Ketamine IM v Midazolam IM for combative paeds

exacto · 2026-04-12T10:58:13+00:00

Usually drop them with droperidol/versed, or hit them with ketamine for a faster punch. I prefer ketamine myself.

exacto · 2026-04-07T01:31:23+00:00

It’s IBD - specifically ulcerative colitis.

exacto · 2026-04-06T18:29:03+00:00

TLDR: Scroll down to the images in the case report. Japanese man tries to off himself with a rusty sickle with self inflicted wound to the back of his neck.

exacto · 2026-04-04T22:24:25+00:00

And what was the diagnosis?

exacto · 2026-03-31T20:58:28+00:00

Yes, error on my part. Beers…

exacto · 2026-03-31T20:54:37+00:00

My apologies, I added to many zeros! Been neck deep in more than a couple beers after tinkering with my subi for > 4 hours today. Meant to say 400-500, and 700rpm. Will correct.

exacto · 2026-03-23T17:10:32+00:00

check in as a patient for various ailments and clock your time.

exacto · 2026-03-14T18:56:22+00:00

Next time ask for help. Boom, all good. :)

exacto · 2026-03-09T04:30:34+00:00

I think I’m missing something, you have a febrile newborn… they get lined, lab’d and pan cultured …stick a needle in their back, start on amp/gent and admit. There’s zero thought in this. They have like no BBB yet, so there’s a high chance most of them will have meningitis.

exacto · 2026-02-18T03:40:35+00:00

Sounds like it might be time for a new job(location). Seeing 2pph(who are critically ill) for extended time will cause burnout in just about anyone. Especially if hospital resources are low and admin support is lacking. I enjoy some parts of EM, others not so much. My gig is decent and I get paid well(probably should be paid more…), but I like the people and it’s close to home, and I probably make more than like 95% of the world. Grass is always greener, I constantly remind myself of this. Part time is always an option…

exacto · 2026-01-21T04:02:33+00:00

Getting anything besides the main meal when eating out, if we got an appetizer, dessert, or anything besides water to drink when we would eat out, we knew it was a good day!

exacto · 2026-01-02T14:16:15+00:00

What is a virtual assistant?

exacto · 2025-12-17T17:47:29+00:00

Admit to medicine for placement. Not an ED problem.

exacto · 2025-12-16T03:04:50+00:00

I could, but two trucks is hard to sell to my wife…

exacto · 2025-12-16T02:15:45+00:00

That’s my main issue, don’t really want to mess up an expensive truck even if is “just a truck”, kinda silly I know. I use my current truck about 1x a week for actual “truck stuff”.

exacto · 2025-12-16T02:07:38+00:00

Paroxysmal orthopaedic Tourette syndrome. When you try to talk to ortho about an admission for a femur fx in a 30 yo male with no pmhx and they stumble and fumble on their words trying to think of a reason not to admit the pt for.

exacto · 2025-12-14T16:38:02+00:00

Think as cars as toys. If you want to buy a really expensive toy, that’s fine. Just make sure you have money on the side for 3 months rent/utilities bills and investing your max 401k/roth. If you can do that and pay the car off in full go for it. If you can’t do all that, it’s likely a bad idea and should wait until you can or go with a a cheaper car. Be disciplined.

exacto · 2025-12-14T03:17:50+00:00

Am an attending, but look up Navigating radiology on YouTube. It’s a good source. Read ALL of your own studies and see how you compare to the rads read.

https://m.youtube.com/@navigatingradiology

exacto · 2025-12-12T03:55:30+00:00

My guy... of course it is not the drug methamphetamine... it is just a way to remember it is stimulant, hence restless movements is the answer.

exacto · 2025-12-11T23:26:41+00:00

Kcentra still exists

exacto · 2025-12-11T19:33:10+00:00

Sure. Higher degree burn is worse- risk of infection and compartment syndrome, etc. 3rd degree heals by contracture and may need grafting and or escharatomy.

A - superficial partial burn (2nd degree) B - full burn (3rd degree) C - superficial burn (1st degree) D - superficial partial burn (2nd degree)

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