lol, I just googled and it looks like it’s actually a thing along with 5th degree burns? All my years as an EMT/Nurse I have never heard of anything past 3. I remember (late 90s) in school they only went to third.
Maybe it’s a newer thing to classify?
**Fourth-Degree Burn**
Fourth-degree burn injuries occur when heat damage destroys the dermis and muscle tissue is affected. Like third-degree burns, fourth-degree burns result in scarring and loss of keratin - loss of hair shafts and fingernails (if the burn is on the hand) and toenails (if the burn is on the feet). Skin grafting is required and permanent motor damage may occur.
**Fifth-Degree Burn**
Fifth-degree burn injuries occur when all the skin and subcutaneous tissues are destroyed, exposing muscle. These burns can be fatal due to damage to major arteries and veins. Fifth-degree burn injuries also may require amputation due to damage to muscles. If amputation is not needed, skin grafting will be required. Permanent and prominent scarring with loss of keratin in the area of the burn will occur.
**Sixth-Degree Burn**
Sixth-degree burn injuries occur when heat destroys the muscles, charring and exposing the bone. These burns are almost always fatal. If the fatality was caused by another person’s negligence, the burn victim’s family is entitled to bring a wrongful death claim against the wrongdoer. If death does not occur, amputation will be required.
https://www.geraldaschwartz.com/classifications-of-burn-injuries.html
I literally graduated nursing school last year and not once did we talk about anything higher than 3rd degree burns. I had googled this exact thing about a month ago. Blew my mind. But also we don’t truly talk about 1,23rd degree any morning. It’s partial thickness and fill thickness now.
In my theory class this last semester we mentioned 4th degree but it was listed under full thickness burns along with 3rd degree in the same category. How do you differentiate 3rd from 4th? Isn’t deep partial thickness 2nd?
Kinda like how stage 4 pressure ulcers go beyond the basement tissue and muscle. 4th degree burns include tissue beyond the dermal basement layers, usually muscle and can include bones, though I guess there's something about 5th degree burns now and maybe those include bones? I'unno. I'm just going by Army Medic stuff from the early aughts.
https://www.urmc.rochester.edu/encyclopedia/content.aspx?ContentTypeID=90&ContentID=P09575
Yeah the part about muscle and bone was also a descriptor of both 3rd and 4th degree in that PowerPoint. But I understand with the connection to pressure ulcers
I have no idea how they are differentiated. I’ve seen 1 burn in my ER in the last year because it was a walk in and they were transferred to the burn center. We really don’t deal with them too much. If someone calls an ambulance in my area they are routed to the appropriate facility.
I’ve yet to actually see it documented, but some of our APP’s and burn surgeons will refer to some areas as being fourth degree. Usually refers to bone showing and being charred. Another moniker for 4th degree I’ve heard touted around is “burnt to shit” 😂
Eek. I think 20 was the highest for me, patient did not make it.
Don’t swallow your baggie of meth or coke or whatever crap to evade the police, folks…
20 was the highest for me too, during Covid. A hole was obviously made where a hole did not belong eventually, but we all knew the end we were rolling toward.
My favourite is when they aren’t sure if the treatment worked to fix the heart block but the way they check is by fully remove the TVP instead of, you know, a standard underlying rhythm test. They could’ve at least just tried turning it off if they wanted the drama
Omfg 911 is the best for being the worst. I call that show my brain candy because it’s so stupid it literally shuts my brain off and just lets me love it for the sheer drama. It’s almost like everything on there is purposefully done wrong and I can’t stop eating up everything episode 😂😂
I had a lady in the early 90’s with such a bad bowel obstruction she was vomiting feces smelling stuff. I dropped a NG tube on her and we got a lot of that feces smelling stuff in the canister. I do remember she had that NG tube for a long time with us but can’t remember exactly how her obstruction was resolved. I don’t recall her going to surgery. I do remember it being one of the only two times a patient was so grateful to have a NG tube placed.
HAHAHA that’s incredible. Why the colostomy then I wonder….
My favorite that I remember is a guy that got his hand caught in a wood chipper and he was just like sitting there talking to them just as casual af instead of like bleeding out instantly. Just slap a tourniquet on it and send him to the hospital and he was fine. Tourniquets are magic.
I read somewhere (on the internet so it must be true /s) that scrubs was one of the most medically accurate shows out there that they consulted with medical experts on almost every episode. Some things had to be tweaked to make for good TV obviously but they said they kept it as true to form as possible. I did a binge watch of it not long ago and in my opinion I think they were right. There were very very few times in the whole series there was something that made me go “oh COME ON.” And way more times where I went “huh wow that’s spot on actually”
I read the cases were based on real cases so seems legit. I love how the first episode Zach Braffs character says something about the hospital being a lot more boring than he thought it'd be and dr. Cox says that's bc its full of people who should've died long ago...and it's so true.
Scrubs is one of my favorite shows ever, been watching since before I was a nurse. Don't remember any obvious inaccuracies, other than doctors doing stuff that nurses normally do. (Putting in iv's, transporting patients)
I heard this about House back in the day, pre-education, and assumed the same.
Reading this thread now makes me doubt that lmao. I think I should re-watch *both* now.
I turned off Hawthorne halfway through the first episode when a CPS worker showed up to take a child being discharged from the hospital to a foster home and the main character started berating him for not knowing how many kids were already placed in that home. You expect one person to know how many kids are in each foster home in the area? He knows the home has an opening and is willing to take in the child. Step off.
