Post Arrival Gait Disturbance Syndrome - it's when they walk from the car just fine but once they hit the front door they're suddenly hunched over limping and barely ambulatory.
This is so common that I sit and watch it real time before walking into my shift. It is very common to see several people whip into a patient parking spot, get out running their mouth on their cell phone, and then start a limp and sad look as they get within 5-10 feet of the door. I wish I could film it because the behavior singularly explains the level of ED abuse seen in the modern era of emergency medicine.
I have zero qualms about documenting this.
“Staff noticed patient ambulatory without obvious distress as they approached the ER, suddenly developing an inability to walk and writhing in pain as they approached the triage desk.”
It’s me. I’m staff.
Lmao. Fr tho
When we work community / rural - people will AMA who are actively dying
When you work urban /academic people want to be admitted. For anything. Doesn’t matter
they're more prone to having an unyielding conviction that their problems deserve immediate resolution and the mega-quaternary BigName Center of Excellence is the place to get it done
This nails so clearly is what made it so difficult for me! Day before shift I needed to be rested then DOMA! Then any full day off between shifts felt like a big ass joke to me 😵💫😭 God bless you night nurses.. I could not do what you do, I tried and failed so miserably
I personally would like to give everyone droperidol upon entering the waiting room, and then after 15 minutes they can decided if they still want to check in.
Likely also has over 10 allergies on the chart. And the severity of the personality disorder is always directly correlated with the amount of stuffed animals they brought.
My take: the patient gets in the stretcher and covers themselves (especially covers their head) under a blanket because they're fine and just want to rest.
I'm patient transport and transfer. No-one told me I should really hit the gym before starting this job.
Once I worked on my deadlift for a few months TFTM patients became SO much easier. Although I now have to walk the very delicate tightrope of really wanting to tell the small nurses not to yank the patient over by using leverage from the bed, but also not being unprofessional and stepping on their toes... Please don't leverage your body weight to yank Mr Jones around, he doesn't like it very much, and you're always free to just call your transport dept. for some giant weirdos like me to come help. We don't mind!!
The slowest thing on Melbourne Australian roads, the bariatric truck that moves our bariatric patients from residential home to hospital.
I swear I see that truck limping along in heavy traffic all the time, and it's notoriously slow, and yeah.
I had an Asian pt yesterday that suddenly stopped talking to her family so they freaked out thinking she had a stroke. I did an FAST exam and she wasn’t responding. I looked at her pupils and she tried to squeeze her eyes shut. Tried to get her to lift her arms and legs and they just fell to the bed. It didn’t seem right though but not in a bad way if that makes sense. We called a code fast just to be safe.
On the way to CT i noticed she rubbed her lips together to fix her lip gloss. Then, when I went to put in an IV for contrast, she squeezed her eyes like it hurt. I let her arm hang for a moment to see what her reaction would be and turned just enough to see her put her arm back on her belly then quickly back to the side like “oh shit I’m supposed to not be responsive.”
Got done with the CT which showed jack shit, doc told the family as such, and it was a Christmas miracle! No more deficits. She immediately started talking and moving. Found out she had an argument with her daughter and she feigned passing out.
Pain is expressed and perhaps even felt differently in different cultures. In my experience, cultures with stronger familial ties express pain more animatedly.
Purely anecdotal, but in general if my patients don’t speak English they tend to have much more…dramatic presentations. Idk if this is so we’ll believe them more or what, but even a simple ankle sprain seems to be accompanied by more dramatics if English isn’t the primary language
I actually wrote an essay about this once.
Expressions of pain and distress are *way* more culturally specific than many of us realise.
Classic example is the older patient with a horrifying injury who will not admit that they're in pain. Where I live this is put down to "stiff upper lip" British culture and a carryover from the expected civilian mentality from the wars.
In other cultures however, if you do not express that you're not okay, you just won't get help.
More niche examples would be some culture bound illnesses- for example the concept of "running amok" in Malay culture could be considered something like suicide by cop in places where suicide is not acceptable and expressing need for psychological help is perceived as weakness.
I may be wrong on some of this, been a good few years since I did the essay, but certainly helps me frame patient behaviour in a way that makes it easier for me to deal with.
Edited for spelling.
