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TTrailRun replied to the thread Sleep Medicine from EM update.I was just thinking about this post during a run. Thats so frustrating. I wonder if you could just self study for a bit and just open...
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TThose who work work at academic centers often don’t understand the realities of transferring. In 6 hours if their CT worsens you then...
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TTrailRun replied to the thread EMTALA Question.I get the premise, but what if they are worse in 6 hours? How is that defensible? I would suggest they need to be at a place with the...
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TTrailRun reacted to Birdstrike's post in the thread Options for no nights, holidays or weekends with
Like.
Pain Medicine fellowship. -
TTrailRun replied to the thread "Emergency rooms refused to treat pregnant women, leaving one to miscarry in a lobby restroom".I’m surprised that those ER’s that post the wait times hasn’t been interpreted as a discouragement. The DVT thing is a little tricky...
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TTrailRun replied to the thread "Emergency rooms refused to treat pregnant women, leaving one to miscarry in a lobby restroom".Our triage nurses 'hint' at it all the time. Where EMTALA hurts patients is when they come to a little ER with no OB, peds, etc, and...
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TThat and also because of the age related brain atrophy the exam may be normal for longer after an injury.
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TTrailRun replied to the thread Whose heads are you scanning?.I guess I’m wishing there were a PECARN equivalent for >65 not anticoagulated. I see a significant percentage of elderly who hit their...
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TTrailRun replied to the thread Whose heads are you scanning?.I think everything you said is correct, but I can’t remember the last time I saw a significant ICH (that required surgical intervention...
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TThere is no validated head injury rule for elderly, anticoagulated head injury patients that doesn’t involve CT. Telling people to use...
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TOver 65 with minor head injury, no anticoagulation, normal mental status doesn't necessarily need a CT if you tell them to come back for...
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TI have an autotext for this. I say: "ZIP: CONTROLLED FALL" intot he mic, and I get: "The patient states that they were able to fall in...
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TWas wondering if my practice matches others; single coverage community so don't get a lot of feedback kids = PECARN severe mechanism...
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TTrailRun replied to the thread Obligation to Police.I must have missed the day in residency where we were taught how to determine how long someone has been dead for. I definitely feel...
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TFinishing up Palliative fellowship this year- worked in the trenches for several years before that. Can relate to these waxing/waning...
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