Report From the ED

Working in the Emergency Department, it’s odd that each day tends to have a theme- that is, the patients who come in tend to follow a pattern of similar complaints. Some days, it is STI’s, other days, it’s heart problems. The theme of the last few days in the hospital has been mental health and substance abuse.

The last day that I worked, there was a man that was found naked, lying in the street. He couldn’t even tell us his name. His drug and alcohol screens were all negative. There was the woman we Baker Acted, because she was working with the FBI on a child trafficking case, and some one had given her a delayed reaction drug six years ago, and now they had activated it remotely to silence her. Then there was the guy who came in with a blood alcohol level of 486.

There was a guy that came in with a knife. He looked like butterbean: Bald, 340 pounds, 6 foot 4 inches tall. He looked at you like he was trying decide how he was going to kill you. His first words to the triage nurse were, “Which one of you nurses think you can take this from me?” Two security guards and a rather large doctor tackled him. He got Ketamine and Versed to no effect. So then we held him down and gave him another 200 mg of Ketamine, followed by a dose of Rocuronium. After the intubation, he still required the maximum dose for 3 different sedatives to keep him down. Since sedatives lower the patient’s blood pressure, he also required Levophed.

Flu season is over- I haven’t seen a patient test positive for Flu in weeks. COVID seems to be having a bit of a surge. In the past two weeks, I have seen perhaps half a dozen patients who were positive for COVID. Symptoms are vague, but mild. Patients complain of stomach pain, sore throat, congestion, body aches, and other assorted mild complaints. Only one of them was running a fever. We tell them to drink fluids, take Tylenol or Motrin, and get lots of rest.

We are running far busier this summer than usual, averaging 300 patients or so per day. This is our slow season, when we typically see 200 or so per day. During the busier Flu and snow bird season, we usually have about 450 to 500 per day. Overall, we usually serve 140,000-170,000 patients per year. This year will likely surpass that.