This week, Maureen Walsh, a state senator in Washington came | Figure 1
This week, Maureen Walsh, a state senator in Washington came under fire for suggesting nurses in rural hospitals play cards during their shifts.
During the debate, the Republican senator argued for an amendment that would exempt staff in critical-access hospitals and hospitals with fewer than 25 beds from the meal and rest provisions.
“By putting these types of mandates on a critical access hospital that literally serves a handful of individuals, I would submit to you those nurses probably do get breaks,” Walsh said. “They probably play cards for a considerable amount of the day”
The backlash was widespread and immediate. Hundreds of nurses and physicians are using the hashtag #showyourcards on Twitter to list the struggles, heartbreak, and dark moments that nurses face instead of playing cards. Here are a couple examples:
➤"Ran a code on a newborn in the emergency, while 26 weeks pregnant. 15 years later, my nursing colleagues still ask me if I'm ok, because they remember that day. Nurses care deeply."
➤ "Back from maternity leave w my first, thrown into call and long periods w/o pumping, It was the OR nurses who looked out for me: brought me snacks/water, found places for me to pump, hugged me and told me I’m a good mom. Nurses take care of everyone in the hospital."
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A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis. He had a history of hypertension, long-term smoking, and a sedentary lifestyle. On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.
A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets. Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.
A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest.
patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this ekg that would warrant further work-up or is this just a pediatric ekg?