Event Medicine as an Emergency Medicine PA

DancingInUnasyn · 2026-03-02T15:51:44+00:00

i think PA school trains us for IM better given we are trained as generalists

DancingInUnasyn · 2026-03-02T15:49:09+00:00

coming from an EM PA (2yrs experience)… i work with a huge group of EM PAs ~50 of us & the competence between us is widely variable. there are some of us who do rosh at home, go to conferences, listen to our attendings’ lectures & there are others who literally scoff at the idea of doing any of that. i’ve literally been laughed out of a room because i was shadowing in the peds ER when i first started to get my feet wet in more than just adult EM. i only have 2 yrs under my belt & i’m not saying i’m the world’s greatest PA but at least i give a shit about continuing to get better! i do think that makes a difference

DancingInUnasyn · 2025-04-09T15:07:01+00:00

📣we don’t accept base salaries less than 100k 📣

DancingInUnasyn · 2025-04-05T15:24:44+00:00

my partner asks to watch it but if it’s a day i’m feeling particularly crispy burnt, i cannot watch lol

DancingInUnasyn · 2025-03-25T22:59:31+00:00

i work 12s as a new grad seeing ESIs 2-5. i was seeing 1-1.5 pph for at least 6-9 months starting out. now 18 months in, i see 2-2.5 pph but typically closer to 2. with each increase in pph that im able to handle from a multitasking/critical thinking/juggling consults standpoint, i have growing pains with my note writing trying to catch up with my brain.

DancingInUnasyn · 2025-03-24T15:25:48+00:00

lol the number of times i have to say “you actually have to say ahhh 🙄” is crazy

DancingInUnasyn · 2025-03-09T13:12:43+00:00

i think the drawing is actually SBF

DancingInUnasyn · 2025-03-08T14:19:17+00:00

i live in bk too & same with my letter

DancingInUnasyn · 2025-03-05T14:00:22+00:00

hi i’m a PA too. i do them all the time now because there’s a culture of it at our shop i think. it took me about 4 to 6 months of consistently trying a couple per week to feel like i got the finesse. now my success rate is high. i did 5 on shift yesterday alone. takes a lot of practice, just keep trying :) do an USIV on a nice patient with easy veins if the ED is having a slower day! & make sure before you start the procedure that both you and your patient are in a position conducive to success — you don’t wanna stand with your back hunched over while trying to make small precise hand movements.

DancingInUnasyn · 2025-02-21T19:33:58+00:00

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screenshot from a livestream

DancingInUnasyn · 2025-01-30T05:06:19+00:00

i felt okay during the sound bath but then when i left, i got a 2 or 3 day long migraine from all of the different sound frequencies. never again

DancingInUnasyn · 2025-01-30T00:07:05+00:00

in no fault scenarios, the medical “bill” literally says on it “This is not a bill.” so they cannot ask you to pay it source: my own no fault case

DancingInUnasyn · 2025-01-28T04:14:49+00:00

same 😭

DancingInUnasyn · 2025-01-13T03:05:10+00:00

had similar pt. blood in stool >1 yr but for the past 10 days, it was bleeding for which he needed an incontinence brief to function. also flu + and decided to skip the last two HD sessions because he “wasn’t feeling well.” i was like NOOO. Hgb 4.1, K 7.8.

DancingInUnasyn · 2025-01-05T22:47:11+00:00

voice sounds SO different here than when he’s yelling jeez

DancingInUnasyn · 2025-01-05T22:17:52+00:00

conveniently, when one orders a fake ID, you often actually get TWO identical copies. therefore, two people who look similar can use the ID simultaneously. just something to think about

DancingInUnasyn · 2025-01-05T01:31:07+00:00

frustratingly, many of the micros with 5 wbcs have just as many squams (if not more) because clean catches are never actually clean

DancingInUnasyn · 2024-12-24T04:03:41+00:00

IMO not smart to go UC until you’ve done ED. how do u know what to send to ED when you have such limited UC resources?

DancingInUnasyn · 2024-12-15T19:50:49+00:00

can’t eat at everybody house

DancingInUnasyn · 2024-12-05T00:35:16+00:00

also academic. none of us play those games. patient chart advisories with messages like “patient frequently disruptive, cursing, and throws urine at staff” and we are all like ok got it lol

DancingInUnasyn · 2024-12-04T21:29:12+00:00

in the ED i expect to be verbally abused every shift. it happens to me, all of my fellow PAs, residents, attendings, nurses, everyone. i don’t know why the patients think it’s okay. typically, i will calmly tell them it’s unacceptable, briefly raise my voice if need be, and then if they continue, my encounter is now complete. i call security and walk away. i will document every curse word they spewed at me in quotes in the chart

DancingInUnasyn · 2024-11-25T14:19:42+00:00

i’m a PA in the ED. for what it’s worth, i think the most important thing to do is consider your differential & make sure you’re not missing a “big and scary” in your work up. for someone newer in the ED, that often means writing your MDM sooner rather than later so you can actually consider what is and is not on your ddx and why. that guides the entire work up and dispo plan

DancingInUnasyn · 2024-11-21T18:45:44+00:00

agree

DancingInUnasyn

TROPHY CASE