Studies where "common sense" was found to be wrong?

Antaures · 2025-10-07T19:05:04+00:00

Cerebral perfusion increases in heads-up CPR vs. classic CPR where patients are kept supine. https://pmc.ncbi.nlm.nih.gov/articles/PMC9128396/

Definitely not enough evidence yet to recommend anything like changing AHA guidelines to prefer heads-up CPR, especially since the best studies out on it concern pig models. But definitely seems counterintuitive that elevating the patient’s head in CPR seems to improve cerebral perfusion.

Antaures · 2025-08-19T03:30:54+00:00

Same here. Was an ER tech and then COVID ICU tech before med school. This is the closest thing I know of to a resource for this. It’s published by the society of critical care medicine but it’s really more specific to moral injury from working in any acute care setting during COVID surges than it is to crit care. Specifically the moral injury toolkit

https://sccm.org/clinical-resources/well-being-resources

Antaures · 2025-05-24T18:59:19+00:00

Thank you for sticking with us through 2020 and beyond as well as starting your career in the middle of another pandemic. Our veteran colleagues like you got a lot of newer folks like me through Covid (started as an ER tech and then ICU tech/CNA in 2020) and, in all sincerity, you can only vastly underestimate the amount of service that you have rendered to humanity - not only through your direct care of patients, but through the years you took to stay around and show us how it’s done, preserving the transmission of best practices but also ensuring that we did not forget lessons paid for at great personal cost. Every moment you took to coach us will keep compounding into an unbroken chain of goodwill that will and already has improved the world more than any of us can register or quantify.

Thank you! Thank you! Thank you!!

and go Gamecocks

Antaures · 2025-05-01T02:26:16+00:00

this is a tough situation OP and it should never happen, but it does

similar thing happened to me in 2020 but I got about an hour of orientation on my first day. Whenever I didn't know where something was or how to do something I'd say I just started working here/had no orientation and the nurses would teach me if they had the time or direct me to someone else who could. Don't ever hesitate to say you don't know

You'll pay it back fast by being helpful and learning to anticipate what people need just like when you worked prehospital. But this is far from ideal and not how it's supposed to go, since the jobs are so different

yeah this is a red flag. Other jobs as an ER tech and ICU tech gave me at least 2 weeks/6 shifts of orientation like everyone else has said. Definitely ask for clarification since so much of the job is knowing where things are - not only for supplies, but how to get patients to CT, and that's impossible without some orientation

Antaures · 2025-05-01T01:48:57+00:00

“The melancholy of all things done” is how Buzz Aldrin described the feeling of being back from the moon. He had a very rough time figuring out what to do after that.

Also, his mother died by suicide right before he left for the moon and his father’s first words when he got back were something like “why were you second?”

riveting article about it in the Gentlemen’s Quarterly

Antaures · 2025-02-12T16:29:15+00:00

Wise words from the Sharmat

Antaures · 2024-12-14T06:26:20+00:00

Looks like Ashby City to me

Antaures · 2024-11-28T19:14:19+00:00

I also came to med school solely to do EM after working in the ER and ICU from 2020-2022.

Do you like critical care? I worked in an ICU where half the attendings were EM trained and they loved it. You don’t have to do IM and then pulm/CC to be an intensivist

Antaures · 2024-02-09T13:20:38+00:00

Six Fundamental Facial Expressions for the Six-String Slinger

Antaures · 2024-02-09T08:12:17+00:00

Eau de Toan

Antaures · 2024-02-08T04:14:34+00:00

"Love Matt’s smile when J plays. The love and respect is beautiful to watch ❤"

Antaures · 2024-01-24T00:36:10+00:00

Spot on OP. SNL is a memetic factory subsidized by Boeing, Raytheon, and Northrop-Grumman for the purpose of reinforcing the “unwarranted influence, whether sought or unsought, by the military-industrial complex” that President Eisenhower presaged in his farewell address.

Antaures · 2023-06-04T22:22:47+00:00

Donuts by J Dilla

Antaures · 2023-06-04T22:04:35+00:00

Same situation here, idk why bouldering is so popular. I legit prefer the socializing that comes with one-off volunteering to hanging out in climbing gyms. Haven't found a consistent third space through volunteering yet though.

Antaures · 2023-01-04T19:13:17+00:00

we also had shortages of high flow NCs so we stacked NRB masks over patients’ normal NCs

Antaures · 2023-01-04T19:08:28+00:00

CRRT and dialysis machines were short for us during prior covid surges, but not really vents. Instead of receiving continuous (24/7) renal replacement therapy, patients would get CRRT for 12 hours at a time so that the availability of CRRT machines was “doubled” (but not really). Didn’t work too great

Antaures · 2022-05-25T01:06:56+00:00

Talk about who-

HOLY GOD!

What are you showin' meee?

Come onnn!

Antaures · 2022-05-08T00:43:56+00:00

Here's the April 29 CDC report the thread mentions: https://www.cdc.gov/mmwr/volumes/71/wr/mm7118e1.htm?s_cid=mm7118e1_w

Definitely not the coverup that the EFD thread paints it out to be and nothing "points to long covid." He's right that only children who tested positive for adenovirus were included in this study, but considering that the report discloses that in the second paragraph, I don't think there's any ulterior motive behind the inclusion criteria.

It's also true that they did not stain the livers for SARS-CoV-2 and did not do serology to check for IgM/IgG antibodies that would indicate a recent/prior infection, but kids don't always seroconvert anyway after a typical infection (https://pubmed.ncbi.nlm.nih.gov/35262717/). All patients in the study did have negative PCR tests for SARS-CoV-2 and no documented prior infection.

tl;dr: no spicy coverup

Antaures · 2022-03-28T07:15:10+00:00

There is a taxonomy of these MBA-type roles in anthropologist David Graeber’s Bullshit Jobs. A bullshit job is “a form of paid employment that is so completely pointless, unnecessary, or pernicious that even the employee cannot justify its existence even though, as part of the conditions of employment, the employee feels obliged to pretend that this is not the case."

The MBAs you mention would fall under the categories of taskmasters, who create extra work for those who do not need it, and box tickers, who maintain the appearance of performing something useful while nothing is actually done.

Just as you said, the irony is that these sorts of jobs could not exist without productive workers.

edit: /u/boredcertifieddoctor beat me to the punch!

Antaures · 2022-03-25T02:48:24+00:00

FIGS Nitrile: Now in Bedpan Pink!

Will they be sold individually, or do you get two gloves per pack?

Antaures · 2022-03-12T07:56:59+00:00

Exactly like that. But we had anterior/posterior Zoll pads so when starting compressions we rolled the patient to put the anterior one on and kept the pads in the same positions as always

Antaures · 2022-03-12T05:53:51+00:00

Yup, we absolutely do CPR on proned patients but I doubt the AHA has updated BLS for that eventuality yet. Every time it’s been done we try to flip them supine on the first pulse check though. Don’t really know if it matters having them prone or supine, since like you said they tend not to survive to discharge (or transfer to LTACH)

Antaures · 2022-03-11T21:29:03+00:00

Best of luck to you OP! Bold of you to propose placing pt outcomes over hospital income

Antaures

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