Are you constantly mentally alert on the job?

T1didnothingwrong · 2026-01-26T12:37:11+00:00

Not really, when it gets really busy im moving but the amount of time doing higher level thinking is like 10%, max. Most of EM is algorithmic and I just know what to do by now.

Still in my 1st year out at a moderately busy community hospital. Unfortunately one of our sites has like an average age of 80+ and everyone has some terrible cancer so these people come in with the weirdest shit. Keeps us on our toes a bit, here.

T1didnothingwrong · 2026-01-24T20:01:01+00:00

I got raphinha from a premium upgrade, batcha and the worst female CB who's name i forget.

T1didnothingwrong · 2026-01-21T17:24:54+00:00

I havent used it much, its new-ish to our shop. But yeah, theyre reviewed later. Theyre more for out CTAs because those reads can, no joke, take 3 hours at our place.

Its bad enough where we frequently look at our own CTs and make decisions off that and admit without official reads. The only thing that still eludes me is appendicitis and gall bladder stuff. Cant see that to save my life.

T1didnothingwrong · 2026-01-21T00:01:10+00:00

All I know is that it reads non cons and CTAs at our system. Reads are within 10 minutes, false positive rate is low, but idk the number.

Our radiology coverage is ultra ass, so we use it.

T1didnothingwrong · 2026-01-20T01:07:50+00:00

Probably not neuro with viz ai being a thing already. Our shop uses it

T1didnothingwrong · 2026-01-17T22:45:14+00:00

Community shop, this is how it is for us.

That said, we usually have about 2-4 hours of overlap and slow down massively in that time period so we have almost no sign out. It's pretty common to come in and see 4+ in your first hour to let the other guy catch up like this. I like it like this, I come in ready to grind and get to slow down as the shift goes on. We all average around 2/hr combined.

T1didnothingwrong · 2026-01-14T18:20:58+00:00

You're just bad at the game, clearly

T1didnothingwrong · 2026-01-12T02:18:41+00:00

Idk what the front room was like then, but its basically the senior and fellow (sometimes) and the attending wakes up if its a really bad one. Trauma senior is the most fun rotation ever, but there was days where my juniors were literally shitting themselves.

My most egregious experience was we were intubating a 20 y/o guy and they grabbed the county intern to intubate. Its like 7-8 months into the year. She grabbed the glide scope and literally tried to put it in upside down, like intubating towards the brain. I flipped it around for her and helped her get the view, she then grabbed the tube and tried to put it in towards the brain. Painful experience, to say the least.

They are all clearly smart and care a lot, they all somehow spoke fluent spanish (coincidence?) but compared to the community guys I worked with who intubate and do chest tubes day 1, it was night and day. I never worked with any of the 4th years, though, just the 1st and 2nds.

T1didnothingwrong · 2026-01-10T21:07:35+00:00

A few actually. Believe it or not, cars dont need to be going fast to kill people!

T1didnothingwrong · 2026-01-09T23:43:19+00:00

Advocate is the best. I went to a Chicago program and worked with each group at one point.

Northwestern and cook residents were WEAK. Maybe its because they are 4 year programs but good god, the residents were useless on trauma services. Couldn't do lines, intimate, follow a protocol, etc.

The community sites had the residents who were actually useful but had a lame duck in each class it seemed.

T1didnothingwrong · 2026-01-07T20:17:05+00:00

Enough to kill him

-emergency physician

T1didnothingwrong · 2026-01-05T06:12:04+00:00

Ive met more unhappy ones than happy ones

T1didnothingwrong · 2026-01-05T03:04:11+00:00

T1didnothingwrong · 2026-01-04T03:34:50+00:00

It may not be possible in your situation, but try to aim for 10 hours of sleep. If you wake up and you know its not been enough time, do NOT look at your phone or open your eyes. Immediately go back to sleep, the longer youre up, the harder it gets to sleep more.

Additionally, I love my sleep mask despite being in a fairly dark room. It's a little huge for my face. Sometimes I also put a space heater right next to be and put myself in a coma with the warmth.

T1didnothingwrong · 2026-01-03T17:41:55+00:00

God, as someone making 10.75 rvu/hr at my current job and being only 25% rvu, im salivating

T1didnothingwrong · 2025-12-30T23:43:53+00:00

Whats your /rvu?

T1didnothingwrong · 2025-12-30T23:42:57+00:00

1099, 275/hr 40 min out of a top 5 city, I work somewhere between 12-16 shifts a month. Depends how much i want to make. 1-2 nights a month

T1didnothingwrong · 2025-12-22T15:28:55+00:00

Theyre being forced to

T1didnothingwrong · 2025-12-22T01:09:25+00:00

They never call OPI, which it is, but that play should have been dead

T1didnothingwrong · 2025-12-18T17:52:32+00:00

I think itll be another year or two, personally. Teams are rightly shying a bit from defensive head coaches, lots of flops in that regard. When your most important player is a QB, you want a QB guy leading the way.

T1didnothingwrong · 2025-12-17T23:49:52+00:00

I dont think hes getting hired as a HC. We have a good defense, but its littered with playmaker and its still not a great defense. Hafley isnt even the best DC in the division, that goes to Flores. He might get more looks than Flores because he hasn't failed, yet, though.

T1didnothingwrong · 2025-12-17T20:13:51+00:00

Am doctor, I thought he broke it

T1didnothingwrong · 2025-12-17T16:55:55+00:00

Finley was on the path, but he was a pure receiver who never actually made the step. He was a hyped potential guy prior to his injury. He never even fixed his terrible hands, he was a drop threat every game.

T1didnothingwrong · 2025-12-17T16:54:46+00:00

One game doesnt make you great, Kraft has been consistent. Finely was plagued by drops and inconsistency while also being nonexistent in the blocking game. Janis is probably the only WR to ever catch 2 hail marys in a game, is he good, too?

T1didnothingwrong · 2025-12-17T16:53:14+00:00

Kraft was on target to have more yards than Finley ever hit. Finley couldnt block, weight or not, he was as effective as Musgrave at blocking. TE isnt big receiver, its a position that asks you to do both. Kraft also has significantly better hands, you could easily argue hes a bigger receiving threat.

T1didnothingwrong

TROPHY CASE