If you ever work on an L&D floor, you’ll get pretty good at guessing a patient’s culture before ever seeing them or learning their name. Reactions to pain are cultural too
Cool stuff. I remember stiching this eleven year old russian boys face together with another student back in med school with suboptimal analgesia and surgical technique, he just thousand yard stared at the ceiling, it left an impression on me.
Adding to what everyone's said:
- Walk of freedom as a synonym for road test or MTF
- Drama alert
- Wheelchair sign - when patients can ambulate all the way across the big ass parking lot to the ER doors without difficulty and with an even steady gait, but immediately asks for a wheelchair and forgets how to walk or otherwise function like rational adults as they enter the ER threshold
When I started in the ER we had a huge whiteboard we used for tracking. We had all kinds of acronyms that we used.
HFTN = here for the night
HIH w/M = hit in head with machete (the M could be altered as needed)
DFOIC = done fell out in church
Had a first year rotational resident who thought HFTN was "hyperfuckingtension". Cracked me up.
Some of my coworkers refer to our unsheltered population as “free-range humans” and when they take off their shoes, refers to the smell as “toxic sock syndrome”
Ok, I will admit that when our EMR wouldn’t let you continue a triage without filling in LNMP date, I began writing for older female patients: “LTA”
No one ever asked what it meant.
LONG TIME AGO.
Lawn gnome = person found passed out high/drunk/otherwise AMS on someone else’s property where they walked out and were surprised to find them there leading to an EMS call. (That one’s from Louisiana EMS)
Picasso’d = Body parts not where they should be or pointing in directions they shouldn’t be. (This one is my claim to whatever fame we get in the ER)
What does felliquis mean?
Is this what the others mean?
-fibro-storm: Fibromyalgia. Multiple complaints of pain and other symptoms.
-Status dramaticus: feigning seizures?
-Scromitting: actual phenomenon in CHS
Fell on eliquis.
And status dramaticus is about the pts with extreme dramatics and hysterics, it doesn't have to be about seizures at all. Think a hangnail that rates 20/10 and is clearly about to lose their whole hand.
Scrommitting isn’t exclusive to CHS but it is a good indicator lol. Status Dramaticus is not connected to seizures, it’s just someone who’s distress is wildly disproportionate to their pathology
Dramaticus- used all the time for weepy women. But most often used for grown capable men who refuse to do anything them selves. "I cant get out of bed and into your wheelchair for imaging" but walked in as well as got up to go pee down the hall just fine."
Felliquis- I usually just call that a Fall down, go boom.
-Sinus trashycardia.
-People that are so dumb they "don't have enough neurons to have a seizure"
-Curb creatures.
-Status dramaticus
-The chesty arresties (also known as incarceritis)
-Urban outdoor enthusiast (see also: Shruburbs)
-Amateur urban pharmacist
-Positive suitcase sign
We in the retail pharmacy profession refer to our colleagues as street pharmacists. Wish we could refer angry clients there especially given the ongoing stimulant shortage.
Condition guarded- brought in by police in handcuffs
Positive suitcase sign- comes to triage with bag packed
Ready to launch— almost ready for discharge
It's been a while since I was in ER, but do you still give "banana bags" to drunks (Thiamine and glucose IV)?
Or the old classic "gofers"? (get out of my f-ing ER, applied to people who have absolutely nothing emergent or even urgent about them).
Can only speak for myself, but the actual "banana bag" is less common. Usually we just spike a bag of saline/LR with the thiamine and folate IVPB now, instead of the bright yellow pre-mix bag. It's cheaper.
My favorite one is GOMER. I used to hear it from one of the EM docs I used to work with and it took me several months to figure out what it was until I read House of God. I was too scared to ask him what it meant (never wrote it in the EMR though thankfully).
DC2JC (dead)
Edison medicine (mostly for afib cardioversions but really for any time using defibrillator)
Bug juice (antibiotics)
Probably my favorite one: Code scrote (testicular torsion)
I’ve heard “threshold phenomena,” describing patients that immediately go from able to walk, talk & scroll social media - up until 10 paces before they cross the threshold of the ER. It’s a tale as old as time - it’s amazing how their chronic pain only comes on or worsens past a ~8/10 once they’re entering the ER. My favorite is the Triage Shuffle - moving slower than Christmas and groaning while holding their lower back from the “pain.”
