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- Jun 24, 2014
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I had at one point in the night my name as primary on the entire ED board of all dozen patients. Because they pan-Admitted them all and many of them dont even have basic orders, potassiums not repleted, and pain not addressed; yes we can do their job. And its safer for the patient as they still havent been stabilized; even shock has been mistreated (Ive seen some give lasix for “cardiogenic shock” that they documented!). It makes sense that they are being encroached; there is no thought process. just algorithm.This is really the tragedy of Emergency Medicine, as a specialty. It was created to put doctors in the ER, who could and would dispo appropriately, in effort to avoid what you just described in your post.
That EM is now riddled with mid-levels (and EM physicians) who only practice CYA medicine is proof that EM is not a serious or well-defined medical specialty.
Might as well have internists, general surgeons, and pediatricians work the ER; if they're admitting anyway, they can do the whole intake.
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