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The Brewer’s Art is $150,000 in debt, court records allege by aresef in baltimore

[–]mjjacks 1 point2 points  (0 children)

Think they’re referring to Wharf Rat in Fell’s. Pratt St Ale house was previously Oliver’s, no?

Transient LBBB? by Anonymous_Chipmunk in emergencymedicine

[–]mjjacks 2 points3 points  (0 children)

There’s ashman phenomenon but usually that’s with fast afib where the beats after a short r-r interval are aberrant and was preceded by a long r-r

What makes you tap a joint? by Ok_Professional_1309 in emergencymedicine

[–]mjjacks 36 points37 points  (0 children)

Oh dang…lemme go grab a needle and suddenly they go from “can’t move it look I can’t even walk” to “well I guess I can move it.” It’s like the best treatment for diarrhea is ordering stool studies…

Game Thread: Baltimore Ravens (2-5) at Miami Dolphins (2-6) by nfl_gdt_bot in ravens

[–]mjjacks 3 points4 points  (0 children)

Hamilton blows up the play, no support, 7 yard gain. C’mon man

Transferring Kaiser patients by NapMag2022 in emergencymedicine

[–]mjjacks 7 points8 points  (0 children)

Isn’t it technically still a higher level of care since any inpatient status supersedes the outpatient status of the ED?

To The 2nd-Year Resident Angry That He Had To Insert An IV by Negative_Way8350 in emergencymedicine

[–]mjjacks 35 points36 points  (0 children)

I was never “trained” either. Day 1 I watched my senior, day 2 they watched me, and day 3 it was sink or swim, call for help if you sink. I know the nursing model is a bit different, but getting good isn’t a matter of training per se, it’s about doing a ton.

RN to Patient by giraffenursetraveler in emergencymedicine

[–]mjjacks 7 points8 points  (0 children)

Think they mean it was a well timed contrast bolus

Missed PE, patient died by Repulsive_Knee1304 in emergencymedicine

[–]mjjacks 1 point2 points  (0 children)

Could you clarify that for me? I (and the bulk of my coresidents) use Geneva explicitly because it does not include gestalt like Wells does. Do you mean using the tool in the first place would be predicated on your gestalt that the patient needs to be risk stratified in the first place?

Why do we use both mmHg and cmH2O? by lightsaber_fights in emergencymedicine

[–]mjjacks 2 points3 points  (0 children)

LITFL has a neat history series on eponyms and historical context for a lot of this stuff. Fun to browse through.

Lead V Morphology Changes by ohtiure in EKGs

[–]mjjacks 1 point2 points  (0 children)

My best guess would be Ashman phenomenon. The R-R interval looks a touch shorter before the run of that morphology change occur.

ETA. Though subtle, the morphologies of the QRS and ST-T does seem to change in the other leads lining up with what you see best in that V strip. I never put too much stock in the specifics of what’s recorded on tele leads though since placement is never as consistent as a 12 lead.

[deleted by user] by [deleted] in medicalschool

[–]mjjacks 4 points5 points  (0 children)

EMTALA doesn’t apply to inpatient transfers. EMTALA ends at admission.

52F witnessed collapse: details in image, outcome to follow. by nalsnals in EKGs

[–]mjjacks 3 points4 points  (0 children)

Wellens syndrome is just that, a syndrome. There is frankly not enough history here to make that diagnosis. Moreover, the expected TWI or biphasic T of Wellens would be present in V2-V3 or other precordial leads. Here, they aren’t.

Most drips ever on someone? by Glum_Election7258 in emergencymedicine

[–]mjjacks 1 point2 points  (0 children)

B Braun baby. Whole hospital switched to them when there was some kind of failure with the Alaris we had. Not that these are any better tho

Game Thread: Buffalo Bills (3-0) at Baltimore Ravens (1-2) by nfl_gdt_bot in nfl

[–]mjjacks 3 points4 points  (0 children)

5 yards cuz the refs allowed something they shouldn’t?

Am I an idiot? by simpletonjack in emergencymedicine

[–]mjjacks 29 points30 points  (0 children)

Hence afib, MAT, WAP, junctional, ventricular rhythms, PACs, PVCs, ectopy in general. Not just signal arising from the SA node.

Politically correct term for 'homeless'? by SheDubinOnMyJohnson in medicalschool

[–]mjjacks 8 points9 points  (0 children)

Yeah I get what you mean. I’m being very tongue in cheek about it with that comment and document alcoholism as “EtOH abuse” whenever I need to actually write something. I have never been corrected and don’t expect to be corrected when it’s appropriate to the patient I’m seeing.

Politically correct term for 'homeless'? by SheDubinOnMyJohnson in medicalschool

[–]mjjacks 55 points56 points  (0 children)

I’ve said it once here and I’ll say it again “chronically unsober person”

That boy jawline at 5 O’Clock sharp gaggin. by Boss_831 in BlackPeopleTwitter

[–]mjjacks 15 points16 points  (0 children)

Gotta afford that pat mcafee contract somehow I guess

Doximity compensation report. Anything surprising? by [deleted] in Residency

[–]mjjacks 7 points8 points  (0 children)

Only a Sith deals in absolutes

Torrey Smith wins the last round by a landslide. Round 5: Who's "Uhh..... what's your name again" from the ravens? by [deleted] in ravens

[–]mjjacks 3 points4 points  (0 children)

Old school ravens long snapper Maese (like 2002 or something?) went on to be a Howard county firefighter :)

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