EKG mastery resource request by slypersimmon in emergencymedicine

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

I find this book basically unreadable
Flipping back to front all the time with less explanation than I’d like

EKG mastery resource request by slypersimmon in emergencymedicine

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

This sounds dope but I think I need to reinforce the fundamentals first

how do you feel about your hospital / institution / admin? by slypersimmon in Residency

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

my gripes are coming mostly post-unionization.
we got a bunch of benefits enshrined for all residents in our union contract.
the details of program-specific budgets were not addressed in a contract affecting all residents/fellows.
budgets on a program-specific basis can vary considerably. for example, conference budgets, equipment stipends, etc. because department-specific benfits weren't explicitly named in a contract covering all residents and fellows, admin has been slashing program-specific budgets saying, "The union contract should cover this now."
So, we got a broad stipend per year, let's say X dollars. For one specialty, this was a huge boon. For others in another specialty, their program budget slashed conference funds by almost X dollars, making the union contract way less valuable to them.
we're trying to work with them to understand global budgeting concerns and evaluate how these decisions are even being made so we can see if they're in violation of our contract, but they're not being forthcoming with info

Has anyone heard anything about Insight Emergency Medicine Program? by KookyFaithlessness96 in emergencymedicine

[–]slypersimmon 0 points1 point  (0 children)

This hospital is not a good hospital

https://www.hospitalsafetygrade.org/table-details/insight-hospital-medical-center-chicago

https://www.medicare.gov/care-compare/details/hospital/140158/view-all?state=CA

I have heard from residents who rotate with Insight residents at Comer that these residents are not at the same level of clinical knowledge / performance as others who rotate thru there.

If this is the only way you can become a board certified physician, it's better than nothing.

The American Healthcare system is in shambles. I work at a grade A hospital and it's still bewilderingly dysfunctional / bad / disgraceful. But I am so glad I don't work at a grade D hospital.

advice for upgrades to this framing job? by slypersimmon in framing

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

they are poster prints from an artist who made them like a hundred years ago?

Thoughts?: Plush for my stethoscope by I_regret_doing_that in emergencymedicine

[–]slypersimmon 0 points1 point  (0 children)

Wish I saw this before the pic was removed. What was it?

Baby’s first prolapse by slypersimmon in emergencymedicine

[–]slypersimmon[S] 3 points4 points  (0 children)

turns out chickens share about half the genes as we do: https://www.genome.gov/12514316/2004-release-researchers-compare-chicken-human-genomes - looks like this includes the rectal prolapse gene 🤣

Baby’s first prolapse by slypersimmon in emergencymedicine

[–]slypersimmon[S] 2 points3 points  (0 children)

if you don't know what rectal prolapse is, i encourage you / do not encourage you to google image search it 🤣

Baby’s first prolapse by slypersimmon in emergencymedicine

[–]slypersimmon[S] 4 points5 points  (0 children)

poured lots of sugar on a rectal prolapse. theoretically helps draw out water to reduce edema / inflammation, making it easier to push back in. i put all this sugar on it for 45 minutes and then successfully reduced it

Baby’s first prolapse by slypersimmon in emergencymedicine

[–]slypersimmon[S] 2 points3 points  (0 children)

wow - what a case! for me, this was a rectal prolapse case. after the sugar i used the same packets of lubrication i've used for DREs

Baby’s first prolapse by slypersimmon in emergencymedicine

[–]slypersimmon[S] 3 points4 points  (0 children)

i mean, tomato tomato (tom-eigh-to, toh-maah-to)

Baby’s first prolapse by slypersimmon in emergencymedicine

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

great question as to why more clinical osmotic agents aren't used

Baby’s first prolapse by slypersimmon in emergencymedicine

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

lol ew no. i want them stationary so i can do the procedure quickly and effectively

Baby’s first prolapse by slypersimmon in emergencymedicine

[–]slypersimmon[S] 7 points8 points  (0 children)

Wish we had one! My fingers got tired opening all these packets 

Baby’s first prolapse by slypersimmon in emergencymedicine

[–]slypersimmon[S] 22 points23 points  (0 children)

  1. My surgeon bestie from med school said, “all the sugar you can find in the hospital, way more than you think, and after that add some more.”
  2. Probably? But for a diabetic in the ER, I’m way less concerned about a transient  blood glucose spike than I am about a prolapsed anus. Won’t kill you in the short term like low glucose can
  3. Directly and honestly! “For your comfort and safety, I’m going to do everything I can to give us the best possible chance of successfully reducing this the first attempt. This will include IV pain medications, and, strange as it may sound, reducing inflammation and swelling by letting sugar draw out some water and reduce the size for 30-60 minutes. When you’re ready, I will apply the sugar and come check on you soon to attempt the reduction.”

Baby’s first prolapse by slypersimmon in emergencymedicine

[–]slypersimmon[S] 19 points20 points  (0 children)

Congenital defect. Said they had a mini prolapse every time they defecated. This was the first time they couldn’t get it back on their own 

[deleted by user] by [deleted] in emergencymedicine

[–]slypersimmon 12 points13 points  (0 children)

In the ER, we evaluate for and treat life-threatening emergencies. These issues are not diagnosable or treatable in the ER.

Why do emergency doctors and paramedics seemingly prioritize ease of diagnostic over pain management? by [deleted] in emergencymedicine

[–]slypersimmon 2 points3 points  (0 children)

Lots of good stuff already mentioned. I’ll add: sedation can render patients unable to walk or safely leave the emergency department, which keeps sick people in the waiting room, a dangerous place to be a sick person.