well, this was quite some time ago. my wife, who was my coworker and friend at that time, was with me on that day. it was my first day off orientation, but she and others were around to give me a hand of course.
well, it was said that this one nurse [jane] had the worst luck and darkest cloud over her. anything and everything bad that could walked, pushed, or dragged though that double door would hit her bays. lucky for her i had come around.
feeling anxious nervous and confident at the same time i had started my shift. first hours of the day yielded the normal urgent non urgent ambulatory bumps and bruises, maybe an asthma here and there. then in comes a young guy by pfd medics. pale as can be, if you ask my wife, i have no skills in determining skin colors...but as white as a sheet of paper this guy was. chief complaint was severe abd pain with nausea...no vomiting yet. well, chey, slyly pointed out his paleness to me and states 'he's gonna crump on you'.
chey has many years of experience and can call out the sickies of the bunch. i've learned well to trust her instincts. we quickly setup the patient, triage, get him on the monitor and obtain bilateral access w/ iv fluids. well shortly after that does this guy do exactly was chey said he would.
take this picture and change the puke color to bright bright bright red.
projectile vomiting of the brightest blood i had ever seen and this guy was going for the record. tons of it just kept coming out of his mouth and shot at length about 4-5 feet, well past his own feet on the stretcher almost hitting the curtain.
dont you know we were singing a tune calling out for dr [John] to hightail his butt in my room. but all in all, some work went into it. this guy had a taste for coccaine, about 700 bucks a DAY he would spend and had done some serious damage. his numbers...H/H 3 and 9. impressive, but as luck would have it my last gi bleed out did these numbers.
i do believe i am getting proficient with gi bleeders and the Lord does give me good practice.