Case 1 -- Hypotensive Inferior MI
* Mmm bread and butter... Avoid nitroglycerin in the inferior MI. Preload!
* Hypotension prior to RSI drugs? Bad. Crystalloid not helping? Pressors.
* Make your FIRST attempt your best attempt.
* Cath lab is a farther walk than anticipated... and may not have airway resources!
* Be the leader: emphasize closed loop communication especially in code situations
Case 2 -- NAT
* Do not outsmart yourself. Do not talk yourself out of being suspicious for NAT.
* No injury is 100% specific for NAT. Our job is to be sensitive, not necessarily specific.
* Contact DSS! First encounter is mandatory reporter. Otherwise, story may change.
* Just because DSS investigates and clears does not mean NAT is ruled out.
* Be wary of your documentation: be objective, not a detective. Don't write things like "child consoled by mother after trauma"--remember, the victim often returns to the abuser
* Like it or not, we all have inherent bias in the way we approach patients from various backgrounds. Be mindful of your assumptions.
* Be on the same page and contact your colleagues: Social work, CHIPS, Child Abuse team, Trauma