Brain Warm-ups: Your brain is old and flabby.*

1. Warm' Em Up 2. Code Blue 3. Always Consider It 4. The Violent Patient
5. Difficult Airway 6. Fast and Wide 7. The Left Side 8. Not Tonight
9. Status 10. Decontaminate Them 11. Theme Song  

 

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Warm ‘Em Up

Warm ‘em up, wipe ‘em dry,
Stimulate the baby, let's hear him cry
Ninety percent of the time, that's all you really have to do
Check the breathing and the heart rate
Make sure the tone and color are first rate
Wipe ‘em dry, pass ‘em to mom, make sure nothing else is going on
Warm ‘em up, wipe ‘em dry

When the head first pops out
Grab a bulb sucker and suck the mouth and nose out
Catch ‘em, clamp ‘em, and cut the cord
Carry ‘em over to the warming board
Dry ‘em off on the front and the back side
Most babies perk up when you give it just one try
But if this little one's not a big mover
Flick on his soles or suck some more goobers

Warm ‘em up, wipe ‘em dry,
Stimulate the baby, let's hear her cry
Ninety percent of the time, that's all you really have to do
Check the breathing and the heart rate
Make sure the tone and color are first rate
Suck out the goo, size up a tube, get a mask ready too
Warm ‘em up, wipe ‘em dry

If they're gasping or not breathing at all
If the pulse ain't quite a hundred or they're blue in their core
Use a bag mask, make sure you got a good seal
Breathe about once a second, that's the deal
Now usually that'll do the trick, but if it don't
Or when they pop out there's meconium thick
Slide in a tube, suck out that goo,
Do their breathing for them for a while or two

Warm ‘em up, wipe ‘em dry,
Stimulate the baby, let's hear him cry
Ninety percent of the time, that's all you really have to do
Check the breathing and the heart rate
Make sure the tone and color are first rate
Think of drugs for this session, how to time chest compressions
Warm ‘em up, wipe ‘em dry

You may need to start some chest compressions
If the pulse is less than sixty despite all that oxygen
Press ‘em three times for every breath you administer
Twice every second you'll do one or the other
You can give epi at point-oh-one per kilo
If his pulse is asystolic or you haven't made it go faster,
Repeat if he don't respond to your efforts
Atropine doesn't work because he don't have receptors

Babies come out, sometimes things don't go right
Babies come out, sometimes you've got to put a line in
The cord has three vessels, you aim for the vein
The catheter goes in an inch, you draw blood and then you
Try a couple of mils per kilo of D10 water, ‘cause
Babies are so sweet they don't need anything stronger
Maybe naloxone will wake them up and please ya
If mom's had too much narcotic analgesia

Warm ‘em up, wipe ‘em dry,
Stimulate the baby, let's hear him cry
Ninety percent of the time, that's all you really have to do
Check the breathing and the heart rate
Make sure the tone and color are first rate
Wipe ‘em dry, pass ‘em to mom, make sure nothing else is going on
Warm ‘em up, wipe ‘em dry

© 2003 Brain Warm-ups Entertainment, LLC. All rights reserved.

Table of Contents

 

Code Blue

Code blue, take your own pulse first
There's someone coming in who may be leaving in a hearse but that's
All right, just think it through. If you take it step by step
There may be something you can do

Step one: hunt for v-fib
Put the paddles on, shock ‘em if they've got it
Charge it up and shock ‘em with progressive doses
Don't let the paddles leave the chest unless you pull off the feat of an
Organized rhythm with a heartbeat, code blue

(The cure for ventricular fibrillation is electricity)
Give an amp of epi, start chest compressions,
If you don't have a line yet, remember that there are
Four drugs you can give through the pulmonary parenchyma:
Epi, atropine, naloxone and lidocaine.

