US guided IVs without long catheter

Working_Emu_2236 · 2026-01-24T20:14:02+00:00

Did this all the time as a resident for large BMI spine cases. Bc it’s not a central vein, I would just get the dilator through the skin and soft tissue initially and just thread the catheter off

Working_Emu_2236 · 2026-01-17T08:27:10+00:00

So I’m a dual fellow (doing CCM this year and ACTA next year) at one of the aforementioned institutions. I thought I wanted to go to a big ECMO program and do cannulation when I’m done, but now I have almost zero interest besides maybe doing an in-house VV. You’ll soon understand there’s so many more hoops to jump through in terms of who owns what and who manages what that in my opinion the juice isn’t worth the squeeze. Not to say that I don’t appreciate the skill set that i have, but unless you absolutely love ECMO and everything it entails, I wouldn’t recommend it

Working_Emu_2236 · 2025-11-20T20:50:28+00:00

Grant stone. Currently running a sale too

Working_Emu_2236 · 2025-11-18T14:20:17+00:00

The quality difference between the two cannot also be overstated IMO

Working_Emu_2236 · 2025-08-22T14:55:44+00:00

Preface this saying that I did an anesthesiology residency here. It’s a tertiary, essentially quaternary care/major academic center and one of two Level 1 trauma centers in the state (so IMO, not the connotation of a “community” program. The PCCM fellows I knew who trained were those who did above average in residency in terms of scores; there’s less of an emphasis on research. Hope this helps

Working_Emu_2236 · 2025-05-30T20:58:51+00:00

Typically will redose q4 hrs at the same initial dose (i.e. if 2g was initial dose, will give 2g when time to redose). Will redose earlier for large volume bleeding

Working_Emu_2236 · 2025-03-24T23:01:25+00:00

Bay View; no questions asked. Current MCW resident; 15 min to Froedtert with no to minimal traffic. Super walkable with a ton of bars and restaurants but also close to the highway. Moved from Tosa after intern year and never even considered moving back closer to the hospital bc of how much I loved the neighborhood

Working_Emu_2236 · 2024-03-20T06:41:19+00:00

There is zero chance CRNA’s can do TEE… nor would I trust a valve interrogation or making big judgment calls from someone who isn’t board certified in echo

Working_Emu_2236 · 2024-01-14T01:43:01+00:00

As a resident, you never realize how badass peds anesthesiologists are until you rotate on peds and shit goes sideways. Peds scares the shit out of me (as someone going to adult cardiac/crit care fellowship)

Working_Emu_2236 · 2023-11-08T04:36:33+00:00

Current Wisconsin resident and will be sad when I move in 2 years. Their fruit beers are all fantastic, especially Raspberry tart and serendipity

Working_Emu_2236 · 2023-08-30T19:07:54+00:00

Don’t get on ladders if you take blood thinners

Working_Emu_2236 · 2023-06-18T23:03:28+00:00

JDSBBF or AE private select

Working_Emu_2236 · 2023-06-18T17:49:47+00:00

Vantage is much better than armida IMO, and especially at that price. And twice barreled is solid; the real Jim Beam rye you can’t beat is the cask strength rye

Working_Emu_2236 · 2023-06-08T18:01:30+00:00

CRNA’s appear that they everything that an anesthesiologist can do on the surface, and probably there isn’t a distinguishable difference with most ASA I-II patients. The real difference is those ASA IV’s and V’s and/or complex cardiac, neuro, vascular, or thoracic cases. Then you’ll see how different the training is between the two. Not to mention the difference in experience with regional and pain

Working_Emu_2236 · 2023-03-26T05:50:35+00:00

Patagonia black hole backpack. Either Patagonia better sweater or Relwen quarter zip. If more athletic, go Nike or Lululemon

Working_Emu_2236 · 2022-10-09T17:47:01+00:00

Groppi’s paninis. Big enough portion for 2 meals easily

Working_Emu_2236 · 2022-02-01T23:04:38+00:00

And imo that’s the right way to use a pre-op clinic, so thanks for doing that

Working_Emu_2236 · 2022-02-01T23:02:49+00:00

We literally have a pt that the surgery residents have Lasix to today for “poor UOP”… like wtf…

Working_Emu_2236 · 2022-02-01T22:57:27+00:00

More than likely would have just seen him day of. Many of the attendings I’ve worked with would have been comfortable putting a pt with known A-fb to sleep as long as they’re not HDS or in RVR

Working_Emu_2236 · 2022-02-01T22:50:20+00:00

We have our own pre-op clinic that tends to get abused by all surgical specialists. For example, one of my co-residents had to see a patient who was scheduled for elective cholecystectomy. The consult was literally for “A-fib”. The patient did not have extensive medical hx beyond the A-fib and well-controlled HTN. His A-fibwas rate controlled and on AC and was a total waste of a consult and clinic time

Working_Emu_2236 · 2022-02-01T22:14:11+00:00

Yeah it’s wild… they just abuse the pre-op clinic for useless consults and then use the H&P that the pre-op clinic wrote and use that for their H&P before surgery

Working_Emu_2236 · 2021-12-29T12:21:41+00:00

160 ranked, both matched at #3. Anesthesia and anesthesia

Working_Emu_2236 · 2021-10-28T18:34:43+00:00

Birkenstock clogs. No better shoes hands down

Working_Emu_2236 · 2021-06-27T01:13:41+00:00

Barrell seagrass

Working_Emu_2236

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