How bad does residency suck?

[Winged Scapula]

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Well let me tell you that in private practice where I am no one runs a code except the ER doc. I've had the IM PMD at the bedside bow out and have me run the code because they are uncomfortable doing it. And as for anesthesia when it comes to an emergency airway in a non-prepped patient with a full stomach none of the anesthesia docs in my hospitals have tubed somoeone like that since the dawn of never. Where I am the pulmonologists call me to tube people in the ICU.

Different environments, different policies. Our Code Team (at a university hospital) is comprised of IM and Anesthesia personnel; the Anesthesiologists do the intubations. At a local community hospital where we rotate, the ED physicians (who are generally not ER residency trained) respond to the Codes with the in-house Anesthesiologists (there are no in-house residents there except 1 surgery) who again, do the intubation. However, non-emergent intubations in the ED are almost always done by the ED physicians in both cases.

 

[docB]

However, non-emergent intubations in the ED are almost always done by the ED physicians in both cases.

What sort of non-emergent intubations are being done in the ED?

 

[Jeff698]

as far as my triage comment

It's not the triage part of your comment that was so offensive. It was comparing an emergency physician with a nurse that waded everyone's undies (mine included). Of course, there is triage involved in EM, nobody is disputing that.

Words have meaning. Sometimes its a meaning you didn't intend. It sounds like you didn't mean to offend so I figured I'd at least let you know what part of your comment was, well, offensive.

Take care,
Jeff

 

[Winged Scapula]

What sort of non-emergent intubations are being done in the ED?

There is a difference, IMHO, between an emergency and an urgency. The former seems rather obvious, but I have seen patients who are fully alert but are slowly decompensating and a decision is made to electively intubate them before it becomes emergent.

 

[BMW19]

Quote:
Originally Posted by BMW19
That is the whole point of this freakin forum. You guys spend so much time making smart ass remarks when you can just answer the question. It really is ridiculous. Thanks anyway


QUOTE BY kUNGFU

Yes, you are correct. Smart ass remarks are the whole point of this freakin forum. While obvious to many, your clarification of this point is still appreciated.

Wow, you guys really can't take some of your own medicine can you? I got some damn smart ass remarks from you guys (Jeff698 can attest to that) in the past. The minute you get one back you get your panties in a bundle. I was told these remarks were "the whole freakin point of this forum". Pretty darn funny to me

It's not the triage part of your comment that was so offensive. It was comparing an emergency physician with a nurse that waded everyone's undies (mine included). Of course, there is triage involved in EM, nobody is disputing that.

Words have meaning. Sometimes its a meaning you didn't intend. It sounds like you didn't mean to offend so I figured I'd at least let you know what part of your comment was, well, offensive.

Take care,
Jeff