Keep up resuscitation, don't sweat the tube,
Just make sure that someone's giving precious oh-two
Don't waste time maneuvering like Mr. Magoo,
Squinting down a Miller at some swollen up goo
All you need's a bag mask with an excellent seal,
‘Cause here's the deal, we're in a code blue

(That disorganized electrical wiggle can cause urgent pressure on the inner wall of your urinary bladder.)
Now if they're still in V fib, that's trouble, alternate
Epi and shocks and think of drugs on the double
Some people say amiodarone, but drugs are always changing,
Try to keep up with the claims that they're claiming
Lidocaine seemed to work but now the data are uncertain
Procainamide is useful if the wiggle is recurrent
The first-line drug is still DC current, whatever
Works, start a drip and get them to the unit, code blue

(That rhythm looks good, but I don't feel a pulse) PEA
So it looks as though the patient's in an organized rhythm
But there's no pulse at all and no life in ‘em
They have PEA, so keep it simple
Just do the thing that will reverse whatever's trying to kill ‘em:

Give ‘em volume, needle the chest
Consider pericardiocentesis
Bring down their potassium, reverse acidosis
Make sure that the tube is in the place it helps the mostest

You can try epi, or atropine if it's slow
If they're frozen you can warm ‘em up you know
An ultrasound could help you in this situation
To let you know if you need to devote any more concentration
PEA can stress you like board certification
Remember this song, put your mind on vacation and

Give ‘em volume, needle the chest
Consider pericardiocentesis
Bring down their potassium, reverse acidosis
Make sure that the tube is in the place it helps the mostest
“What about if it's too fast or too slow?”

Anything that's fast and makes the patient unstable
Requires electricity to make their life continue-able
But if they're talking to you although you may not have long
That's the topic for another song

But if the rate is slow, and they're symptomatic
Atropine may help it, but get out your “Pace-o-matic”
If they have type two second degree or AV dissociation
You may want to call your cardiologist in this situation
If you even think transvenous, do it do it early and soon
Put a garden hose in a central vein to make room
For the wire that you can fire to conspire to keep the myocardium beating
Code blue

If it looks like it won't turn out well
Go and find a loved one, and start out gently when you tell
Set up expectations, and if someone has died
You have to say the words, you can't euphemize

Just remember that this brief encounter has a lasting impact
The way you act then you can't take back
No matter how busy you are, find your compassion
Remember this is part of why you're in this profession

If they come to you and all their leads are flat
Unless they're frozen to the core then that is that
How long have they been down, should you try one of three things
Epi, atropine and transthoracic pacing
If it took a lot of time before the patient arrived
If EMS never had signs of life
If you know the tube is in and everything was done right
It's time to call it a night

After the code don't everybody run and hide
Talk about the things that went wrong and what went right
Take the time to remember that life is fleeting,
And always be open to a critical incident stress debriefing

© 2003 Brain Warm-ups Entertainment, LLC. All rights reserved.
Table of contents
 

Always Consider It

When you show up to work what do you see?
A stack of patient charts is your destiny
And while most are bread-and-butter and will do just fine
You must consider what those sneaky few are trying to hide

If they're elderly and frail, and belly pain is the tale they tell
But you're mashing on that belly like a big old wad of squishy dough
Well of course you'll think gallbladder and tics and pancreas
They could have ruptured anything and have a big ol' belly full of pus
You may want to sneak a lactate or pH, but labs don't help much
Mesenteric Ischemia!
Always consider it!
They've been sore with eating, heart irregularly beating,
Consider it—it's the best you can do

When people live with kids and spouse or elder parents in the house
Love and care and kindness are expected
But sometimes there's a problem, injuries and story don't line up
They've been seen repeatedly, or you pick it up pathognomonically
You won't detect ‘less you suspect
Domestic violence!
Always consider it!
There are some things that you can do, always ask a question or two
Do they feel safe at home, is there violence against them?
Try to give them private attention, to offer an intervention
To break the cycle of violence

If a woman or a girl sets foot into your door
And they haven't had their female parts removed (I mean completely)
If they have pain or bleeding, no matter what they say
You must suspect they're breeding, and it's not going their way, you see,
Babies are charming, but it's alarming, some want to grow where
They are not supposed to grow
If mom's had surgery on her tubes, pelvic infections on the loose,
This could well cook her goose
Well you may just wanna check an HCG
Ectopic Pregnancy! Always consider it!

