This place is getting boring, post something good.

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Yea there needs to be a revision of EMTALA that in real medical or surgical emergencies, like REAL ones like the one above, they get auto launched to the closest center and they deal with it.
And what is this BS that people trained in the problem at hand refuse to treat the patient saying it's too complicated?

More BS

I had a Urologist once try to not come in for penis trauma. "I don't do penis trauma" he quips. I mean WHAT THE FUUUKKK who is supposed to fix a penis then?
 
That aorto-enteric fistula had to be incomplete or something else - maybe a turd blocking it? I say that, because, my residency director told us of a case she saw in residency, which was an AE fistula, and the pt exsanguinated in less than 10 seconds, right out the butt.
 
And what is this BS that people trained in the problem at hand refuse to treat the patient saying it's too complicated?

More BS

I had a Urologist once try to not come in for penis trauma. "I don't do penis trauma" he quips. I mean WHAT THE FUUUKKK who is supposed to fix a penis then?
The system I worked for just got hit with an EMTALA fine for a vascular surgeon who refused to fix a carotid hematoma from a recent endarterectomy because the surgeon who did the procedure originally was at another hospital.

Didn't help that he refused to even come into the hospital and examine the patient, this was all over the phone between him and the ED doctor.
 
You heard me.
Started on the "hybrid" ATLS renewal course.

The videos are worse than the early 1990s Red Cross CPR videos.

$1K to watch videos and learn about how important trauma prevention is, how there are new acronyms (XABCDE, MIST, RICE, etc), and how important communication is.

Have surgeons gone soft? Is the world upside down??
 
Started on the "hybrid" ATLS renewal course.

The videos are worse than the early 1990s Red Cross CPR videos.

$1K to watch videos and learn about how important trauma prevention is, how there are new acronyms (XABCDE, MIST, RICE, etc), and how important communication is.

Have surgeons gone soft? Is the world upside down??

Haven't renewed my ATLS since residency.

Only reason I renew ACLS is because the brass tell us: "we get a big insurance discount if you're all certified".

I don't really believe them.

Follow the money. Squeeze the juice.
 
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