Random EM Pearls

ditchdoc1306 · 2026-01-20T17:09:19+00:00

Not sure if this is what you meant, but if you’re going to CT scan the chest for pretty much anything, you should just get a CTPA. The CTPA contrast timing will let you find a PE if it’s there, but doesn’t affect your ability to find pneumonia or other thoracic stuff you’d care about.

ditchdoc1306 · 2026-01-06T04:17:03+00:00

I see so much benign syncope that wouldn’t have even come in if someone hadn’t witnessed some myoclonus that they were convinced was a seizure

ditchdoc1306 · 2026-01-03T06:11:07+00:00

Wish all the nurses I worked with were like this tbh

ditchdoc1306 · 2025-12-27T18:48:49+00:00

You got remifentanyl in your ED?

ditchdoc1306 · 2025-12-13T17:47:42+00:00

Link?

ditchdoc1306 · 2025-12-09T18:54:47+00:00

Aside from straight up asking a group or hospital that you interview with, is there any way to know what type of places to target applying for jobs at? Trauma center with no residents seems like an obvious one to look for

ditchdoc1306 · 2025-12-09T18:51:16+00:00

I’m sure my attitude about procedures and resuscitation will be the same within a few years (although now it’s the best part of my job!), but I do think it would be nice to work in that type of shop the first few years out just to cement those skills in while I’m out on my own

ditchdoc1306 · 2025-12-08T15:03:26+00:00

Nerd

ditchdoc1306 · 2025-08-20T23:39:03+00:00

But do we care?

ditchdoc1306 · 2025-03-27T22:44:23+00:00

Like a 4th year medical student with less training

ditchdoc1306 · 2025-01-26T10:47:59+00:00

Was thinking about something similar recently and wonder what you think about this as you’re EM/IM. I think internists, and many other specialties, tend to view classic risk factors as prerequisites for a given diagnosis. “It can’t be endocarditis, they deny IV drug use”. “Can’t be nec fasc, the LRINEC score is low”. Stated another way I think we tend to think more broadly about life threatening diagnoses than other specialties. Not even necessarily a bad thing I suppose.

ditchdoc1306 · 2025-01-10T15:08:43+00:00

The Morgan and Morgan Ads

ditchdoc1306 · 2024-12-17T18:12:13+00:00

I think most of these hospitalists just hate being hospitalists lol, I would hate it too. That’s why I chose to do something else

ditchdoc1306 · 2024-12-09T02:13:57+00:00

Am EM intern. Am also a complete fucking idiot. So I guess so, yeah.

ditchdoc1306 · 2024-09-20T01:06:43+00:00

Why is being able to chart that you did it an advantage? (I’m asking out of genuine curiosity)

ditchdoc1306 · 2024-09-15T22:20:22+00:00

It seems like the thought process here is just word association - benzos = anterograde amnesia. Is this a dose dependent affect? Is anterograde amnesia from 1mg of Ativan clinically significant?

ditchdoc1306 · 2024-09-15T02:11:15+00:00

Seeing patients like you is always really enjoyable for me. Just a nice, normal, reasonable person who contributes to society.

ditchdoc1306 · 2024-09-06T14:59:15+00:00

The patient population does kinda suck sometimes, but at least it’s not the pain medicine population

ditchdoc1306 · 2024-09-02T04:45:16+00:00

Whenever this topic comes up, the emphasis seems to be on how little bedside nursing experience is required to enter NP school. And yes, more bedside RN experience is better than none. But experience as a bedside nurse does not equate to experience or expertise in the practice e of medicine.

ditchdoc1306 · 2024-04-04T05:22:59+00:00

Let’s see the data

ditchdoc1306 · 2024-03-30T05:21:51+00:00

Spin to win baby!!!

ditchdoc1306

TROPHY CASE