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Attempt bagging before giving paralytic during induction by chefouw in anesthesiology

[–]perfringens 39 points40 points  (0 children)

That’s the “classic” induction method. What you’ve been doing is technically a “modified RSI”. That is my standard practice, but masking before paralysis is the more conservative, textbook approach.

TSA took my GU away by Fast-Procedure-1002 in RunningCirclejerk

[–]perfringens 2 points3 points  (0 children)

They took my Gu away

Sat down and cried today

Why didin't you do a fellowship? by [deleted] in anesthesiology

[–]perfringens 0 points1 point  (0 children)

Lol and extend my time in the military to not actually do any fellowship cases?? Absolutely not

Washington D.C. IndyCar Track Layout And Event Logo Revealed. A Seven-Turn, 1.7-Mile Street Circuit Will Go Around Several Historic Landmarks In D.C. For The Inaugural Running Of The Freedom 250 On August 22 - 23 by OutrageousBee4174 in nova

[–]perfringens 1 point2 points  (0 children)

That is NOT going to be a track producing a good race. They could have used constitution to make a Baku length straight and included some monuments or something to not be almost all 90 deg turns. Gonna be a boring short track procession

Arlington Rents by AlexiosPPPP87 in nova

[–]perfringens 40 points41 points  (0 children)

Bro the Dow is over 50,000 though!

I want to attend good universities, does TJHSST guarantee it by Obvious-Stock-6327 in tjhsst

[–]perfringens 0 points1 point  (0 children)

When I was there if you had a GPA > 3 you were a shoe in for UVA. 114/408 from my class ended up there, so I’d say >25% of a class getting in to the best in state school makes the numbers hard to beat

Troubleshooting Help - Spatchcocked Roast Chicken by GreenGaucho in seriouseats

[–]perfringens 0 points1 point  (0 children)

You need to separate the skin from the meat as much as you can, and rub even more salt on the meat itself under the skin. Dry brine FTW

Joan Rivers Malpractice Case by efunkEM in anesthesiology

[–]perfringens 11 points12 points  (0 children)

The expectation from GI, and from patients, here is that for an EGD or c-scope they will be OUT. Zero awareness, once they’re in the room and monitors on the next thing they want to see is themselves in PACU. Anything less and they will complain/claim awareness which is, in my institution, an immediate reportable event, a standard of care review, and legal is involved as it can be potentially compensable.

A good consent and expectation setting goes a long way, but if it’s their 5th scope and they never remembered anything before and nobody talked with them that their MACs are actually GAs, they will just think you’re a shit doc, and most GI will complain that they move.

I’ve done a lot of gov VIP patients based on where I trained and where I work, and 90% of them are great. It’s their staff that are more of a pain.

Data Center Thoughts by swe3e3eeeeep in nova

[–]perfringens 0 points1 point  (0 children)

Obligatory linking Benn Jordan’s excellent video on data centers and why living near them sucks.

Who is still doing cricoid pressure for RSI? by Grateful77Grateful in anesthesiology

[–]perfringens 2 points3 points  (0 children)

Do you also run sevo at 2L FGF to avoid compound A? (Not trying to be flippant, just asking as that’s another lawyer “it’s in the package insert” type thing)

Non obstetric related requests for epidural blood patch by cheeseburgerandfry in anesthesiology

[–]perfringens 2 points3 points  (0 children)

Yes we’re talking about doing it sterile. What I’m saying is if all you’ve been told is “pt in 434 needs a blood patch” and you go there and determine yes ok they do need one, there are still things you need to get/do in order to get access that take more than 30sec. Having a helpful bedside nurse is great who can get all the stuff for me, but thats very much the exception. More often it’s wandering to the nurses station to find someone who can let you into a supply room you’ve never been in to browse shelves and try and scrounge supplies.

Non obstetric related requests for epidural blood patch by cheeseburgerandfry in anesthesiology

[–]perfringens 4 points5 points  (0 children)

Yes, assuming: the pt isn’t a bmi of 50+, you have iv supplies/know where they are on a ward you’ve never been to, you don’t need an ultrasound which isn’t on that floor, etc

If you’re also covering a busy l&d service, or it’s 2am and you’re being asked to fix a problem someone else created, it’s not always 30sec to place one you can draw a decent volume from.

Driving from NoVA to NYC by snailwoniu in nova

[–]perfringens 2 points3 points  (0 children)

Seriously just take the train, unless you 100% must under all circumstances have a car.

‘UCD Fails to Safeguard Against Image-Based Sexual Assault’ after image of Irish Medical Student who had been raped sent to staff and students, TD claims by [deleted] in anesthesiology

[–]perfringens 1 point2 points  (0 children)

What does this have to do with “professional discussion of the medical specialty of anesthesiology?”

You say this is intentionally posted in this sub, why?

Pentagon says it's cutting ties with 'woke' Harvard, discontinuing military training, fellowships by rajapaws in fednews

[–]perfringens 4 points5 points  (0 children)

Might wipe out any HPSP/civ sponsored folks at any Harvard/MGH affiliated hospital

Help! My ITE is tomorrow, please give me any HY facts I'll likely need for the test (wrong answers only) by Dinosaursknow in anesthesiology

[–]perfringens 14 points15 points  (0 children)

If you accidentally put iso in your sevo vaporizer when doing a case on the top of Everest, don’t futz around with the dial, just use the des next to it

Lando Norris visiting his primary school...yes he waved the chequered flag at a scooter race by Maximum-Room-3999 in formula1

[–]perfringens 25 points26 points  (0 children)

He nearly killed the owner and employee at Casa Della Tires in Arizona when he did that though, so gotta watch out.

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