Always consider that which may be trying to kill them
Always try to be a fabulous diagnostician
Always hug your kid and kiss your spouse
And always put clean undies on before you leave the house
Always consider accepting a breath mint when one
Is offered to you, it's the right thing to do
Always, always…

Those with chest pain and hemoptysis, breathing on dry land as well as a fish would
Are ones whose clots you'll be slightly less likely to miss
When folks are quickly breathing, or perceiving trouble even
When they have pleuritic chest pain, and you can't find a good reason
You'll be thankful that you have a CT scan or VQ
Pulmonary Embolism! Always consider it!
It's scary but true more people than we diagnose have this condition
So maintain a high index of suspicion
Recent surgery, cancer, broken bones,
Pregnancy, smoking, and hormones
Lend a hand to intuition

When winter's chill is in the air
You always want to be aware
Of headache, nausea and acting oddly
Carbon monoxide! That's the spirit!
With hoofbeats think of horses, sure, but zebras have so much allure
Always consider it!

© 2003 Brain Warm-ups Entertainment, LLC. All rights reserved.

Table of contents

The Violent Patient

Most people are very nice,
They're generous and will sacrifice
For their fellow man.
But sometimes drugs or alcohol
Faulty personalities and tumors all
Can change some people's plan

Some people want to get up in your grill
And act ill
Some people want to disrespect you
Some people want to call you names and talk trash,
And act brash
Here's what you need to do:

Avoid eye contact
If they yell don't yell back
De-escalation that's the idea
If they're talking smack
Try giving them a snack
Just don't give them a knife to stab you with
Oooh, even though you think they might be related to Satan
Oooh, even though it makes you crazy capitulatin'
You start off with kindness with a violent patient

Sometimes you know just as soon as you see
The person who's too wound up to be
Calmed down with words
It always makes sense when you go in a room
To keep the exit, relatively speakin'
Closer to you

Some people want to get up in your grill
And act ill
Some people want to disrespect you
Some people want to call you names and talk trash,
And act brash
They're trying to bait you, so
Avoid eye contact
When they yell don't yell back
De-escalation that's the idea
If you have to sedate,
Use chemical restraint
Dose it early, man, and dose it well
Oooh, It's easier to talk someone into your point of view
When you have five huge individuals standing beside you
That's the way you subdue a violent patient

You know it works most every day or night
In the grocery store or in a bar fight
This philosophy is tried and sound
Even little kids can use it on the playground

If someone is old and demented
A smile may seem to be cemented
On their wrinkled face
Watch out if their thinkin's fragile:
Their old hands could still be agile
And put you in harm's way.

Sometimes old-timer's gonna get up in your grill
With ill will
Sometimes they're gonna curse and disrespect you
Sometimes the wear and tear on an old brain's just too much
So remember what I told you

Just step right on back
To avoid their flack
Gather up a team and start an IV
How happy you'll be
The moment you see
Better living brought on by chemistry
Even though their behavior conjures up a deadly sin
Even though you feel more like punchin' than conversin',
That's not the way you treat a violent person.

Yelling! That's not the way.
Staring! That's not the way.
Posturing! No, no, no.
Here's the way, here's the way:
Peace, love and Haldol
For the violent patient.

© 2003 Brain Warm-ups Entertainment, LLC. All rights reserved.

Table of contents

 

Difficult Airway

When I intubate I like the “Mac Daddy” number three
I do it the way they trained me to in residency
Preoxygenate, medicate and slip ‘em the plastic
But before I get too spastic, I think about the
Difficult airway—every time
Difficult airway—I think of this rhyme
Difficult airway—one, two, three,
I think about anatomy

If they have a small chin, buck teeth or no neck at all,
a Mallampati score of four when they roll into my door
I think they might be anterior or block out my blade
And that'd make me regret the paralytic I gave
I've seen some things that guarantee the tube won't be fun
Like when they can fill a small Jacuzzi tub with secretions
A tongue that needs its own seat on a jet plane
A hot potato voice, I think circles and drains

You wanna know will their airway thwart you, so
Use the “lemon law” or think three-two-two
When you ventilate with a bag valve mask
Use some tricks to help you keep on with the task
When there's too much muscle tone nasal trumpets I'll use
Prodigious amounts of facial hair? Then I slather on lube
Massive bleeding lacerations? Forget it, pass me the tube
Laryngeal fracture—uh, excuse me, but that's a really
Difficult airway—if there's time and I'm worried
Difficult airway—I don't get all hurried
Difficult airway—My plan never vexes, I
Preserve protective airway reflexes

When you have time and a cooperative patient
Who understands the plan and agrees with the concept
Numb their oropharynx and get fluids hangin'
Set up your equipment and titrate sedation
Awake laryngoscopy can make you feel good
That you can care for this airway the way that you should
Get a look at the cords and build up the sense that if you
needed to, you could paralyze with confidence.

