What if? Survival Guide for Physicians
Format: PDF / Kindle (mobi) / ePub
you're starting an IV and the catheter breaks off in the vein?
a patient has a gun tucked in his waistband?
the Heimlich fails?
What If… there were a book that anticipated stressful, dangerous, or unusual situations? This handy, quick reference answers the questions you need to know…but may be afraid to ask. Concise, easy-to-read text puts essential knowledge at your fingertips—from what to do when you witness a traumatic accident on your way to work to how to cope with tyrannical colleagues—and everything in between.
When to, how to, and when not to! In the hospital, at a social function, on a mountainside, or at the beach, step-by-step instructions explain how to be prepared for the unexpected.
say before she starts signing to the patient and may not know the signs needed to communicate certain medical terms and concepts. The interpreter’s and the patient’s speed, comprehension, vocabulary, and fluency can vary significantly. Therefore, give them ample opportunity and time to become acquainted with each other and correctly communicate. Allow the interpreter to drive the pace of the interview. If no formal interpreters are available, then use alternative methods of communication. One
commonly miss the initial blow. It isn’t fair, but it’s reality. If the one-upper one-ups you more than once, first determine the effect that the oneWATCH OUT FOR... upping is having. Many attendings and residents have enough experience to detect (and Playing the game typically detest) the games that some medical students play. If they do realize what is hapCaution! You may decide to play the game. Playing the pening, the one-upper may be doing you a game means going into the favor, making
you start to feel faint, begin flexing and relaxing your leg muscles to enhance venous return to the heart. If you can, step away from the patient. Then 7 01Goodspeed (F)-01 3/1/07 1:49 PM Page 8 try to squat down as promptly and tactfully as you can. The squat maneuver increases the venous return of blood to the heart, causing an override of the vagal activity and increasing your blood pressure and cerebral blood flow. Depending on the circumstances, it may be more tactful to drop
health-care providers misguidedly think that the quicker you get an injection over with, the easier it is on the patient. So, many simply stab the needle into the patient like a dart—sometimes even holding the syringe as though it were a dart. Instead, explain to the patient that you’re going to gently lay the needle against his skin, so he can feel its touch instead of its bite. Then gently lay the needle (attached to the syringe) onto the skin at an oblique angle with the bevel edge facing away
patient couldn’t understand a single word you said because she doesn’t speak English. What she heard was, “blah blah blah….blah.” What do you do? Raising your voice when speaking (“BLAH, BLAH”), adding sounds “oh” and “ah” to the ends of the words (“blah-oh”), talking more slowly (“blaaaaaah…blaaaaah”), or repeating the words over and over (“blah?...blah?”) won’t help. Most physicians and medical students realize that non-English speakers aren’t infants (unless, of course, they are infants), hard