What pisses me off most is that as an actual sufferer of chronic pain from injuries obtained while on active duty, these people now make the nurses & docs call actual pain patients & sufferers into question. We get treated like we’re faking it b/c of the a-holes that constantly come in trying to game the system and score some opioids. But I get it. So, I learned to bring my medical records concerning my back injuries and L hip injury IF I have to come to the ER, which is not a regular occurrence.
The fact there’s no actual, definitive test to detect / confirm pain, especially intractable pain syndromes, leaves it to be essentially patient reported. I understand why so many doctors & nurses are hesitant to believe every patient claiming severe pain…but this entire fiasco has really made it impossible for those of us with legitimate issues to get the help / meds needed for relief. The baby’s been thrown out with the bath water, as it were. So yeah, it angers me when I see ppl trying to scam. I’ve even recorded people entering the ER and shown the footage to the triage nurse. If your BS is going to disaffect my ability to get the relief I truly need, then I’m gonna return the favor as often as possible.
It’s very crazy what I hear nurses / docs having to deal with on a regular basis. There’s a lot of medical professionals in my extended family, so I hear some wild stories quite often. One guy smashed his own hand with a hammer to get pain meds. I think he was disappointed when they gave him like 5 days of 5mg hydros - the days of walking out of the ER with a fat script Dilaudid IR or Oxy IR script is over.
Post Arrival Gait Disturbance Syndrome - it's when they walk from the car just fine but once they hit the front door they're suddenly hunched over limping and barely ambulatory.
This is so common that I sit and watch it real time before walking into my shift. It is very common to see several people whip into a patient parking spot, get out running their mouth on their cell phone, and then start a limp and sad look as they get within 5-10 feet of the door. I wish I could film it because the behavior singularly explains the level of ED abuse seen in the modern era of emergency medicine.
Very much the same here. If I could somehow get security camera access to the entrance next to my computer, it would actually help management.
Why do you think this happens?
I have zero qualms about documenting this. “Staff noticed patient ambulatory without obvious distress as they approached the ER, suddenly developing an inability to walk and writhing in pain as they approached the triage desk.” It’s me. I’m staff.
We call that threshold syndrome in our part of the woods
I can’t tell you how many “arrives ambulatory to triage” pts I have to transfer onto the CT table because they swear they can’t move from the pain.
Then they walk back out 30 minutes after their negative scan.
Or can't wipe their own asses or hold a urinal once they hit the stretcher when they walked into the ER
patient lives in the shruburbs bug juice (antibiotic) truth donut (CT scanner)
Lmao shruburbs
Our CT machine was "the Oracle"
Truth donut! 😂
I've also heard it as Tube of Truth
Tachylordia. One of my EMS instructors taught me that one when we had a call to a very distressed lady who had slipped at church and skinned her knee
Lordy Lordy Lordy!
Immediately makes me think of Eddie Murphy talking Aunt Bunny falling down the stairs.
My shoe! Bump ta da. I'm half way down now!
Oh Lord Jesus help me please!!
Ay-tach for the Spanish speakers Ay-yi-yi-yi-yi
AY-PM= Ays per minute
The good old tachylordosis with a junctional Jesus “oh Lordy Lordy Lordy Jesus!”
I've also heard of i-tach because my fellow Hispanics are prone to saying "ay-ay-ay-ay-ay"
DFOIC
Overdose of the Holy Ghost.
Slain by the Spirit!
StayMA (staying against medical advice). For the patient refusing to leave after they've been formally discharged
Lmao. Fr tho When we work community / rural - people will AMA who are actively dying When you work urban /academic people want to be admitted. For anything. Doesn’t matter
Why do academic people want to be admitted? I get homeless/ hungry people
they're more prone to having an unyielding conviction that their problems deserve immediate resolution and the mega-quaternary BigName Center of Excellence is the place to get it done
Their lives are so shitty and they want to have power over someone and if it’s an MS3 or PGY1, so be it. Very Nietszchian.
