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Emergency Medicine Residency Overnight Shift

December 9, 2019


Being an emergency medicine resident, we train
in the most part in civilian hospitals — from the Air Force’s perspective is to train
a good emergency department physician. So it’s about — about ten to 11:00 or
so now, so getting ready to start our night. Kind of always take a peek at all the rooms,
see what’s going on in the way in. These are some of the higher-acuity rooms, so if
there’s anybody that’s real sick that needs some help right away, I can always peek
in, but everybody looks pretty stable right now. So we’re getting checked in and settled
in here. Hi, sir. Hi. I’m Dr. Trentini. Nice to meet you. Nice to meet you. I’m going to just shake this hand, they’re
working on you over there. What brings you in tonight? I’ve — chest pain. A really bad pressure
right here. And I can feel it all the way down my left arm. OK. It’s almost like somebody’s sitting on
my left shoulder. OK. Real bad pressure. When did it start? About — about two hours ago. OK. It started out real slow, and it just got
gradually worse and didn’t go away like normal. OK. Hey, Dr. Fish? Hey. I’ve got a gentleman that I just put a cardiac
alert out on. He is stable, but here’s his EKG. So, I mean, he’s got some ischemic
changes here in V2, V3, V4. He’s probably having an anterior wall MIT. Yeah, so when you’re working with an attending,
basically you’re working under their supervision, and so for me, I try to practice independently.
In my mind, I pretend like they’re not there. So I’m on my own, and I need to make all
the medical decisions. But in the back of my mind I know that they’re there, and they’re
watching me, and they’re — they’ve got my back. His cardio back yet? Not yet, we just put out the cardiac alert,
so — so I’ll take a look at his chest ray, we’ll push with 5,000 to heparin, put
him on a heparin drip, we’ll start him on a nitro drip, his pressures will tolerate
it — his pressure’s been 190 throughout, so. Alright. And then we’ll get his pain — pain under
control. Alright, so we’re going to get things taken
care of, alright? Thank you. Alright. Alright, sir. I’ll come and check
on you in a bit, OK? Let me go and put it — talk to Chuck and get your medicines ordered,
OK? Thank you. Alright. Emergency medicine, in my opinion, is the
best medical specialty because it’s the most interesting, it’s the most fun — you’ve
got to be on your toes — and you take care of people that are pregnant and take care
of babies all the way up to 100-year-old patients, with a wide variety of illnesses and a wide
variety of acuity as well. So it’s fun, and it’s fast-paced, and so you get to see
a lot of people on a shift and you get to see a lot of different things on a shift.

3 Comments

  • Reply Andres Arredondo May 14, 2017 at 6:58 pm

    Just chillin during an MI

  • Reply Niklaus Mikaelson January 25, 2018 at 4:51 pm

    Emergency Medicine!!!

  • Reply Isa M. Caicedo R. July 8, 2018 at 12:38 am

    In Instagram there is an fake PROFILE of the Doctor Jhon Trentini! Almost with the same name! dr.jhontrentin. Scammers are using his pictures in INSTAGRAM.

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