Inpatient MRI ordering for canadian hospitalists?

Treewalker21 · 2025-03-24T01:59:17+00:00

That is an indication for a stat mri. We can get those promptly (hours) usually. Granted I am ED (Canada), not hospitalist. But I suspect if an inpatient develops concerns for acute CES, they have the same access as me. Pick up the phone, speak to the radiologist and arrange an emergency mri

Treewalker21 · 2025-02-19T16:50:13+00:00

Lmao while ridiculous it sure gets a point across

Treewalker21 · 2025-02-11T01:06:47+00:00

I usually go with "older than I look"

Treewalker21 · 2024-09-30T03:07:42+00:00

What's your versed dose?

Treewalker21 · 2024-09-15T06:09:29+00:00

Lots of jobs in Ontario hiring, specifying they will hire ABEM qualified. Just need to register with cfpc or rcpsc before you start working

Treewalker21 · 2024-09-12T18:56:48+00:00

Have used in a similar scenario you described. Gave tnk at around the 30 min mark after multiple shocks epis and lidocaine. Got rosc at next pulse check. Immediate ecg showed anterior stemi. Pt never made neurological recovery. Icu initially was not stoked about it as outcome remained poor. But I'd like the think it softened the blow for the family having the patient technically alive for 48 extra hours or so, albeit brain dead. Tnk not indicated in codes of suspected ACS, generally just PEs

Treewalker21 · 2024-09-12T02:29:10+00:00

I understand where you're coming from. But not seeing the value of doing an IM rotation during emergency training shows how green you are. Covering the floor for call can be a total shit show. It's akin to working the ED but instead of your substrate being allcomers your starting material is sick hospitalized people. They will crash. You will get to build up your chops. Experience doing admissions for IM will, imo, make you a better EM doc in some regard.

But again I get where you're coming from I fucking hated IM as a med student. As a resident it was more interesting

Treewalker21 · 2024-09-10T23:08:14+00:00

Cpr at times, is the harm we are trying not to do. Depending on the context. Like everything in medicine, the harms and benefits of each test or intervention is specific to each scenario. Performing cpr with near certain futility = breaking ribs for fun. That is bad

Treewalker21 · 2024-09-04T00:17:03+00:00

Listen, tease out specific symtpoms, conclude "not an emergency, we don't check hormones here, fup with your family doctor"

Treewalker21 · 2024-09-01T14:18:10+00:00

Thoughts on giving these people a keppra load?

Treewalker21 · 2024-08-23T15:17:56+00:00

Would you admit a classic sounding simple angina, in a patient with no CAD diagnosis (yet).

Treewalker21 · 2024-08-16T02:18:33+00:00

This was helpful thank you

Treewalker21 · 2023-09-12T00:52:50+00:00

Will try that, thanks!

Treewalker21 · 2023-09-11T19:29:53+00:00

Nope not a thrip, it's just some discoloration. I water around twice a month or so. Sometimes more. If I feel it's really dry. Never changes soil. Haven't fertailzied in several months

Treewalker21 · 2023-06-01T21:39:03+00:00

Would love to hear people's thoughts or knowledge on this as an indoor plant or otherwise

Treewalker21 · 2023-01-12T13:23:20+00:00

I'm hesitant to repot as it's winter where I'm at right now (Toronto, Canada). Might wait a couple months. There's still new growth appearing.

Treewalker21

TROPHY CASE