https://www.nytimes.com/2009/03/03/us/03dentist.html#:~:text=Dentists%20are%20in%20such%20short,a%20distance%2C”%20said%20Dr. I’m an er attending in a rural area and our population is in general low income with little to no access to reliable dental care. I came across this article the other day, in which family docs are taught to do very simple extractions. Thoughts? We’ve all seen a tooth that was broken, decayed, and obviously needed to come out, for people without access to care I wish I could just pull it. Has anyone heard of courses to learn this skill? I think would require supervised ..read more

I’m looking for EM programs primarily in MA, NY, PA, NJ and MD. Right now I have sub Is set up for: 1. Boston medical center (early July) 2. Upitt (late July) 3. Brigham/MGH (late September) 4. Cooper (early July) 5. Robert wood Johnson (late October) I only plan to keep 4 of these. I know it’s usually a bad look to have more than 3 EM rotations but my school requires one as a core and than 3 sub Is so I must have 4 I want to keep BMC for sure, but right now I have to choose between keeping Cooper or Upitt for a prime spot In July that would give me a usable SLOE. I already tried moving dates ..read more

If anyone can provide sources, I'd appreciate it. I'm a paramedic in the ER and the environment is new to me. I was not actively involved in this patient so maybe I should of just stayed out of it. Patient presents: ~35 YO male, "pistol-whipped" at a party, smell ETOH. Difficult to assess GCS due to language barrier but patient appeared non cooperative to his wife's commands such as telling him to stop making himself throw up and staying in bed. Again language barrier but body language suggest. CT scans result: subarachnoid bleed with 3mm midline shift. Patient was moved to trauma room airway ..read more

I have been reading through this thread for the last few weeks. I have one question and a challenge for others whom have contributed to this thread. If we all truly feel that so many factors can indicate a patients treatment, specifically judgment around hair color, choice of clothing and more, do we not take a step back and realize that maybe our judgement is also clouded by SickTok? As much as we judge patients within our own right specially when considering use of opioids and or hospital resources I believe there needs to be SOME limit to what we consider 'patient red flags'. This thread ..read more

i’ve heard different rough preferences on when to do a rectal temp from various providers and RNs… what are your personal qualifiers (for example, months/years old, presenting sx, etc) on electing to take a rectal temp on a patient in the ED setting? submitted by /u/Western_Wave_5197 [visit reddit] [comments ..read more

Inspired by the other recent post about nurses. I am a Canadian paramedic and have often wondered some things about our ER physicians. My understanding - which I would be happy to have clarified or corrected - is that Canadian EM is either FM+1 or FM+5. However, many (most?) rural EDs are staffed by non-EM physicians, typically a rotation of FM practitioners who practice in the community. 1) For the non-EM rural physicians who work ER, how much EM training is there, and how do they get it? What does that training process look like? 2) For any of them (EM or not), what does continued education ..read more

Good news for a lot of employees in many industries… https://www.ftc.gov/news-events/news/press-releases/2024/04/ftc-announces-rule-banning-noncompetes submitted by /u/PettyWitch [visit reddit] [comments ..read more

Feels good Your turn submitted by /u/Daleeeeeeeeeee [visit reddit] [comments ..read more

I am becoming increasingly frustrated with the lack of skills from nurses at my shop. I figured this should be the best place to ask without sounding condescending. My question is how do nurses learn procedures or skills such as triage, managing X condition, drugs, and technical skills such a foley, iv starts, ect? For example, I’ve watched nurses skip over high risk conditions to bring a patient back because they looked “unwell”. When asked what constitutes unwell, I was met with blank stares. My first thought was, well this person didn’t read the triage book. Then I thought, is there even a ..read more

These scum bags cut almost all of my PRN hours, reduced my pay by $30/hour for the remaining few shifts, and then had the nerve in the same breath to offer to help me find work with them at another shop. All with a smile and pleasant tone on the phone. Fuck ya’ll. Sticking with small democratic groups from here on out. submitted by /u/Ok_Cartographer_4862 [visit reddit] [comments ..read more