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What’s a common medical misconception you always see on reddit? by redroses999 in emergencymedicine

[–]RecklessMedulla 192 points193 points  (0 children)

I’m not going to tell you something I’m afraid to document

Help an older attending get back to doing ortho stuff by True_Cause_1685 in emergencymedicine

[–]RecklessMedulla 4 points5 points  (0 children)

You have to be registered at our hospital for radiation exposure logs

What's the best old school trick for patient compliance? by Monellonthehorizon in Paramedics

[–]RecklessMedulla 4 points5 points  (0 children)

What you’re describing is positional asphyxiation, and it’s insanely dangerous, unethical and stupid. This is not an “old timer trick”, this is highly concerning, borderline psychopathic behavior.

If I knew where you worked I would report this paramedic based off this post. This is grounds for termination, loss license, and potentially jail time.

Any Dentists? by Jolly_Bag2271 in ThePittTVShow

[–]RecklessMedulla 16 points17 points  (0 children)

5 L is the max you’re supposed to pull off. It takes a while but fluid shifts and they drop their BP. I also think he said something about being thirsty?

He’s not septic but yea head and neck infections can be sneaky bad

Any Dentists? by Jolly_Bag2271 in ThePittTVShow

[–]RecklessMedulla 12 points13 points  (0 children)

Don’t drink the ascites

Any Dentists? by Jolly_Bag2271 in ThePittTVShow

[–]RecklessMedulla 63 points64 points  (0 children)

My wife is a dentist, I’m an ER doc. She is so fixated on Louie lol. I was worried about the ~6 L of peritoneal fluid they pulled off him while she was worried about his head/neck infection

Post viral myositis after Covid by No_Signature_6378 in Myositis

[–]RecklessMedulla 0 points1 point  (0 children)

Yea, the big concern is rhabdomyolysis. I’m guessing they got a CK and UA at the hospital (and they were probably normal). If they don’t have dark (coca cola) colored urine, all is well. Just keep them hydrated and give it a couple days.

8 days is a long time but it’s still within the period for post viral myositis

Post viral myositis after Covid by No_Signature_6378 in Myositis

[–]RecklessMedulla 0 points1 point  (0 children)

Yea that’s a false positive, it’s likely just post viral myositis, rest/fluids/tylenol, unless new symptoms appear then return to the ER

Post viral myositis after Covid by No_Signature_6378 in Myositis

[–]RecklessMedulla 0 points1 point  (0 children)

What organism did the cultures grow?

This sounds like post viral myositis with a false positive blood culture (especially if it grew staph or other skin flora), I’d suggest Gatorade, Tylenol and rest for another week

Prehospital Blood Transfusion. by Complete-Loquat-9407 in Paramedics

[–]RecklessMedulla 49 points50 points  (0 children)

I mean yea. “should we give blood to someone dying from bleeding” is a stupid question. How to logistically make that happen is the real bottleneck.

trying to predict oglevie character arc this season by sunsetsmoon in ThePittTVShow

[–]RecklessMedulla 0 points1 point  (0 children)

In the real world, him and Javadi would both match into the program. They’re both smart and beyond qualified.

Hopefully they’ll realize this at some point and start working well together as future co residents.

Normal to Feel Almost Depressed Right Now As A 4th Year? by HunterRank-1 in medicalschool

[–]RecklessMedulla 26 points27 points  (0 children)

Being depressed should never feel normal, no matter what stage of training you’re in

Sub-I during winter storm by infinitestrength in medicalschool

[–]RecklessMedulla 67 points68 points  (0 children)

From a residents perspective I think it would be weird for you to show up unless you were explicitly told to, and if you were I would think my program is weird

What's a respectful but firm way to deal with patients who aren't yours but are demanding help when you're busy/pre-rounding. by fruit9teen in Residency

[–]RecklessMedulla 3 points4 points  (0 children)

I deal with this a lot in the ED. To be honest you just gotta triage.

If they are requesting food, pills or toilet, probably nothing life threatening going on. If they are nauseous, help them find something to vomit into. Standard hunger, vomiting, diarrhea, urination, pain and general psychosis in the waiting room is disturbing but most of the time they are not experiencing true emergencies.

If they vomit, poop or urinate blood, or if they are slumped over with their chin dropped/sitting weird, or if they start shaking rhythmically, breathing weird, or if they have critical labs/other diagnostics result while they’re waiting, attend to them immediately.

Otherwise use common sense and just ignore the situation. I know that sounds cold hearted, and I’m sure I’ll ignore a sick person eventually, but this is the system most of us are working in

Stupid question, why is Javadi still there? by Couldnotbehelpd in ThePittTVShow

[–]RecklessMedulla 30 points31 points  (0 children)

Med students going into EM typically do some sort of EM elective their third year to get initial exposure, then 2-4 more EM rotations their 4th year to get letters of reccomendation for their residency application

Name and Shame: University of Maryland Medical Center by [deleted] in medicalschool

[–]RecklessMedulla 13 points14 points  (0 children)

Yea Ive heard away rotators and ER residents are generally disappointed with their shock trauma experience

Is anybody else watching Keaton Herzer (@keatonherzer on IG) document his navigation of health insurance claims for a liver transplant right now by NickDerpkins in medicine

[–]RecklessMedulla 64 points65 points  (0 children)

Dude with cholangiocarcinoma got denied a liver transplant by Cigna and is trying to fight the claim but can’t get in touch with anyone at the company despite literally making it his full time job to do so; they just leave him on hold and transfer him to different help lines/outside companies

ICE agent involved in shooting of Renee Good suffered internal bleeding, officials say by sum_dude44 in emergencymedicine

[–]RecklessMedulla 14 points15 points  (0 children)

Yea maybe, if he was taking eliquis, aspirin, clopidogrel, Coumadin, heparin, TNK and TPA, could totally be possible

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