ER is like a pirate ship. There’s a captain, first mate, an annoying parrot, won’t stop talking, bunch of people getting drunk, we help put their clothes back on, not break things. In the end, if you’re captain or crew, you’re keeping the boat afloat. And everyone is a sailor.
@DGlaucomflecken Me literally yesterday: Mom I’m going to ask you to please step out for the pelvic exam.
Lady that looks like she is at least 35 years older: I’m her girlfriend
#whenwillilearn
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@kjdelay1 I think it’s reasonable to ask if a physician has attempted before GU gets called. Have had multiple situations where the nurse couldn’t get it in and I was able to pop in a coude. Have also been unable to get a coude in after the nurse attempted. Docs should always try.
A neurologist called to tell me about a patient she was sending. The context gave me insight, and I ended up doing an extensive workup. He was young with CP. He had normal labs and plain films, and ended up having metastatic disease.
Solid relationships with consultants matter.
@cliffreid Two days ago - A guy was tachypneic, seemed to be struggling to breathe. Only his CBC was resulted - hgb 6.7. I ordered blood. Way later, the rest of his labs came back. He was in severe metabolic acidosis from renal failure and his CXR showed some edema. Struggle with this.
External pacing 🫀⚡️ is a technique for temporarily treating brady- & tachydysryhthmias. This ICU #OnePager 1⃣📟 covers the basics, including types of pacing leads (transvenous vs epicardial), modes (VVI, DDD, etc), & a stepwise guide to initiating pacing. #FOAMcc#FOAMed