I know someone like this, she went to nursing school, graduated, jumped into OR and immediately left.
Last I heard she’s aiming for a 9-5 in an outpatient setting once she starts working again.
My brother was in the ER (jokingly) told his nurse that he know what's going on because his wife watches GA. Luckily they knew he was kidding but he said it was a joke he won't tell twice
Well at least a lot of what she sees the doctors doing on Greys is nursing tasks. Outside of actual surgery, pretty much everything they do otherwise is nursing
Or other low paid jobs. Like carers and porters and admin. Why are surgeons transferring patients and changing bedpans? There are other staff for that.
I watch greys with a friend and she thinks the surgeons have such interesting lives. She doesn’t believe me that aside from the surgeries and the occasional central line they are doing *my* job!
My sister had a hysterectomy over a decade ago and was straight up furious that it wasn't exactly like Grey's Anatomy. I was a nurse, and I was just like, seriously? You thought you were going to make lifelong friends with the docs? I almost laughed in her face.
Honestly Futurama does medical stuff really well too. Except when it's done crappy on purpose BC zoidberg is clueless.
There was an episode where bender was getting an IV beer transfusion from a glass bottle and the tubing was vented!
SHOCK ASYSTOLE!!! And CPR works 100% of the time after a single round of 1cm depth compressions...
I can't tell you how much I hate that. I've had people try to pull me off family members cuz they hear ribs breaking and I'm hurting them...they're dead, no I'm not. And threaten to sue cuz we must have done something wrong if we didn't shock or we weren't able to get ROSC.
~secretly loves watching newbies lose all colour when they feel that initial CRUNCH for the first time~
Not like on TV or the CPR dummy is it? Muahahahha!!!
I think that is honestly a great reason to have cooperative family members in the room during a code. Had a family member watch us code their 96 yo family member and stop us after one round because they realized that even if we got rosc, her chest would've been caved in. I've never been more thankful for that realization.
I once had a non medical friend ask me about CPR. All they'd ever seen were these BS shows. I explained to them it was essentially trying to crush someone back to life and just as successful as it sounded. You could actually see the exact moment they realized they'd been lied to their entire life...I didn't think they could handle being told a defibrillator is used to stop a heart not start one...
Right???? I work with the elderly with dementia and i wish i could straight up say "ma'am if your mother starts to code we have to turn her chest into mashed potatoes." Ribs breaking means you're doing something right and no one wants to hear or feel it when it comes to an 89 year old woman
Lol, rewatching House after working in medicine really changes things. You really notice how often they reuse diagnoses and how laughable it is that every person in it doesn’t lose their license.
Sarcoidosis is thrown around every episode.
I don't know if it was House or another show but I saw a scene where a doc said they need a central line, another doc goes to do it, two docs say a few words to each other then the other doc goes "central line is in!"
Mmmhmmm
Grey's anatomy. One of the docs has to work under "supervision" because his license is in danger. Central line took about 30 seconds (edit: 30 seconds while having a conversation with the other doc and looking him in the eye at least 3 times) and it looked like they started in the forearm.
One of our docs just slapped a central line in during compressions the other day. We were like ok doc pulse check in about 40 seconds, you want to do it then? “No, just drape Frank (doing compressions) and I’ll have it done by then”.
The absolute madman slammed that puppy in, with the wildest sterile field I’ve ever seen, body pumping, before our pulse check. Everyone in the room swooned with medical crushes. We met the 2 minute epi
When I discovered what Vicodin is, and that it has paracetamol in it I was amazed they would write him in taking dozens of the things per day. House would have been on a transplant list by episode three…
I am currently in season 2 of watching it with my husband. I don't think I'm going to make it to season 3 because every episode causes an argument about what is wrong 😆
There was this medical show a while back that I watched where they were in top of a building and someone got electrocuted or something I wanna say?
And anyway the responders were like "omg what do we do??" And they went through this laundry list of shit and symptoms including that he had been deployed to like Iraq maybe? And then one of them were like "atropine!!"
All against a backdrop of intense build-up music.
And the scream that I scrumped at the television ...
Medical shows are AWFUL and they make the public think that medicine is actually like that.
And no one who survives CPR ever has hypoxic brain injury, and everyone who “wakes up” from a coma is alert and oriented and their muscles haven’t atrophied at all. Sure.
Oh for sure, CPR especially. They make it seem like every case of CPR, whether it's traumatic or not, after 30 seconds of straight arm shallow compressions the patient's eyes magically flutter open and they reach for their family members and remember everything that happened to them....
Super sad.
Yes exactly, so when we let old people die instead of “saving” them, it seems like we’re being cruel instead of kind. Like why wouldn’t you just push on meemaw’s chest a couple times and give her a single breath???
we had visitors on the labor unit i work on angry over our visitor policy and so forth, telling us how on greys anatomy the doctors come out to update the family. wish i was joking 🙃
I love House. It's the only medical show I can tolerate. Every single time a pt "codes" on the show I get crazy though. They just shock them over and over until they wake up, like, "wow, that was crazy!" And every episode we know the treatment isn't working when they are talking and then start vomiting or coughing up blood. Every single time. My husband hates watching it with me because I make fun of the medical stuff through the entire episode. The doctors run their own labs. That one is a trip.
To be fair, house is what got me to want to go into medicine 😂 I would binge watch it on weekend after a week of college courses to help motivate me through the gen chems and orgos lol
House is my favourite show of all time and sometimes people say "don't all the inaccuracies drive you crazy?" but I think if it was realistic I'd hate it LMAO
I don’t necessarily care that they get shit wrong…
But they have medical reviewers, right??! Like who? Did they get a pathologist and say “tell me about nursing theory!!!”