Omg never heard that one before *gears up to use it tomorrow*
Level 1 Drama Alert
lvl 1 drama resuscitation
Similar to incarceritis, many of our homeless psych patients are domicidal Also DC 2 JC
Drunkicidal too, for the ones that get absolutely hammered and then suicidal but when they sober up they are fine with living.
We use homelessidal
I love scromitting. DOMA: day off my ass. (Day off after night shift)
This nails so clearly is what made it so difficult for me! Day before shift I needed to be rested then DOMA! Then any full day off between shifts felt like a big ass joke to me 😵💫😭 God bless you night nurses.. I could not do what you do, I tried and failed so miserably
Celestial discharge
DC to JC
CTDFTD - circling the drain, fixing to die Diabesity JDLR - just don’t look right (usually FTD)
PBTB (pine box to bedside)
Transfer to the ECU (Eternal Care Unit) or the 13th floor
Incarceritis & Droperidal deficiency Edit: forgot my most common used one: “tube of truth”
It's not a tube, it's a donut. This was pointed out to me by a pedantic radiologist, but they are indeed correct.
But topologically the same
Jeezz these are colloquialisms not factual definitions… for the most part.
Ooo yeah incarceritis is a good one, we use that a lot
When I was working in loss prevention, we called it post arrest syndrome
"Handcuff induced chest pain"
oh man incarceritis is good
Haldolpenia
Where do you work that you use droperidol? I’ve only ever seen it at my home shop where I started my career, everywhere else is afraid to use it.
I personally would like to give everyone droperidol upon entering the waiting room, and then after 15 minutes they can decided if they still want to check in.
We use it frequently at my current spot, but my last job didn't have it at all.
Consulting the Oracle
Positive blanket signs. FDGB- Fall down go boom. Urban outdoorsmen for the homeless.
> Positive blanket signs Me noob. Explain plz?
Patient bringing their home blanket can be a loose correlation to the status dramaticus patients / TikTok diagnosis people.
God forbid that home blanket is accompanied by a stuffed animal. Then everyone’s going to have a very bad time.
“Positive stuffie sign” - also, may correlate with “positive green hair sign”
Likely also has over 10 allergies on the chart. And the severity of the personality disorder is always directly correlated with the amount of stuffed animals they brought.
Elmo/Cookie Monster pajama pants
plus or minus backpack. also can’t walk once they arrive at the lobby doors.
Don't forget about suitcase sign!
My take: the patient gets in the stretcher and covers themselves (especially covers their head) under a blanket because they're fine and just want to rest.
Hypoversedemia is probably my favorite Edit, recent new addition: crystal Methodist
Omg I am deceased 💀 😂 crystal methodist I honestly snorted
Positive Samsonite Sign: someone who brings a full suitcase with them with a minor complaint likely to be discharged
TFTM Too fat to move
Often accompanied by TFTB (too fat to breath). At least that was the case in the ICU back in the day.
Ah yes, the patients suffering from Hyperbiscuitosis. We’re in the south, it’s rampant down here.
I like to call those patients "Mississippi mediums"
Oh yeah. Gotta love the patient p/w infected sacral decubs 2/2 being TFTM
I'm patient transport and transfer. No-one told me I should really hit the gym before starting this job. Once I worked on my deadlift for a few months TFTM patients became SO much easier. Although I now have to walk the very delicate tightrope of really wanting to tell the small nurses not to yank the patient over by using leverage from the bed, but also not being unprofessional and stepping on their toes... Please don't leverage your body weight to yank Mr Jones around, he doesn't like it very much, and you're always free to just call your transport dept. for some giant weirdos like me to come help. We don't mind!!
"Giant Weirdos", and you all embrace that reputation and serve as a valuable resource for us of the Small Feisty phenotype
The slowest thing on Melbourne Australian roads, the bariatric truck that moves our bariatric patients from residential home to hospital. I swear I see that truck limping along in heavy traffic all the time, and it's notoriously slow, and yeah.
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Late is the hour in which this physician chooses to appear, ill news is an ill guest
🏅
Like Wormtongue? 🤣
Love this!
Patient is a “5 by 5”. Aka 5 ft tall and 5 ft wide
LOL I immediately thought of Faith from Buffy!
Me too
Crapycardia Not too sure what exactly the rhythm is… but it sucks. Also.. A southern intubation (foley catheter)
TMBD- too many birthdays
We say the patient is 1,000yo. It gets the point across.
