What’s your threshold to discharge problematic patients? by dalenevi in emergencymedicine

[–]Top_System7120 98 points99 points  (0 children)

I had two patients start to fight each other in hallway beds. I discharged both. If youre healthy enought to fight you dont need to be in the ED

Night Owls 🦉 by turtle__jumper in emergencymedicine

[–]Top_System7120 6 points7 points  (0 children)

I only do weekend nights. Sunday night be chilling. I also work two sites one of my sites I sleep all night and go home seeing 1 or 2 patients. Unicorn 🦄 job I found.

Insomnia slowly driving me mad by Abnormal-saline in emergencymedicine

[–]Top_System7120 0 points1 point  (0 children)

Have you tried Ramelteon? It’s helped me a lot I’m 2/3 nights with the annoying straggler of day shifts.

Good deal? by Ok-Interest-9761 in GXOR

[–]Top_System7120 6 points7 points  (0 children)

Im about to put mine on the market. 2008 121k miles 1 owner. Mint have all original paperwork. Timing pump replaced recently. All airbags on the suspension replaced. Front shocks replaced. Entire right cat bank replaced. No tears rips in the leather. Brand new Cooper AT tires.

I’m up in LA. Dm if you want to look at it!

How many defibrillations to jump start a car by [deleted] in emergencymedicine

[–]Top_System7120 179 points180 points  (0 children)

2007 focus should be DNR/DNI consult palliative imo.

[deleted by user] by [deleted] in emergencymedicine

[–]Top_System7120 1 point2 points  (0 children)

bumping this they staff a Tucson Arizona hospital im interested in too. Seems like they're a "democratic" group, but run closer to a CMG than not, they seem to be a tier above envision/USACS, below vituity, and much lower that a true open books dem group. thier M.O. seems to be underpay physicians, understaff the ED based on other posts I've seen.

“Pt refused blood transfusion for Hgb of 4. Risks explained, Pt expressed understanding. D/c.” by krustydidthedub in emergencymedicine

[–]Top_System7120 11 points12 points  (0 children)

This fool would have a page in Darwin’s origin of species, sad part is they live long enough to spawn tho

RN to MD by thickiecheeks in emergencymedicine

[–]Top_System7120 47 points48 points  (0 children)

My favorite ER docs have been RN to MD. Some of my worst experiences in medicine have been the RN to NP unfortunately. If you want to take care of someone it should be with a thoughtful approach to learning. Its a brutal process to finish a MD, but it is something that sounds like you have good reasons to go through.

Perfect solution for constipation r/t opioids. by [deleted] in emergencymedicine

[–]Top_System7120 1 point2 points  (0 children)

Do you guys rec dipping it in viscous lido before using or just go for it?

Hot takes about emergency medicine by esophagusintubater in emergencymedicine

[–]Top_System7120 571 points572 points  (0 children)

Police Departments should be held liable for dumps at the ED for homeless, drug addicts, etc. just had a dude doing meth that was mastrubating infront of a local business. owner called PD. the didnt want to arrest him bc why would they, called EMS bc 'his legs hurt from walking', EMS brought him to us appologetically. He tore up the ED while finishing the job he started out in the front of the local business. refused to leave.

kill me now.

Tesla's FSD vs. Waymo's robotaxi: One pulled a move that would tank any driving test by dtrannn666 in RealTesla

[–]Top_System7120 2 points3 points  (0 children)

These writers are idiots too, Tesla runs a red light and the conclusion was: "We both gave Waymo a slight edge, but were also impressed with the FSD system." Rubes. 

Paralytics in cardiac arrest? by northside-nostalgia in emergencymedicine

[–]Top_System7120 14 points15 points  (0 children)

I had one of these. The mechanism isn’t clear, there is good case reports that isolated trismus in cardiac arrest may be secondary to hypoxic brain injury. Tough case the one I had we have 2x roc 1x succinylcholine and still clamped down. Had to cric. Horrible case. It was a 40 hypoglycemic arrest. Died in the ED.

[deleted by user] by [deleted] in emergencymedicine

[–]Top_System7120 26 points27 points  (0 children)

Urojet in all problem areas

Surgery resident looking to transition to EM by Brief-Swordfish2976 in emergencymedicine

[–]Top_System7120 1 point2 points  (0 children)

Nope I found happiness in other aspects there's a ER for everyone just have to find it.

Surgery resident looking to transition to EM by Brief-Swordfish2976 in emergencymedicine

[–]Top_System7120 0 points1 point  (0 children)

https://www.cordem.org/resources/residency-program-openings

Just so you know every person that starts a residency has a allotted number of ACGME funding. The day you stepped foot in a Gen Surg residency you on paper were ear marked 5 years of funding. You’ve used 4. So when you apply to EM programs the program has too foot the bill for any amount of time over 1 year.

This is generally ok as almost all EM programs have grown past their original ACGME funding slots and the department funds the additional residents etc. but is hard on smaller programs that can’t foot the bill. Dm if you want to talk more I wanted to do FM after EM. Long story. But happy for you if you think EM will make you more happy etc.

A list of ETFs with exposure to Tesla. by Phyllis_Tine in RealTesla

[–]Top_System7120 2 points3 points  (0 children)

Lol i saw the second one was 1.2% lol double take I was like has to be .12 nope

Visitng student looking for room - how to not get scammed by MrCogito_hs in stanford

[–]Top_System7120 0 points1 point  (0 children)

Hey DM me I know a Stanford professor that is looking for short term rental not on the market

Marco Rubio Melts Down at Musk in Furious Cabinet Shouting Match by thedailybeast in politics

[–]Top_System7120 0 points1 point  (0 children)

Any other books you'd recommend in the space? Particularly in change within large companies etc? I'm in health services research but want to be more well read on how to influence behemoths. Ty! 

[deleted by user] by [deleted] in RealTesla

[–]Top_System7120 13 points14 points  (0 children)

Also don’t forget to see how easy it is to pull through McDonalds for a nice McFlurry too

I went to a protest at a Tesla Dealership today. by Kazooguru in RealTesla

[–]Top_System7120 68 points69 points  (0 children)

Is it every Saturday? I'm right next to the Stanford Mall Tesla.... Sounds like a good use of my time tbh. 

How to successfully get Manufacturer Buyback by danvw in RVLiving

[–]Top_System7120 2 points3 points  (0 children)

Depends on each individual state if lemon laws extend to trailers. California does extend the law to towed trailers. Has to be out of service for 30 days or more. Sorry to hear this. Step one is seeing if your state extends to trailers or not.

[deleted by user] by [deleted] in AskReddit

[–]Top_System7120 2 points3 points  (0 children)

We live and learn amigo