If you get the tube done, great, everyone's chillin'
But you need to have a backup plan in case they are illin'
So have a bougie, LMA, and transtracheal jet
Right there with a combitube and lighted stylet
If you see a face that ties your sphincter up in knots
And you even think the syllables “trach-e-os”
Call your momma, anesthesia and ENT
‘cause four heads are better then three when you're looking at a
Difficult airway—sometimes there's a problem
Difficult airway—but you're there to solve them
Difficult airway—there's no time to read a text
I know the things I can try next

If you're in a crash airway it's now or never, it's academic
Do what you have to do for the patient and document it
Sometimes you find you're staring at nothing but palate and tongue
You'll be humming along with the verse that I sung
Check position, make sure that you line up the axes
Use a different blade, and to someone you ask please press
Backwards, upwards, rightwards, you know what I mean
Anything you can do to get those cords seen
Now if you can't intubate and you're failing ventilation,
Grab your crich tray and without hesitation
Grab the larynx with a “Vulcan death grip” and cut into it,
Someone you trust holds that hook while you slip in the plastic

You'll be thinking that capnometry is underrated,
And the odds are you'll want to be sedated
Airway skills, they're never gonna be outdated
You will never really stop your cranium from thinking ‘bout the
Difficult airway—it's good when the tube's in
Difficult airway—but you never stop groovin'
Difficult airway—now the patient's on the vent, there are
Problems you can prevent
You see that color change, x-rays done and the gas is cooking
The patient's on the vent and everything is looking
Good, when suddenly alarms are going off and you hope
You can figure it out and not be a dope
Did someone dislodge the tube or maybe turn off the O's,
Did the patient pop a pneumo, or is it the vent equipment broke?
Switch to the bag and work it out ‘til you resolve it
I have confidence you can solve it, oh master of the difficult airway

© 2003 Brain Warm-ups Entertainment, LLC. All rights reserved.

Table of contents


Fast and Wide

It's fast, it's wide, but don't you run and hide.
Just drip it or zap it, but first warm your brain up and identify it.
If it's fast and it's wide don't run and hide,
Take a look, try to see what you can find.
Tachysdysrhythmias look scary,
But when you break ‘em down they're not so hairy.

First thing you want to know is, “are they stable?”
‘Cause if they're not they're gonna get zapped on your table.
Ho ho, who's this rolling through your door
With the grey hair on top, sternotomy scar, looking poorly
Hands on his chest sayin' “ooh, it's squeezing”
Looking pasty and on his brow sweat is beading
Look up at the monitor, what do you see?
It looks like a big old string of PVCs.

If it's fast and wide and unstable go, pop, pop, pop
He's unstable so it's time to go pop, pop, pop
When folks are older and have heart disease
Heart failure or dysrhythmic tendencies
It's more likely to be v-tach, so don't hold back,
go pop, pop, pop.

One, two, three, is it stable VT, or maybe supraventricular with aberrancy?
The 12-lead looks icky and it's tricky, but you'll see that
Even electrophysiologists don't always agree
If it's not clear then sometimes you gotta
Use criteria put together by Brugada
You ask four questions, and if the answer to any one is “yes”
Stop—it's V tach, you're done, question
one, is there an RS in any of the V's, if
not then you're already done (next, please!)
Is the time between the peak and the valley of ‘em
Wider than a tenth of a sec in the precordium
Question three, AV dissociation,
Don't be confused, just look for a beat that's fused
And last, when you look at V one two and six
Does the morphology make your eyes fix
on an S wave that's fat or slurred?
Sorry for the brain damage you may have incurred
Honestly you may want to look at a card
‘Cause a pictures worth six more verses of song

When it's fast and wide you wanna start at the top, top, top
Calm down or somebody will have to mop, mop, mop
The floor where you're sweating, trying not to be forgettin'
All of those criteria for this patient you see
Who may need medication or an AICD
So take it easy and just start at the top, top, top.

