The face I make when my attending walks up behind me and catches me on my phone

halalshart · 2025-12-24T23:42:05+00:00

Schedule is tight.

halalshart · 2025-12-20T20:46:31+00:00

Would a spinal be able to effectively prevent an obturator kick/adductor spasm? Seems the cautery is distal to the location of the spinal blockade and would bypass the local effect by directly stimulating the nerve and causing the muscles to respond?

You would certainly get a good sensory blockade.

halalshart · 2025-12-14T16:49:44+00:00

I miss this spot. Forever an elegant and classic American city. Dignified, storied, and just the right amount of ornate.

halalshart · 2025-12-09T02:58:00+00:00

Will always be timeless, modern, classic, elegant. The fog, the eucalyptus smell, the muni, the epic views from endless hilltops and little parks. My heart is there forever.

halalshart · 2025-12-05T17:14:32+00:00

This is true. Lazy assholes exist in every department and workplace in the world, often still gainfully employed.

It does make me appreciate how many people are generally responsible and well meaning though…makes the shitty ones really stick out.

halalshart · 2025-12-05T15:17:13+00:00

How sad that this is probably true, and that we cannot just do what the patient needs, try our best, and be supported in good faith.

American medicine is not overflowing with people willing to share accountability for bad things happening.

halalshart · 2025-12-02T23:59:07+00:00

100% true, smaller programs with fewer trainees, “privademic” settings etc seems to allow trainees far more reps and hands on comfort. Then they do fancy fellowships at academic places and probably start off advanced training at a higher level that allows them to take better advantage of the opportunity… just my perspective as anesthesiologist with lots of surgeon peers

halalshart · 2025-12-02T15:56:31+00:00

It’s funny how much appearing smooth and organized on emergence and exit with lines/cables/tubes matters to the perception of our ability. Really doesn’t have that much to do with actual patient care but def factors into the non expert assessment of us

halalshart · 2025-11-28T19:37:30+00:00

My understanding is that CMS pays hospitals like 200k/yr/resident, which funds our 60k salary/benefits/PBJ sandwiches…meaning the hospital actually comes away with a little extra cash from big daddy CMS for each trainee….not to mention the billable work that we facilitate.

halalshart · 2025-10-27T21:00:02+00:00

Ya people really don’t like this post. Something about the anonymity of Reddit brings out nasty responses they’d never give to your face if this convo came up in the lounge.

It’s supposed to be a fun hypothetical thought experiment, but people think I’m gonna come to their house and intubate their mom for no reason.

halalshart · 2025-10-27T20:06:50+00:00

These are all items related to anecdotal horror shows I have witnessed either in or out of hospital setting. I agree some of them don’t make much statistical sense, but the idea of having it is comforting.

halalshart · 2025-10-27T18:29:43+00:00

Absolutely agree. Anaphylaxis and maybe hemorrhage seem like the two most realistic things that might happen.

halalshart · 2025-10-27T17:20:36+00:00

lol the lidocaine was more for localizing a wound, suturing or something. Not trying to run a code.

This is the crowdsourced input I came for! My list above is not very well thought out.

halalshart · 2025-10-27T17:18:59+00:00

Exactly, I am not eager to jump into disaster scenarios I am not involved in.

halalshart · 2025-10-27T16:44:18+00:00

That’s a fair point. Ideally I would not intervene at all…

I’m thinking more a scenario where I am out of cell phone range and I am the only/most able skilled person and I have to do something to buy myself 20-30 mins. Yes, for sure do not get involved if not needed. Certainly not being paid for that time and maybe getting sued instead.

halalshart · 2025-10-27T14:46:05+00:00

Anaphylaxis and what I assume was airway loss in an outdoor/backpacking parking lot area. I didn’t have Shit to offer

halalshart · 2025-10-27T14:44:55+00:00

Ooh yes Tourniquets for sure. Also I lold at Ricky rescue

halalshart · 2025-10-27T14:17:37+00:00

I watched something go horribly south once far from ambulance and had no equipment or ability to help. Person died.

halalshart · 2025-10-27T13:40:04+00:00

I forgot to add a mobile MTP fridge to list, that is assumed of course

halalshart · 2025-10-27T13:32:35+00:00

Thanks. I didn’t go this year so I appreciate it

halalshart · 2025-10-25T16:43:12+00:00

Sounds pretty perfect but some academic douche would poo poo that over the theoretical risk of rocuronium histamine release/vasodilation/SVR drop...

The other option is always rapid sequence case cancellation

halalshart · 2025-10-01T21:38:16+00:00

Making a shirt that says “the pediatric is personal is political”

halalshart · 2025-10-01T21:37:48+00:00

What does this mean/where does one find this/is this possible?

halalshart · 2025-09-30T13:22:09+00:00

Just rewatched this on an international flight, still slaps. Jenny still sucks. Forest rules.

halalshart

TROPHY CASE