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Just bored and curious (trying to not study for my in-service exam tomorrow).
Originally posted by Docxter
I'm a rads resident. This year alone, I've ran a code on three people including tubing them in the rads department. The "code" team usually gets to us about 10-15 minutes after calling code anyway (disadvantage of huge hospital). For patients who code in the IR suites, we often don't even call a code. What are they going to do anyway that we can't do? Tube the patient? Get central access? Give meds? Attach paddles and shock? Relieve tension PTX? Put a chest tube? Do an emergent echo? Do a pericardiocentesis? Put an transthoracic or IV pacer? Do an emergent crico? Do an emergent pulmonary embolectomy? We do all of that ourselves.
But in general I agree with you all. You don't want your typical radiologist running a code. Big no no!!
Originally posted by Apollyon
1. Good on ya for being on the ball!
2. Pulmonary embolectomy? Hell yeah! That's the ONE thing that we virtually never can save people from (and never ever in the ED).
3. In all the hospitals I've been at, Rads is proximate to the ED. Interesting. (And prescient that you have code equipment in the department!)
Originally posted by cg1155
I think a key point of the question is which PGY-2 would you want coding your mother. For me it's no question: Gas or EM. So a senior Rads resident might do well, but a PGY-2?
Casey
The PGY-2s are actually just as good as other IM or surgery PGY-2s since they are fresh coming out of internship.
And I agree that the best ones are: 1. Anesthesia. 2. EM, in that order.
Originally posted by Docxter
2. Of course you can't do an PA embolectomy in the ER (except maybe on the TV series). For surgical embolectomy, the patient often needs to go on a pump. I'm talking percutaneous embolectomy. Over the course of my residency I've seen two crashing patients saved (one temporarily-died two days later) by emergent percutaneous PA embolectomy (pull out that honker saddle embolus). The patients were lucky to be in IR when they crashed because it would have been too late if they were going to be transferred to us from the ER or unit.
3. No code equipment in your rads department?? Bad bad hospital. Don't patients in your rads department ever get anaphylaxis to contrast??!! No codes inside the CT or MR scanners (two of the favorite places to code)?
Originally posted by avendesora
For myself or a loved one -- GAS, no doubt whatsoever. Airway mgt. is what they do for a living, for gosh sakes!
Originally posted by Apollyon
Seriously, IM and FP can get it done, if they're all that's there.
Originally posted by Apollyon
The irony is the people that said they don't want anesthesia or EM to run the code - who else, then? IM? Who tubes the patient? And, IM isn't known for brevity or speed. FP? SURGERY? Hahahahaha!
Coding patients are best served by a number of services showing up and participating, not posturing about "I can handle this all by myself."
Originally posted by Bobblehead
Coding patients are best served by a number of services showing up and participating, not posturing about "I can handle this all by myself."
Many (not all) of the ER docs at my hospital always seem to **** something up. Not the brightest bunch.
Originally posted by cg1155
But the beauty of it is that a bunch of Gas residents or EM residents could handle it all by themselves.
the "C"
Originally posted by Ligament
dude, people on here are saying they would rather have a patholgist run a code than psych!! Listen, psych runs inpatient floors at many hospitals, and therefore must see at least a code per year. When the hell would a pathologist even get NEAR a coding patient? I dont get this.
??
Originally posted by Ligament
dude, people on here are saying they would rather have a patholgist run a code than psych!! Listen, psych runs inpatient floors at many hospitals, and therefore must see at least a code per year. When the hell would a pathologist even get NEAR a coding patient? I dont get this.
??
Originally posted by SMW83
how would I know which one I would or wouldn't want coding my mother...?