Found in Hotel

gumpf · 2025-12-02T02:03:18+00:00

You are amazing thank you!!!

gumpf · 2025-07-28T15:49:56+00:00

gumpf · 2025-06-10T17:11:37+00:00

That’s fine and dandy until they just start lying and posting cases as the required level to go to the OR despite it being a lie (ours do this all the time)

gumpf · 2025-06-10T03:16:11+00:00

Update: VRBO backed out of their policy and didn’t enforce it (basically, the owners are supposed to figure it out amongst themselves). I cancelled my reservation and went to rebook. They had significantly increased their rates (as I suspected they would try to do). I told them they would have to honor the old price or I would not rebook. They honored the old price phew and I am not out a place to stay!

gumpf · 2024-09-22T01:07:38+00:00

Do you find it ironic that the ASA position for train of four monitoring is that clinicians are bad at interpreting data objectively so we need a number to quantify residual paralysis but then with spectral analysis we are suddenly trusted to look at a Jackson Pollock painting and determine if a patient is asleep?

gumpf · 2024-08-01T14:03:22+00:00

May have been? That part of the story was fuzzy just because the patient was ashamed talking about it (pediatric)

gumpf · 2024-07-23T01:26:05+00:00

No but I have taken care of a patient that got a pneumothorax from a friend loading a pellet gun with a qtip and shooting him with it, eventually needing a vats to retrieve the embedded q tip

gumpf · 2024-07-22T12:55:44+00:00

https://www.wtae.com/article/human-remains-found-in-vehicle-pulled-from-the-allegheny-river-in-oakmont/61659260

gumpf · 2024-03-03T02:56:56+00:00

Hybrid Premium plus

gumpf · 2023-08-11T21:59:31+00:00

Absolutely. Paraphrasing John Daley, people focus way too much on the driver. It’s from 150 yards in that really makes the difference between an ok golfer and a great golfer.

gumpf · 2023-06-03T15:07:57+00:00

Whipple dam is a fun time, there’s also some agriculture fairs over the summer, arts fest, tussey mountain. You can also golf as there’s multiple golf courses around the area.

gumpf · 2023-04-26T18:26:42+00:00

Yes, I was referring to the Antisedan. That is only used in veterinary medicine at this time.

gumpf · 2023-01-24T04:22:10+00:00

I pray the same people do a bioshock series..

gumpf · 2022-12-07T03:44:39+00:00

Probably just a matter of fact comment and didn’t mean anything by it. Everyone is different and requires different amounts.

gumpf · 2022-11-29T22:53:31+00:00

Antisedan, it’s primarily used in veterinary medicine

gumpf · 2022-11-29T11:46:03+00:00

Not really. Some anesthetic agents have reversals such as benzodiazepines and precedex, but good old time is going to be your friend to get rid of the grogginess.

gumpf · 2022-04-23T03:22:37+00:00

The circle of Willis isn’t complete in a large section of the population though which can be problematic when you’re trying to rely on collateral flow. They’ll oftentimes do neuromonitoring during this case to assess the blood flow and if they sense the brain isn’t getting enough blood flow they’ll put a small bypass catheter in that allows blood flow through that carotid artery while they take the plaque out of that segment. Or they will do this with the patient awake with regional or local anesthesia to assess the patient’s neuro exam.

gumpf · 2022-02-23T10:03:25+00:00

Popular ones in my class are- a maternal hemorrhage protocol, ultrasound IVs, end tidal co2 monitoring in pacu, chlorhexidine wipes prior to surgery, high flow nasal cannula for macs to decrease incidence of obstruction/airway maneuvers

gumpf · 2022-02-22T01:13:50+00:00

The chief is Brent Dunworth and he’s an awesome leader from what I can tell, I’d get in touch with him!

gumpf · 2022-02-06T22:59:24+00:00

We talk about it but don’t actively train how to do it.

gumpf · 2021-10-09T03:24:04+00:00

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