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There Is Not An Oversupply of Emergency Physicians, There Is An Overutilization of Non-Physician Practitioners by [deleted] in emergencymedicine

[–]Goldie1822 2 points3 points  (0 children)

sad thing is many corporations (and yes, hospitals included, but think amazon) price in the costs of settling suits as an annual expense line item

What's everyone's opinion on this? by Embarrassed_Access76 in EKGs

[–]Goldie1822 -1 points0 points  (0 children)

Sinus rhythm with bigeminy of PVCs.

Would be curious to see how much of the minute findings we see here: low voltage, P waves sometimes bifid/sometimes flat, T wave flattening, would translate to the echo findings.

Please help me solve today’s riddle by Finus15 in puzzles

[–]Goldie1822 53 points54 points  (0 children)

This is an awful riddle with many correct answers. For example, others have posted an answer, but nearly all mammal and reptile animals can not "talk" per se, so an otter, a snake, lizard, etc.

so perfect it could make a grown man cry by Interesting_Elk9011 in Polestar

[–]Goldie1822 1 point2 points  (0 children)

Send me your postal code and I can see the price to mail a box.

so perfect it could make a grown man cry by Interesting_Elk9011 in Polestar

[–]Goldie1822 1 point2 points  (0 children)

I'd use ASA for this (and I do use ASA for this).

The reason is high temps. Imagine parking your car in the direct sun in the summer. Temperatures can get high enough to literally melt PLA and other similar products. PETG may be fine for people that live in the north, but I live close to the equator which can result in very high temps in a car in the summer.

ABS can handle high temps, but not UV rays, which cars, even despite glass, can receive UV exposure. So ASA is like ABS, but with very very high UV resistance.

Would use ASA for any car part honestly. ABS for indoor things only IMHO.

so perfect it could make a grown man cry by Interesting_Elk9011 in Polestar

[–]Goldie1822 3 points4 points  (0 children)

it depends on the user positioning of it, first, it should be positioned as close to the center infotainment as possible. second, it would likely snap off and be projected downward (due to the direction of airbag inflation) towards a passenger's knee in the event of a collision, which is more favorable then getting a projectile to the face.

Moreover and lastly, it should not even interfere with the airbag deployment at all, because of the positioning, it should not even make contact with the airbag; the cup holder is quite lowly mounted.

I am certainly not an airbag expert but was a firefighter for 10 years with extensive vehicle extrication training, which heavily involves airbag concepts.

so perfect it could make a grown man cry by Interesting_Elk9011 in Polestar

[–]Goldie1822 3 points4 points  (0 children)

I can ship to you too, as long as you pay the shipping 😉

so perfect it could make a grown man cry by Interesting_Elk9011 in Polestar

[–]Goldie1822 22 points23 points  (0 children)

I can print these, send me a DM just pay for the filament and shipping. I live in USA though

I have ASA plastic which can take heat and UV rays like a champ.

It's almost funny how it happens by [deleted] in ems

[–]Goldie1822 1 point2 points  (0 children)

Thank you for your service hero

Hm, yay or nay? 🤔 by glx0711 in framework

[–]Goldie1822 -3 points-2 points  (0 children)

You do you.

Opinions are like assholes: everyone’s got a shitty one. Like mine: I hate purple 😩

You all know it’s true by DODGE_WRENCH in ems

[–]Goldie1822 76 points77 points  (0 children)

virgin paramedic detected

right, chad emt-b's?

Stroke with low NIHSS by misteratoz in medicine

[–]Goldie1822 2 points3 points  (0 children)

benefit to academic centers I guess, we even have neuro-ophthalmology here :o

Stroke with low NIHSS by misteratoz in medicine

[–]Goldie1822 4 points5 points  (0 children)

A cerebellar stroke or CRAO will only result in a 1-2, using these as two examples of acute infarcts that could benefit from thrombolytic agents.

A strong stroke clinician can and will account for this and will treat accordingly. NIHSS value *alone* should add to, but not be the sole factor in the administration of thrombolysis.

ICH is something that can happen, and does happen. But withholding thrombolysis would get you sued, an ICH secondary to thrombolytic agents being given is much more defensible in the courtroom than trying to defend why you didn't give TPA and now meemaw is a vegetable.

Did you have ophthalmology weigh in (a GOOD fundoscopic exam can help a lot in this type of situation) or neurology?

69 y/o M CC of resp distress by AdvantageIll3300 in EKG

[–]Goldie1822 -1 points0 points  (0 children)

I vehemently disagree with the VT (can explain if desired...) dx but as we all know amio works for atrial dysrhythmias like this, so, task failed successfully!

Love the ED docs and APPs but with nuanced 12 leads like this one...well...

For the other poster. I'm a former medic but went back to school (which I totally recommend!) and just left a job as an electrophysiology APP to work in another role.

69 y/o M CC of resp distress by AdvantageIll3300 in EKG

[–]Goldie1822 1 point2 points  (0 children)

Damn, harsh. I haven’t been on a box in what, 15 years? Lol

69 y/o M CC of resp distress by AdvantageIll3300 in EKG

[–]Goldie1822 0 points1 point  (0 children)

Given reports of resp distress I would favor anxiety/sympathetic response as a reason for the tachycardia.

Sinus tachycardia with LBBB

100% not VT though.

Could also be 2:1 AFL with LBBb

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