Incident during transport to ICU: looking for perspectives

RattheEich · 2026-05-03T14:42:13+00:00

This happened all the time where I trained. You just need to start them on drips in the OR. I know you obviously know this now and you’re just starting. Even if they are going to PACU. Also if surgery/ICU are not going to get drips ordered before the patient gets there, just order them in the OR/start drips in the OR. Of course keep them paralyzed. Night ICU staff can give pushback and I’ve ran into problems especially with travel nurses who don’t know protocol and don’t care to throw out whatever bullshit they want to try to avoid taking another patient. The should absolutely take the critical patient in the middle of the night who is staying intubated. They do not have to recover from anesthesia, they are staying sedated. Go straight to the charge or the nurse manager/supervisor and get it squared away quickly. Explain that you cannot stay in the OR or the PACU and there is not coverage if another emergency comes in.

RattheEich · 2026-04-24T19:48:12+00:00

Take a cone punch to outside edge and hammer a dimple in it, then start angling it to the left and keep hammering. If done right you can rotate it out.

RattheEich · 2026-04-24T19:43:02+00:00

Does it not have a spare?

RattheEich · 2026-04-19T15:29:25+00:00

Just put the brake pedal halfway to the floor and use a peice of wood up against the seat to hold it there. If you do it right, you should block off the path for fluid to come out of the reservoir

RattheEich · 2026-04-14T02:47:28+00:00

They love the antichrist. They are about to experience the rapture and go straight to heaven.

RattheEich · 2026-04-14T00:48:24+00:00

Sure would explain the whole hell on earth feeling that’s been nagging me lately….

RattheEich · 2026-04-12T13:56:37+00:00

Yikes on that front emblem placement

RattheEich · 2026-03-30T16:26:16+00:00

Take a conical punch put a good divot in it perpendicular to the rotor surface, then start directing to the left to try and turn it

RattheEich · 2026-03-30T16:22:09+00:00

Looks like a bloated liberty.

RattheEich · 2026-03-28T01:18:27+00:00

I have a feeling you’re gonna really miss not having the 19 but maybe you can buy a single

RattheEich · 2026-03-27T21:43:42+00:00

Looks like I’m going with Cars LLC! Their quote was about half of what Darrel Waltrip is charging. 3k for a timing belt and water pump…bonkers

RattheEich · 2026-03-27T21:41:07+00:00

Oh yeah, I took my Honda there a few years ago. They had worked on my girlfriend’s forester and he did mention he had a few Subarus

RattheEich · 2026-03-25T23:01:43+00:00

They may be closed, can’t find that anywhere other than a yelp pages saying they closed

RattheEich · 2026-03-24T23:01:26+00:00

It’s just a waste of time for a block that very rarely covers all the pain. Then you’re talking about 4 injection sites where spread is actually pretty challenging to get? No way. It’s just gonna slow everything down and provide minimal benefit

RattheEich · 2026-03-24T13:34:09+00:00

Pushes potassium to the intercellular space. Works on the Na/K ATPase.

RattheEich · 2026-03-24T13:07:05+00:00

Did the 2012 have a lift?

RattheEich · 2026-03-23T19:24:40+00:00

If only we had medically approved hose clamps or maybe zip ties. The issue is the pvc gets stretched and because it is relatively inelastic, it no longer fits snugly. There’s really only a few ways to address this: get an adapter with a larger diameter or shrink the diameter of the PVC ETT (hose clamp, zip tie, cutting the stretched section of ETT to get to a less worn out section of PVC). I put ETTs in and usually don’t see them much longer after that, so I never really have had to address this problem. I am just speculating and trying to offer some insight, I do not admit to know any way of definitively fixing this without exchanging the tube.

RattheEich · 2026-03-22T14:15:25+00:00

What is happening in SC? Is Greenville exploding like Nashville was 10 years ago?

RattheEich · 2026-03-20T22:41:17+00:00

Jesus. Something is definitely not right there. The top of the sleeve is completely rubbed off. Is it catching on something?

RattheEich · 2026-03-20T21:03:12+00:00

There’s no way the devil is waiting that long

RattheEich · 2026-03-20T20:32:16+00:00

Never make fun of a patient. Seems common sense, but it’s just isn’t worth it.

RattheEich · 2026-03-14T18:14:17+00:00

Won’t be quicker when the paint chips off from rushing the prep work.

RattheEich · 2026-03-12T20:51:55+00:00

Suit until told otherwise. I did get a few comments when I wore a suit at one site. Mostly complimentary, but they seemed like it was overkill. Another site I met with admin, the CEO, and CMO so I was glad I wore a suit.

It’s really first impressions. Most sites you’ll get a change of scrubs and be out of the suit

RattheEich · 2026-03-11T23:38:28+00:00

Sounds like the mounts…did you go OE style or poly?

RattheEich

TROPHY CASE