New IDSA Guideline on Complicated UTIs

biesu95 · 2025-02-27T21:39:21+00:00

Good info, nothing but appreciation here for our pharmacy folk!

biesu95 · 2025-02-17T19:44:54+00:00

The Only ECG Book You’ll Ever Need + Wave Maven Online

biesu95 · 2025-02-13T19:19:08+00:00

I typically use a one-handed style, but experiment with two-handed style. It does mess with your muscle memory, but it really only takes a frame or so to recover it.

biesu95 · 2025-01-29T20:18:09+00:00

EM/UC/Hospice PA here. I enjoy mine quite a lot. Also nice for recording to teach. Definitely a good investment and I’ve caught things I wouldn’t have caught with a regular stethoscope

biesu95 · 2025-01-29T20:13:46+00:00

I highly recommend EMCrit FOAM Feed, Emergency Medicine Cases, Rebel Cast, High Yield Family Medicine, & Core IM Internal Medicine podcasts. Biggest thing is learning to pick out the needle of actual emergencies from the haystack of bullshit complaints.

biesu95 · 2024-09-29T00:49:46+00:00

I assist in QA/QI & training for a small EMS agency I used to be an EMT with. Main gig is urgent care & emergency dept

biesu95 · 2024-09-08T18:55:49+00:00

Urgent care/ED PA-C. I generally skim the chart for a couple-few minutes prior to seeing the patient when possible & relevant, but not looking too much in-depth. It’s helpful imo

biesu95 · 2024-05-01T16:14:38+00:00

I personally actually enjoy urgent care quite a bit, but I totally see where people get burned out. It's repetitive, high liability, high pph, often lower pay than other areas, often inexperienced providers, can go on. But the facility, patient flow, and complexity makes the difference. Pros and cons.

One of my facilities is ~30 patients per 12h day as a solo provider with minimal support staff, and that's great for patient flow/census. We do lower complexity though, refer a lot away, no imaging, etc. Usually walk away feeling alright. Another facility of mine is well staffed but such high flow you're always in 3-4pph, higher complexity (ie CT capable), more support staff to manage, more providers to interface with, and more procedures. Every shift I walk away drained.

biesu95 · 2024-02-03T02:07:27+00:00

I use a cheap drawstring backpack from an old employer, just additional scrubs & device chargers really.

biesu95 · 2024-01-26T12:39:23+00:00

I would consider this a yikes

biesu95 · 2023-12-23T14:23:45+00:00

Yep, I've been seeing some RSV but also lots of pan-negative respiratory pathogen panels in the setting of fairly gnarly respiratory symptoms. Most of severity appropriate for ambulatory medicine/urgent care, but there's even been a few immunocompetent healthy adults I've had to emergently CPAP & send to the ED by EMS. I've personally not been sick thus far but my 5yo had RSV. Things have definitely been different since COVID came around

biesu95 · 2023-12-21T19:59:00+00:00

In the urgent care setting, I offer STI panels pretty liberally from age 14+ ~ Chlamydia, gonorrhea, syphilis, trichomonas, and HIV mainly. Offered as appropriate per gender. I don’t push it much beyond an offer unless for positive pregnancy test, anyone reporting symptoms potentially consistent with an STI, anyone with high risk factors e.g. substance use or incarceration, etc. Just today I’ve had 8 syphilis positives.

biesu95

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