)

They wouldn't suture up the victim till xrays show there are no fractures or foreign objects in the wound...

Demerol 100 mg IV Push (for a 180 kilo male in good health, if he's in pain)

Happy to answer any questions

 

[dethman]

Originally posted by: NFS4
Gimme 5 CC's of liticain,

lidocaine.

 

[Pliablemoose]

Originally posted by: dethman

Originally posted by: NFS4
Gimme 5 CC's of liticain,

lidocaine.

Both are relatively contraindicated in current ACLS protocol, never did understand it, you're essentially anesthetizing the whole body, lots of side effects...

It was used for cariiac arrythmias, never used for trauma, soon to be never used in cardiac problems.

 

[NFS4]

Originally posted by: dethman

Originally posted by: NFS4
Gimme 5 CC's of liticain,

lidocaine.

Whatever, you knew what I meant

 

[Jugernot]

My ex said that when she was a med-tech in the air force, she NEVER ONCE heard anyone say "STAT!" She said it always sounds stupid when they say it so much on these shows. She said ASAP was used instead.

EKG = Echo Kardio Gram
Defib = Defibulation (sp?)
piss = Urinate

 

[Pliablemoose]

Originally posted by: Jugernot
My ex said that when she was a med-tech in the air force, she NEVER ONCE heard anyone say "STAT!" She said it always sounds stupid when they say it so much on these shows. She said ASAP was used instead.

EKG = Echo Kardio Gram
Defib = Defibulation (sp?)
piss = Urinate

In an ER setting "STAT" is just sort of understood

 

[Jugernot]

Originally posted by: Pliablemoose

Originally posted by: Jugernot
My ex said that when she was a med-tech in the air force, she NEVER ONCE heard anyone say "STAT!" She said it always sounds stupid when they say it so much on these shows. She said ASAP was used instead.

EKG = Echo Kardio Gram
Defib = Defibulation (sp?)
piss = Urinate

In an ER setting "STAT" is just sort of understood

Yes I know... but she said in the REALWORLD, no one says it.

 

[Pliablemoose]

Originally posted by: Jugernot

Originally posted by: Pliablemoose

Originally posted by: Jugernot
My ex said that when she was a med-tech in the air force, she NEVER ONCE heard anyone say "STAT!" She said it always sounds stupid when they say it so much on these shows. She said ASAP was used instead.

EKG = Echo Kardio Gram
Defib = Defibulation (sp?)
piss = Urinate

In an ER setting "STAT" is just sort of understood

Yes I know... but she said in the REALWORLD, no one says it.

She's right, no-one says it, everything is STAT, it's understood...

 

[pulse8]

I can't remember really hearing them say, "stat" on ER.

 

[NFS4]

Originally posted by: pulse8
I can't remember really hearing them say, "stat" on ER.

Nope, but they do say:

intubate
chest tube tray
cbc chem 7
central line
rib spreader
suction
lavage
foley

....on a regular basis

 

[deftron]

"Somebody get this guy a doctor! "

 

[NFS4]

Or Dr. Benton:

"COME ON PEOPLE LET'S GO!!!!"

or

"1 - 2 - 3"

I don't know how many times I've heard that on E.R.

 

[pulse8]

Originally posted by: NFS4

Originally posted by: pulse8
I can't remember really hearing them say, "stat" on ER.

Nope, but they do say:

incubate
chest tube tray
cbc chem 7
central line
rib spreader
suction
lavage
foley

....on a regular basis

Actually, I believe it's intubate and not incubate that they use regularly on the show.

 

[Pliablemoose]

Originally posted by: NFS4

Originally posted by: pulse8
I can't remember really hearing them say, "stat" on ER.

Nope, but they do say:

incubate
chest tube tray
cbc chem 7
central line
rib spreader
suction
lavage
foley

....on a regular basis

intubate-means putting an endo trachial tube down someone's throat & hooking them up to a ventilator to breathe
Chest tube tray-kit to place a tube into the pleural cavity to expand a collapsed lung
CBC/Chem 7 Complete Blood Count, Electrolyte check of blood, typically potassium, etc...
central line, an IV placed in a large vein, typically the femoral vein in real life (near the groin), on TV they show subclavian vein placenment.
rib spreader-never done in the ER, it's too invasive & the risk of infection is too great-it splits open the rib cage fro acess to the heart, lungs, veins arteries in the thorasic cavity.
suction-self explanatory
lavage-instilling fluid into a body cavity & then sucking it out
foley-tube inserted into the urethra, to drain urine, a quick way to determine if the bladder is ruptured.

NSF4, you watch way too much ER

 

[Pliablemoose]

GOMER-get out of my er
TMB-too many birthdays (too old to live)
O sign-mouth open (bad sign in a comatose patient)
Q sign-mouth open & tongue hanging out (near death)
Thumper-air powered CPR machine, usually used on a dead person to satisify lawyers that CPR was done by EMS in the field to a pretty thouroughly dead patient (& grasshopper's GF)
Tele-patient that needs cardiac monitoring

We have our own language, I get into trouble frequently cuz I simplify what we're doing to the patients & administration doesn't like my analogies.

 

[Kill]

You guy rule, thx a lot.

 

[MomAndSkoorbaby]

Bleck...I did too much of this at work today!

 

[compudog]

I gather that Pliablemoose is a member of an ER team. Doctor or nurse?

 

[Kill]

If a patient has lost a lot of blood, do they jab him with a pint of O-Neg or...
do they test him for whatever blood type he is and then give him that?
And how much? 450cc?

Damn paper, thx guys

 

[pandapanda]

blood comes in units...as in "give him a unit of O-"

 

[PsychoAndy]

A rib spreader sounds gross.

And what does "he's going into v-tach" or something along those lines mean? I'd assume some sort of arrythmia, seeing as they break out the defibrilator every time.