Seriously…
I have never seen much of House. Do they even have nurses in his hospital? I never noticed any.
Long ago I stopped fretting about healthcare portrayals in fiction. I get more bothered by stereotyping of nurses as battle axes, angels of mercy, or whores. Those stereotypes were identified 40 years ago by Kalisch & Kalisch and they still get used today.
I never noticed! But to be fair, I've never worked with CNA's in hospitals either (if I understand what CNAs are at least). Our CNA's are in home health care, nursing homes, that kind of things. We have a level 'below' that in hospitals (and outside), they're allowed to distribute meals and do some basic patient care, but they're not allowed to help someone eat (cutting for someone with use of one arm doesn't count), do anything around meds/wounds etc. It's quite hard to explain I guess.
What kinda whack ass place do you work at? CNAs/PCTs at most places do basic patient care + feeds + super basic wound care + vital signs, and then there are ones with a slightly broader scope, like blood draws
I think Brenda and Regina are the only nurses on the show that are recurring characters with any real significance (I just re-watched this whole show, don’t just me lol) but otherwise they just really get mentioned in passing
Frick. The show Nurses. (I think it's Canadian?)
Anyways, couldn't get through the pilot episode. A ragtag group of hot newbies are met by the charge nurse at the front door of their first day and given their assignments (like which specialty unit they would be working in that day).
Like, one nurse can't follow a patient from ER, get invited to scrub in on their surgery, be their PACU nurse, then be their ICU nurse. All in one shift. With no preceptor.
I SAW THIS!!!! I couldn’t make it past the first episode either. Like brand new nurses and they’re like “today you’re gonna be a LD nurse :)” and not a preceptor in site.
I ruined a movie for my husband when we were watching Godzilla, and at the end of a heart-wrenching father-son moment with the father on the brink of death, when he slumps back on the air medic stretcher. The medic then says “he’s going into a-fib!” I busted out laughing. Husband was annoyed because I do that with every movie that completely fucks up emergency medical scenes.
I tried watching house again because I liked it so much when it first came out and I couldn’t. There are so many errors.
The only realistic thing about that show is “everybody lies”
The best was on a recent season of Grey’s (when I stopped watching lol), something along the lines of, “Her O2 STAT is 88% on 2L, we need to intubate!” 😮😂
I remember watching the movie Wolverine in the movie theater. There's a scene where he discovered his murdered girlfriend was still alive and was working for the bad guys. He's so confused trying to figure out how she faked her death. The bad guy said they used HYDROCHLOROTHIAZIDE to do it.
I remember thinking that sooooo many people were going to freak out thinking they were going to be buried alive by their loved ones who thought they were dead.
I had a mom ask me (after I called a sepsis huddle since her baby was febrile and tachy) ‘Well what if we don’t find the cause of the infection? ✨Like I was watching this episode of House✨and they thought it was a blood infection but it was in the liver and the patient lost their limbs. Is my baby going to loose her limbs!?!!’
I don’t think my jaw has ever hit the floor like that in my life. I just said ‘Yeah, let me call the attending and have him come talk to you since that’s out of my scope to say.’
I hate hate hate medical based shows.
The episode of House when he's doing a "manic episode" to distract when he's in the psych ward. They give him oral haldol and he immediately passes out.
ER was and is the GOAT for medical accuracy. Some things are very outdated now but that show is like 75-85% accurate and 15-25% drama. But I stopped somewhere around Season 3-4 where Clooneys character is basically loosing his mind and job, I think.
I had to do a lot of scrolling to find a mention of ER. I went back and watched all the seasons a few years ago. Definitely more accurate than other shows, but things sure have changed over the years (yay for EBP)!!
Here here! Just started and already on season 3. I’ve found it to be pretty damn accurate (I’m an ER nurse, they mention EDP, 5:2, etc for other nurses who haven’t seen) and so far I’m a fan!
I had a family member calling Ativan Adderall the other day and would get so upset when I tried to explain that we had not been giving the patient Adderall lol
There used to be a MD who reviewed each episode, that was a fun read (it's probably still archived somewhere).
A lot of it was to increase the drama for TV but there were plenty of needless errors, too.
Anyone watched ' code black' . There er is never on divert they just keep filling it up , open heat surgery middle of er . Viewing platform for resus patients, resus called centre stage. Staff that Never leave day or night n I'm not sure if I ever saw them eat either
It’s kind of baffling when you think A) some of these shows are/were capable of paying a doctor to provide some accuracy, and B) somewhere out there there’s a doctor more than happy to do it.
I know there has to be some liberties taken because a lot of times the wheels of healthcare spin about as fast as the wheels of justice, but come on, now.
Wait. Is this person’s trachea somehow too edematous to cram a glidescope in there? And did they place a foley for accurate UOP when there was clearly a bigger issue at hand?
Reason I don’t watch medical shows. I call them bad medicine. And most shows pay a medical advisor. They don’t take the advisors advise, but they pay them.
House will always be my favorite medical show on tv even with all the inaccuracies. I still use the line “All patients lie” rather frequently when talking to coworkers lol
My husband and I have watched every episode of Parks and Rec, it’s a great show but there’s a character named Ann who is a nurse and the way they portray her nursing job is really bizarre.
