Hospitals replacing anesthesia docs with EM?

[Brigade4Radiant]

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Seems like for endoscopy stuff some hospitals are using EM and ICU docs

 

[Tiger26]

There are days when the idea of anesthesia looks far more appealing than the ED and I feel totally comfortable sedating emergencies. I couldn't imagine defending myself if something happened just doing elective cases day after day.

On the other hand, the midlevels jump fields all the time, seemingly without any repercussions (GI-->Derm-->Cardiology ....)

 

[DrDrummer]

Someone asked me to go to the GI lab once and push Propofol for some GI doc who couldn’t adequately sedate a food impaction early in my post-residency job. I said no way, not my circus/monkeys/etc and also having sat on sedation committees in residency I was aware of GI labs as being dangerous places in terms of bad outcomes (especially food boluses done as MAC with a non-secured airway).

I was surprised and dismayed when one of the other ER docs happily ran down the hall to do it. 5-6 years later I think my answer would definitely still be the same. Very bad idea.

 

[emergentmd]

I am paid as an ER doc to take care of everything in the ER and have accepted that this extends to hospital Codes.

I am not paid to deliver babies, put in floor central lines, pretend to be an anesthesiologist, default floor EKG reader, or Trauma team back up.

As a favor to my hospitalist friends, I have put in a few central lines on the floor but rare.