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- Thread starter Alpetragius
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Time you guys block these nonsense consults. If there's no true focal neuro deficits and encephalopathy can't be accounted for by toxic/metabolic etiologies, you guys should avoid such consults...at least during this pandemics.
Are you in PP or are you in residency still? I know it's different when you're a resident (you're powerless to defer consults or take them "over the phone") but I'm about to start a week long shift and I have decided that I am not going to needlessly expose myself to risk if I can help it. I.E. AMS consults need to be differentiated as best as possible (metabolic at least ruled out or very nearly), and if an inpatient consult is not urgent or even super important I am going to defer it. I am also planning to treat every stroke alert as possible COVID since a lot of them are for non-specific symptoms and even sometimes for AMS and who knows if they've been ill or not. **** is hitting the fan. This is a time of pandemic and everyone should be utilizing their resources as efficiently as possible.
Regarding admin at my hospital they're already staying home. Goes to show how "valuable" their jobs are that the place runs just fine without them. I've always disliked them but you can essentially count on their stupidity. They're watching for #1 (themselves) and you should too.
What worries me is if we get overrun and they start asking specialists to do medicine. I guess I could after a few days of "de-rusting" but I'd really rather not.
Regarding admin at my hospital they're already staying home. Goes to show how "valuable" their jobs are that the place runs just fine without them. I've always disliked them but you can essentially count on their stupidity. They're watching for #1 (themselves) and you should too.
What worries me is if we get overrun and they start asking specialists to do medicine. I guess I could after a few days of "de-rusting" but I'd really rather not.
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Have you guys brought this up to your PD?
What about whatever attending you're working with that particular week? Since they have to staff those cases they'd also be exposing themselves. Hopefully a bit of self preservation may come from that? I trained somewhere with a similar ED...I know your pain.
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Luckily at my place we (residents) can reason with the ED and sometimes provide some guidance over the phone.
