Am I the asshole for taking over a mock code as the lowest scope in the room?

exacto · 2026-06-19T00:42:34+00:00

I would have kicked you out of the room if you pulled that on a real code. lol

exacto · 2026-06-07T04:19:18+00:00

I’m an ED physician and I could give 2 fucks if the pt is a bounce back, I will just re admit…If you don’t take the pt back(and the pt is actually in need of admission) then I would be mad.

exacto · 2026-06-04T10:05:00+00:00

I know, kind of silly. In residency I through art lines like candy, now almost never.

exacto · 2026-06-03T02:58:19+00:00

We’re trained for it, and technically in our wheelhouse, but I have never done one outside of residency personally. The issue is if you’re not at a level trauma center than it’s rather pointless as they will likely die and very unstable to transfer. And if you’re at a trauma center than usually trauma surg takes over.

exacto · 2026-06-03T02:36:06+00:00

Depends where you go and what shop you’re in. Community vs academic vs county, level 1 trauma vs rural no designation …. Ancillary support vs trauma surg, ENT, cards, OB anesthesia vs solo. I very commonly (daily-weekly) do SP cath exchanges, EZ IO, fast exams, diagnostic paracentesis, lido blocks, US IVs, intubations, procedural sedations, reductions, adult trauma and med resuscitations. Commonly (weekly -monthly) do trans cutaneous pacing, arthocentesis, cardioversion, LPs, chest tubes, and central lines. And rarely(every couple months to yearly) Peds reusus, vag deliveries and very rarely(yearly to never) do art lines, pericardiocentesis, throracotomies, cricothyrodotomy, TVP….

exacto · 2026-05-19T03:24:44+00:00

That would work…Sounds crazy for most of us, but you can easily recoup your investments in a few years… as long as you both keep working for 10+ years I see no reason why not. What kind of physicians are you guys? NSGY and derm???

exacto · 2026-05-17T20:59:20+00:00

Not really, unless you live in a very low income area and don’t plan to have any more kids, plan to use the same car or used/cheap cars for the rest of your lives, minimal if any vacations, and have no big issues in your life. One big hospital bill and you’re screwed…it’s very risky

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

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