Where are all our usual Emergency Gen Surg patients with septic and ischaemic problems? Dying at home untreated? Too worried to come in? I fear a big influx soon of very sick patients with advanced disease. Why are we not talking about this?
@RedCross I understand the critical need for donation. Every drive near me on multiple days says “no more appointments available”. Will I be turned away if I go anyways? I can’t imagine them turning away a donor of the need is so great !
Student loan email today: I’m accruing $25/day in interest; $750/mo, or $9000/yr. So w/o paying at least $750 a month (which many residents can’t), my loan balances will just continue to go up.
I went to one of the least expensive schools in the country. #StudentLoanDebt
I pulled into the hospital parking lot for night shift with an uneasy feeling in my stomach. I'd heard on the radio about a bad trauma when I was on my way in to work. Somehow I knew it was going to be a rough one...
Watch this incredible video of a patient with venous thoracic outlet syndrome. Provocative testing shows right subclavian compression and compromised venous return—you can even see flow reversal refluxing up the neck!
Courtesy: @paulgamboad#FOAMed
@BlairBigham All the high tech stuff -cath labs, 911 systems, helicopters, ECMO, everything modern medicine has to offer in cardiac arrest is essentially futile, unless these first link in the chain - bystander CPR- is solidly placed
Recently had a #paramedic student ask if I still provide patient care, or if “you’re just admin now?” Was able to say I proudly staff monthly & that it keeps me grounded as an administrator so that I always understand what my team experiences. #leadbyexample#EMSleadership
Took my 94 year old father-in-law to the doctors. Sat back and watched his eighty-year-old internist do a thorough physical and history. No labs or imaging
this visit.
Imagine.... medical care actually guided by just physical exam and history.
A vanishing art.
I stayed for hours after my shift yesterday to be with a little girl whose daddy was dying. We coloured and sang and wandered the secret passageways of the hospital. She confided in me that she is in fact Hermione Granger, a good wizard. I made her a special wand...
@jarrod_cross1@markpiehl@markpiehl would love to elaborate I believe- seemed like up to 4, at a skilled and controlled rate of admin, with a syringe of roc drawn up and ready within arms reach but only utilized if absolutely necessary
kids that are big sick and need intubated to save them, in which intubation can also kill them, think deep sedation intubation (4mg/kg ketamine) + HFNC, without paralytic @markpiehl#FAST19
@DrJeffJarvis@MikeVerkest Literally a few hours before you announced this I was thinking to myself- man id love to be involved in some kind of pre hospital/transport clinical research, but HOW ? Anxious to see what this turns into !