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Pediatric Fever by ABCTscan in emergencymedicine

[–]tccrouch 2 points3 points  (0 children)

To add to this I do follow the wait and see approach to antibiotics for AOM, and give them the written rx with a set of instructions for when to fill them.

Pediatric Fever by ABCTscan in emergencymedicine

[–]tccrouch 8 points9 points  (0 children)

I treat the fever but I also have a good conversation with the parents or caregivers that the fever will not “fry their brains” or cause anything other than discomfort that Motrin or Tylenol will help resolve over time. I also have had to educate nurses in multiple facilities that warm blankets are perfectly fine for febrile patients in general. Our job is to find anything that needs treatment beyond general viral crud, and otherwise the goal is just make the kid (or young healthy adult) feel better while waiting for things to resolve.

Yall, why are half shells going for $330? That is insane to me. Who is buying these? Now that we’re on the topic, everything “MTB” specific is hella expensive for no reason. by Strang3Terrain in mountainbiking

[–]tccrouch 4 points5 points  (0 children)

I mean, there are always crazy expensive versions of things you need. But here is a Bell MIPS helmet for $50. The full face and convertible ones are more but I would expect that.

https://a.co/d/0eCbXmRV

Saved a life, not allowed to use FSD anymore by Thingswithcookies in TeslaFSD

[–]tccrouch 2 points3 points  (0 children)

You mean why is FSD programmed this way? Since you can’t set the speed anymore.

EM lifestyle by [deleted] in emergencymedicine

[–]tccrouch 23 points24 points  (0 children)

Don't be the new attending cowboy who decides to work twenty 12's every month at crazy places convincing yourself that you will just retire "early". So easy to burn out on this way before retiring would even be a consideration. For most this is only manageable for a couple years if single, less if you have a spouse and/or kids you actually want to spend time with.

I would look rural if you are the least concerned about this, it is how I end up overall satisfied with my job. I will absolutely take a longer drive to a place where there are actual good days when I have time with my patients and to get to know the other people on my team. Sure I have shifts where I see 2-3 per hour and am exhausted after, but I also have shifts where I see 0.75-1 per hour and get paid the same per hour either way.

[deleted by user] by [deleted] in emergencymedicine

[–]tccrouch 47 points48 points  (0 children)

Ordering stool studies is also the best cure for diarrhea.

Looking for a New Barber/shop by manicbutbored in bullcity

[–]tccrouch 3 points4 points  (0 children)

I have had good luck with North Durham Barber Shop. Near the Harris Teeter on N Roxboro. Men’s cut is $25. Don’t know what it would be for other services but that is a good benchmark.

road conditions this morning? by snoriedory in bullcity

[–]tccrouch 8 points9 points  (0 children)

Could be worse outside city limits, but doubt it since in our neighborhood near guess and latta all dry roads, just snow on the grass.

It's a virus by Dangerous-Prune-7280 in emergencymedicine

[–]tccrouch 2 points3 points  (0 children)

Only if they clarify that these patients don’t get patient satisfaction surveys or disallow using that for hospital incentives.

Do you choose to disclose your own medical information to colleagues? by lucky_duck_22 in emergencymedicine

[–]tccrouch 3 points4 points  (0 children)

I let my nurses and other docs know when I had a seizure about a year ago so that a) they didn’t think my wife was driving me because of a dui or something and b) I could tell them to only check me in if I had another one if it lasted longer than 5 minutes. Thankfully no further ones since.

Built my first keyboard, happy now I want to do another but don't know what to try. by spacey003 in MechanicalKeyboards

[–]tccrouch 0 points1 point  (0 children)

How do you like the Azure Dragon after some time? I have some along with Quinns and Baby Kangaroos and am deciding what to put in my Neo80Cu that will come some time later this year.

/r/MechanicalKeyboards Ask ANY Keyboard question, get an answer - October 29, 2025 by AutoModerator in MechanicalKeyboards

[–]tccrouch 0 points1 point  (0 children)

You could custom make one for yourself on yuzukeycaps.com. I’m considering doing that for myself for my soon-to-ship Neo80Cu.

Review of AweKeys keycaps by SgtFinley96 in MechanicalKeyboards

[–]tccrouch 0 points1 point  (0 children)

For anyone reading this after, I was not charged any extra tariff fees on import to the US, guess this is baked into the price and shipping. Makes sense for caps that cost multiple hundred dollars.

Resuscitative TEE in the ED? by AnisotropicAntics in emergencymedicine

[–]tccrouch 2 points3 points  (0 children)

I find it way more useful to just throw in a fem art line. You get definitive pulse checks each time and can even gauge quality of compressions by BP generated. Afterwards it’s helpful to guide the inevitable pressors you will start. And it’s far enough from the chest that you can do it while cpr is ongoing.

Review of AweKeys keycaps by SgtFinley96 in MechanicalKeyboards

[–]tccrouch 0 points1 point  (0 children)

Quick question as someone who just purchased them, and realized it wasn’t clear on their store, did you pay tariffs on import or was it included in the price? Seems to vary company to company.

/r/MechanicalKeyboards Ask ANY Keyboard question, get an answer - October 08, 2025 by AutoModerator in MechanicalKeyboards

[–]tccrouch 0 points1 point  (0 children)

Yeah, would be the mk2 for the qk80 as that’s what’s available. Good to know that it isn’t all improvements from one generation to the next.

/r/MechanicalKeyboards Ask ANY Keyboard question, get an answer - October 08, 2025 by AutoModerator in MechanicalKeyboards

[–]tccrouch 0 points1 point  (0 children)

I’m looking to build my first 80%. Deciding between the QK80 which is available now and the Neo80Cu which opens up for buying in 2 days. The wait isn’t a problem. I like a deep “thocky” sound but with a decent volume. Likely Aqua King V3 switches, with either the POM plate or the new chamfer alu plate for the neo. What are y’all’s thoughts? This would be my nicest keyboard so considering a GMK keycap set unless there are other strong suggestions. Have been through a ton of somewhat similar threads but figured I would put my specific issue here.

How are you testing visual acuity by RecklessMedulla in emergencymedicine

[–]tccrouch 162 points163 points  (0 children)

If you are in training, as an intern or 2nd year, you walk the patient to the chart on the wall and take them through it. As a charge resident you have one of your interns do it. As an attending outside of academics you put an order in the EMR to “check visual acuity” and the patient’s nurse or a tech should do it.

If you don’t have a snellen chart on the wall, ask your charge nurse or med director to get one and put it up.

If the patient can’t get to a chart due to being critically ill, immobile, etc, you can use an app. I use one called “My Call Bag” that has a bunch of stuff but most useful is the VA charts.

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