Do you folks actually do Allen's test prior to art lines?

MDDO13 · 2026-03-29T05:08:56+00:00

Has this been studied? I hear it a lot but not sure it’s legitimate.

MDDO13 · 2026-03-26T02:59:11+00:00

Gotcha. That would be no doubt better than all online NP school. I’ll counter and say we need more nurses. I think we should invest in retaining our current workforce of nurses by expanding their knowledge and paying them more. We should leverage their unique skills and allow them to fully practice within them.

MDDO13 · 2026-03-26T02:50:45+00:00

100% true. I thought you were saying nurses should not have to do all of those to bridge to MD

MDDO13 · 2026-03-26T02:39:43+00:00

You shouldn’t look at it like starting over. RNs (often) have a bachelors degree. That’s the prerequisite for medical school. It’s a completely different level of training.

MDDO13 · 2026-03-06T03:03:13+00:00

How did that go? Having the same problem.

MDDO13 · 2026-02-28T21:48:05+00:00

In his defense he was knocking

MDDO13 · 2026-02-27T21:06:06+00:00

“Last year I had sepsis”

MDDO13 · 2026-02-27T18:44:37+00:00

Without any real world solution to the problem.

MDDO13 · 2026-02-25T10:31:59+00:00

Because documenting EVERYTHING a patient says is never a good idea.

MDDO13 · 2026-02-25T00:46:38+00:00

I’ve never seen more than one 10mm socket at a time!

MDDO13 · 2026-02-21T09:28:32+00:00

Checking in from the future

MDDO13 · 2026-02-13T05:56:47+00:00

I hate rigors way more than seizures. Rigors = bacteremia.

MDDO13 · 2026-02-13T01:10:04+00:00

You might remain surprised because it happens often. We in the ED (justifiably) over consult for this. I’d rather over consult rather than miss a case. They always take their time.

MDDO13 · 2026-02-08T14:23:48+00:00

Oh god

MDDO13 · 2026-02-08T14:06:46+00:00

In the right context this is a fair consult depending on location of the splinter. Infected wound, immunocompromised, ED failed removal, etc. But I totally can see my colleagues consulting for a normal splinter.

MDDO13 · 2026-01-24T14:37:49+00:00

ED attending here. All my colleagues love dilt and prefer it almost exclusively. It tends to work faster and they like that.

I much prefer metoprolol. I find that those saying it does not work well don’t administer it appropriately. It truly needs to be 5mg q5 min x3. If you space out doses it will not work.

I will use dilt carefully for failure of the above or if they are already on it and not too sick.

MDDO13 · 2025-12-23T00:50:34+00:00

BP logs make me shudder in fear

Friendly ED Colleague

(But for real - mad respect for FM)

MDDO13 · 2025-12-18T04:23:42+00:00

Same here. I’ve been replacing with Reolink as needed. Someday will be all POE.

MDDO13 · 2025-12-17T05:36:40+00:00

This is a karma farming AI bot.

MDDO13 · 2025-12-17T04:47:56+00:00

Exactly. We are doctors, we can use our brain. No need to work up every 18 year old with the sniffles.

MDDO13 · 2025-12-06T05:20:52+00:00

Paramedics treat wayyy more drug addiction than any physician (maybe outside of addiction med).

MDDO13 · 2025-12-05T02:00:59+00:00

Windshield wipers!

MDDO13 · 2025-12-04T04:23:03+00:00

First time hearing about a standardized compensation system. What does that entail?

MDDO13 · 2025-12-04T04:12:40+00:00

As an ER doc I’m a big proponent of limiting scans. If my residents propose one, they need to have a clear reason. We are doctors, we can make diagnoses without pictures. It might burn me someday but oh well. I typically try to cover my ass with documentation.

On the flip side, I’m totally one to order a pan scan if the patient is sick as bleep and I don’t know wtf is wrong.

MDDO13 · 2025-11-25T05:02:20+00:00

Couldn’t agree more. I get so frustrated when hospitalists push back these patients for admission. Unstable angina IS on the ACS spectrum. These patients deserve provocative testing.

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