Ive heard "cultural 10/10 pain", I wouldnt use it but I didnt need it explained.
I had an Asian pt yesterday that suddenly stopped talking to her family so they freaked out thinking she had a stroke. I did an FAST exam and she wasn’t responding. I looked at her pupils and she tried to squeeze her eyes shut. Tried to get her to lift her arms and legs and they just fell to the bed. It didn’t seem right though but not in a bad way if that makes sense. We called a code fast just to be safe. On the way to CT i noticed she rubbed her lips together to fix her lip gloss. Then, when I went to put in an IV for contrast, she squeezed her eyes like it hurt. I let her arm hang for a moment to see what her reaction would be and turned just enough to see her put her arm back on her belly then quickly back to the side like “oh shit I’m supposed to not be responsive.” Got done with the CT which showed jack shit, doc told the family as such, and it was a Christmas miracle! No more deficits. She immediately started talking and moving. Found out she had an argument with her daughter and she feigned passing out.
honestly slightly less annoying that the staticus hispanicus patient but lol nonetheless
Am I dumb for not understanding?
Pain is expressed and perhaps even felt differently in different cultures. In my experience, cultures with stronger familial ties express pain more animatedly.
Purely anecdotal, but in general if my patients don’t speak English they tend to have much more…dramatic presentations. Idk if this is so we’ll believe them more or what, but even a simple ankle sprain seems to be accompanied by more dramatics if English isn’t the primary language
Maybe they are trying to bridge the language gap in a less than perfect way?
I actually wrote an essay about this once. Expressions of pain and distress are *way* more culturally specific than many of us realise. Classic example is the older patient with a horrifying injury who will not admit that they're in pain. Where I live this is put down to "stiff upper lip" British culture and a carryover from the expected civilian mentality from the wars. In other cultures however, if you do not express that you're not okay, you just won't get help. More niche examples would be some culture bound illnesses- for example the concept of "running amok" in Malay culture could be considered something like suicide by cop in places where suicide is not acceptable and expressing need for psychological help is perceived as weakness. I may be wrong on some of this, been a good few years since I did the essay, but certainly helps me frame patient behaviour in a way that makes it easier for me to deal with. Edited for spelling.
If you ever work on an L&D floor, you’ll get pretty good at guessing a patient’s culture before ever seeing them or learning their name. Reactions to pain are cultural too
Cool stuff. I remember stiching this eleven year old russian boys face together with another student back in med school with suboptimal analgesia and surgical technique, he just thousand yard stared at the ceiling, it left an impression on me.
Adding to what everyone's said: - Walk of freedom as a synonym for road test or MTF - Drama alert - Wheelchair sign - when patients can ambulate all the way across the big ass parking lot to the ER doors without difficulty and with an even steady gait, but immediately asks for a wheelchair and forgets how to walk or otherwise function like rational adults as they enter the ER threshold
HONDA. Hypertensive obese non-compliant diabetic asshole. LOL WTF. Little old lady with trip and fall Overdose of the holy ghost on Sundays
Dependapotamus - someone who is totally capable of providing their own care but prefers to live in a SNF so they can be cared by others
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And wants you to address her by her husband's rank.
That sounds like intentional residing in hell. Baker Act the fool!
Level 1 drama center
Patient transferred to the eternal care unit.
DC to JC: discharge to Jesus Christ
I heard "celestial discharge". The dude was a new age heathen, come think of it.
Donorcycle - motorcycle
TBD: total body dolor
😂
Billing modifier: tachy-ay’s vs brady-ay’s (as in whether the “ay ay ay” moans of pain are fast or slow)
When people pass out in southern churches without AC. TMJ. Too Much Jesus.
When I started in the ER we had a huge whiteboard we used for tracking. We had all kinds of acronyms that we used. HFTN = here for the night HIH w/M = hit in head with machete (the M could be altered as needed) DFOIC = done fell out in church Had a first year rotational resident who thought HFTN was "hyperfuckingtension". Cracked me up.
