r/emergencymedicine • u/Asleep-Palpitation43 Nurse Practiciner • Feb 02 '25

Advice Allergy Olympics

Is it wrong that if I see a patient has more than 10 allergies I IMMEDIATELY assume she's (bc it's always a she) a psych case?

In 24 years I've never been wrong.

You'll never read this in a textbook but add it to your practice today and thank me later👍

492 Upvotes

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323

u/Single_Statement_712 Feb 02 '25

I am going to have a bowel movement. He is going to code.

179

u/Nurseytypechick RN Feb 02 '25

"I need to poop. Get me into that bathroom." Most fear inducing words ever from sick as shit patients and laboring mamas who I'm waiting for OB to come get lol.

I had a tiny little Asian pregnant gal who was intensely quiet/inward focus and I could see her belly contracting while I was hanging with her waiting for OB... she looked up at the restroom next to us and said "can we go in the bathroom?"

I very quickly explained change of plan, we were gonna check her in the ED and have OB meet us lol because people in her state who suddenly need the bathroom are about to poop out a fresh human... she was very nice and let us swoop her into the bay. I was expecting to see crowning... she was at 9cm with a small lip per the OB who came down so we made a run for the elevator and up to L/D with the doc with us who cheerfully said if we had to deliver in the elevator she was happy to do it lol.

That was a fun one!

132

u/treylanford Paramedic Feb 02 '25

2 things:

  • my first delivery was in an elevator; 0 stars, do not recommend.

  • “poop put a fresh human” made me chuckle, for real.

95

u/MikeGinnyMD Feb 02 '25

We had that in residency. An “extramural” delivery that still was in the hospital. Mom is a G7P6 at 39+ weeks. They get to the hospital, mom, dad, and security guard/elevator operator go into the dedicated elevator up to L&D. Door opens on the 7th floor not 15 seconds later and out comes mom, dad, a very traumatized security guard, and a baby.

The baby got a different MRN than usual because mom hadn’t been checked in, so it was technically an extramural delivery.

I ran into the guard. “Jonny, you have three kids. Why are you so shaken?”

“Yeah, but I didn’t have to deliver them!”

-PGY-20

61

u/Sunnygirl66 RN Feb 02 '25

“And a very traumatized security guard “ had me rolling.

30

u/MikeGinnyMD Feb 02 '25

To be fair, that’s not what he signed up for.

-PGY-20

3

u/BlackEagle0013 Feb 03 '25

If you can make it, you can deliver it!

64

u/Lorazepudding Feb 02 '25

Damn, G7P6....I bet all she needed was a sneeze

31

u/Paramedickhead Paramedic Feb 02 '25

My youngest is #8 for my wife and I. My wife went into labor when her OB was not on call, so the on call OB had to come in in the middle of the night. My wife was G9P7A1 at the time. He wasn’t prepared, they didn’t have anything ready, and he certainly certainly hadn’t reviewed much in the way of information.

He told my wife to “practice push”. She emphatically told him no. He demanded while he was still half paying attention and donning PPE.

Then he caught my youngest daughter as she headed toward the trash can.