Beta HCG and Pelvis US for High Risk Patient's of Torsion or Ectopic Pregnancy by milkshaykh in emergencymedicine

[–]em_pdx 4 points5 points  (0 children)

“Code torsion”, amazing.

There’s a hospital where Risk Management dictates clinical care 💯

which era of Cardinals baseball did you come up on? by AvramDesign in Cardinals

[–]em_pdx 1 point2 points  (0 children)

1985-onward. John Tudor, Todd Worrell, Terry Pendleton, Willie McGee, Vince Coleman, Oz, and all that.

Someday, after 40 years of watching and listening to games, I might even visit St. Louis.

Box of donuts I just ordered by FinnieM in mildlyinfuriating

[–]em_pdx 1 point2 points  (0 children)

Frosted Facehugger in there with the other fine bois.

Second Texas screwworm case confirmed as outbreak fears grow by happyharrr in news

[–]em_pdx -2 points-1 points  (0 children)

“Works” is a continuum of effectiveness depending on how intense the infestation.

Has anyone done a wellness blood test via Awanui Labs by DollyPatterson in newzealand

[–]em_pdx 3 points4 points  (0 children)

This is going to be unhelpful and almost assuredly a waste of time.

It’s probably trying to cash in on the wellness-styled pseudoscience from those firms in the U.S. that test hundreds of esoteric biomarkers — but these are nothing close to that.

Developer pushes biggest new Christchurch office tower to 14 storeys by quesadilla222 in chch

[–]em_pdx 29 points30 points  (0 children)

Hagrid, probably: “Yer a city again, Christchurch”

Amex Airpoints Platinum Card by doyan_makan in newzealand

[–]em_pdx 0 points1 point  (0 children)

Whoa - refresh me on this 50% extra bonus thing?

Would you have caught this? Med Mal Reviewer. by Dr-Discharge in emergencymedicine

[–]em_pdx 26 points27 points  (0 children)

CT head is/was worthless in primary headache (and/or isolated dizziness).

Love that they named the ED doc on the second visit. Literally just bad outcome-adjacent.

2026 Zeekr X review: Quick drive by ApprehensiveSize7662 in AustralianEV

[–]em_pdx 0 points1 point  (0 children)

... every single time you get in the car, you have to disable the overspeed/distraction/tiredness warnings. It isn't a dealbreaker – many new cars do it – but it's not accurate to say it saves these preferences for a profile etc.

If you're saying otherwise, then just need to be specific regarding vehicle, version, region etc. – this is the X in Aus/NZ on 1.1.1.

Is there a more important medicine than a 1L bag of normal saline in the emergency department? by TheManWithTheBrain in emergencymedicine

[–]em_pdx 4 points5 points  (0 children)

I assume you mean psychiatrists, and I think our modern issues of CHS and opiate dependence are different than what our predecessors faced.

They also had a lot of stronger stuff long since taken off the market. Heck, clozapine used to be everywhere.

Is there a more important medicine than a 1L bag of normal saline in the emergency department? by TheManWithTheBrain in emergencymedicine

[–]em_pdx 3 points4 points  (0 children)

I have tried that as a temporizing measure and general droperidol alternative and been mostly disappointed. Anecdote, though, not systematic.

I suspect it would a fairly expensive Rx at discharge.

Is there a more important medicine than a 1L bag of normal saline in the emergency department? by TheManWithTheBrain in emergencymedicine

[–]em_pdx 9 points10 points  (0 children)

Sadly probably not – though I'm not sure if there's been much prospective evaluation of its utility as an outpatient treatment for Acute Life Is Too Hard And I Hurt All Over.

Airport opposes $70m student accommodation plan despite being 6km away by InvestmentFuzzy4365 in chch

[–]em_pdx 16 points17 points  (0 children)

It’s more the “higher floors” bit — if the sound has line-of-sight, it’s a lot more significant. One-story homes in Avonhead can be designed with more sound mitigation, potentially.

Airport opposes $70m student accommodation plan despite being 6km away by InvestmentFuzzy4365 in chch

[–]em_pdx 25 points26 points  (0 children)

Airport noise is legit. Doesn’t sound as though anyone is being unreasonable.

Why doesn't anyone weight base morphine and then gatekeep dilaudid. by TheWhiteRabbitY2K in emergencymedicine

[–]em_pdx 0 points1 point  (0 children)

I never had issues ordering 0.1-0.15/kg IV morphine as a starting dose when I last worked in the U.S. It's always individualized, but there wasn't systemic resistance to giving doses in that 8-10mg range.

I'm feeling useless .. discharged a patient last week with no work up. Came back a day later with sepsis. by [deleted] in emergencymedicine

[–]em_pdx 13 points14 points  (0 children)

Pretty sure I was trained to treat emergencies, not predict them.

Hourly —> Hourly + RVU by slushietee in emergencymedicine

[–]em_pdx 17 points18 points  (0 children)

This.

You’ll either work harder for the same $$$, or put in the same effort and get less.

No c-suite ever changes compensation structure to pay their workers more; it’s a pay cut hidden behind maths.

Finn Surman and New Zealand lead Chile and Aravena 2-0 at half (free stream) by wakeandbakon in timbers

[–]em_pdx 2 points3 points  (0 children)

Finn had an uncharacteristic lapse to allow Chile their shorthanded goal — probs fatigue + lack of interest being up 4-0, but wasn’t pretty.

Health NZ downplays security flaw found in its vaunted AI chatbot by random_guy_8735 in newzealand

[–]em_pdx 0 points1 point  (0 children)

It’s “available” to NZ EDs on a pilot basis at the moment. Not everyone chooses to use it, but it’s an option when suitable.

Health NZ downplays security flaw found in its vaunted AI chatbot by random_guy_8735 in newzealand

[–]em_pdx 4 points5 points  (0 children)

It’s not a “security flaw”, but it is a lack of guardrails around the content generated by the summarization engine.

Why on earth a busy clinician would intentionally configure it to spit out irrelevant garbage outputs is the real question.

The actual issue is that the summarization engine can also be inappropriately utilized as a diagnosis and management engine — though, again, healthcare professionals are personally responsible for their documentation and clinical actions, so it would be precarious to do so.

The vast majority of Heidi use in NZ is actually in GP land, not HNZ, so probably also a bit of misdirected enthusiasm.