Home > Uncategorized > Pic of the Year!

Pic of the Year!


I nominate Coastie, from the SDN forums, a Pulitzer Prize for this find! The CRNA smiling without a care in the world while the patient’s blood pressure reads 76/35 is ……well……uh…..(can anyone think of a word that encompasses the thoughts of shocking, hilarious, outrageous and disbelief all rolled in one?!)

CRNA Retires After 40 Years

Categories: Uncategorized
  1. Denns
    February 7, 2010 at 8:06 pm

    Have you ever thought that it might be pediatric patient under anesthesia? BP in 70’s not unreasonable

  2. February 7, 2010 at 8:06 pm

    What a joke.

    She was likely taking care of a child, the BP and HR would be expected.

  3. Dan Simonson
    February 7, 2010 at 10:06 pm

    How mean spirited. It shows us how terrible these crna-mda fights can get. Shame on all of us. Let’s get a grip- anesthesiologists and CRNAs both give wonderful care to patients. The market will have its way with us, but let’s not let it take us down to the level of denigrating the contributions of providers of either type who have spent a lifetime taking care of patients.

    I signed my full name to this post- I have nothing to hide.

  4. Victor Martin
    February 7, 2010 at 10:38 pm

    Typical narrative. This lady was led into an empty OR for the picture session in Knoxville TN. This picture was included with the article in the paper along with comments from some of the ologist she worked with. They all commented on the benefit of her contributions throughout the years.

  5. medicinesux
    February 8, 2010 at 12:13 am

    If we are going to try to get out of this pickle by claiming this is a peds case then…….

    Age HR SBP
    Neonate 140 65
    12 Months 120 95
    3 years 100 100
    12 years 80 110

    As you can clearly see from the table above (Morgan and Mikhail, 4th ed. pg 925), for a SBP shown on the monitor to be considered to be within normal limits, the corresponding heart rate of 90 is quite low. Since cardiac output is dependent on heart rate in neonates and infants (due to the low compliance of their ventricles), prolonged bradycardia can lead to profound reductions in cardiac output, asystole, and intraoperative death. God, I hope it’s not a little one!!!

    For the record- all four of the above posters are CRNA’s

  6. Christopher Sours
    February 8, 2010 at 9:38 am

    Medicicines- You’re nasty-gram couched in anonymity points to just what’s wrong with this country these days.I hope you’re kinder to your patients.

    Cheers! Another CRNA

  7. medicinesux
    February 10, 2010 at 10:22 pm

    make that five

  8. Evangeline Agosta
    February 13, 2010 at 9:37 pm

    Why was everyone focused on BP is the 70s, I’m more concerned about the diastolic being 35, but I’m only a med student…

  9. Jack Cowen
    February 20, 2012 at 4:27 pm

    It is very likely this blood pressure was inaccurate, it’s quite unlikely to have a pleth that good with a SpO2 of 100 along with a normal HR with a MAP that low.

    I wish we could all just laugh at a funny picture instead of dwelling on the fact it is a CRNA. I work in critical care and see all sorts of incredibly stupid mistakes all the time, made by everyone from CNAs all the way up to MDs. Mistakes and oversights are a part of being human.
    And the worst thing one can do when a mistake happens is panic- I’d rather have a smiling CRNA intubating and asking nurses to push drugs in a code than one that is shaking and sweating bullets in a panic. The first rule in any emergency is ripped right from the Hitchhiker’s guide: don’t panic. Anxiety prone nurses and residents are often more dangerous than the conditions they are attempting to treat.

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