If it's fast and irregularly irregular
Do they know when it started? No, not in particular.
Generally speaking people's hearts hate
Being in atrial fibrillation with a rapid heart rate
You're gonna bring it down nice and easy
It helps the patient and it will please ya
‘cause you know what to if they're unstable
This situation's different, you got a little time to think about it.

If they're in a-fib that's too fast you drop, drop, drop
Their rate but not their pressure and stop, stop, stop
That big hairy honking atrial thrombus
From eloping all the way into their carotids,
Protect them with heparin and anticoagulants
Just bring that rate right down, drop, drop, drop

If it's fast and wide and unstable go, pop, pop, pop
When it's unstable make him go pop, pop, pop
When folks are older and heart disease
Heart failure or dysrhythmic tendencies
It's more likely to be v-tach, so don't hold back,
go pop, pop, pop.

© 2003 Brain Warm-ups Entertainment, LLC. All rights reserved.

Table of contents

 

The Left Side

The patient with altered mental status is simple.
It's like my daddy used to say:
The left side of the brain controls the right side of the body
Inspiratory drive's down in the medulla oblongatty
When mentation is altered, you can't falter
You have to find life-threatening stuff
The left side of the brain controls the right side of the body

Is he breathing? Is he seizing? Is there an obvious
reason you see? A head wound or glucose of three?
Are there needle tracks? Is he stinking from drinking?
Is massive internal bleeding something that you're thinking?
Oxygen by mask could be just the stuff
Give some people sugar and they wake right up
Don't forget a pressure to perfuse their brain
Give a doper narcan and they'll breathe again

The left side of the brain controls the right face, leg and arm
Heat and cold can alter brain waves and cause great harm
When you look at signs vital, here's a recital
Of clues to what's going wrong
The left side of the brain controls the right side of the body

Is the reason due to the season, are they
Cold from being outside, is it carbon monoxide?
Young men contuse their brains in acts of speed
Every chance that they can get themselves outside
People who are older can get dried out
And their sugars get way, way high
In the summer when it's real, real hot, they can
Bake their brains like an apple pie

Let's talk vital signs:
High blood pressure can be effect or cause
A tumor or head bleed can give this response
Low blood pressure can make the brain act sickly
Be careful not to bring the pressure down too quickly
When you see a fever, it should provoke
Thoughts of thyroid storm, sepsis and heat stroke
Anticholinergics make ‘em hot enough to smoke
They could be decoupling from speed or coke
You may want to do the tap to catch their meningitis
Cause they'll try to hide this
And a dose of antibiotics will really make their day

Come on, you know the two sides
Always have slightly different approaches
One side likes to do math and science
The other just joined the art alliance
You know they used to be so much closer
But now they only speak via corpus collosum

Amidst all this frolic think of things metabolic
The left side of the brain controls the right side of the body
Doesn't seem ya see as much myxedema
As you did in the good old days, same for Addison's disease
When it comes to ‘lytes, kidneys take the brunt
When you're checking pulses always look for the dialysis shunt
Crazy things happen when sodium's low
Or calcium gets way, way high
Diuretics change electrolytes
And old folks get confused from a UTI
The left side of the brain, the left side of the brain,
The left side of the brain controls the right side of the body

© 2003 Brain Warm-ups Entertainment, LLC. All rights reserved.

Table of contents

 

Not Tonight

You know I wanna, but I just had an aura and one
Side of my head started throbbing and wanna vomit
Feeling drained from my head down to my toes, I'm
Tired of these recurrent disablin' episodes

I'm gonna give you a triptan, baby
If your heart is fine and no baby on the line
If that fails I'll push valproic acid
If your smile don't come back, there's ketorolac
If I can't stop the pain and not you drowsy
There's phenothiazine with diphenhydramine
My last line's an opiate to get you your sleep
‘cause migraines can be a three-day disease

Every few months even
I don't feel like misbehaving
I get a pain like behind my eye
You know it drives me crazy
I shed some tears and snot does flow,
They come and go
At the same time of the day,
Please make them go away

