Capstone, Day1
3.04.2006
Last night was the first "day" of Capstone. By "day" I mean 7p -7a, the night shift. Oh yeah, it's the first of the month too...
Anyways, started out with a trauma. Guy walks into the road, in traffic, 100 feet from crosswalk. Gets hit. Buys himself a broken tibial plateau and months of PT. Not an auspicious start. But it gets better. Yes, much better.
For some reason, Friday night is drunk night. And we had them in spades. So many in fact, that I thought most of PD was in our ED not out on the street. I will never understand what drives people to drink so much, be belligerent to people who are wanting to help and just generally make a scene. I mean really, you're in cuffs, have gotten bum rushed by the cops once for being a pain, why do you try to run out of the unit? (that was funny...they pulled him back into the room by his arms and legs...). I have a new respect for the PD though, the stuff they have to deal with on a nightly basis is pretty incredible.
Our next big one was a guy brought in by the PD for fighting. He's beat up, looks like he went a couple of rounds with Tyson (at least his brother), drunk and cuffed to the stretcher. Yes, great fun was had by all. And that was the theme of the night. It was either assualts, drunks or folks with nausea and vomiting. I didn't do as much as I had wanted, but I did get one real good IV start which boosted my confidence to new levels.
Totals so far:
IV: 1 Foleys: 0 Wounds: Too many already Traumas: 0
There's still a long way to go...