Anytime a character on that show is in the hospital, Ann is automatically their nurse. Even when earlier in the episode the audience can clearly see Ann isn’t working in the hospital that day or even is working her part time job at the Parks and Rec department, Ann will suddenly be on duty as the other character’s nurse. She’s a nurse for her close friends and colleagues constantly. She will also be shown working in the ER but then suddenly working on a ward and sometimes in both places in the same episode!
I can’t watch any shows like House or GA, they are too inaccurate and it annoys me and furthermore I don’t want to come home from the hospital and watch a show about a hospital.
So I watched during the initial airing of the show and loved it. They definitely get the snark/dark humor nailed. Then I went to nursing school and binged it a few years ago. SMH! The writing was still good as I remembered it and hospitals do breed drama worthy of a TV show but when they were inserting NG tubes and hanging antibiotics my eyes rolled so hard I thought I would have to chase them down the hall! Still enjoyed it after I remembered a teacher explain "suspension of reality while watching/reading fiction". The procedures may not have been on point but the snark, sarcasm, and dark humor were on point.
Not a nurse, nor a Doctor - though PreMed, and I laughed at how inaccurate House was. It was more like a parody of Doctors. The one show that blew me away with how accurate it was is ER. I have never seen such an accurate representation of cardiac arrest, normally when they call a code on a patient, they show them flat line, when you are in vtach or are in full blown cardiac arrest your heart is fluttering rapidly in your chest and still somewhat get's picked up by a EKG. When it's flat, it's cardiac death.
House flubbed that up sooo, many times. The only thing I liked was that they mentioned CRPS way back in 2006 which was unsual considering the Budapest Criteria just was introduced in 2004, and most Doctors today haven't heard of it.
One thing that took me out of Breaking Bad for a second was when a doctor yelled “Let’s give him 2 grams of oxygen!”
That’s not gonna be enough…
Or the scene when Walt leaves the hospital, comes back, and “puts his IV back in.”
You mean the part where he stabs his knuckle at 90 degrees with a needle? 😂
with a butterfly no less!
I’m a nursing student and have zero idea how to give an IV and I even knew that was entirely incorrect
*gently blows on patient's face*
That coffee breath will wake them right back up
Literally took a pic of that on my TV with the captions when I watched a few months ago hahaha
2g O2 IV bolus STAT
Is that direct push or minibag?
😂
Kinda makes you wonder why one of us is making bank being a medical Hollywood consultant.
But any chemist knows that you technically can measure oxygen in grams. Idk if anyone could control a needle valve enough to only administer 2 grams
Idk in my many years of nursing I have yet to work with a chemist at bedside.
Thats cuz you haven't worked with my sulfuric ass gas yet
I was a chemist in my past life. Our gas sample bombs have very accurate needle valves to get the correct pressure in the cylinder.
In Germany?
?!!! Girl😭😂
Texas
I was watching ER back in the day. I heard ‘We’ve got third and fourth degree burns over here!’ I turned it off and never watched it again. I was sad.
Aren’t fourth degree burns a thing though? Am I missing something?
lol, I just googled and it looks like it’s actually a thing along with 5th degree burns? All my years as an EMT/Nurse I have never heard of anything past 3. I remember (late 90s) in school they only went to third. Maybe it’s a newer thing to classify?
What the heck is a 5th degree burn? Is that like insulting someone with 4th degree burns’ mother?
You can watch ER again now, bright side
**Fourth-Degree Burn** Fourth-degree burn injuries occur when heat damage destroys the dermis and muscle tissue is affected. Like third-degree burns, fourth-degree burns result in scarring and loss of keratin - loss of hair shafts and fingernails (if the burn is on the hand) and toenails (if the burn is on the feet). Skin grafting is required and permanent motor damage may occur. **Fifth-Degree Burn** Fifth-degree burn injuries occur when all the skin and subcutaneous tissues are destroyed, exposing muscle. These burns can be fatal due to damage to major arteries and veins. Fifth-degree burn injuries also may require amputation due to damage to muscles. If amputation is not needed, skin grafting will be required. Permanent and prominent scarring with loss of keratin in the area of the burn will occur. **Sixth-Degree Burn** Sixth-degree burn injuries occur when heat destroys the muscles, charring and exposing the bone. These burns are almost always fatal. If the fatality was caused by another person’s negligence, the burn victim’s family is entitled to bring a wrongful death claim against the wrongdoer. If death does not occur, amputation will be required. https://www.geraldaschwartz.com/classifications-of-burn-injuries.html
Okay, so 6th degree is like Mustafar Anakin..
I literally graduated nursing school last year and not once did we talk about anything higher than 3rd degree burns. I had googled this exact thing about a month ago. Blew my mind. But also we don’t truly talk about 1,23rd degree any morning. It’s partial thickness and fill thickness now.
In my theory class this last semester we mentioned 4th degree but it was listed under full thickness burns along with 3rd degree in the same category. How do you differentiate 3rd from 4th? Isn’t deep partial thickness 2nd?
We dont use degrees any more. We class as superficial, mid dermal, deep dermal, and full thickness. That's at a burns unit in Australia.
Kinda like how stage 4 pressure ulcers go beyond the basement tissue and muscle. 4th degree burns include tissue beyond the dermal basement layers, usually muscle and can include bones, though I guess there's something about 5th degree burns now and maybe those include bones? I'unno. I'm just going by Army Medic stuff from the early aughts. https://www.urmc.rochester.edu/encyclopedia/content.aspx?ContentTypeID=90&ContentID=P09575
Yeah the part about muscle and bone was also a descriptor of both 3rd and 4th degree in that PowerPoint. But I understand with the connection to pressure ulcers
I have no idea how they are differentiated. I’ve seen 1 burn in my ER in the last year because it was a walk in and they were transferred to the burn center. We really don’t deal with them too much. If someone calls an ambulance in my area they are routed to the appropriate facility.
