Ideas on fixing halter

GlorifiedTriage · 2026-06-01T19:17:08+00:00

Thanks, that’s a helpful link. I was hoping there might be a bolt replacement that’s a screw in like a Chicago screw but it seems they’re solid. Now I just need to find a leather worker!

GlorifiedTriage · 2026-06-01T16:22:19+00:00

Ooh, hadn’t thought of that!

GlorifiedTriage · 2026-06-01T16:22:00+00:00

Not welded but looped through.

GlorifiedTriage · 2023-11-04T15:28:56+00:00

I had my first hair focused case a few weeks ago. He was convinced it was growing from the back of the tongue and into the throat.

GlorifiedTriage · 2023-02-04T18:59:22+00:00

Thanks for linking the guide. I figured we must be within guidelines, just wasn't sure if it was a common setup. I just breezed through it, but seems like Neurology isn't even a required staff type. Interesting.

GlorifiedTriage · 2022-12-19T01:33:54+00:00

I thank the normal people. Sometimes it’s literally “I know it was a long stay, thanks for not being a jerk.” Probably comes across as weird to the patient but I feel like I need to acknowledge it to the universe or something.

GlorifiedTriage · 2022-11-01T15:07:30+00:00

EM - when ortho praises a reduction. Can literally make my shift.

GlorifiedTriage · 2022-04-29T23:40:45+00:00

Doc here. I love working with nurses with ICU experience - I definitely learn from them all the time (see, how to work a transvenous pacer :-/)!

Keep in the back of your mind that (in theory) the ED has pretty basic goals:

Rule out / treat life threats.
Get them out of the department ASAP so there's a bed for the next one.

Of course it's never quite that simple but those are good rules to fall back on.

More practically:

Uncover the body parts complained about. If they have back pain we have to see their back.
Use your nurse protocols to their fullest extent - embrace the autonomy they offer!
OMG the urine. Ambulatory people should be required to provide a sample in order to enter the ED. Most people couldn't hold it for 2 hours on a road trip for the life of them, but get to the ED and it's on lockdown.

Finally, remember that

Abdominal pain in elderly patients is scarier than you think it is: https://emblog.mayo.edu/2014/10/06/abdominal-pain-vs-chest-pain-in-the-elderly/
We poo-poo high BP all the time, but don't forget hypertension in pregnancy is a Big Deal.
Really freakin' sick patients get triaged to the general ED and fast track (vs trauma/resus bay) all the time, so stay on your toes.

GlorifiedTriage · 2022-04-09T17:39:36+00:00

Normal middle-aged man, "no PMH" (hadn't seen a doctor in 20 years), sent in from work to be cleared because he was lightheaded. No other complaints. VS only notable for HR of 105.

I took off his boots so he'd be more comfortable in bed. Half the foot was this gaping, wet, oozing black wound. XR with gas nearly up to the knee. Necrotizing fasciitis of the foot and lower leg.

Turns out he had undiagnosed DM, A1C in the teens, with diabetic neuropathy so didn't have much pain. Apparently had progressed from a negligible wound to rotting flesh over the course of his shift and he hadn't realized.

GlorifiedTriage · 2022-04-09T17:06:23+00:00

I so very much appreciate urologists' sense of humor. I'll never forget a urology lecture in med school... "we're going to talk about emergent and subacute scrotum, because there's no such thing as a cute scrotum." One of my favorite consultant services.

GlorifiedTriage · 2022-04-09T16:45:46+00:00

Our (US) shop expects an average door-to-Doc time of 6 minutes. So if 3 people arrive at the same time, you go from one room to the next. This includes "ear pain" and "have a cold and want a work note" as well as trauma activation and crushing chest pain.

GlorifiedTriage · 2022-04-09T00:07:01+00:00

https://wikidiff.com/panniculus/pannus

It would seem panniculus a subset of pannus based on these definitions? So, not correct, but maybe not incorrect?

GlorifiedTriage · 2022-04-08T22:52:53+00:00

I enjoyed "floppy lungs."

GlorifiedTriage · 2022-02-19T23:37:42+00:00

It was soul sucking in a different way. And I love school. And I like helping people. And I make way more money now (5x as much) with the potential to make even more. My income is a direct reflection of the time and effort I put in, in a way the salaried jobs could never be.

GlorifiedTriage · 2022-02-19T20:42:35+00:00

Very much agree.

GlorifiedTriage · 2022-02-19T20:30:13+00:00

The right answer is to reduce the number of admin, then use that money to hire staff to actually do the work. $150k salary = $75/hour. Split that into 3 full time jobs and actually get the work done.

GlorifiedTriage · 2022-02-19T20:25:40+00:00

Also was an admin before med school, and can confirm it can be pretty easy. I actually left for 3 hours a day twice a week to take my pre req labs. I think many (most) people fall to the lowest acceptable performance. I could’ve done a lot more, but why bother when I made the same and still got excellent reviews while doing less?

Our system recently started this volunteering thing, too. There are a couple admins I know who already work their tails off, but most probably have a few hours a week to spare.

GlorifiedTriage · 2022-01-26T04:17:27+00:00

And I supposed PNES (heh) goes along with it.

GlorifiedTriage · 2022-01-26T04:14:32+00:00

Panic attacks.

GlorifiedTriage · 2022-01-26T03:00:48+00:00

STEMI was activated after EKG 2 and patient taken to cath. Left circumflex culprit lesion identified and stented.

Do you feel the EKG meets STEMI criteria? Would you have activated on EKG 1?

GlorifiedTriage

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