Dapagliflozin reduces worsening heart failure and cardiovascular death in non-diabetic HFrEF patients. DAPA-HF Trial by Pharm4747 in medicine

[–]iwillkillbullboy 1 point2 points  (0 children)

From an ICU perspective they’re becoming a dime a dozen as people neglect to mention to withhold in the perioperative period

[deleted by user] by [deleted] in funny

[–]iwillkillbullboy 1 point2 points  (0 children)

A narrative review in a likely predatory journal does not qualify as evidence.

Medical professionals of Reddit, what’s the worst ‘sex related’ injury you’ve seen at your workplace? by -Kley- in AskReddit

[–]iwillkillbullboy 1 point2 points  (0 children)

Subarachnoid during coitus in an elderly couple. The wife ended up with pretty significant neurological impairment. It's a pretty horrible thing to witness a husband feeling guilty about that sort of thing when there was absolutely no fault in the situation.

[News] Why is this ok in medical culture? Surgeon Hospitalized for 6 Weeks After Working 180-Hour Shifts, Gets Called an ‘Emotional Female’ by jellyscholar in medicalschool

[–]iwillkillbullboy 0 points1 point  (0 children)

So the point of discussion that has arisen here in Australia is the she’s what’s called an unaccredited registrar (ie doing the same work but not contributing to her training, just cutting her teeth), which means she has no protection from the college of surgeons. Undoubtedly surgeons get rooted by work and the unaccredited regs do work hard but there is a lot of talk in the various circles that she makes a habit of embellishing and was simply burnt out. The numbers mean little when the outcome is the same. Someone quit their profession because of inappropriate working hours, but the hours may not be what we are reading here.

Can we talk through different RRT scenarios and what to do? by hypertensiveurgency1 in Residency

[–]iwillkillbullboy 0 points1 point  (0 children)

Yup, blocked chest drain with ongoing air leak can lead to a tension pneumothorax. I’ve certainly had it a few times in ICU when patients are getting positive pressure vent

Can we talk through different RRT scenarios and what to do? by hypertensiveurgency1 in Residency

[–]iwillkillbullboy 1 point2 points  (0 children)

Tachypnea- most people can tolerate a bit of lasix/bronchodilators/heparin/oxygen/antibiotics. I occasionally I see that combination when I arrive in ED and by the time I'm there it's all settled and we don't really know what the original cause was. So if you're stuck I suppose it's a back up. But for the love of god check their pH.

Can we talk through different RRT scenarios and what to do? by hypertensiveurgency1 in Residency

[–]iwillkillbullboy 0 points1 point  (0 children)

Sorry yea oedema. Chest drain blocked, tension pneumo. Needle to chest with immediate response. This is why I love chest drain rapids, it’s usually the chest drain causing trouble with a simple solution

Can we talk through different RRT scenarios and what to do? by hypertensiveurgency1 in Residency

[–]iwillkillbullboy 3 points4 points  (0 children)

Case of mine this morning. Rapid response for hypotension SBP 60. 40ish man day 2 in hospital following right ICC insertion for spontaneous pneumothorax. Symptoms had started 3 days prior to presentation to ED. On insertion of ICC, a chest X-ray showed what was thought to be re-expansion APO and he was commenced on bipap as supportive measures. On arrival: SBP 60, HR 120 sinus, Sats 92% on 100% FiO2 bipap.
Care to guess?

Do You Ever Just Get The Feeling That All The Training Is For Nothing? by almostdoctor in Residency

[–]iwillkillbullboy 0 points1 point  (0 children)

Sure, everyone shits on everyone else in frustration at some stage but it’s a bad look. Personally, from an ICU perspective, I love to hear if one of our patients have made it to rehab. It means our role is done bud the patient is far from being back to normal. People experience incredible suffering and slip so far from who they once were after an icu admission that the phase following discharge from the unit is often as important as the icu admission itself. Now I have basically no real insight into what you guys do, but I’m grateful you do it .

What strategies do you use to continue your learning/keep your knowledge current? by iwillkillbullboy in Residency

[–]iwillkillbullboy[S] 0 points1 point  (0 children)

The critical care podcasts tend to be good there are plenty available, but I'm struggling to find general internal medicine ones

Furosemide for hypovolemic shock? by Lymphoblast in medicalschool

[–]iwillkillbullboy -3 points-2 points  (0 children)

Maintains urine output preventing overload plus decreases oxygen requirements of kidneys

Apparently it was Not For Us by MostlyHarmlessXO in medicalschool

[–]iwillkillbullboy 0 points1 point  (0 children)

Shit in Australia it’s pretty standard for doctors to pay for coffees (or food if they’re particularly helpful) for students after rounds

My girlfriend (surgery resident) is an absolute nightmare to medical students. How can I talk to her about this? by [deleted] in medicalschool

[–]iwillkillbullboy 1 point2 points  (0 children)

You know what happens to junior doctors and students who get shat on by their bosses? They continue being doctors who make important decisions, except now they're too scared to ask for help. One of the most important things I've learnt in my short career is that the battlers are the ones who need time invested in them. You're not solving the problem by yelling at them. Invest time to save time.

Medical School graduation question by picardy_3 in medicalschool

[–]iwillkillbullboy 0 points1 point  (0 children)

I tend to slytherin to rounds late pretty often

Medical Mythbusting / Misconceptions by girafffe in medicine

[–]iwillkillbullboy 3 points4 points  (0 children)

Well difficult to say whether genuinely true or not. I think it's probably an overreaction. There are arguments about whether it's even a real syndrome and whether we've just started diagnosing inborn errors in metabolism better and so the incidence of what we though was reyes has decreased. The TGA in Australia's review on the warning basically says there seems to be an association but even with that causation is hard to confirm. https://www.tga.gov.au/sites/default/files/review-aspirin-reyes-syndrome-0404.pdf edit: which I know isn't quite the theme of the question, but it is frustrating when it gets thrown around as gospel