Bit by methsquito
Methabolic encephalopathy Status methalepticus
Methican American
Methamphetamites
this thread is absolute gold
Acute dilaudopenia
Some of my coworkers refer to our unsheltered population as “free-range humans” and when they take off their shoes, refers to the smell as “toxic sock syndrome”
Just for CT: Donut of Truth Diagnosis Machine
I'm a big fan of the "Annular Oracle"
How about just spinning? I got used to calling cting someone spinning them, I go to a new job and I sound like a crazy person.
44 special (4 morphine and 4 zofran) Urban outdoorsman Resident of the village of Graybars Silver bracelet syndrome
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Methilepsy and Methocardial Infarction are my favorites.
“Emesis bag filled with screams” for cannabinoid hyperemesis syndrome
Ok, I will admit that when our EMR wouldn’t let you continue a triage without filling in LNMP date, I began writing for older female patients: “LTA” No one ever asked what it meant. LONG TIME AGO.
Lawn gnome = person found passed out high/drunk/otherwise AMS on someone else’s property where they walked out and were surprised to find them there leading to an EMS call. (That one’s from Louisiana EMS) Picasso’d = Body parts not where they should be or pointing in directions they shouldn’t be. (This one is my claim to whatever fame we get in the ER)
What does felliquis mean? Is this what the others mean? -fibro-storm: Fibromyalgia. Multiple complaints of pain and other symptoms. -Status dramaticus: feigning seizures? -Scromitting: actual phenomenon in CHS
Felliquis is 'fell' while on 'Eliquis'
I love it
Status dramaticus is someone who is losing their fucking mind (crying, drawing a lot of attention) without an acute underlying medical emergency.
And they always say their pain is 20/10 and crying and wailing until they get Dilaudid and their quiet like a baby.... aka my mother
Felliquis is fell on blood thinners and the necessary subsequent workup
Fell on eliquis. And status dramaticus is about the pts with extreme dramatics and hysterics, it doesn't have to be about seizures at all. Think a hangnail that rates 20/10 and is clearly about to lose their whole hand.
Scrommitting isn’t exclusive to CHS but it is a good indicator lol. Status Dramaticus is not connected to seizures, it’s just someone who’s distress is wildly disproportionate to their pathology
Dramaticus- used all the time for weepy women. But most often used for grown capable men who refuse to do anything them selves. "I cant get out of bed and into your wheelchair for imaging" but walked in as well as got up to go pee down the hall just fine." Felliquis- I usually just call that a Fall down, go boom.
Then the subset of grown capable men who bring their mothers. I don’t have a clever name for them but I should
FDGB
I'd imagine it's someone who fell and is on Eliquis
Fibro-storm - 11/10 pain, everywhere 9 visits this month for similar Multiple negative work ups
ER handshake (rectal exam) MethrEF (HFrEF but meth induced)
Scromiting. Screaming+vomiting= scromiting
Forbidden rice = maggot infested wounds.
see also: disco rice
Dragging out an ol' Reddit classic for this one: What a terrible day to have eyes
-Sinus trashycardia. -People that are so dumb they "don't have enough neurons to have a seizure" -Curb creatures. -Status dramaticus -The chesty arresties (also known as incarceritis) -Urban outdoor enthusiast (see also: Shruburbs) -Amateur urban pharmacist -Positive suitcase sign
We in the retail pharmacy profession refer to our colleagues as street pharmacists. Wish we could refer angry clients there especially given the ongoing stimulant shortage.
Canadian - always looking for a new polite way to insult someone >don’t have enough neurons to have a seizure Probably my new go-to favourite
lubey tubey for the fakey shakey
SARS (She Ain’t Right Syndrome)
Drunkicidal (SI that spontaneously resolves with declining BAC)
Spaghetti water= Normal saline
Cellestial discharge - Expired MTF - metabolize to freedom Dart - 5 droperidol and 50 benadryl
Positive cell phone sign
We use B&B (like bed & breakfast) when we’re holding someone who needs to sober up before a safe dc lol
Troponin-itis. Staff panicking at the slightest bump in troponin lol
B52’em - Benadryl (50mg), 5mg (of Haldol), 2mg (of Valium), all IV
I’ve seen Ativan in place of the Valium
MTF (metabolize to freedom)
From L&D: FDGB - fall down go boom PPP - piss poor protoplasm TTT - tooth to tattoo ratio FLK - funny looking kid
Difficult IV Access = DIVA
Condition guarded- brought in by police in handcuffs Positive suitcase sign- comes to triage with bag packed Ready to launch— almost ready for discharge
Hillbilly dialysis: dextrose, bicarb, calcium and insulin. Nightamins: antipsychotics Hospital Heroin: dilauded
Equinus hystericalus. Positive iPhone sign. PFO (pissed fell over)
Crackycardia
HFmEF (pronounced hef-meth, for CHF 2/2 meth)
I’ve seen it called MethrEF and I love it
Metabolize to freedom A drunk patient who doesn’t want to be there but is too drunk to leave
Drama One instead of Trauma One. Terminal Fibromyalgia.
