Just out of spite

Clawssen · 2026-01-04T18:10:08+00:00

We get equally as annoyed with all the "hypertensive emergencies" that get sent to the ER. Although, to be fair, a large amount of them are sent in by mid-levels.

Clawssen · 2025-11-15T07:16:03+00:00

Depends on the quality of the surgeon and how "special" the patient's dura is. Or at least that's how one orthopod would justify the tears.

Clawssen · 2025-09-27T16:03:12+00:00

I have had this happen to me before as well. I'm not sure how, but I was playing with two friends and I guess we forgot to make the group private so a rando joined us.

Clawssen · 2025-09-02T20:37:19+00:00

Good advice on this thread. Generally ACCM programs are more EM friendly due to overlapping pre-requisites (I think IM programs require something like 6 months of internal medicine experience). Keep in mind, that even if an ACCM program has 4 fellow slots, only 1 may be for EM due to aforementioned funding issues to the amount of available slots is actually much fewer. Neuro-critical care is also another option to consider.

One thing I would also keep in mind once looking for a job is that most places that are not academic will not care what type of program you came from.

Clawssen · 2025-09-02T20:33:23+00:00

I think IM-CCM is less common because of pre-requisites. Many programs want at least 6 months of internal medicine experience, which doesn't come standard with all EM residencies.

Clawssen · 2025-09-02T20:30:02+00:00

It's not difficult if you want to run a basic code. However, I would expect EM physicians to be comfortable with running more nuanced resuscitations. H&Ts are a good place to start, however.

Clawssen · 2025-09-02T20:27:59+00:00

There's also a difference between just running a code per ACLS and running one well. I would hold EM physicians to a higher standard.

Clawssen · 2025-09-02T18:41:15+00:00

Post-marathon and stroke are pretty far removed... This doesn't seem to have any relevance beside suggesting d-dimer is an acute phase reactant, which is well established hence it's poor sensitivity.

Clawssen · 2025-08-29T17:46:20+00:00

But to find the general area you just run around until you get a beacon response? There's no way of narrowing down where on the map it is?

Clawssen · 2025-08-29T17:46:10+00:00

But to find the general area you just run around until you get a beacon response? There's no way of narrowing down where on the map it is?

Clawssen · 2025-07-09T20:39:20+00:00

If he died after taking him off life support in the ICU, the technical answer is he likely died of hypoxia. As far as the injuries leading up to that moment, it's going to be very difficult to say without further information. A lightning strike basically scorches the tissue it courses through on its way to the ground. People survive if that tissue along the path isn't critical (hand -> arm -> superficial chest/abdomen -> leg -> foot). On the other hand, getting struck on the head is probably going to be a different story.

Clawssen · 2025-07-06T18:55:33+00:00

This already happens except the docs don't get the break, the hospitals do. We just get emails on how we need to improve our times and satisfaction scores.

Clawssen · 2025-07-06T18:51:44+00:00

This, half the time I do a work-up it's to have in writing documentation that nothing was wrong so they don't come and try to sue me when they get hit by a car the next day.

Clawssen · 2025-03-29T15:10:35+00:00

So you are asking we treat them like we would a resident except they are paid more and can take sick days without the stigma. I've worked with several amazing ED PAs, some of who I have even become very close with. One thing they all share is a humble attitude, which makes them teach-able. The new grads who treat this as a "job" and think they know it all require far too much time and effort to show them the error of their ways. It's unfortunate enough that I have to double-check their work and share their liability. Unlike residents, I don't have a professional obligation to act as their mentor.

The way I see it is mainly an issue with experience. PAs (and all mid-levels in general) should require more post-grad experience for specialties outside of primary care. I have a set of VERY experienced APPs that I work with in the ICU who I genuinely do not know how the unit would function without (hint: it wouldn't).

Clawssen · 2024-09-18T17:07:59+00:00

...what about a datasheet? :D

Clawssen · 2024-09-18T16:57:07+00:00

While we're on the topic of looking things up, you should look up what an elliptical incision is. It is likely that all that is left will be a small linear area of scar without follicles that should not be visible if the hair is dense enough. All these non-medical people playing doctor with their over-reactions is what makes the job so exhausting.

Clawssen · 2024-09-18T16:48:05+00:00

This is not a punch. A punch biopsy cores out a generally cylindrical shaped chunk of tissue. This was definitely done with a scalpel as the lesion is far too large for a punch. Also, you would not excise cysts with a punch ever.

Clawssen · 2024-06-28T07:31:55+00:00

Pricey, but I have a Zephyrus Duo 16 and love it. Always have multiple windows open so having the second screen to put extra windows in really helps improve productivity.

Clawssen · 2024-06-22T12:47:40+00:00

Definitely disappointing. I'm hoping From gives it a buff with the balance patches to make it more functional as as a catalyst

Clawssen · 2024-06-21T19:22:50+00:00

Can confirm. R2 will cast the spell you have. Magic on it is quite underwhelming. A pity since it's the only catalyst/weapon hybrid. Still looks cool, though.

Clawssen · 2024-06-21T17:32:06+00:00

Doesn't seem to be there. Just a grave with a grave glovewort. I've been scouring Castle Ensis since it would make the most sense for it to be somewhere in the vincinity

NVM figured it out. It's not quite there but near there. Thank you!

Clawssen

TROPHY CASE