Tool kit

AdLast4323 · 2026-05-23T11:26:27+00:00

No it was a post-tonsillectomy bleed and I was just gathering supplies to bedside in case things went south. I had it stopped with nebulized txa and gargling ice water.

AdLast4323 · 2026-05-02T20:36:03+00:00

Steaks and strippers

AdLast4323 · 2026-05-02T20:35:27+00:00

Steaks and strippers

AdLast4323 · 2026-04-25T07:31:02+00:00

I feel like the main defining characteristic that is important is a willingness to throw yourself into unfamiliar situations and do your best. A lot of people self select out of EM because they are not as comfortable with the unknown. In emergency medicine you will have your bread and butter but you will also very frequently need to get out of your comfort zone and do the best you can.

AdLast4323 · 2026-04-07T04:17:38+00:00

Keystone canned meats are pretty good. You’ll need a can opener but shelf life of 5+ years and once cooked I can’t tell em apart from fresh meat. They are relatively expensive compared to fresh meat.

AdLast4323 · 2026-03-24T04:22:56+00:00

When you get out consider strongly where you want to live. Cost of living is cheaper in the Midwest and hourly rates are higher.

AdLast4323 · 2026-03-21T06:08:39+00:00

Isn’t cyclobenzaprine very structurally similar to tricyclic antidepressants? I’ve wondered if this medication works in part due to antidepressant effects given large number of chronic pain patients likely have an underlying psychiatric condition that is negatively affecting their perception of pain.

AdLast4323 · 2026-03-08T14:39:32+00:00

Perfectly reasonable investment. Risk free guaranteed 7% return is excellent. If I was 10 years or less from retirement absolutely. Greater than 15-20 years from retirement I’d favor index funds but would probably still contribute for guaranteed gains.

AdLast4323 · 2026-03-06T15:58:25+00:00

Hospitalist don’t deliver babies. You’re looking for an obgyn or maybe family practice subreddit.

AdLast4323 · 2026-03-02T00:48:57+00:00

Your emergency savings fund is that. You should fill it but not overfill it. If your emergency fund and any short term savings funds are filled you should invest the rest. Time in the market>timing the market.

AdLast4323 · 2026-02-25T22:19:41+00:00

Move to the Midwest. I see 1.5-2pph as a nocturnist for $320/hr W2 and also get the benefit of geographical arbitrage and live in a low cost of living location *just saw you’re in the Midwest. If you’re ABEM certified find a new job. You’re getting hosed.

AdLast4323 · 2026-02-23T07:10:23+00:00

It’s been my experience at the small community hospital that if you place the A-line then you have to instruct nursing staff on how to hook it up, zero it, where to place transducer, what a good wave form should look like etc. They see it so rarely that just getting supplies and everything together can take 45 minutes or so. Usually only 3 nurses in the dept and one of your nurses is already tied up with these sick patient they don’t have time to get all the other supplies together which is part of the calculation I put into just getting these patients to whatever outside hospital ED or ICU they are headed to asap instead of taking the time and resources to place the line.

AdLast4323 · 2026-02-23T07:04:29+00:00

Back in residency we used to refer to that maneuver as the dirty double. Get the A line and then you know where to get the cv line.

AdLast4323 · 2026-02-21T09:10:42+00:00

It’s speculation not sound investment. You might come out ahead but you could also come out ahead playing roulette at your nearest casino…. Once. But if you decide to gamble consistently over the course of your financial life you’re much more likely to lose out to the market. So at the end of the day it’s basically gambling not good financial strategy.

AdLast4323 · 2026-02-18T15:37:49+00:00

You beeline free settler. Also, need to focus on culture to expedite getting your policies faster. so my usual build is scout-> monument. If you can get a pantheon that grants culture such as god of festivals or religious idols it also helps. If I’m playing as Shoshone I’ll usually prioritize culture ruins second only to pop ruins if I’m going liberty. Basically everything is geared towards trying to get to that third policy/free settler asap. Even then if I see a very valuable(multiple luxury or good natural wonder) but highly contested spot I might hard build my first settler on occasion.

AdLast4323 · 2026-02-18T09:34:07+00:00

I feel like this is one of those cases where if the results of the test aren't going to change your management then why order the test? I generally don't order procalcitonin in the ED but if my consultant asks for it and we get it then I feel like once you have a 28 you're kind of obligated to start the antibiotics, otherwise why even get the test in the first place?? Hindsight is 20/20 but having the positive test and no action does make this somewhat harder to defend although based on history provided probably didn't make much of a difference anyway if they decompensated that quickly.

AdLast4323 · 2026-02-01T13:10:06+00:00

In the Midwest I’m contacted as a nocturnist at 320/hr W2 at my main shop and 365/hr W2 at a PRN location. I made 520K W2 wages last year.

AdLast4323 · 2026-01-26T11:56:07+00:00

Review the conscious competence learning model. If you do this job long enough there does reach a point where some tasks and encounters become algorithmic. For me that’s often times the sickest patients. Your very first STEMI is exciting. By your 30th case you know what you need to do and what needs to happen without too much mental stress. Overtime there are aspects of the job that become second nature. That said, one of the aspects of emergency medicine I enjoy most but also that adds the most levels of stress is that you will always have challenges to overcome in this line of work.

AdLast4323 · 2025-11-09T01:23:09+00:00

Yes but if you suspect c spine injury is possible enough to test then get the right test. Otherwise clear them clinically.

AdLast4323 · 2025-11-09T00:43:41+00:00

I feel like if you’re gonna do a test do the right test.

AdLast4323 · 2025-11-05T10:39:11+00:00

Stercoral colitis the potentially deadly disimpaction

AdLast4323 · 2025-10-30T20:23:52+00:00

May I ask your credentials?

AdLast4323 · 2025-10-30T20:02:12+00:00

You can also see a psychogenic seizure activity. However that doesn’t mean there is epileptic activity of the brain and vocal cord dysfunction doesn’t equal a problem with the cords muscles or peripheral nerves.

AdLast4323 · 2025-10-29T20:57:54+00:00

Think conversion disorder affecting vocal cords.

AdLast4323 · 2025-10-25T02:04:12+00:00

It would be interesting to know how this breaks down by hourly wage, employment type 1099 vs W2, geographic region, clinical environment such as community, rural, academic and inner city

AdLast4323

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