r/emergencymedicine 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👍

495 Upvotes

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u/AppalachianEspresso Feb 02 '25 edited Feb 02 '25

Dyed hair over the age of 30? Borderline personality disorder.

Patient pulls out the cell phone charger in the room? They aren’t having an emergency.

Seizure + stuffed animal upon arrival? PNES

Non English speaking belly pain + never in the department before? Appendicitis or cancer

Contrast allergy? Liar or actually has the PE and that VQ will be equivocal.

Psychotic malingering patient that is there everyday? Will one day actually have badness someone will not believe, will die, someone gets sued

John Boy who comes in drunk every day will be dangerously hypoglycemic or have a head bleed inevitably.

If you’re ever going to have a bad outcome, it’ll be in the last hour of your shift when you’re trying to leave.

The laws of ER.

67

u/[deleted] Feb 02 '25

[deleted]

32

u/ChewieBearStare Feb 02 '25

Sorry, but our ER doesn’t allow staff to give blankets to patients. When you’re sitting in the waiting room for 16 hours, in January, with the door opening a few times a minute and letting the ice-cold air in, you need a blanket.

18

u/DoYouNeedAnAmbulance Feb 02 '25

Why the hell can they not have blankets? Is it a security thing or…

29

u/itsthatyoungbeezy Feb 02 '25

Years ago, a psych pt tried to hang themselves in the waiting room bathroom. No more blankets in the waiting room.

13

u/Feminist_Hugh_Hefner RN Feb 02 '25

"problem solved"- management

3

u/DoYouNeedAnAmbulance Feb 02 '25

🤦🏼‍♀️ you know….I wish I didn’t fuckin know this is EXACTLY how they thought of it