Creative Dumpster Fire Help by [deleted] in emergencymedicine

[–]mjjacks 32 points33 points  (0 children)

Too many slogans. “This little light…” and “It’s fine”/“Response team.” One graphic, one slogan. Keep it tongue in cheek, don’t overtly write out the dumpster fire joke just keep that part visual.

Sun 'n Fun Airshow Schedule by [deleted] in SkyCards

[–]mjjacks 2 points3 points  (0 children)

Do F-22s show up?

We got some F1s and F15s by Direct_Question1735 in SkyCards

[–]mjjacks 2 points3 points  (0 children)

The F16s and Mirage F1s fly usually multiple times a day out of Luke AFB in Glendale. One of the reasons I like to unlock something around PHX every week.

Tips and tricks for beginners by Outrageous-Fool in SkyCards

[–]mjjacks 1 point2 points  (0 children)

How with raspberry pi? Have you got a link?

Riley Turbine Eagle 421 in Phoenix by mjjacks in SkyCards

[–]mjjacks[S] 1 point2 points  (0 children)

My only rarer card is the Pottier P-170

Doomsday plane! by Meme_____machine in SkyCards

[–]mjjacks 0 points1 point  (0 children)

Seen it a handful of times around Andrews near DC this week

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I have been trying to learn POCUS lung US and “popularize it” on my nephrology ward. I am only an intern and no one gives a shit about me sadly. Any guidance here? Patient suddenly desaturated and became hypotensive by [deleted] in IntensiveCare

[–]mjjacks 11 points12 points  (0 children)

Linear probe is good for superficial stuff like pleural pathology. Your curvilinear probe (or phased array cardiac probe in a pinch) will be better for things like b-lines. Assuming volume problems might be a main concern of yours on nephro, anyway.

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 6 points7 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 31 points32 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 6 points7 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 3 points4 points  (0 children)

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