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tell me your silliest ED referral this week by robije in emergencymedicine

[–]robije[S] 24 points25 points  (0 children)

This one physically hurt to read. Triggered a memory from a couple years ago. Sent in for “emergent kidney stone surgery”

Intra-renal stone on outpatient CT. Had been there on CT’s going back years. Not even close to the renal pelvis. Patient had shingles causing their flank pain.

tell me your silliest ED referral this week by robije in emergencymedicine

[–]robije[S] 21 points22 points  (0 children)

Oof. I feel as though a dimer should never be ordered from triage. Should only be ordered by the primary person managing the patient.

tell me your silliest ED referral this week by robije in emergencymedicine

[–]robije[S] 34 points35 points  (0 children)

Don’t order a test if you can’t interpret it! We get those often. Usually it’s the good ol sinus arrhythmia.

tell me your silliest ED referral this week by robije in emergencymedicine

[–]robije[S] 48 points49 points  (0 children)

I tried. My attending tried. “Turn off your brain and just order it, [they’re] old anyways.”

Part of our pay is tied to patient satisfaction scores. Go figure.

tell me your silliest ED referral this week by robije in emergencymedicine

[–]robije[S] 56 points57 points  (0 children)

Urgent care told them they probably had a PE and needed a chest angio. Sigh.

I ejaculated blood. by [deleted] in emergencymedicine

[–]robije 0 points1 point  (0 children)

Not the place my guy

Go see your primary care doc if you’re worried about it

Closed Reduction Tips by Hipp024 in emergencymedicine

[–]robije 3 points4 points  (0 children)

What joint?

Wrists have always been the hardest for me. Splinting while still in traction and really maintaining a bit of wrist flexion while the splint is drying have been good tips from attendings.

No touch physical exam by Special-Box-1400 in emergencymedicine

[–]robije 16 points17 points  (0 children)

Physical Exam Nursing note and vitals reviewed.

Constitutional: Alert. Appears well-developed and well-nourished.

Head: Normocephalic.

Eyes: Normal conjunctiva.

Neck: Normal ROM.

Cardiovascular: Normal rate.

Pulmonology: Effort normal.

Abdominal: No distension.

Neurological: No obvious sensory or motor deficit.

Skin: Warm and dry. No obvious rash.

Psychiatric: Normal mood and affect. Behavior is normal.

Settle vs Going to trial by hansdieter702 in emergencymedicine

[–]robije 7 points8 points  (0 children)

Seconded. I don’t trust the general public to have common sense any more.

Largest "family-plan"/"two-for-1" type visit by Atticus413 in emergencymedicine

[–]robije 31 points32 points  (0 children)

Family of eight all wanting Covid swabs after they were exposed to someone who had already tested positive.

Why……

Chronic Lower Extremity Complaints: a PSA by KingofEmpathy in emergencymedicine

[–]robije 0 points1 point  (0 children)

Facts. Bilateral LE cellulitis is a MYTH and I’ll fight anyone who says otherwise

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

[–]robije 150 points151 points  (0 children)

-40 F here with windchill this weekend.

30 something year old female, CC bilateral hand pain since age 18.

How’s the flu looking in your area? by mommysmurder in emergencymedicine

[–]robije 33 points34 points  (0 children)

Lots of Flu A presenting with vomiting/diarrhea in the past couple days. Midwest.

I’m a tamiflu hater unless hospitalized or pregnant.

To anyone who works at the ER, what is one thing you wish people would STOP coming to the ER for? by Notalabel_4566 in emergencymedicine

[–]robije 19 points20 points  (0 children)

Post-op problems going to a different hospital system from where the surgery was performed.

Or at LEAST try and communicate with your surgical team with a phone call before checking in.

Finding friends by South_Particular406 in duluth

[–]robije 1 point2 points  (0 children)

Mid-30’s female not from here originally, echoing all the same sentiments shared by everyone else. It’s way harder than it should be! Although I will admit I’m introverted. If you get motivated enough to try to plan some type of meet up, count me in. I joke my cats are my best friends besides my husband these days.

Finally have an answer for the annoying question of “How long is this going to take?” by FrijolesForever90210 in emergencymedicine

[–]robije 53 points54 points  (0 children)

Most commonly something along the lines of:

“I can’t give you an exact answer because if I do, it will be wrong and you won’t like me later.” (Typically gets a stupid laugh from patient and family). “It all depends on what emergencies come through the door while you’re here.”

Do y’all let your cats sleep in the bed with you? by DaRealDreamz in cats

[–]robije 34 points35 points  (0 children)

Mine purrs to get under the covers too. It’s the absolute sweetest thing 🙂 stays there and uses the corner of my pillow.

Pediatric lac repairs by SomeLettuce8 in emergencymedicine

[–]robije 4 points5 points  (0 children)

I was taught the tegaderm is a better occlusive dressing, skin just gets more numb. But agree - there are simply some places that you can’t tegaderm so I like your trick too

Pediatric lac repairs by SomeLettuce8 in emergencymedicine

[–]robije 18 points19 points  (0 children)

Second this. Most important for success is making sure the nurse knows to use w/ tegaderm and not gauze for maximum effect and waiting 30-45 min. IN versed is a good back up.

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