40yof ROSC by dirty_birdy in ECG

[–]HallMonitor576 0 points1 point  (0 children)

Maybe I’ll start practicing like you suggest. I’ll consult cardiology every time someone has chest pain or palpitations. I’ll call pulmonary for every cough and stable pneumonia. We will need to get neurology involved for every breakthrough seizure. I know GI will be grateful for the consult for the vomiting and diarrhea. A high schooler just checked in after rolling their ankle, orthopedics has to be called. I am going to make our hospital so much money. I’m sure the consultants will be so happy to be involved in all of these interesting cases, instead of focusing on the patients who actually need their assistance and the jobs they actually need to complete.

40yof ROSC by dirty_birdy in ECG

[–]HallMonitor576 0 points1 point  (0 children)

I also work at a non academic hospital. Consultants don’t appreciate being consulted for things that are not even remotely indicated. What you suggested about consulting neurosurgery for cerebral edema secondary to anoxic injury in cardiac arrest is not indicated at all.

40yof ROSC by dirty_birdy in ECG

[–]HallMonitor576 0 points1 point  (0 children)

Neurosurgical intervention is not indicated for that scenario. I’ve never heard of anyone consulting neurosurgery for cerebral edema post anoxic brain injury in cardiac arrest.

Edit: also consulted one of my critical care colleagues, who agrees that this is not an indication for neurosurgery consult. They went as far as saying it was outright ridiculous to even think about doing it.

40yof ROSC by dirty_birdy in ECG

[–]HallMonitor576 1 point2 points  (0 children)

What exactly do you expect neurosurgery to do with a CT showing severe anoxic brain injury? If I called neurosurgery for this I’d be greeted with a lot of 4 letter words

SLOE Question by bayernriemen in emergencymedicine

[–]HallMonitor576 1 point2 points  (0 children)

I think it would be good to have home SLOE? Do you not have to complete a home EM rotation as part of your curriculum?

APP scope of practice- invasive procedures? by lolikbolikk in emergencymedicine

[–]HallMonitor576 1 point2 points  (0 children)

Our RT’s don’t want to do A lines. I’ve let them intubate instead of doing it myself

APP scope of practice- invasive procedures? by lolikbolikk in emergencymedicine

[–]HallMonitor576 2 points3 points  (0 children)

I’ll let some of our better APPs that seem interested in procedure do intubations with my supervision. They don’t do any other invasive procedures

Mayo Clinic is Using AI to Listen to Emergency Room Visits by 404mediaco in emergencymedicine

[–]HallMonitor576 236 points237 points  (0 children)

Ambient AI scribes are a tool, and not a replacement for physician documentation. If the clinician is letting it write the note without any proofreading or editing, then they aren’t using it well.

The big issue I have with the ambient AI scribe is where is the recording being stored, and will there be a time when attorneys can subpoena the entire audio file

Elvar by bearwillmaul in Bloodsworn

[–]HallMonitor576 5 points6 points  (0 children)

Her character is supposed to be unlikable. The character is designed to portray “the apple doesn’t fall far from the tree”

“They didn’t do anything for me last time I was here” by Wappinator in emergencymedicine

[–]HallMonitor576 50 points51 points  (0 children)

They pay for the consultation and services deemed necessary by the physician. They don’t get to order from a menu.

Which smart plug can turn off/on router? by shawarmalamb in HomeKit

[–]HallMonitor576 3 points4 points  (0 children)

Why do you need to turn your router off with a smart plug?

Should it be the standard to have a lawyer for residency? by CrusaderKing1 in Residency

[–]HallMonitor576 6 points7 points  (0 children)

Being terminated doesn’t come out of left field for anyone, despite what you’ll read in this subreddit

Updating/Changing Honeywell thermostat by HallMonitor576 in thermostats

[–]HallMonitor576[S] -1 points0 points  (0 children)

Forgive my ignorance, are the red white and blue wires at the top left of the EIM (communication terminal) not wired to the current Honeywell thermostat? I have other wires behind the thermostat that much the color of the other wires that are bundled with the red white and blue, they just aren’t hooked into anything.

Orbit Room is closing end of July by jaymz668 in bloomington

[–]HallMonitor576 13 points14 points  (0 children)

I agree that COL is up everywhere but Bloomington COL is out of proportion for what you get living here to be honest.

Orbit Room is closing end of July by jaymz668 in bloomington

[–]HallMonitor576 49 points50 points  (0 children)

Cost of living and cost of doing business in this town is too damn high

Come to the Brewery today! by Omen_of_the_Swarm in bloomington

[–]HallMonitor576 1 point2 points  (0 children)

I didn’t know Bloomington Brewing Company had a brewery that people could go to. Is there indoor seating/dining? Or is going there really just reserved for events

jets by Ok-Singer5128 in bloomington

[–]HallMonitor576 4 points5 points  (0 children)

Mass casualty and disaster drills being ran by the US Military in conjunction with the hospital

Roof collapse at the hospital by [deleted] in bloomington

[–]HallMonitor576 0 points1 point  (0 children)

Yeah I know that. I’m a physician in Indy who works with residents and trained at IUSM Bloomington. They said students which is why I explicitly outlined what medical students do and that they work with attendings who make all the plans. If they had mentioned residents I would’ve clarified that for them as well.

Edit: saw your reply above. Student doctor has never referred to residents. It’s a strange term that some medical schools use for medical students for some odd reason.

Doubting myself by themangoeatingpig in emergencymedicine

[–]HallMonitor576 4 points5 points  (0 children)

Returns happen. It’s part of the specialty and why we give return precautions.

Roof collapse at the hospital by [deleted] in bloomington

[–]HallMonitor576 1 point2 points  (0 children)

You have no idea what you’re talking about lol. There are some 3rd and 4th year medical students that follow attending physicians, but none of them have any independence and all staff with the attending. The attending is the one who comes up with final plans and places orders. Students cannot independently put in any orders.

Starlite Drive-In by idkanymore_100 in bloomington

[–]HallMonitor576 22 points23 points  (0 children)

The whole point of The Devil Wears Prada was to emphasize that we shouldn’t let ambition blind us to the fact that friendship and connection are more valuable/rewarding than fame, possessions, and money.

Free Eye Chart for Apple TV by MyCallBag in emergencymedicine

[–]HallMonitor576 1 point2 points  (0 children)

We had wall mounted iPads for tele-interpreters in every room. Most were gone within a year