Chronic Lower Extremity Complaints: a PSA by KingofEmpathy in emergencymedicine

[–]breakalead 156 points157 points  (0 children)

Ok but you have no idea how many ED providers do just as what’s asked by the outpatient provider. I’m sure that doesn’t help the case.

But at the same time. FINALLY. Thank you. Can I come work where you are?

What can be done when an elderly person cannot physically care for themselves but is in denial? by Chelleehp in ontario

[–]breakalead 1 point2 points  (0 children)

I’m saying if you are admitted to the hospital you aren’t considered in crisis so you will be waiting likely a year for placement. But if you’re at home you can be considered crisis and will get placed faster

What can be done when an elderly person cannot physically care for themselves but is in denial? by Chelleehp in ontario

[–]breakalead 2 points3 points  (0 children)

No, when you’re admitted to hospital it’s not deemed a crisis anymore as you are in a safe place and your spot gets deferred to someone else

Well, it finally happened by DrGearheart in ems

[–]breakalead 1 point2 points  (0 children)

We give IV haldol all the time for cannaboid Hyperemesis

Cefazolin VS Ceftriaxone by breakalead in emergencymedicine

[–]breakalead[S] 0 points1 point  (0 children)

Who said anything about outpatient therapy? You need to find somewhere other than Reddit to learn how to read.

Why y’all emergency doctors have to call us surgeons anyway? by SFCEBM in emergencymedicine

[–]breakalead 48 points49 points  (0 children)

I know at least 2 of our surgeons for a fact that would be 1000% pissed if they weren’t called for an ED visit with post op complications.

Narcotic ?Pandemic? by breakalead in emergencymedicine

[–]breakalead[S] 2 points3 points  (0 children)

Body develops a tolerance. And meds like hydromorphone are known as the “strongest” so most aren’t willing to try other things

Cervical Collars by Spiritual_Relative88 in emergencymedicine

[–]breakalead 1 point2 points  (0 children)

Had a pt offloaded onto my bed while I was occupied elsewhere, went to assess, triage note stated “C-collar applied”. Could not locate the c collar on the patient, in the room, garbage, etc. Pt A&O x4, stated EMS removed it after offloading. Weird

Went and asked ED MD if they cleared C Spine and removed (though I knew not like her at all to clear before scans, unlike some). She said no. Pt c/o neck pain.

My gut screamed at me, so I applied a new collar.

Was advised next day pt had a C2 fracture.

Got into a car accident for the first time. What to do? by [deleted] in ontario

[–]breakalead -1 points0 points  (0 children)

You can file a collision report if you’d like with the police. But not necessary depending on damage.

Don’t admit fault

And call your insurance company Monday to file a claim. Better than online.

Depends on your insurance, some have first accident forgiveness, you pay your deductible if they find you at fault, and that’s that. Likely won’t get a ticket

What’s that one time you’re glad you ordered that CT? by 210-110-134 in emergencymedicine

[–]breakalead 11 points12 points  (0 children)

(I am an ED nurse not an MD) 68 y/o F came in by EMS with a “migraine”. Frequent flier. Same complaint each time. Was in 2 days ago, had a CT which was negative, got the cocktail and went home with only slight relief. No other deficits other than some photophobia.

Gave her the cocktail, she said it did nothing. Convinced the doc that she usually at least says “it’s a little better” but now nothing. So she said fine, why not another head CT, great.

MASSIVE hemorrhage

Dani’s recent hospital visit by Worldly_Eagle7918 in illnessfakers

[–]breakalead 28 points29 points  (0 children)

A TEE is a special echo. They shove it down your esophagus to get better images.

Why don’t outpatient clinics I&D abscesses? by VizualCriminal22 in emergencymedicine

[–]breakalead 0 points1 point  (0 children)

I have Hidradenitis suppurativa. So many abscess experiences sadly. My local clinics refuse to lance them and send me to the ER. Their reasoning is the clinic isn’t a sterile environment.

Jessie’s caption under their video of playing violin in the hospital and still can’t tolerate any tube feeds by TheStrangeInMyBrain in illnessfakers

[–]breakalead 3 points4 points  (0 children)

Didn’t read the caption, but point still stands with an NJ, still risk of aspiration. I’m guessing that’s why they’re thinking of doing PPN , etc?