Does anyone have an online system for bedside safety checks of emergency equipment (eg oxygen, suction etc)? We currently have a paper based version where staff have to initial on their shift that they have been checked. Some things are checked on a shift by shift basis, some daily and some weekly dependant on what it is and the area of the ED or services. Hoping to create a web version easily accessible/usable on mobile device and could be a QR code at the bedside. Thanks! submitted by /u/mishlj [visit reddit] [comments ..read more

Hey all, I’m aware that putting this post out at a time we’re there’s controversy over mid-level encroachment will gain some negative responses. But I want the brains trust perspectives on whether or not paramedicine should or may become apart of medicine. Paramedicine is rapidly advancing with evidence based practice and autonomous practice, etc. Intensive/ critical care paramedics provide care and management of very sick/ complex patients while our standard paramedics provide general and very broad insight to patients for referrals and assist with management to sick persons. Paramedics stan ..read more

73,750 Came in with acute worsening of progressive SOB over the last two weeks. Sats in the 70s 15L NRB. SBP 160s. Started bipap and nitro drip and in about 15 minutes he was looking much better. Subsequently found a pna and weaned him off the nitro. Several hours later he actually needed pressors as I REALLY did not want to give this dude much fluid. I have a feeling I'm probably not high score, but what's the highest you've seen?? submitted by /u/Dabba2087 [visit reddit] [comments ..read more

Hey guys, I am almost starting my second yr in residency. I feel like I get a lot of push back from consult services. This has led me to a point where when an attending tells me he/she wants a consult, I get anxious because I know I might get push back (even though I understand to get one). I will say sometimes consults really do not make sense and other times I feel like neither the attndg nor I know what to do with a patient so we anchor on a consult to get things done. But nonetheless, I feel my self confidance is dwindling as I lack in raising proper/convincing consults. This also makes m ..read more

Hi all, I’m graduated college with a C.S. degree but am super interested in medicine; I’m taking a post-bac right after graduating. In the mean time, I wanted to see if I could leverage my skills in C.S. to build a solution within EM. My pitch: Imagine if you could predict the busiest times for your emergency room—that’s exactly what I’m working on. It’s an AI tool that forecasts when you’ll have the most patients, so you can staff and prepare accordingly. Would a tool like this be helpful for you in managing the ER? Thanks! submitted by /u/Few_Speaker_9537 [visit reddit] [comments ..read more

ER attending here, about 5 years in. I’m starting to notice my long term memory has been awful, i.e. trouble remembering certain days/events/conversations and even long periods of time. Even the present moments feel a bit fuzzy. I’m curious if any other ER vets have noticed this. I figured it could be: 1. The switching from nights to days is affecting me 2. Too much phone time 3. The days have been a blurry mess since the pandemic, and they’re only starting to normalize now 4. The ADD-esque nature of our job 5. A tumor in my hippocampus submitted by /u/PiggosRevenge [visit reddit] [comments ..read more

How would you guys handle this patient? 60F presents with palpitations. New onset afib RVR in the 160s. Pressures around 90. Hx CHF with an EF of 25% on last echo which is about a year ago, AND a history of pHTN. IVC looks roughly normal but with BLE edema. No B-lines but is complaining of some SOB. Had a TIA 1 week ago, not on any thinners. Obviously work up for the underlying cause, but then managing the RVR is where it gets a little tricky because everything seems contraindicated for one reason or another, not quite unstable enough to shock. I ended up letting it ride for a bit and it all ..read more

I worked in an ER from the hours of 4-1am and 5-2am absolutely loved it since I was a night owl. Stupidly, I decided to do 7pm-7am shifts 3x a week and flip my schedule on my off days… now I have insomnia. I either fall asleep at night and get super fragmented sleep or fall asleep later in the night at like 5am-6am. Occasionally I get unlucky and my body wants to throw a fit and I just can’t sleep at all. I’ve been off nights for 6 weeks at this point and worked then for 7 months so idk why this is still happening. I’m going to med school in 3 months and I want to do emergency medicine but ma ..read more

submitted by /u/First10EM [visit reddit] [comments ..read more

Just got accepted to the EMT program at my local college and I’m very excited about that. Not entirely sure what to expect as I have experience in the medical field, but more so from the administrative/communications side. Any words of wisdom or advice you all can offer? submitted by /u/7000stances [visit reddit] [comments ..read more