I'm gonna give you a triptan, baby
To see if I can make your cluster go away
Oxygen by mask to stop this attack
Calcium channel blockers so they don't come back

The weather just turned colder and I want to stay hot
I love the wood-burning stove that we've got
Now everyone's confused and feeling nauseated
My hemoglobin has been falsely saturated

I'm gonna check your co-oximetery baby
I'm gonna make sure you and your baby are safe
Oxygen by mask, even hyperbaric,
Won't let you go back home until it's safe

If you fell out bed and knocked your head,
had altered consciousness, or visual changes,
I'm gonna scan your head baby
If one hand is weak you cannot speak,
headache's a freak, wakes you up saying “eek”,
I'm gonna image you baby
If your neck is stiff, or you're older than 50, if I can not recognize it swiftly
I'm gonna scan you, baby
Have you been using coke or meth, did you give up coffee for Lent?

This one came on just like a thunderclap
Boom, just a few seconds, and that was that
Now I'm in pain, even my neck hurts
I've had some headaches, but this one is the worst

I'm gonna do a CT on you baby
And if it's negative I'm going to tap
I won't rest ‘til I rule out life threats,
And of course I'm going to treat your pain

© 2003 Brain Warm-ups Entertainment, LLC. All rights reserved.

Table of contents

Status

Are you just going to sit there and let this man seize? (No!)
Benzos, benzos!
One milligram of ativan, two milligram of ativan,
Three milligram of ativan, more ?! milligram of ativan
There is no ceiling, unless you get the feeling it's not working.
(How come it's not working?)
If that's the case you're gonna load ‘em up with phenytoin
(Eighteen per kilo, eighteen per kilo) Status!

If they're continuously seizing or if there's no recovery in between that's status.
Sometimes it's how an epileptic first presents. (Shut up, brainiac!)
It's most often seen in an epileptic when he discontinues his medications
Think trauma, meningitis, stroke, tumors, low blood sugars
Sometimes it's a low sodium but either way you start ‘em with

Benzos…
There is no ceiling, unless you get the feeling it's not working.
(How come it's not working?)
If that's the case you're gonna load ‘em up with phenytoin
(Eighteen per kilo, eighteen per kilo)
If that didn't help at all you're gonna use phenobarbital
(Eighteen per kilo, eighteen per kilo) Status!

Now, if things aren't working well you need to listen to the voice in your head
that says, “is this a toxic exposure?”   (I don't hear voices!)
Could they soon be dead from things like aspirin and Demerol, anticholinergics,
too much Tegretol, cocaine and tricyclics, are they on INH without B6?
They'll need bicarbonate before it is too late and a lots and lots of benzos

One amp of bicarbonate, two amp of bicarbonate,
Three put this one in a liter, more of D5W,
run it at a hundred and fifty per per hour, drinkers' livers, they will devour
Benzos have no ceiling, unless you get the feeling it's not working.
(How come they're not working?)
If that's the case you're gonna load ‘em up with phenytoin
(Eighteen per kilo, eighteen per kilo)
If that didn't help at all you're gonna use phenobarbital
(Eighteen per kilo, eighteen per kilo)
Next step in your plan is diprivan, or general anaesthesia by your gas man
You're headed for a coma, Oklahoma. Status!

Everyone can recognize a grand mal from the shaking
It's kind of neat when you see someone faking
Sometimes it's mysterious—a person just won't wake up, you lab them up
Status should always be in your work-up
There is no ceiling, unless you get the feeling it's not working.
(How come it's not working?)
If that's the case you're gonna load ‘em up with phenytoin
(Eighteen per kilo, eighteen per kilo)
If that didn't help at all you're gonna use phenobarbital
(Eighteen per kilo, eighteen per kilo)
Next step in your plan is diprivan, or general anaesthesia by your gas man
You're headed for a coma, Oklahoma. Status!

© 2003 Brain Warm-ups Entertainment, LLC. All rights reserved.