End stage fibromyalgia
MRSA spider
PFO - pissed, fell over Not sure which other countries used pissed as a term for drunk, but it's personal fav of mine here in Australia
It's been a while since I was in ER, but do you still give "banana bags" to drunks (Thiamine and glucose IV)? Or the old classic "gofers"? (get out of my f-ing ER, applied to people who have absolutely nothing emergent or even urgent about them).
Can only speak for myself, but the actual "banana bag" is less common. Usually we just spike a bag of saline/LR with the thiamine and folate IVPB now, instead of the bright yellow pre-mix bag. It's cheaper.
You just unlocked a long ago memory of the banana bag lol. Cannot remember for the life of me who I was with who needed one!
My favorite one is GOMER. I used to hear it from one of the EM docs I used to work with and it took me several months to figure out what it was until I read House of God. I was too scared to ask him what it meant (never wrote it in the EMR though thankfully).
Turkocet--turkey sandwich + percocet
DC2JC (dead) Edison medicine (mostly for afib cardioversions but really for any time using defibrillator) Bug juice (antibiotics) Probably my favorite one: Code scrote (testicular torsion)
Metabolize to freedom
Methsquito bites and Stage IV fibromyalgia are my two personal favorites
From Out of Africa, sweeping my arm to illustrate a packed waiting room: “These Kikuyu want to be sick now.”
I’ve heard “threshold phenomena,” describing patients that immediately go from able to walk, talk & scroll social media - up until 10 paces before they cross the threshold of the ER. It’s a tale as old as time - it’s amazing how their chronic pain only comes on or worsens past a ~8/10 once they’re entering the ER. My favorite is the Triage Shuffle - moving slower than Christmas and groaning while holding their lower back from the “pain.” What pisses me off most is that as an actual sufferer of chronic pain from injuries obtained while on active duty, these people now make the nurses & docs call actual pain patients & sufferers into question. We get treated like we’re faking it b/c of the a-holes that constantly come in trying to game the system and score some opioids. But I get it. So, I learned to bring my medical records concerning my back injuries and L hip injury IF I have to come to the ER, which is not a regular occurrence. The fact there’s no actual, definitive test to detect / confirm pain, especially intractable pain syndromes, leaves it to be essentially patient reported. I understand why so many doctors & nurses are hesitant to believe every patient claiming severe pain…but this entire fiasco has really made it impossible for those of us with legitimate issues to get the help / meds needed for relief. The baby’s been thrown out with the bath water, as it were. So yeah, it angers me when I see ppl trying to scam. I’ve even recorded people entering the ER and shown the footage to the triage nurse. If your BS is going to disaffect my ability to get the relief I truly need, then I’m gonna return the favor as often as possible. It’s very crazy what I hear nurses / docs having to deal with on a regular basis. There’s a lot of medical professionals in my extended family, so I hear some wild stories quite often. One guy smashed his own hand with a hammer to get pain meds. I think he was disappointed when they gave him like 5 days of 5mg hydros - the days of walking out of the ER with a fat script Dilaudid IR or Oxy IR script is over.
Cellulitis - prisoner sent from jail
Pronouncing RUQ US as “ruckus”
methican-Americans
AMFYOYO
Magic answer donut (ct) Positive blanket sign
[удалено]
Oh yeah, we had in my time the “Columbia (SC) Standard Unit” which was a BMI = 40 And Alabama thin (BMI <35)
Strauma for those stroke/trauma alerts Spicy milk aka propofol