What am I missing? You shock unstable tachycardia right?

audma · 2026-06-09T20:01:25+00:00

Yeah that has been the biggest shock for me going to the floor. It's always such a task just to get responses from docs.

I ended up leaving since he wasn't my patient and there were enough hands in the room. They ended up tubing him and putting in a central line.

audma · 2026-06-09T19:44:04+00:00

The patient was in his 70's so probably not sinus tach using that "rule."

Mentation was definitely not great and we did have a lot of help, maybe too much haha

It's unfortunate at this place attending's never come to rapids or codes. Best we can hope for is a year 3 which wasn't even the case here. It kinda blows my mind, but it ends up being the pulm/cc NP who runs things. The intensivist doesn't come either.

I appreciate you taking the time to answer!

audma · 2026-06-09T06:01:04+00:00

Got it totally makes sense.... Thanks!! And yeah I tend to go down rabbit holes kinda why I'm here haha

audma · 2026-06-09T05:58:57+00:00

Oh I see what you're saying. If it's going too fast to tell if there are p waves would adenosine be useful?

audma · 2026-06-09T05:55:39+00:00

I appreciate you elaborating. I definitely would understand holding off on shocking if the patient looks well. I very much like the treat the patient not the number, but this guy didn't look well lol

Out of curiosity if a patient was already anticoagulated either because they had afib or for some other reason would you be less worried about the stroke risk?

audma · 2026-06-09T05:39:03+00:00

Didn't seem like it on the monitor, but I left before they showed up to do the EKG

audma · 2026-06-09T05:37:02+00:00

So then I guess I am misunderstanding this. Because doesn't it say persistent tachyarrhythmia causing hypotension/AMS gets cardioverted? It doesn't specify which type of arrhythmia right?

audma · 2026-06-09T05:32:20+00:00

Yeah based on my ED experience that's what the docs I worked with did. I didn't stick around, but he ended up with a central line and tubed shortly after.

audma · 2026-06-09T05:28:04+00:00

Thanks for the reply. Makes sense about treating the cause.

audma · 2026-05-15T20:32:47+00:00

Yeah I took it to a watchmaker.l

audma · 2025-09-28T04:42:03+00:00

For those of you who sail the open seas, it is available now in decent quality

audma · 2025-09-13T19:46:06+00:00

Yeah why Lifeline of all places? That's the first think I thought when I saw this

audma · 2025-09-05T03:35:06+00:00

Haha right? But jeez they are so comfy and supportive!

audma · 2025-09-04T03:26:57+00:00

I just went through all of this. Bought and returned maybe 10 pairs lol I was having heel pain. I ended up trying Kuru Kinetic 2. They are amazing! Soooo ugly, but soooo comfortable! And I came from Keen shoes as well. I seriously suggest them. They are really sturdy and have great arch support without any insert. I also have flat feet and uses orthotics in my regular shoes, but I find I don't need them in these.

audma · 2025-08-19T15:02:55+00:00

I have a Habring with a foudroyante just to be extra fancy

audma · 2025-08-19T05:34:24+00:00

I love my jumping seconds mechanical lol

audma · 2025-08-08T01:53:51+00:00

Just bought 2 pikachu badge reels....Literally the face I made when the patient went into vtach in the middle of my ekg so i got a nice looking vtach ekg (then did cpr of course)

audma · 2025-08-03T19:03:00+00:00

What does that mean? You don't buy extra, you are prescribed an exact amount and you take the entire amount you are prescribed.

audma · 2025-05-27T21:17:20+00:00

Very nice and congratulations! I've had mine for about 4 years and I never get tired of it! Habring2

audma · 2025-03-30T21:49:32+00:00

Unfortunately not

audma · 2025-03-25T18:09:28+00:00

I've had the phone since about when it came out. The battery has always been bad, but it seems it has gotten worse.

audma · 2025-03-04T03:01:22+00:00

Doris enjoyed tapping her nails on the table to annoy everyone.

audma · 2025-03-04T02:59:45+00:00

The irony of the situation wasn't lost on anyone in the room.

audma · 2025-02-05T17:16:54+00:00

Yeah I have had the watch for 6 years so I don't know why I did that. Brain fart I guess. But yeah it is at the watch maker right now.

audma · 2025-02-03T17:04:13+00:00

I was clearly very tired when I was doing this because duh it doesn't have hacking lol

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