First Night of Call and First Code

Last night was my first call night since being a resident and I had to cover the medicine service and the peds service. We only had two kids on peds, and there was nothing to do for them, so I spent the night taking care of medicine patients.

We had a guy in CVCU who was bleeding out of his bumhole and was in diastolic HF; his Hgb had dropped a couple of points throughout the day, he'd been scoped, and all they could see were lots of clots and lots of blood. He was hemodynamically stable, but that didn't stop the phone calls. I was told by our attending to consult surgery early on in the evening so they could be involved - but the surgeon was a dink and didn't want to be involved, so whatever.

Anyway, after rounding on the bum bleeder, they called a code blue and I was the first non-nurse to get there. We had a 26 year old girl in respiratory arrest who had just had a seizure. I got to kind of tell people what to do at first and it was cool. I spent a good part of the night getting her transferred to the ICU and consulting the E-intensivist (they have cameras in our ICU for night coverage, where some intensivist in Arizona watches our patients and monitors their vitals).
Had to admit a crazy lady with a rash to the medicine floor and a bunch of other lame stuff for the rest of the night.

All in all I got 40 minutes of sleep all night, not in a row, and by morning I had a headache from no sleep, but it was pretty good. I feel like in my first week of residency I have already learned a lot, and I am really liking it. Hope all the good vibes continue.

- Adam