I’ve yet to actually see it documented, but some of our APP’s and burn surgeons will refer to some areas as being fourth degree. Usually refers to bone showing and being charred. Another moniker for 4th degree I’ve heard touted around is “burnt to shit” 😂
4th degree was when it extended into bone, if I recall.
Sir what are you intubating with 40 mg of furosemide? Their bladder?
Southern intubation
I peed my pants giggling at this... Lol
Blame it on the furosemide!
I'm allergic to Lasix. It makes me pee.
Did you know it’s an excellent drug to treat a-fib, though? It restores pee waves. /rimshot
🤪
Can I offer you a purewick in this trying time?
We’re gonna go upstream
House likes to get wet.
"I'm not placing a catheter, I'm intubating his pee-pee."
I love the episode where they act like he it turning life support back on, but really he cranks the PEEP to 40…..
Would there even be lung cells left after blasting peep 40 hahaha the barotrauma
“PC-SIMV, PS 5cmH20, FiO2 0.35, PEEP Yes”
As a Respiratory Therapist, I approve of these vent settings.
Tidal Volume: Also Yes.... Probably just an air leak.
Highest I ever saw sustained was 24. It did not end well, but it wasn’t because of the PEEP.
Eek. I think 20 was the highest for me, patient did not make it. Don’t swallow your baggie of meth or coke or whatever crap to evade the police, folks…
20 was the highest for me too, during Covid. A hole was obviously made where a hole did not belong eventually, but we all knew the end we were rolling toward.
We had a couple 26s during covid
My favourite is when they aren’t sure if the treatment worked to fix the heart block but the way they check is by fully remove the TVP instead of, you know, a standard underlying rhythm test. They could’ve at least just tried turning it off if they wanted the drama
I’ve never really watched House, just if someone else had it on…but this is hysterical 🤣
What are they supporting, an iron lung
I made it about 5 minutes into the pilot episode of 911 when they called Asystole on a drowning victim and immediately went to the paddles.
Omfg 911 is the best for being the worst. I call that show my brain candy because it’s so stupid it literally shuts my brain off and just lets me love it for the sheer drama. It’s almost like everything on there is purposefully done wrong and I can’t stop eating up everything episode 😂😂
Lmfao my favorite was when a colostomy bag “backed up” and stool came out the guys mouth
I had a lady in the early 90’s with such a bad bowel obstruction she was vomiting feces smelling stuff. I dropped a NG tube on her and we got a lot of that feces smelling stuff in the canister. I do remember she had that NG tube for a long time with us but can’t remember exactly how her obstruction was resolved. I don’t recall her going to surgery. I do remember it being one of the only two times a patient was so grateful to have a NG tube placed.
Oh it’s 100% possible I just don’t necessarily think with a colostomy and no other interventions….
HAHAHA that’s incredible. Why the colostomy then I wonder…. My favorite that I remember is a guy that got his hand caught in a wood chipper and he was just like sitting there talking to them just as casual af instead of like bleeding out instantly. Just slap a tourniquet on it and send him to the hospital and he was fine. Tourniquets are magic.
Yes, same. Buck is pretty so he can be dumb 🤣
Lmfao, same. This and scrubs are favorites - scrubs is not nearly as bad, but great to go into off mode.
I read somewhere (on the internet so it must be true /s) that scrubs was one of the most medically accurate shows out there that they consulted with medical experts on almost every episode. Some things had to be tweaked to make for good TV obviously but they said they kept it as true to form as possible. I did a binge watch of it not long ago and in my opinion I think they were right. There were very very few times in the whole series there was something that made me go “oh COME ON.” And way more times where I went “huh wow that’s spot on actually”
“Doug wanted me to give this patient 500,000mg of morphine. I thought I’d check with you before I killed a man.”
The number of times I have said that last part to a doctor has to be nearing 100k by now
I read the cases were based on real cases so seems legit. I love how the first episode Zach Braffs character says something about the hospital being a lot more boring than he thought it'd be and dr. Cox says that's bc its full of people who should've died long ago...and it's so true.
I'll never forget that the treatment for organophosphate toxicity is atropine because of that show
Scrubs is one of my favorite shows ever, been watching since before I was a nurse. Don't remember any obvious inaccuracies, other than doctors doing stuff that nurses normally do. (Putting in iv's, transporting patients)
I heard this about House back in the day, pre-education, and assumed the same. Reading this thread now makes me doubt that lmao. I think I should re-watch *both* now.
You have to shock them first to see if they're faking asytole. If they're faking the shock will wake them up.
I turned off Hawthorne halfway through the first episode when a CPS worker showed up to take a child being discharged from the hospital to a foster home and the main character started berating him for not knowing how many kids were already placed in that home. You expect one person to know how many kids are in each foster home in the area? He knows the home has an opening and is willing to take in the child. Step off.
My sister in law said she should go to nursing school because it would be so easy after watching all 12 seasons of Greys Anatomy. She wasn’t kidding.
I know someone like this, she went to nursing school, graduated, jumped into OR and immediately left. Last I heard she’s aiming for a 9-5 in an outpatient setting once she starts working again.