Table of contents

Decontaminate Them

Piloerection on their skin, and little patches of sweat
Eyes dilating and their mouths are so very wet
Don't panic, keep yourself on track
If there's a chemical spill or nerve agent attack

What'cha gonna do, what'cha gonna do?
Call HAZMAT, no one comes in the back
Protect yourself and your staff

Decontaminate them
Get off all their clothes, no one comes in until they've had the hose
Decontaminate them
Don't let them drag it in, you can't help anyone if you become a victim
Give them atropine to dry up their saliva
And maybe 2-pam to keep them alive

Unexplained fever and bleeding gums, flu when it's not in season
Patients who are healthy strong and young, who would have no reason
They're gonna be subtle, aren't gonna be clear
Sure would be nice to stop an outbreak here

What'cha gonna do?
Get ‘em in a mask, bring them right on back
Keep them away from patients and staff

Gonna isolate them
Looking for the facts, Interview to try to find their contacts
Negative pressure, quarantine is best until you're sure
Call the CDC to see about prophylaxis
If you find that certain rash, start vaccinations

Nuclear disasters and dirty bombs fill your heart with alarm
Gamma rays have come and gone, and they've done their harm
Focus on what you can do, help those that you can
Make sure you've looked at your disaster plan

What'cha gonna do?
Keep radiation out, check their Geiger count
Put everything in a steel barrel and

Decontaminate them
Get off all their clothes, no one comes in until they've had the hose
Decontaminate them
Don't let them drag it in, you can't help anyone if you become a victim
Remember that distance helps when you're cleaning off radiation
If they just ingested try bowel irrigation

© 2003 Brain Warm-ups Entertainment, LLC. All rights reserved.

Table of contents

Brain Warm-ups Theme

We're shaking up your limbic system
Vibrating your oval windows
Waking up your ossicles and causing a fuss
All the way to the eighth nerve nucleus

From amygdala we'll take it to your temporal lobes
Via hippocampus over mammary globes,
Thalamus and then across the corpus callosum
We put both halves of your brain in motion

One temporal lobe is making memories
That the other one attaches to these melodies
Caudate and putamen put this song into action
Feeling ecstasy as you roll into this ocean of sound

From here the impulses radiate
Across your white matter in so many ways
Your cerebellum keeps you taxic as you
Negotiate dance floor tactics

Now your frontal lobe is telling you dance'
Sending signals down your corticospinal tracts
Out the root it goes to the motor end plate
Neurotransmitter's out and now it's too late
You're dancing

Brain Warm-ups (Warm ‘Em Up!)

Our beats get you up like Viagra
Make you strut and swagger
Make you think that you are really Mick Jaggar
Penetrate you deep just like a dagger
Cure pneumonia, own ya

Our beats drive smooth like a Lexus
On your brachial plexus
To your forearm flexors
Tie the battle of the sexes
Now your vestibular system is shaken by the rhythm

We're shaking up your limbic system
Your memories have got dust in them
We freshen your brain like a blast of cologne
Your cerebrum doesn't have to do it alone

Better hope you made enough ATPs when you
Got up in the morning and ate your Wheaties
Grind it in your gastric antrum, extract it in your
Duodenum, before it makes it you your
Rectum—darn near killed those sucka MCs
Our beats are guaranteed to please

Comin' fresh through your cribriform plate
Get up move your body don't hesitate
Your primitive mind gets you moving all at once
How you likin' this evoked auditory response?

Our beats stop the itch of scabies
Make you wanna have babies
Protect you from rabies
They're the cure for tabes dorsalis

Appreciate the way you work your gluteus medialis
Stop the common cold, put your heart attack on hold
Like vitamins they make you bold

Our beats stimulate like juice from your adrenal
Other beats turn your personality venal
Our beats make you feel smart and placid
Other beats are loaded with trans-fatty acid

Our beats are front and center on your fovea
Other beats are rarely picked up by your retina
Other beats stimulate your loop of Henle
You can't dan**, you have to run and go pee

Other beats are like axonal transport,
They're slow and barely even get the job done
Our beats jump nodes of Ranvier,
Moving just as fast as electricity

We're shaking up your limbic system,
Vibrating your oval windows
Waking up your ossicles and causing a fuss
All the way to your eighth nerve nucleus

They're phat with a PhD. Brain Warm-ups!

© 2003 Brain Warm-ups Entertainment, LLC. All rights reserved.

Table of contents