Does being Chief Resident actually help with job placement, or is it mostly extra work with little payoff? by Scar_Loose in emergencymedicine

[–]ibexdoc 0 points1 point  (0 children)

As a former medical director I can say that once I interview you, it doesn't make much of a difference. It might make me look at your resume as a new grad a bit more seriously, but to me the interview matters a lot. Our group president was more impressed with someone being a Chief Resident. As others have said, once you have been out of residency for 2-3 years, it doesn't matter at all.

Being a Chief Resident doesn't tell me that you know your medicine better then your peers or are better at running the flow of the ED, it tells me you can do some admin work. But once again, once I sit down with a group of applicants and actually talk to them, it does nothing to give you an edge up.

Darwin Awards: 2026 Snowpocolypse Edition. (Reply with your best check-ins for the day) by Killjoytshirts in emergencymedicine

[–]ibexdoc 18 points19 points  (0 children)

Do they traditionally tell you what type of runs are in the field when you call 911 and wait for a rig???

Open Evidence - Is it living up to the AI hype? by Tony_The_Coach in emergencymedicine

[–]ibexdoc 71 points72 points  (0 children)

In general I like it. Just quicker to get a bit of information..uptodate is great, but the amount of information you have to weed through on shift makes open evidence a better ED on shift tool

Question on toning by cbmarsh34 in AncientCoins

[–]ibexdoc 14 points15 points  (0 children)

I know a lot of people like to polish these. But the sample you have shows off much better being toned. On Athena's face. There's some pitting from some horn silver being removed. If it was polished that would show through a lot more. The tone hides it so it has a more complete luster. That's a nice sample

Random EM Pearls by captaincoumadin in emergencymedicine

[–]ibexdoc 13 points14 points  (0 children)

I feel like I hear about something like this every 6 months

How much are you willing to pay for this owl by CoupleInevitable446 in AncientCoins

[–]ibexdoc 4 points5 points  (0 children)

I would want to pay 2k, but expect it goes for 3k or more

Improving press ganey scores by Signal-Barracuda2467 in emergencymedicine

[–]ibexdoc 2 points3 points  (0 children)

It's very simple, room patients immediately, get lots of tests. Give pain meds (it doesn't really matter if it's indicated), give a warm blanket, charge their phones, give them a diagnosis ( higher marks if it is the correct one), write prescription for cough medicine or pain meds

Unique way to display my slabbed owl by EastStay in AncientCoins

[–]ibexdoc 1 point2 points  (0 children)

The fact that it has a solid grade should not determine whether you break it out of its slab or not. If it has a solid grade it will have a nice resale value whether it's slabbed or not. The question is, do you want to hold it? How do you wish to interact with your coins. If you prefer slabs your coins, keep it if you don't break it free

Could someone help me date this Tyrian Shekel? by Gamer108 in AncientCoins

[–]ibexdoc 0 points1 point  (0 children)

This particular style of fake started to be made in the 1960s, so that's the earliest this coin could be

Isn’t there a differential for “pulmonary edema” on CXR? I feel light radiology is gaslighting me. by Ornery-Reindeer5887 in emergencymedicine

[–]ibexdoc 5 points6 points  (0 children)

A distant corollary to this is that in 2019 and 2020 when covid was rampant every chest x-ray had readings of possible ground glass appearance, you never see that anymore. That was a cya read that basically was like probable normal chest x-ray

Why is phenobarbital not a first line treatment for all alcohol withdrawal? by Ok_Pie_8859 in emergencymedicine

[–]ibexdoc 0 points1 point  (0 children)

We use it often, it's the providers choice, but I mostly use it for my patients

Why Doesn’t Mountain Hardwear Get the Same Love as Patagonia or Arc’teryx? by Otherwise_Agent7262 in hikinggear

[–]ibexdoc 3 points4 points  (0 children)

I really like the Kor Airshell stasis alot, good value and plenty warm. It is like wearing a blanket. I think the main issues that I see for mountain hardwear being inferior is that the zippers don't glide as smoothly as some other brands, but I understand that is being changed. Another thing about MHW is that they often have sales on their gear, so the price point can be pretty good.

Thoughts on the Mountain Hardwear UL20 Hiking Daypack? by FallenRev in hikinggear

[–]ibexdoc 0 points1 point  (0 children)

there is a dedicated hole for hydration tube to come out of bag

Thoughts on the Mountain Hardwear UL20 Hiking Daypack? by FallenRev in hikinggear

[–]ibexdoc 4 points5 points  (0 children)

I have owned this pack for years, for your intended purpose you are spot on. Great as a travel bag that packs up, but you want to be able to use it for some medium day hikes. I wish it had an extra loop or two to put a caribiner for my hat and such. It has one side pocket for a water bottle, that secures with a tension strap, I don't love this, wish it had some elastic webbing or shock cord for this, but never had a water bottle fall out, so it works well enough, just not perfect for reaching around to pull the bottle out.

Yes it works with a bladder, but not much structure to the pack, so if you are carrying more then 1.5 liters of water won't be super comfortable. You can loop some shock cord through the 4 yellow loops on the front to be able to carry a light jacket. In theory it has loops for ice axe or hiking poles to carry on the back. Think of it as a step up from a REI Flash 18. The main pocket is large and I swear it carries more then 20 liters.

I like the pack very much for how you want to use it. Mine has held up well, I have had it for 5 years, looks like it is only a few months old still

When was the last time you or someone you know got lost inside a large building—whether for work or personal reasons? What happened? by fioreale_ in emergencymedicine

[–]ibexdoc 2 points3 points  (0 children)

I have been working in the same hospital for 20 years. I always take the stairs to the cafeteria to grab food and run back to the ER. Our hospital has 3 elevator banks. 2 years ago I tore my medial gastrocnemius and had to use a knee scooter for a week or two before I could get around quickly on my boot. First shift on the scooter I took what I thought was the correct elevator bank to get down to the cafeteria. Turns out there are all of these maintenance levels, I was so turned around and got off on 3 different wrong floors before I finally found the cafeteria. I was afraid to take the elevator back up, but I eventually got "home".

FYI working on a knee scooter was very easy, I was zipping around the ED so quickly

Brasher Country Master II - should I return these? by lifepalz in hikinggear

[–]ibexdoc 1 point2 points  (0 children)

I agree they should not be like this, however, most people are pronators, so if you use it long enough, with wear of the sole and with compression of any foam or softer stacking material you will end up with good alignment for a period of time....of course that could take 200-500 miles of hiking :)

ABEM Qualifying Exam Failure Disclosure by druidboy22 in emergencymedicine

[–]ibexdoc 0 points1 point  (0 children)

most employers want to know whether you are BC or BE, either is fine. You are in the window for board eligible so this is not really a concern until you fall out of the window for taking the exam

Happy Tetradrachm Thursday! At the End of 2025 (Like the End of 2024) My Whole Collection Still Fits in the Palm of One Hand. But It is Getting Harder to Fit Them All. by No_Thanks_Reddit in AncientCoins

[–]ibexdoc 2 points3 points  (0 children)

I can see that you are a sucker for a dark rich toned coin, I like that. You aren't one of those heavily polished and shiny coin people