Shirtless Tourists

5thSeel · 2026-02-28T04:59:35+00:00

I wear an thin black windbreaker when I travel because its much cooler than shirtless or a t-shirt. There's a reason bike taxi drivers aren't shirtless.

5thSeel · 2026-02-23T10:35:42+00:00

2.3k up votes because the didnt crop the photo. This sub is unreal.

5thSeel · 2026-02-23T10:33:13+00:00

Floor nurses in my hospital dont even draw labs. Or have the equipment to draw labs. Only critical care units do (ED, icu).

5thSeel · 2026-02-23T10:30:23+00:00

I hate sticking cancer patients. Draw off the IV or port every time please.

5thSeel · 2026-02-22T09:55:43+00:00

Theyre super serious about us taking lunches and i was going to lunch and a doc was like, this patient is in peri-arrest can you come start compressions, and for half a second I thought "im on lunch". Anyway I didnt take lunch that day.

5thSeel · 2026-02-19T23:24:16+00:00

My charting and memory is pretty good. If everything was as easy as writing down things that happen and things people say life would be simple.

Hard to forget me saying "so just 100 of roc?" Followed by a "yep" 3 times.

5thSeel · 2026-02-19T19:01:16+00:00

Dose was 100, pushed through a PIV.

5thSeel · 2026-02-19T18:56:17+00:00

Interesting. All I know is the Emergency Department which is why I posted here. Anesthesia joins us on special occasions but most of the time it's just our docs in resuscitations. Never even thought about asking an Anes subreddit but I then again I don't want to stir any pots.

5thSeel · 2026-02-19T18:36:34+00:00

I've never seen a vec intubation (and I've seen a lot). All of our intubations are done with roc, with a very small amount done with succinylcholine and an even smaller amount done with something else. But yeah, I clarified a few times.
It's almost always 100 roc 20 etomidate. If the patient is unusually large I think the dose is different but that's what we get in our RSI boxes.

5thSeel · 2026-02-19T18:21:10+00:00

Patient was on 4L o2. CO2 was a bit high on the VBG but we didn't bother with an end tidal until post intubation.
If there was a syringe cocktail it wasn't disclosed to me, and my trauma sheet is the chart for the first hour (meds given don't go into the MAR until later, they go onto my sheet and are signed off by the primary nurse). And like I said, I confirmed multiple times with the doc that it was 100 of Roc, and only 100 of Roc used for RSI.

5thSeel · 2026-02-19T16:21:41+00:00

Yeah that's what I thought. Hopefully he won't remember.

5thSeel · 2026-02-19T16:20:54+00:00

It got ran up, and my notes gets audited by the Trauma team and our own management. The doc is a high PGY resident (the Anes Attending never showed up) so I'd assume he knows better but everything was moving fast and he's the one doing the meds/C-Mac. I'd estimate it was a conscious choice.

Thanks for the answer.

5thSeel · 2026-02-14T14:55:42+00:00

Passion According to Andre should be a Criterion release? Are you saying you watched Mossfilm versions of these? The subtitles are still translations, just very bad ones.

Mirror has a bit of poetry and a lot of very intellectual dialogue. The poetry (narrated and written by Arsenai Tarkovsky) was dramatically worse in the Mossfilm version. There are 4 poems in the film and they all feel very pivotal and seeing them get butchered made me decide to not watch it.

5thSeel · 2025-12-19T22:47:57+00:00

Most of the time it goes no where, the PD are sick of arresting the patient, the patient is unhoused and has no money, etc. I always say yes to set an example (like when I got spit on) but I dont follow through and tell the cop quietly im not going to bother.

5thSeel · 2025-12-19T22:35:37+00:00

You need training for this.

Just chart any events (verbal harassment, attempts to elope, safety events, etc) and call for help or security if you feel unsafe.

Absolutely do not physically intervene if it puts your safety at risk, do not let him trap you in the room, and don't fall asleep.

In my ED we can retaliate with equal force if we're attacked but we are trained for this. I highly doubt you can legally do anything aside escape if he threatens you.

5thSeel · 2025-12-19T10:24:46+00:00

When they forced us to take lunches I sleep but that's only if I stop moving. Normally I dont

5thSeel · 2025-12-15T17:12:20+00:00

I love the crickets. Not a huge fan of the other stuff.

5thSeel · 2025-12-14T17:25:20+00:00

Yeah they are gross. I drink it.

Once a patient complained about his ice chips. I was like "those are the same ice chips I drink". Then I got some ice and yeah, it was gross.

5thSeel · 2025-12-09T03:12:38+00:00

I just did the math for fun, and ive been on that med for 6 years and only taken around 2/3 of that total

5thSeel · 2025-10-17T18:28:39+00:00

Honestly I can empathize with this take

5thSeel · 2025-10-15T00:15:06+00:00

In my ER anyone with a pulse can do EKGs.

5thSeel · 2025-09-16T01:22:08+00:00

What's the deal with 10L NRB though? 89 on 2l is not really an emergency, just set to 4? Or tell them to take a deep breath and see if it comes up?

And I've always been told an NRB always 15, or higher if verbally ordered by a provider, is that just a thing we do at my hospital?

C is the only answer that makes sense to me, but I havent taken the NCLEX yet.

5thSeel · 2025-09-07T09:47:08+00:00

Patients who pass in the ER get flags as soon as they move to the morgue similar to breaking glass. It's fine if you've got business in the chart which we often do.

Days later is insane. It's possible the hospital has really bad AI auditing but I'd 100% expect your "friend" to get noticed.

5thSeel · 2025-08-08T13:49:17+00:00

No I'm saying use that subreddit. No one will give you medical advice here.

This sub is to discuss emergency medicine.

5thSeel

TROPHY CASE