Ortho vs ER on YouTube - A Rebuttal

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The original video: http://www.youtube.com/watch?v=5Z3OtSdvxNw

The rebuttal: http://www.youtube.com/watch?v=BHKJraPnQvk

 

[Raryn]

They had a Peds EM vs Ortho one as well: http://www.xtranormal.com/watch/6807237/

Anesthesia vs Ortho was a great one too: http://www.xtranormal.com/watch/6752641/

 

[EvoDevo]

The original video: http://www.youtube.com/watch?v=5Z3OtSdvxNw

The rebuttal: http://www.youtube.com/watch?v=BHKJraPnQvk

Sadly, both of those are spot on from time to time.

 

[deleted65604]

The nurses here love to tell a story about an ortho patient that was getting a hip replacement. The patient coded on the table and the ER doc got called over to surgery to help code the patient. The patient died and the ortho doc finished the surgery as they were coding the patient, and actually stitched the patient closed. The Orthopod walked into the waiting room and said to the family, "The hip surgery was a success, but the ER doctor here has something to tell you." then walked out of the room.

 

[skiz knot]

The nurses here love to tell a story about an ortho patient that was getting a hip replacement. The patient coded on the table and the ER doc got called over to surgery to help code the patient. The patient died and the ortho doc finished the surgery as they were coding the patient, and actually stitched the patient closed. The Orthopod walked into the waiting room and said to the family, "The hip surgery was a success, but the ER doctor here has something to tell you." then walked out of the room.

I call bull**** on your amusing little anecdote. For most common total hips, it would be nearly impossible to "finish the surgery" while the patient is being coded. A dying patient may have the surgery aborted at that point and have his wound packed/whip stitched closed, however, in the event that they live.

 

[kungfufishing]

Story might be true, who knows, but I have heard this same story about two doctors in two different fields - one is an EP who finishes sewing to realize that the old man is dead, another is a slightly different ortho variant.

 

[leorl]

There's also a kind of funny Radiology vs. ER which doesn't look good on us but is totally amusing anyway.

 

[gro2001]

Sounds like an urban myth.

 

[VienneseWaltz]

Sounds like an urban myth.

Agreed. Why would the EP be called to code an OR patient who presumably was under the care of an anesthesiologist?

 

[VienneseWaltz]

Sadly, both of those are spot on from time to time.

Maybe I'm biased, but I thought the second one was a lot funnier. 😉

While I don't doubt the first one happens, the second one occurs almost verbatim on at least a weekly basis at my institution--from ortho alone, not to mention other surgical services.

 

[Zanegray]

As a resident, I think it is the worst thing ever when your attending wants you to make a phone call like in the ortho vs. ER video. You are torn between totally apologizing, and attempting to come up with a good reason for your phone call.

There should be a certain number of calls per month you can say to your attending, are you kidding... make that call yourself! I think the services are abused more at academic centers because the residents do the work of the consult (on both ends). This results in the stuff that happens in video B, which is equally unpleasant.

Let's all us residents just go on vacation together. Beer is the great healer.

 

[willow18]

Agreed. Why would the EP be called to code an OR patient who presumably was under the care of an anesthesiologist?

CRNA must've been running the show. Hee hee.

 

[Cerberus]

As a resident, I think it is the worst thing ever when your attending wants you to make a phone call like in the ortho vs. ER video. You are torn between totally apologizing, and attempting to come up with a good reason for your phone call.

There should be a certain number of calls per month you can say to your attending, are you kidding... make that call yourself! I think the services are abused more at academic centers because the residents do the work of the consult (on both ends). This results in the stuff that happens in video B, which is equally unpleasant.

Let's all us residents just go on vacation together. Beer is the great healer.

I agree with this. There have been many times where I was told to consult X and knew it wasn't indicated. I always feel like starting out with an appology.

 

[irie]

I definitely had an ER resident admit an otherwise healthy 69 year old to medicine last night. haha. The medicine residents are all FMGs and they friggin love working up everything...even normal labs. But, last call they consulted us for a rash near a bone.

 

[hackinmage]

i've worked with medicine residents from university hospitals like hopkins to community, i think it's pretty universal trait for medicine residents to work everything up fmg or not (had one attending that friggin loved cardio consults, even for normal ekgs)

 

[rvfb]

Somebody else will have to do the "IM vs EM" video.