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The newest and coolest thing you've ever done

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3 Another popular thread titled "Oldie but goodie" inspired this post. Being a nurse with only 6yrs experience, I unfortunately don't have any great stories of the way things used to be done. However, I have been a part of some pretty cool, newer innovations and am curious what others have had the opportunity to take part in.

I remember working with the newer Heartware LVADs when they were still pending FDA approval, and thinking how cool it was that they plugged into the wall or a cigarette lighter, the first time I had a pt have a balloon pump inserted, and using an Alsius machine for therapeutic hypothermia and to treat a hypothermic trauma pt.

What great stories do you all have?
I worked on the drug trials for prostaglandin E1 - used to maintain a patent ductus in children with cyanotic heart defects. Until then, these children just died.I was also the first person in Chicago to get Rhogam prenatally.

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Found a good spot to hide and play candycrush.

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To OP - I was impressed when suction canisters could be wall-mounted! Like whoppee - wall vacuum. May GOMCO rest in peace!

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Remember three glass bottles on the floor for a chest tube? OY!

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I had my first therapeutic hypothermia after cardiac arrest patient the other day. I had them at the end of maintenance and the entire rewarming phase, so I missed all the q15 minute craziness but it was still really interesting. My lady was super stable, though - I saw like a 10-second run of SVT but that was the only interesting thing she did all night. I didn't even get to see any fun electrolyte abnormalities during rewarming. My coworker during the cooling phase got all of that. I can't even imagine how they used to do therapeutic hypothermia... how did you keep a patient's temperature stable at a certain level before these blankets that automatically warm/cool to maintain a certain body temp? Did you just check a temp every fifteen minutes and add ice or heat or what? I'm really curious. It seems like it would be really complicated without these automatic blankets.

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Wound vacs with foam instead of gauze. Wound vacs period.Pleur-x catheters--for those who may not be familiar, it is a small bore tube surgically implanted in either the abdomen or pleural cavity enabling pts with chronic ascites or pleural effusion to drain fluid periodically at home. It uses one-time-use vacuum bottles and is really the coolest thing ever.

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Quote from calivianyaI had my first therapeutic hypothermia after cardiac arrest patient the other day. I had them at the end of maintenance and the entire rewarming phase, so I missed all the q15 minute craziness but it was still really interesting. My lady was super stable, though - I saw like a 10-second run of SVT but that was the only interesting thing she did all night. I didn't even get to see any fun electrolyte abnormalities during rewarming. My coworker during the cooling phase got all of that. I can't even imagine how they used to do therapeutic hypothermia... how did you keep a patient's temperature stable at a certain level before these blankets that automatically warm/cool to maintain a certain body temp? Did you just check a temp every fifteen minutes and add ice or heat or what? I'm really curious. It seems like it would be really complicated without these automatic blankets.

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I remember the awe of beds that do percussion/vibration, rotate and can do a seat deflate. We have come a long way from the hand-cranked beds.

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Quote from RNperdiemI remember the awe of beds that do percussion/vibration, rotate and can do a seat deflate. We have come a long way from the hand-cranked beds.

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Quote from NOADLSFound a good spot to hide and play candycrush.

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I remember clinical trials for the chest tube autologus transfusions.I remember the first closed chest tube drainage system I ever saw it was wonderful to not have those blasted bottles on the floor

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Anyone remember Tridil (IV NITRO) and Tridil tubing?I remember the first time I gave Bretylium to a patient with a ventricular aneurysm in Tordsades.I remember one of the first patients I ever gave TPA to....the guy denied surgery but had recent hair plugs. No one thought it was s problem. So....we gave it. Then I heard the patient scram and I turned around I saw he had blood running from his scalp! I guess the recent plug placement was a problem.I remember early angioplasty and invasive intervention. Those were wild times. I rode the stretcher many time to the OR doing CPR and had my arms prepped as they readied the patient for pump.
Author: jone  3-06-2015, 18:42   Views: 282   
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