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The New Coffee Room

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  3. I hate it when shows get medical stuff wrong

I hate it when shows get medical stuff wrong

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  • George KG Offline
    George KG Offline
    George K
    wrote on last edited by
    #1

    This is a minor, minor detail in a show I'm watching. Some guy is in the hospital, having survived a GSW to the head. His only symptom is amnesia.

    As ridiculous as it is, that's not my point.

    This is.

    Screenshot 2023-09-13 at 7.25.38 PM.png

    I spent decades looking at similar screens and waveforms.

    So, from to to bottom, we have the following:

    • An EKG tracing reflecting a heart rate of 67. So far, so good.
    • The next number, 97, is presumably the SaO2. That's good too, but the waveform is totally wrong.
    • The next number(s) 122/68 is blood pressure. And that's fine. The waveform to the left of those numbers looks like an intra-arterial line. That would be fine too, if the patient had an intra-arterial line - which he doesn't.
    • I have no idea what the "78" is. Next to it is a tracing that looks like an arterial waveform. I suppose it could be a pulmonary artery waveform, but 78 is high for that system. Really high. Also, if that were the case, there should be a diastolic number - so like 78/30
    • Finally, the 35 is probably his end-tidal CO2. 35 is a normal, and good number. But you'd only be able to measure it if the patient had a CO2 monitoring device on his airway - and he doesn't. It also looks FAR too regular to be a spontaneous breathing patient. It looks a lot like a ventilator capnograph (CO2 tracing).

    Sorry 'bout the rant.

    "Now look here, you Baltic gas passer... " - Mik, 6/14/08

    The saying, "Lite is just one damn thing after another," is a gross understatement. The damn things overlap.

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    • Doctor PhibesD Online
      Doctor PhibesD Online
      Doctor Phibes
      wrote on last edited by Doctor Phibes
      #2

      As a kid I was always fascinated by this...

      fc1cc12e-5763-4062-b7f5-66de1252d605-image.png !

      I was only joking

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      • George KG Offline
        George KG Offline
        George K
        wrote on last edited by
        #3

        "Brain"
        "Lungs"
        "Cell Rate"

        "Now look here, you Baltic gas passer... " - Mik, 6/14/08

        The saying, "Lite is just one damn thing after another," is a gross understatement. The damn things overlap.

        1 Reply Last reply
        • MikM Offline
          MikM Offline
          Mik
          wrote on last edited by
          #4

          I want a tricorder.

          “I am fond of pigs. Dogs look up to us. Cats look down on us. Pigs treat us as equals.” ~Winston S. Churchill

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          • jon-nycJ Offline
            jon-nycJ Offline
            jon-nyc
            wrote on last edited by
            #5

            '78' could be heart rate, but with gibberish waveform.

            "You never know what worse luck your bad luck has saved you from."
            -Cormac McCarthy

            George KG 1 Reply Last reply
            • jon-nycJ jon-nyc

              '78' could be heart rate, but with gibberish waveform.

              George KG Offline
              George KG Offline
              George K
              wrote on last edited by
              #6

              @jon-nyc said in I hate it when shows get medical stuff wrong:

              '78' could be heart rate, but with gibberish waveform.

              It could be A heart rate, but it's not. The top tracing is ALWAYS the EKG with the heart rate displayed.

              "Now look here, you Baltic gas passer... " - Mik, 6/14/08

              The saying, "Lite is just one damn thing after another," is a gross understatement. The damn things overlap.

              1 Reply Last reply
              • CopperC Offline
                CopperC Offline
                Copper
                wrote on last edited by
                #7

                The waveforms might be mostly garbage, but they look like they are nicely synchronized.

                It was probably plugged into the surgeon's 5-channel graphic equalizer. He was just messing with the pretty colors.

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