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Not if I can help it. I've gotten to the point where I just play the dumb and incompetent card and "defer to the experts" i.e. GI/IR for... -
Tiger26 replied to the thread "Emergency rooms refused to treat pregnant women, leaving one to miscarry in a lobby restroom".Is there something specifically in EMTALA that forbids you from telling patients what hospital services are offered at your facility...
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Tiger26 replied to the thread "Emergency rooms refused to treat pregnant women, leaving one to miscarry in a lobby restroom".You can't tell someone we're happy (and obligated) to see them if they so desire but we don't have that specialty at our hospital?
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Tiger26 replied to the thread "Emergency rooms refused to treat pregnant women, leaving one to miscarry in a lobby restroom".Depends on what the real story is but I think there's a big difference between refusing to treat and letting someone know that there's...
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I used to use all the algorithms but nowadays it's pretty much 100% GESTALT. Either that or if they are requesting the CT. I document...
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If they're a reliable historian who can tell me precisely how they fell and how there is zero chance that they hit their head, I...
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Tiger26 replied to the thread Identifying Sepsis.Totally agree--especially when so many studies can't be replicated
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It is extraordinarily difficult to find things that are "non-trash" these days. The big name journals are frequently full of pharma...
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Age + BUN = lasix dose. 100 - Age = propofol dose.
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Tiger26 reacted to emergentmd's post in the thread Are diabetics immunocompromised in your practice? with
Like.
I have been out of the Pit for about 5 years now and these kind of protocols makes me glad I am out. If a pt looks good, vitals look... -
Tiger26 replied to the thread Are diabetics immunocompromised in your practice?.Totally wild that people are getting 6-hour lactates to respond to a number. Am I the only one who orders as few lactates as possible...
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Tiger26 reacted to Janders's post in the thread Are diabetics immunocompromised in your practice? with Like.
As the guy here who is leading the march to discharge lactates of 2.1 in healthy people without a 7hr ED say to get a 6hr lactate trend…...
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Tiger26 reacted to RustedFox's post in the thread Are diabetics immunocompromised in your practice? with Haha.
My lactate is 2.6 after eating Mexican food. Nothing means anything anymore.
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Tiger26 reacted to Mount Asclepius's post in the thread Are diabetics immunocompromised in your practice? with Like.
I think your issue possibly relates more to on how to convey the admission/transfer adequately rather than diabetes being a big factor...
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Tiger26 replied to the thread Are diabetics immunocompromised in your practice?.If this person looks sick and didn't turn around in the ED, I'd probably admit them. That said, I bet 9/10 of these look way better...
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