Thursday, April 02, 2015 6:39:22 PM
Deep South (LorTab, y'all?). 12 hour shifts. There are only a few things in medicine that are immediately gratifying (and even fewer at 3am): lancing puss under pressure (abscess), evacuating a subungal hematoma (blood under a fingernail), etc. My personal favorite was punk kids with altered mental status. Push the Narcan (IV naloxone) and/or IV flumazenil and watch them wake right up and give you THAT look. The look that says, "Who the F### are you and where the F### am I?" One kid said, "What the hell are you doing in my bedroom?" Occasionally, they would be VERY PISSED about being induced into an immediate opioid withdrawal and would try to attack you. We had a nurse who was retired Navy Seal, and he was the one I always looked for to push Narcan. He could put ANYBODY down with one touch, one hand. I always tried to get him to show me how he did it. He said he would, but then he'd have to kill me.
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