skull fracture

Depressed Skull Fracture Patient Started on Zoloft Drip, Psychiatry Referral

  • 713
    Shares

ALBINA, OR – An area resident covering the ED recently treated a patient with chief complaint of “depressed skull fracture,” by prescribing IV sertraline and paging the psychiatry resident.  Brought in by paramedics late in the afternoon on Sunday, reportedly had a GCS of 8 and was vomiting profusely.

As the resident who was covering the emergency department was do so as a favor for a colleague who wanted to catch the Oscars red carpet pre-show, was himself coming off of a 36-hour rotation with behavioral medicine.

skull fracture“The first thing I saw was ‘depressed’ and immediately locked into the acute depression pathway,” said Dr. Kevin Corbin, DO, repeating his first year of residency in the Northwest after transferring from a mis-match site in Kansas.

“EMS had already established IV access so I figure getting an anti-depressant load going was critical.”  When his nurse questioned the sertraline order by noting that IV fluid was not in the Pyxis, Dr. Corbin advised to just call the pharmacy: “They can usually compound anything.”

Dr. Corbin was also keen to get the psychiatry resident in to consult.  “They probably will wait until Monday to see him, but I thought I should get their input in case their exam recommends a medication for a slightly different neurotransmitter system.”

Feeling confident that with this patient he would showcase his skills in emergency medicine, Dr. Corbin also order q2hr serial Hamilton scores.  “Page me if he trends up or down by more than 3 points so we can titrate the drip,” instructed Dr. Corbin, just before leaving the unit in time to catch the Farmers Insurance Guy win Best Supporting Actor.

image_pdfimage_print
  • Show Comments

  • Avatar
    reepRN

    plastic surgery consult will help with self image

  • Avatar
    Belle Kelson

    Depression is a DAILY BATTLE, my brother fought it for years. He always hid it behind that warm smile and his jokes. None of us knew, even me. I’m so happy that he finally overcame it naturally (http://www.fullhealthguru.com/depression) without all those pills that had negative side effects on his body. You’re not alone.

  • Avatar
    Tyler Upton

    Haha no just saying if you were depressed about your skull fracture, I would be there to get you some tricyclics.

  • Avatar
    Robert Zehrung

    you trying to tell me something Tyler Upton?

  • Avatar
    Kathleen Bylsma

    Groan ;)

  • Avatar
    Kathleen Bylsma

    Groan ;)

  • Avatar
    Tyler Upton

    Andre Spagna Robert Zehrung Keith Wells

  • Avatar
    Carol Swearingen

    that’s depressing

  • Avatar
    Marehan Nakhnoukh

    Hahahaaaa! Salima Hasham

  • Avatar
    Sandy Chavana

    Oh wow

  • Avatar
    April Rodriguez

    Sandy Chavana. Lol

  • Avatar
    Karin Cartwright

    Works for me! :D

  • Avatar
    Janice Chapoton

    Oh my!!!!!

  • Avatar
    Debbie Sheffield

    Jeff Smith

  • Avatar
    Mohammad Nabhan Khalil

    Exactly! Psychiatry referral frequently becoming first line in my hospital.

  • Avatar
    Joanie Sapienza

    Bahhahahhahahahahahahahahahahahahahahahahaaaaahaahahhaahhaahhahaahhahahahahahahahahwhahahahaaaaaahahhahahha!

Your email address will not be published. Required fields are marked *

comment *

  • name *

  • email *

  • website *

You May Also Like

Hospital Taking Patient Satisfaction Scores Way Too Seriously

6.4KSharesCHICAGO, IL – “Simply outrageous,” were comments expressed by physicians and nurses in regards to ...

hospital employees

Hospital Issues Memorandum Regarding the Revised Policy for Procedure Revisions

170Shares To All Hospital Employees: This memorandum is being issued as notification regarding the ...

JCAHO Changes Recommendation After Evidence Found to Support Recommendation

760SharesOAKBROOK TERRACE, IL – During a recent Joint Commission Board meeting, it was discovered ...

First Successful Transrectal Thyroidectomy Performed

4.4KSharesCREVE COEUR, MO – In an ongoing effort to avoid a 6-centimeter incision in ...