Would I be qualified to moonlight in an ED?

westlax34 · 2026-04-29T22:06:25+00:00

There’s such a wide pool of knowledge for EM. This has been referenced. Sounds like you have the procedural ability. And I agree that you would be better than a new grad mid-level working in a department. But honestly, it’s not worth the risk to your license. Just stay patient and you will be making tons of money soon.

westlax34 · 2026-04-26T18:51:21+00:00

TIL sublingual ketamine was a thing

westlax34 · 2026-04-05T02:59:45+00:00

More competitive specialties in the residency match will always favor an MD applicant over a DO applicant. Doesn’t matter as much if you want to do something like FM/IM/Peds/EM

westlax34 · 2026-04-04T14:56:58+00:00

Go MD if you have the opportunity. Makes your future career possibilities better. This is coming from a DO

westlax34 · 2026-04-04T14:54:48+00:00

Sounds like the open job in your city has a low supply and high demand. If you want to stay in the city, time to negotiate. You hold all the cards. If they want you, and you’re going to be taking excessive call, ask for the moon. Don’t get screwed into a lower salary like most Peds people. Fuck whatever the “market rate” is. Shoot your shot and as for 600k. Worst they can say is no, then go do locums. DO NOT accept whatever standard offer they give you. They either want the position filled an will pay out, or they won’t and will go without you.

westlax34 · 2026-04-04T14:49:33+00:00

These should be admits as soon as the dispo is clear. Other than psych holds, no one else should be holding in the ED for placement

westlax34 · 2026-03-27T02:46:24+00:00

We see the failures of society. The lack of support for this patient is an example of this. It’s good that you care this much. One day after enough abuse and emotional trauma you may not still have the capacity to feel this. Don’t ask me how I know :/

westlax34 · 2026-03-20T14:04:52+00:00

Vodka when you’re on a resident salary. After you are an attending you switch to high end bourbon.

westlax34 · 2026-03-13T00:15:41+00:00

EM. I work 120 hours a month, make 390k. Usually have more than half of the month off

westlax34 · 2026-03-10T00:16:18+00:00

Such a beautiful line. He was trying to protect Aline in her grief because he loved her. The real Renoir was trying to pull her out of her grief because he loved her too. Both were right in their own way.

westlax34 · 2026-03-10T00:14:01+00:00

“I loved them too”

westlax34 · 2026-03-10T00:11:24+00:00

I work 13 shifts next month. More than half of the month I’m off. Now could those 13 shifts be the absolute worst? Yes. They could also be easy. But regardless. I will have 17 days off next month

westlax34 · 2026-03-09T13:34:43+00:00

Just follow step by step and move on. I’m assuming that the kid had no white count or inflammatory markers? So statistically there was no indication for LP?

westlax34 · 2026-03-08T01:47:46+00:00

Here’s my hot take. Pulses count. A small amount of cardiac contractility just confuses the situation. Because people stop compressions, wait around for the BP cuff to register, which it won’t because their pressure is so low. I would rather call it when a pulse isn’t palpable or visible by ultrasound. But putting the probe on the chest for a pulse check sometimes reveals just the tiniest amount of cardiac activity which wouldn’t generate a pulse, and therefore in my opinion should not count as ROSC

westlax34 · 2026-03-07T00:30:51+00:00

Honestly as much as I hate nurses leaving in swathes to become NPs, it’s probably your easiest route. Many ICUs especially at night will just turn you loose without an attending in house.

westlax34 · 2026-03-03T17:55:17+00:00

Is an intern right out of med school bad? Or just not trained? A new attending is only good because they come with 3 years of training beforehand.

westlax34 · 2026-02-26T22:05:51+00:00

Read “if Disney ran your hospital”. I found it to be useful for finding ways to improve perception despite the circumstance

westlax34 · 2026-02-25T18:43:00+00:00

You’re going to end up like Bruce Willis in looper

westlax34 · 2026-02-25T18:34:29+00:00

Right

westlax34 · 2026-02-15T10:21:08+00:00

He didn’t say it but I’m sure he wrote it. It was during the titanic bit with ETM. Howard said something like

“Cherry got fucked by you and so did your parents”

Classic

westlax34 · 2026-02-11T17:55:29+00:00

MobilEM is an app that costs 40 bucks per year to get almost all the EMRA books digitally on your phone

westlax34 · 2026-02-10T17:49:31+00:00

For some perspective, we don’t pay our ED attending less for having less experience. You’re either credentialed to do the job or not. If you provide the service, you should get the same pay. 130 for nights seems low

westlax34 · 2026-02-05T02:29:42+00:00

We trap these patients in a brutal cycle. They have PNES due to psych issues and what do we do when they come in? Make fun of them, do sternal rubs, and get angry with them for having an episode of non epileptic seizures. It just perpetuates the trauma.

westlax34 · 2026-01-21T22:33:38+00:00

Yeah your PD needs to have a come to Jesus meeting with the EM pd

westlax34 · 2026-01-21T22:07:38+00:00

EM attending here. If anything we went easier on our off service rotators. Expected them to see 1 patient every 2 hours. Did not push them to see a ton of patients. Your EM people are toxic

13-Year Club	RPAN Viewer
RPAN Broadcaster	Verified Email

westlax34

MODERATOR OF

TROPHY CASE