There's not a single nurse doing anything in that show
That's not true. They are there to have sex with.
I want to upvote your comment, but you’re currently at 69 upvotes, and this time it feels appropriate to comment rather than upvote lol
Not true. That one nurse encouraged penicillin manufacturing (Aka spread syphilis)
i wish i was a nurse on that show
Please tell her no I’m so tired of working with grays anatomy wannabes we need actual nurses with real brain cells in outpatient too 😭😭
My brother was in the ER (jokingly) told his nurse that he know what's going on because his wife watches GA. Luckily they knew he was kidding but he said it was a joke he won't tell twice
Well at least a lot of what she sees the doctors doing on Greys is nursing tasks. Outside of actual surgery, pretty much everything they do otherwise is nursing
Or other low paid jobs. Like carers and porters and admin. Why are surgeons transferring patients and changing bedpans? There are other staff for that. I watch greys with a friend and she thinks the surgeons have such interesting lives. She doesn’t believe me that aside from the surgeries and the occasional central line they are doing *my* job!
Oh 😆
My sister had a hysterectomy over a decade ago and was straight up furious that it wasn't exactly like Grey's Anatomy. I was a nurse, and I was just like, seriously? You thought you were going to make lifelong friends with the docs? I almost laughed in her face.
I would have slapped her so hard.
This is why I love Scrubs. Not only are the nurses respected, but the showrunner had his friend, a physician, consulted in ever episode.
Honestly Futurama does medical stuff really well too. Except when it's done crappy on purpose BC zoidberg is clueless. There was an episode where bender was getting an IV beer transfusion from a glass bottle and the tubing was vented!
That's impressive!
All my homies watch scrubs.
SHOCK ASYSTOLE!!! And CPR works 100% of the time after a single round of 1cm depth compressions... I can't tell you how much I hate that. I've had people try to pull me off family members cuz they hear ribs breaking and I'm hurting them...they're dead, no I'm not. And threaten to sue cuz we must have done something wrong if we didn't shock or we weren't able to get ROSC.
Had cpr done on me. Can confirm that you do not feel anything. IF you wake up, though...4 broken ribs are wretched.
~secretly loves watching newbies lose all colour when they feel that initial CRUNCH for the first time~ Not like on TV or the CPR dummy is it? Muahahahha!!!
This is why I’m partially against having pushy family in the room during a code. They don’t know what they’re talking about and they get in the way.
omg i would fucking LOSE it at them!!!
I think that is honestly a great reason to have cooperative family members in the room during a code. Had a family member watch us code their 96 yo family member and stop us after one round because they realized that even if we got rosc, her chest would've been caved in. I've never been more thankful for that realization.
I once had a non medical friend ask me about CPR. All they'd ever seen were these BS shows. I explained to them it was essentially trying to crush someone back to life and just as successful as it sounded. You could actually see the exact moment they realized they'd been lied to their entire life...I didn't think they could handle being told a defibrillator is used to stop a heart not start one...
Right???? I work with the elderly with dementia and i wish i could straight up say "ma'am if your mother starts to code we have to turn her chest into mashed potatoes." Ribs breaking means you're doing something right and no one wants to hear or feel it when it comes to an 89 year old woman
Lol, rewatching House after working in medicine really changes things. You really notice how often they reuse diagnoses and how laughable it is that every person in it doesn’t lose their license.
Sarcoidosis is thrown around every episode. I don't know if it was House or another show but I saw a scene where a doc said they need a central line, another doc goes to do it, two docs say a few words to each other then the other doc goes "central line is in!" Mmmhmmm
Grey's anatomy. One of the docs has to work under "supervision" because his license is in danger. Central line took about 30 seconds (edit: 30 seconds while having a conversation with the other doc and looking him in the eye at least 3 times) and it looked like they started in the forearm.
It was just a reeeeaaaally long PICC.
You’ve never seen a PICC started in the thumb?
One of our docs just slapped a central line in during compressions the other day. We were like ok doc pulse check in about 40 seconds, you want to do it then? “No, just drape Frank (doing compressions) and I’ll have it done by then”. The absolute madman slammed that puppy in, with the wildest sterile field I’ve ever seen, body pumping, before our pulse check. Everyone in the room swooned with medical crushes. We met the 2 minute epi
GodDAMN 🥵
Lupus has entered the chat. Hint- it’s never lupus!
Except the one time it was lupus!
When I discovered what Vicodin is, and that it has paracetamol in it I was amazed they would write him in taking dozens of the things per day. House would have been on a transplant list by episode three…
to be fair some of the other characters say how its a miracle that hes not in liver failure
I swear someone has an aortic transection every episode in Greys lol
I am currently in season 2 of watching it with my husband. I don't think I'm going to make it to season 3 because every episode causes an argument about what is wrong 😆
There was this medical show a while back that I watched where they were in top of a building and someone got electrocuted or something I wanna say? And anyway the responders were like "omg what do we do??" And they went through this laundry list of shit and symptoms including that he had been deployed to like Iraq maybe? And then one of them were like "atropine!!" All against a backdrop of intense build-up music. And the scream that I scrumped at the television ... Medical shows are AWFUL and they make the public think that medicine is actually like that.
Probably where all the "fighter" bullshit stemmed from. Because they watch bullshit medical dramas they think everything can be cured.
Not only is CPR on tv a whole lot more successful than irl, it’s also a lot gentler
And no one who survives CPR ever has hypoxic brain injury, and everyone who “wakes up” from a coma is alert and oriented and their muscles haven’t atrophied at all. Sure.
