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👍
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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.