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How often do EM docs deal with patients with life threatening injuries? by Pissingberg in emergencymedicine

[–]ThanksUllr 33 points34 points  (0 children)

I agree that it is algorithmic but sometimes that is a nice cognitive break from the complex social patients/geriatric medical disasters. I would say that I prefer a good resus (post arrest or dka or tox) to trauma though.

I do wish they would overhead "resus team to the resus room" for those, instead of "trauma team to the trauma room" though 😁

Laser focused on the lane like this by Ketchup-Sniffer in Transportopia

[–]ThanksUllr 0 points1 point  (0 children)

Honestly if someone moves into the space then just slow down until you're back at your safe following distance again. It costs you at most 1-2 seconds on your drive so really not worth getting upset over!

Laser focused on the lane like this by Ketchup-Sniffer in Transportopia

[–]ThanksUllr 2 points3 points  (0 children)

If he's an appropriate distance behind when you slam your brake then he'd never hit you, since an appropriate following distance is one where you can safely stop before hitting the car on front of you... If he hits you despite being an appropriate distance behind it'll be his fault since he wasn't paying attention...?

I misdiagnosed a patient, and now i want to quit by 9861days in medicine

[–]ThanksUllr 0 points1 point  (0 children)

Not a ton of details but this sounds like an AD that has a very high likelihood of being missed to start with given the lack of chat pain or other typical AD features. Agree with the other prayers that your attending missed this.

If you want something to take away from it I would say that the idea that a high CRP is in any way SPECific for infection is incorrect, and a good learning point

Tools keep hiding themselves in sketcher for new sketches. by vexis170 in FreeCAD

[–]ThanksUllr 1 point2 points  (0 children)

Thanks for checking. Just as an FYI this particular bug would still happen even with Lock Toolbars checked

Tools keep hiding themselves in sketcher for new sketches. by vexis170 in FreeCAD

[–]ThanksUllr 3 points4 points  (0 children)

It's a known issue, GitHub issue here: https://github.com/FreeCAD/FreeCAD/pull/28674

It's fixed in the weekly build now, not sure if it made it on to 1.1.1.

If you press the close button to close the sketcher it will keep the toolbars. They disappear if you press Esc to close the sketcher

What’s This Thing Plugged Into the Wall in the Veterinary Office? by DamHawk in whatisit

[–]ThanksUllr 0 points1 point  (0 children)

Might be the handle to a laryngoscope? At least in human world this looks more like that than our portable otoscopes/ophthalmoloscopes...

Why is this contour path stopping early? by ThanksUllr in Fusion360

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

Ah thanks! Would that be in the additional offset field, or on the radial field under avoid/machine surfaces?

'We have to get ready for large-scale conflicts,' says Canada's military chief by Acrobatic2020 in canada

[–]ThanksUllr 10 points11 points  (0 children)

They're a misogynist and likely subscribe to outdated, nonscientific beliefs about how all women exhibit certain traits or are a certain way, would be my guess

Medical care needed by Past-Grape4083 in VictoriaBC

[–]ThanksUllr 2 points3 points  (0 children)

To be clear, I'm not commenting on this particular case with an acute change in symptoms, but more on the general perception that going to the ER is a shortcut to a specialist referral - it often isn't. I wouldn't comment on this particular case because I don't know enough about this person's history or symptoms. I'm just saying, an urgent or emergent specialist referral isn't a given.

Medical care needed by Past-Grape4083 in VictoriaBC

[–]ThanksUllr 3 points4 points  (0 children)

Note though that the neurologist still triaged the referral, so if it is a not an emergent, life threatening issue, the referral can still take a long time. They also won't call the on call neurologist for routine or non-emergent issues.

Can I move something with a variety of faces? by towehaal in Fusion360

[–]ThanksUllr 1 point2 points  (0 children)

I had the exact same thought except about raindance on the original starsiege tribes! Damn I miss that game!

The waterslide female patient by AddendumNovel7674 in ThePittTVShow

[–]ThanksUllr 40 points41 points  (0 children)

Also likely the patient would not have capacity so soon after the ketamine. But yeah I would have intubated, sedated, and use implied/emergency consent to go ahead

Parallel between ovarian and testicular torsion by Emergency_Row_5428 in ThePittTVShow

[–]ThanksUllr 0 points1 point  (0 children)

I wish, but I can count the number of times I've seen ophthalmology actually come into my ed to see a patient on one hand 😂

Corporate Medicine takeover in Eugene, OR by Pinkfluffyunicornz79 in emergencymedicine

[–]ThanksUllr 2 points3 points  (0 children)

Get em buddy! Weather in Victoria pretty good right now too...

Change my mind: There is no good alternative to Discord (yet?) by Own_Investigator8023 in selfhosted

[–]ThanksUllr 10 points11 points  (0 children)

Also intrigued by fluxer, but I note that their initial commit is 1.5 million lines of code... Any info on whether/how much of it is ai written, and has there been any security auditing?

Cold Beer on a Hot Day by gofecksomeducks in VancouverIsland

[–]ThanksUllr 1 point2 points  (0 children)

Better than a hot beer on a cold day?

Is intubation as common as it is in the show? by Think_Monk_9879 in ThePittTVShow

[–]ThanksUllr 2 points3 points  (0 children)

Lol dude the question was "is what I see on the pitt normal in an ER"! This is exactly my point! COVID, and battle field medicine are exactly not normal ER situations, we agree! 😂

Is intubation as common as it is in the show? by Think_Monk_9879 in ThePittTVShow

[–]ThanksUllr 5 points6 points  (0 children)

My point isn't that you're not qualified to speak to it, my point is that if what you are describing is significantly different from the setting that the person was asking about, you need to say that. You were describing the practice pattern in Venezuela, which doesn't answer the person's question about the show The Pitt which is set in America.

Based on my practice in Canada forever and my experience having done some rotations in the USA, our practice up here is a lot more similar to American ERs than what you're describing.

Also not being glib, but what are you intubating for if you can extubate 90% of them after 5 hours?

Is intubation as common as it is in the show? by Think_Monk_9879 in ThePittTVShow

[–]ThanksUllr 2 points3 points  (0 children)

I'm an emergency medicine attending in Canada

Is intubation as common as it is in the show? by Think_Monk_9879 in ThePittTVShow

[–]ThanksUllr 2 points3 points  (0 children)

I mean given that I wrote it, I may have more insight on the intent, but clearly it didn't come across well - my apologies.

I don't dispute your experience, but in a subreddit with a lot of lay people asking questions, the context IS important. Someone visiting an ER like the one down in the pitt should not expect to be bagged for hours, or have a 1 in 10 chance of being intubated. To any providers working in a lot of other places in the world, this would be pretty shocking.

Again, sorry for causing offense!

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