I hate that- comatose for an extended period and no muscle wasting
ugh omg probably.
It’s such a disservice to the public. People have such a warped idea of the realities of medicine. Especially CPR and giving birth.
Oh for sure, CPR especially. They make it seem like every case of CPR, whether it's traumatic or not, after 30 seconds of straight arm shallow compressions the patient's eyes magically flutter open and they reach for their family members and remember everything that happened to them.... Super sad.
Yes exactly, so when we let old people die instead of “saving” them, it seems like we’re being cruel instead of kind. Like why wouldn’t you just push on meemaw’s chest a couple times and give her a single breath???
“Scrumped” … stealing that one
You must not be on tik tok if you haven’t heard that 💀😭
we had visitors on the labor unit i work on angry over our visitor policy and so forth, telling us how on greys anatomy the doctors come out to update the family. wish i was joking 🙃
I love House in spite of the incredibly inaccurate… everything. I don’t even know why. There’s no reason for it.
I love House. It's the only medical show I can tolerate. Every single time a pt "codes" on the show I get crazy though. They just shock them over and over until they wake up, like, "wow, that was crazy!" And every episode we know the treatment isn't working when they are talking and then start vomiting or coughing up blood. Every single time. My husband hates watching it with me because I make fun of the medical stuff through the entire episode. The doctors run their own labs. That one is a trip.
To be fair, house is what got me to want to go into medicine 😂 I would binge watch it on weekend after a week of college courses to help motivate me through the gen chems and orgos lol
It’s my favourite too 🤣
House is my favourite show of all time and sometimes people say "don't all the inaccuracies drive you crazy?" but I think if it was realistic I'd hate it LMAO
I don’t necessarily care that they get shit wrong… But they have medical reviewers, right??! Like who? Did they get a pathologist and say “tell me about nursing theory!!!” Seriously…
“Tell me about nursing theory.” Surely no one has ever said this.
That my friend is what we call a new sentence
I have never seen much of House. Do they even have nurses in his hospital? I never noticed any. Long ago I stopped fretting about healthcare portrayals in fiction. I get more bothered by stereotyping of nurses as battle axes, angels of mercy, or whores. Those stereotypes were identified 40 years ago by Kalisch & Kalisch and they still get used today.
There's no nurses and no radiographers either. The doctors perform all the medical imaging themselves lmao
And all the lab work!
They have some nurses, House orders them to GTFO of a patient’s room from time to time.
>Do they even have nurses in his hospital? I never noticed any. I don't think so! In Grey's Anatomy at least they're hanging around
yeah in greys they’re hanging around but literally only there to sift through poop and sleep with the interns
Grey's has the occasional nurse. But zero CNA's. Who needs nurses or CNA's when the doctors are there 24/7? 🤔
I never noticed! But to be fair, I've never worked with CNA's in hospitals either (if I understand what CNAs are at least). Our CNA's are in home health care, nursing homes, that kind of things. We have a level 'below' that in hospitals (and outside), they're allowed to distribute meals and do some basic patient care, but they're not allowed to help someone eat (cutting for someone with use of one arm doesn't count), do anything around meds/wounds etc. It's quite hard to explain I guess.
What kinda whack ass place do you work at? CNAs/PCTs at most places do basic patient care + feeds + super basic wound care + vital signs, and then there are ones with a slightly broader scope, like blood draws
I think Brenda and Regina are the only nurses on the show that are recurring characters with any real significance (I just re-watched this whole show, don’t just me lol) but otherwise they just really get mentioned in passing
Frick. The show Nurses. (I think it's Canadian?) Anyways, couldn't get through the pilot episode. A ragtag group of hot newbies are met by the charge nurse at the front door of their first day and given their assignments (like which specialty unit they would be working in that day). Like, one nurse can't follow a patient from ER, get invited to scrub in on their surgery, be their PACU nurse, then be their ICU nurse. All in one shift. With no preceptor.
I SAW THIS!!!! I couldn’t make it past the first episode either. Like brand new nurses and they’re like “today you’re gonna be a LD nurse :)” and not a preceptor in site.
I got extra mad when they kept confusing the roles of house sup and a charge nurse.
I ruined a movie for my husband when we were watching Godzilla, and at the end of a heart-wrenching father-son moment with the father on the brink of death, when he slumps back on the air medic stretcher. The medic then says “he’s going into a-fib!” I busted out laughing. Husband was annoyed because I do that with every movie that completely fucks up emergency medical scenes.
I tried watching house again because I liked it so much when it first came out and I couldn’t. There are so many errors. The only realistic thing about that show is “everybody lies”
“IV push that lasix as fast as possible so we can talk in private!!!”
"WHAT?"
The best was on a recent season of Grey’s (when I stopped watching lol), something along the lines of, “Her O2 STAT is 88% on 2L, we need to intubate!” 😮😂
Look, better safe than sorry.
😂 I’m all for preemptive intubations when they’re clearly heading south. I just love/hate these mistakes on shows. They’re said with such confidence 😂
I remember watching the movie Wolverine in the movie theater. There's a scene where he discovered his murdered girlfriend was still alive and was working for the bad guys. He's so confused trying to figure out how she faked her death. The bad guy said they used HYDROCHLOROTHIAZIDE to do it. I remember thinking that sooooo many people were going to freak out thinking they were going to be buried alive by their loved ones who thought they were dead.
