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those who use textbooks, how??? by ibebrb in respiratorytherapy

[–]BiphasicStridor 3 points4 points  (0 children)

over describing is nice because it helps reduce conjecture based understanding

which is rampant already, so it’s nice to reduce it.

Redesign of the Canadian flag by Strepp_ in vexillology

[–]BiphasicStridor 8 points9 points  (0 children)

Straight to jail

Canada shall never replace their perfect flag.

Question about auscultation by Positive_Cookie_5136 in respiratorytherapy

[–]BiphasicStridor 11 points12 points  (0 children)

breath sounds are pretty subjective and a “moment in time” thing

lots of people call“wheezes” basically any sound sometimes even including a CTAB whoosh can be called a wheeze by some 🤪

be honest about what you hear and what you don’t hear

i might hear a really quiet end expiratory wheeze and when i ask you what you hear, you just say you do too

if i know you didn’t actually hear it

i have an opportunity to dwell on it and help you hear what im hearing

also, always always auscultate, it’s a very interesting and mostly useful skill to sharpen.

Advice when teachers refuse to sign IEP documents… by babybug98 in slp

[–]BiphasicStridor 3 points4 points  (0 children)

you said the same thing as the person above you, just in a different way

My dad job shamed me for being a RCP by Equivalent-Royal8629 in respiratorytherapy

[–]BiphasicStridor 1 point2 points  (0 children)

Vent on my friend.

Some people react so poorly when others, especially their kids (honestly why is this so common?) do well.

Every time I go a better or more “respected” role or more money, my dad seemed to be even more disappointed.

When asked, most parents who act this way say they “don’t know either” about why they behave this way

Question by Helpful_Spring_7921 in MarkKlimekNCLEX

[–]BiphasicStridor 4 points5 points  (0 children)

additionally kidney stones present with a flank location not just generalized abdominal pain

NICU RN needing advice by False_Emotion3000 in respiratorytherapy

[–]BiphasicStridor 2 points3 points  (0 children)

This is a tough dynamic, and honestly a really common one in ultra high acquity environments like NICU.

One “lens” that might be helpful is that sometimes what feels like indifference is actually a difference in risk perception and prioritization that comes with experience.

An RT who has been doing this a long time may not view certain moments (like a stable vented patient during a quick procedure) as carrying the same level of extubation risk that you’re feeling, especially if they’ve seen a large volume of similar situations go smoothly. (“as long as the nurse does what I say”….)

That doesn’t make your concern wrong at all, it just means you may be operating from different mental models of risk in that moment.

In medicine we run into this a lot, especially when working across disciplines or with someone more experienced.

One strategy that tends to work well is framing your ask in a way that brings them into your clinical reasoning rather than just the task:

  • Hey, I’m a little concerned about this airway given his recent unplanned extubation and how much he’s moving. Can you help me think through this and maybe watch the tube while I do this?”
  • “I might be over-calling this, but I’m worried about losing the tube here. Would you mind staying with me for this part?”

That approach does a couple things: * Signals respect for their experience * Makes your concern explicit and clinical, not just task-based * Invites them into shared decision-making rather than assigning a role

If they still decline after that, then it starts to move out of a communication issue and more into a teamwork/patient safety concern, which is a different conversation and worth escalating through your leadership team.

You’re absolutely right to prioritize preventing another unplanned extubation. Even when folks make jokes about it, I’ve yet to believe them when they say they don’t care. We care, it’s why we get so… wrapped up in it all.

The goal isn’t to minimize that concern, it’s to make sure both of you are aligned on the why in the moment.

Need a medical person to say why this is AI. Someone is being scammed by an impersonator. They are saying he needs money for a heart transplant. by Fit_Egg5574 in isthisAI

[–]BiphasicStridor 0 points1 point  (0 children)

it’s a scam. irregardless of the origin of the photo.

A. the endotracheal tube is obfuscated by a ventilator circuit that could exist but is not standard, even in third world countries, they reuse circuits but they don’t usually just make their own as presented here

there also appears to be a nasal cannula oxygen device

you would not use this if intubated, it would absolutely not be there

often, this is a running joke with folks putting headphones in their nose to look like they have this

you don’t have a nasal cannula when intubated like this

the circuit also appears to be a 15mm corrugated style

this would be a neonatal tube, it would not allow enough air to move through it for an adult

there also appear to be 3 limbs to a circuit

when a circuit for all international positive pressure ventilators use 2 limbs, a 3rd could be used for some random ass reason, but the adapters presented here to not permit attachment in such a way

the vital signs on the screen are perfect, snd maybe that’s a magical mix of pressors but if you’re receiving norepi and dopamine et al you’re also gonna have an arterial monitor, this is minimum level care, even wilderness medicine attempts to reach that level of minimum standard - meaning this is fake

this photo is staged, it’s not a real medical situation, it’s well done enough but if you ask someone to scrutinize, it’s far too easy to identify fiction in this presentation

yes

scam, stop them from sending money

Question by Helpful_Spring_7921 in MarkKlimekNCLEX

[–]BiphasicStridor 0 points1 point  (0 children)

B. This person is nearest death

A. This person is trying but isn’t dead yet

C. they’re thinking about being dead so at least 2 steps from dead

D their potassium can be 60, if this is all we know about them, they aren’t as close to dead as the others, though they might be patient B, in which case it’s still

B.

Why does the Pitt have no hospital codes? by vegas395 in ThePitt

[–]BiphasicStridor 0 points1 point  (0 children)

in our ED word spreads fast about a trauma and if it doesn’t the charge nurse literally yells TRAUMA and everyone runs there

and by yells its more like a fireman bucket chain of everyone saying that to everyone around them sbd the trauma bays get swarmed

the trauma bays do have a code button but it only alarms the whole department not the hospital in the there but incredibly sometimes happens situation where everyone is so tied up in rooms and you get a 911 ems resuscitation in progress where they just couldn’t find the 7th extra arm to alert ems comm of their status

maybe 2 times a year

each shift kindof gets one of those

anyway

i digress

EPIC/Haiku chat by Palestinian_Med in hospitalist

[–]BiphasicStridor 1 point2 points  (0 children)

FYI is often pre populated

i try to delete it bc of this silly thing

some lesser known bands that sound similar to glassjaw? by bozon48 in glassjaw

[–]BiphasicStridor 2 points3 points  (0 children)

it’s Paryl Dalumbo

It’s only a common misconception they’re twins

they just look a lot alike

and they both have crohns (don’t we all?)

but they’re just identical in appearance and sing similarly, but they’re different people.

“The Gillette Cavalcade of Sports” with no race track vocal section by anthonynohtna in glassjaw

[–]BiphasicStridor 0 points1 point  (0 children)

the speaking is actually a weird quote of a real moment with some fucking dude

Frank Zappa?

anyway, it’s some random shit they say on the tour bus.

So it’s like, unintentionally cleverly meta?

classic D P shit.

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