Recent content by joeDO2

Rebel EM has a great summary of all of the different studies of full dose, half dose, and CDT: Treatment of Submassive Pulmonary Embolism (PE): Full Dose, Half Dose, or No Dose? - R.E.B.E.L. EM - Emergency Medicine Blog Based on the information so far (may evolve as new data comes out), this...

I'm at a mid size community hospital. 15 unit beds. 1 24-hour attending, 1 additional attending during daytime only (approx 8a-4p). 24 hours of coverage by senior resident (EM or IM) and daytime (12hr) intern coverage.

great info, thanks

Wanted to get some opinions on a few financial decisions toward the end of residency: 1. Any good strategies for asset / liability protection? (other than being nice to patients, not screwing up). It seems LLC/S corp does not provide any shelter. Any other strategies you guys are using? 2...

Expectations are low MS3 year. You're not supposed to know the answers to all the questions. Use those experiences to get better. You won't realize it but gradually every week, every month, you will get better. When they stop asking you questions, that's when to worry. Questions mean...

A lot of fixation on taking a good history and the importance of asking about cocaine use in young chest pain. I find it almost useless. My personal experience thus far is that asking about cocaine and not performing a UDS is like the 17 year old with belly pain telling me that there is no...

This is discouraging for all of us new grads entering the job market now

Anyone have some tips for things to look out for on the job hunt? When interviewing is there any flexibility to negotiate or are rates/schedules pretty much set in stone with the big CMGs? What has been your experience with standard rate vs rate + RVU jobs? With the SDGs what is a reasonable...

Anyone know of a good course to get better at peripheral nerve blocks? I'd like to get better at them..... without doing a pain fellowship

My experience was that being a paramedic had little application to medical school, however medical school had little application to being a doctor.

I tend to list out and/or explain justifications for diagnoses that I am not getting a specific test for. I feel like my orders are documentation that I have thought of certain things- for example if I am getting a lipase and lfts on a belly pain, I feel that that order is showing I'm...

As long as I am connected to wifi, I can be anywhere in the hospital.

I agree about the sideline aspect of things. Not really worth the time unless you love doing it. The procedural aspect though could potentially be lucrative. I do know a guy who had a clinic setup and basically had all the PCPs in the area referring to him for sports med consults and ended up...

I find the watch useful because I wear scrubs without a white coat and don't have much pocket space to carry around my phone. I can leave my phone in the locker room / at my desk and still have access to texts and basic functionality.

There is some evidence that high dose statin in ACS is helpful. Very little downside to the 1-time dose in the ED prior to PCI. http://www.acepnow.com/article/studies-bolster-statin-use-emergency-department-patients-suspected-acute-coronary-syndrome/3/ I think the two main thought processes...