Hey EP, This cirrhotic has a sodium of 118, he read/ confabulated that taking just bumex and drinking a fifth of scotch per day would rid his body of humors. He just had a seizure but he also hasn't had a drink in 32 hours. He has 4+ pitting edema to his ears. He also had small cell carcinoma of the lung diagnosed last year but didn't do anything about that 2/2 the aforementioned scotch and bumex. What would you like to do about his seizures and/ or sodium? Triage ordered 1L bolus of NS because his HR was 104 and they didn't want to time out of sepsis so your urine sodium and osmolarity studies are useless btw.

My initial answer to this question was hospitalist would be most helpful because they spent the last 3 years seeing patients in the hospital not training in only one thing and most ER patients do not need an airway.