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A group of us MS1/2s were told this statement today by a PGY3 gen surg resident. A bit bold?
ER residents run away from trauma
- Thread starter TallScrubs
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Sure we do...all the time. It's called running away to grab the chest tube tray and ram it in before the surgery resident can beat us to it.
All joking aside, I really have no idea what he was talking about. Most EM residents probably prefer trauma as it's exciting, offers procedures, adrenaline charged, etc.. but after you've done enough of it you realize that it's very algorithmic and you realize that it's not the trauma cases that are the most challenging and difficult but instead...the medical ones.
All joking aside, I really have no idea what he was talking about. Most EM residents probably prefer trauma as it's exciting, offers procedures, adrenaline charged, etc.. but after you've done enough of it you realize that it's very algorithmic and you realize that it's not the trauma cases that are the most challenging and difficult but instead...the medical ones.
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busted.
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I'm not trolling. I was actually quite put off my his arrogance.
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Absurd surgeon that has no idea how the real world works.
Funny that I do not see a surgeon sitting in the smaller ERs 24/7 waiting to see a Trauma since I am 'going to run away from it'....
On the flip side, I trained at a Level I trauma center and now work at a Level 1 Trauma center. Its typically my goal to see and evalute the patient before trauma ever shows up. It does not always work out, but it does many times. After I have evaulated them, and no acute procedure needs done, I am quick to leave as I have no desire to be in the middle of 20+ RTs/Anes/Interns/Surgery Residents/Surgery Attendings/Medical Students all asking and doing what I just did in the few minutes to seconds before.
You can do your ABCs in a matter of seconds, and well into a secondary survery in a matter of minutes...when there isnt a bunch of other folks scurring about..
Where I trained, EM always did airway; we were good about sharing other procedures such as central lines and chest tubes.. on activated trauma patients. Where I am now, we do not have an EM residency so trauma airways go to Anes residents/attending who are 'part of the trauma team'. There is also a surgery residency program so if they are there on time, they will do any chest tubes.
If I need a chest tube on a non activated trauma, chances are I will slip it in. If I do happen to be really busy and that patient is stable, I would let Trauma do it. Maybe they see that as running away, I have put in more chest tubes than I can count and I have patients, potentially sick, waiting in the waiting room.. my time is better spent elsewhere.
I have intubated, placed bilateral tubes, etc when I have worked in podunk where I was the only doctor in the county..
Funny that I do not see a surgeon sitting in the smaller ERs 24/7 waiting to see a Trauma since I am 'going to run away from it'....
On the flip side, I trained at a Level I trauma center and now work at a Level 1 Trauma center. Its typically my goal to see and evalute the patient before trauma ever shows up. It does not always work out, but it does many times. After I have evaulated them, and no acute procedure needs done, I am quick to leave as I have no desire to be in the middle of 20+ RTs/Anes/Interns/Surgery Residents/Surgery Attendings/Medical Students all asking and doing what I just did in the few minutes to seconds before.
You can do your ABCs in a matter of seconds, and well into a secondary survery in a matter of minutes...when there isnt a bunch of other folks scurring about..
Where I trained, EM always did airway; we were good about sharing other procedures such as central lines and chest tubes.. on activated trauma patients. Where I am now, we do not have an EM residency so trauma airways go to Anes residents/attending who are 'part of the trauma team'. There is also a surgery residency program so if they are there on time, they will do any chest tubes.
If I need a chest tube on a non activated trauma, chances are I will slip it in. If I do happen to be really busy and that patient is stable, I would let Trauma do it. Maybe they see that as running away, I have put in more chest tubes than I can count and I have patients, potentially sick, waiting in the waiting room.. my time is better spent elsewhere.
I have intubated, placed bilateral tubes, etc when I have worked in podunk where I was the only doctor in the county..
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Agreed. The surgery resident was a 3rd year? By that time they usually hate Trauma enough knowing you get called all the time. Most traumas arent that interesting and few surgeries are involved.
From what I experience trauma is becoming more of a radiology subspecialty than anything else. When I was on trauma and Trauma ICU very few of the patients were operated on by the trauma surgeon. Most surgeries are Ortho or Neurosurg.
Sure once in a while there is an ex lap or something similar but its not like 50% of them go to the OR. Instead you just round for weeks on these people.
From what I experience trauma is becoming more of a radiology subspecialty than anything else. When I was on trauma and Trauma ICU very few of the patients were operated on by the trauma surgeon. Most surgeries are Ortho or Neurosurg.
Sure once in a while there is an ex lap or something similar but its not like 50% of them go to the OR. Instead you just round for weeks on these people.
D
deleted109597
I don't work at a trauma center (most of the time), so it's actually the opposite. The traumas run away from me!
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I shadowed at a level 1 place and it was just the opposite. The ED was separated into 2 different sides. One side was geared towards trauma and one was more medical emergencies. Residents assigned to the medical side were openly envious of their colleagues on the trauma side and stared wistfully at the responder speaker when a MVA was announced. Some attendings actually came in early so they could call "dibs" on the trauma side (Definately OD but they like it).