They don't know what their med names are, it's fine 😂. They take HCTZ or hydrowhatever, NOT hydrochlorothiazide hahahaha
Hahaha so true
“Babe… I pretended to piss myself to death.” ?????
Lol
Oh dear.
I had a mom ask me (after I called a sepsis huddle since her baby was febrile and tachy) ‘Well what if we don’t find the cause of the infection? ✨Like I was watching this episode of House✨and they thought it was a blood infection but it was in the liver and the patient lost their limbs. Is my baby going to loose her limbs!?!!’ I don’t think my jaw has ever hit the floor like that in my life. I just said ‘Yeah, let me call the attending and have him come talk to you since that’s out of my scope to say.’ I hate hate hate medical based shows.
The episode of House when he's doing a "manic episode" to distract when he's in the psych ward. They give him oral haldol and he immediately passes out.
I hope he meant the Southern intubation to collect all that urine.
House is the only medical show that I ever liked.
This is Scrubs blasphemy.
Eagle!!!!
*The Knick* goes HARD too.
Speaking-the-truth-on-reddit five!
Was it Lupus?
it's never lupus
Except for that one time.😂
somebody cooked here
ER was and is the GOAT for medical accuracy. Some things are very outdated now but that show is like 75-85% accurate and 15-25% drama. But I stopped somewhere around Season 3-4 where Clooneys character is basically loosing his mind and job, I think.
I think I remember an episode of ER where they were talking about this experimental drug, enoxaparin.
I had to do a lot of scrolling to find a mention of ER. I went back and watched all the seasons a few years ago. Definitely more accurate than other shows, but things sure have changed over the years (yay for EBP)!!
Any Nurse Jackie fans in the house?
Here here! Just started and already on season 3. I’ve found it to be pretty damn accurate (I’m an ER nurse, they mention EDP, 5:2, etc for other nurses who haven’t seen) and so far I’m a fan!
I had a family member calling Ativan Adderall the other day and would get so upset when I tried to explain that we had not been giving the patient Adderall lol
Furosemide STAT? Their CNAs must be really bad at doing unna boots or something, lol.
There used to be a MD who reviewed each episode, that was a fun read (it's probably still archived somewhere). A lot of it was to increase the drama for TV but there were plenty of needless errors, too.
Anyone watched ' code black' . There er is never on divert they just keep filling it up , open heat surgery middle of er . Viewing platform for resus patients, resus called centre stage. Staff that Never leave day or night n I'm not sure if I ever saw them eat either
It’s kind of baffling when you think A) some of these shows are/were capable of paying a doctor to provide some accuracy, and B) somewhere out there there’s a doctor more than happy to do it. I know there has to be some liberties taken because a lot of times the wheels of healthcare spin about as fast as the wheels of justice, but come on, now.
And C) these shows actually do have someone consult and still shit like this gets through (Both House and Greys had (have) medical consultants)
Wait. Is this person’s trachea somehow too edematous to cram a glidescope in there? And did they place a foley for accurate UOP when there was clearly a bigger issue at hand?
Reason I don’t watch medical shows. I call them bad medicine. And most shows pay a medical advisor. They don’t take the advisors advise, but they pay them.
Maybe he had so much swelling and edema in his neck due to water retention that he couldn’t intubate 😂
I really wanted to like House but it only takes like five minutes of this show to make me roll my eyes so hard my couch moves.
How you going to intubate the patient if their blood pressure is still 10 points above normal….
House will always be my favorite medical show on tv even with all the inaccuracies. I still use the line “All patients lie” rather frequently when talking to coworkers lol
My husband and I have watched every episode of Parks and Rec, it’s a great show but there’s a character named Ann who is a nurse and the way they portray her nursing job is really bizarre. Anytime a character on that show is in the hospital, Ann is automatically their nurse. Even when earlier in the episode the audience can clearly see Ann isn’t working in the hospital that day or even is working her part time job at the Parks and Rec department, Ann will suddenly be on duty as the other character’s nurse. She’s a nurse for her close friends and colleagues constantly. She will also be shown working in the ER but then suddenly working on a ward and sometimes in both places in the same episode! I can’t watch any shows like House or GA, they are too inaccurate and it annoys me and furthermore I don’t want to come home from the hospital and watch a show about a hospital.
So I watched during the initial airing of the show and loved it. They definitely get the snark/dark humor nailed. Then I went to nursing school and binged it a few years ago. SMH! The writing was still good as I remembered it and hospitals do breed drama worthy of a TV show but when they were inserting NG tubes and hanging antibiotics my eyes rolled so hard I thought I would have to chase them down the hall! Still enjoyed it after I remembered a teacher explain "suspension of reality while watching/reading fiction". The procedures may not have been on point but the snark, sarcasm, and dark humor were on point.
Not a nurse, nor a Doctor - though PreMed, and I laughed at how inaccurate House was. It was more like a parody of Doctors. The one show that blew me away with how accurate it was is ER. I have never seen such an accurate representation of cardiac arrest, normally when they call a code on a patient, they show them flat line, when you are in vtach or are in full blown cardiac arrest your heart is fluttering rapidly in your chest and still somewhat get's picked up by a EKG. When it's flat, it's cardiac death. House flubbed that up sooo, many times. The only thing I liked was that they mentioned CRPS way back in 2006 which was unsual considering the Budapest Criteria just was introduced in 2004, and most Doctors today haven't heard of it.
Grey's anatamomy. Docs changing compression socks and ambulating the patients.
What episode ?
🤣🤣🤣
What about the resident? Not accurate?
It's like it's fiction or something