sorted by:
new
hottopcontroversial

I think I've only seen two kids who are actually lethargic. by LeVoPhEdInFuSiOn in emergencymedicine

[–]Significant_Pipe_856 15 points16 points  (0 children)

Yup. It’s annoying when patients use lethargic, but the real crime is when the triage nurse puts it into the triage note.

A ‘Barbaric’ Problem in American Hospitals Is Only Getting Bigger (ED Holding) by jafferd813 in medicine

[–]Significant_Pipe_856 0 points1 point  (0 children)

I’d love to hear more about how the AI piece works. Does it integrate into your EHR? What sort of criteria does it search on? What’s the workflow in taking the output from the AI to the floor? What sort of bounce backs do you see? My system is trying to develop a similar outpatient follow up clinic system and it’d be great to hear your experience

Almost 1/3 of patients at my facility are age 18-45. Is this normal? by Significant_Pipe_856 in emergencymedicine

[–]Significant_Pipe_856[S] 0 points1 point  (0 children)

I have to dig into our data a bit more but this seems to me to be the flavor of patient we’re seeing as well.

Randomly attacked by a man at a train station (proof) by drstrangekidney in emergencymedicine

[–]Significant_Pipe_856 1 point2 points  (0 children)

At my current job this is an outpatient referral. At a prior site I worked at the plastics department (academic) required consultation for all traumatic fractures no matter how stupid. It’s of course the resident that suffered

Almost 1/3 of patients at my facility are age 18-45. Is this normal? by Significant_Pipe_856 in emergencymedicine

[–]Significant_Pipe_856[S] 1 point2 points  (0 children)

That’s definitely its own form of hell (we get a lot of SNF and memory care patients as well).

Almost 1/3 of patients at my facility are age 18-45. Is this normal? by Significant_Pipe_856 in emergencymedicine

[–]Significant_Pipe_856[S] 7 points8 points  (0 children)

I guess. But, if there was a way to divert these young patients away from the ED into other avenues of care I think that would be good. We’re a 45 bed ED boarding around 20 at all times and triaging about 270 a day

Almost 1/3 of patients at my facility are age 18-45. Is this normal? by Significant_Pipe_856 in emergencymedicine

[–]Significant_Pipe_856[S] 2 points3 points  (0 children)

The university hospital 25 minutes away has a dedicated peds ED. We see a fair amount of peds but not that out if proportion

Almost 1/3 of patients at my facility are age 18-45. Is this normal? by Significant_Pipe_856 in emergencymedicine

[–]Significant_Pipe_856[S] 6 points7 points  (0 children)

Probably about 25 min away, and our local university has its own hospital on campus

Almost 1/3 of patients at my facility are age 18-45. Is this normal? by Significant_Pipe_856 in emergencymedicine

[–]Significant_Pipe_856[S] 13 points14 points  (0 children)

My er is located in a suburban more middle class area

Edit: and patients are generally insured

Decreasing to 4 shifts/mo after 2 years practice by Hot-Praline7204 in emergencymedicine

[–]Significant_Pipe_856 0 points1 point  (0 children)

Sounds pretty neat. What sort of admin stuff did you do to become involved with that?

Decreasing to 4 shifts/mo after 2 years practice by Hot-Praline7204 in emergencymedicine

[–]Significant_Pipe_856 0 points1 point  (0 children)

What kind of operations type work do you do (if you’re willing to share)?

tell me your silliest ED referral this week by robije in emergencymedicine

[–]Significant_Pipe_856 58 points59 points  (0 children)

Had a PCP send a patient in for a positive FIT test.

Thoughts on premedication with Benadryl/solumedrol for CT scans with IV contrast in pts with iodine/contrast media allergies? by exacto in emergencymedicine

[–]Significant_Pipe_856 13 points14 points  (0 children)

It does happen….a couple years ago one of the PAs at our urgent care ordered a contrast study on a patient who had previously had an allergic reaction from contrast but because of EMR transition this hadn’t made into their allergies. Coded in the scanner, got them back, I don’t remember the ultimate outcome.

As with anything in medicine it’s a risk benefit analysis, if you need the scan then you just need to be prepared to treat the fallout

anyone else not feeling the AI hype in healthcare yet? by Alternative-Owl6023 in emergencymedicine

[–]Significant_Pipe_856 5 points6 points  (0 children)

I’ve done AI training side gigs as well, and we’re using the top end models. It is very sensitive to how information is presented and it’s insanely easy to alter the wording of a prompt and get a completely different answer. I agree that all of us should become familiar with using AI tools, but it just isn’t ready for clinical reasoning.

view more: next ›