What Can an ER Physician do?

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Doctor_MD_

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7+ Year Member
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Hi Guys!
I was just curious... what can an emergency physician do? I know they are not allowed to operate, but besides that, is there anything else that they can't do?

Thanks!
 
Technically any physician can do anything. There's nothing you are prohibited from doing by law, it's just that "can" and "should" are two very different things. Also, most things aren't going to be reimbursed if they're outside of what you're BC/BE to do.
 
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Hi Guys!
I was just curious... what can an emergency physician do? I know they are not allowed to operate, but besides that, is there anything else that they can't do?

Thanks!

What do you mean by operate? That is a very vague term.

No we don't take out people's gallbladder if that is what you are asking.

EM does have a lot of procedures ranging from mildly to moderately invasive.
 
What do you mean by operate? That is a very vague term.
.

From what I understand, emergency physicians are not allowed to perform appendectomies, c-sections, amputate limbs, etc, but are they allowed to deliver babies or perform an "small" surgery like just suturing a deep wound?
 
From what I understand, emergency physicians are not allowed to perform appendectomies, c-sections, amputate limbs, etc, but are they allowed to deliver babies or perform an "small" surgery like just suturing a deep wound?
http://en.wikipedia.org/wiki/Resuscitative_thoracotomy

Minor procedure, totally. There's a lot of big stuff you can do as an ED doc, but it's all things you'll pray you never have to, as you'll only end up doing them in low-resource environments (rural) where you're lacking in trauma surg or ENT or whatever- emergency cricothyrotomies, resuscitative thoracotomies, etc.
 
You can live your whole life without ever taking call! And you can have a lot of fun at conferences, even the academic ones (😉) because your colleagues are such chill, fun people. I've also heard you're less likely to get a divorce than many other specialties!

Edit- and if you really want to know about the procedures, check out an EM procedures textbook like this one: amazon.com/Emergency-Medicine-Procedures-Second-Edition/dp/0071613501Amazon product ASIN 0071613501 (the link isn't displaying for me, but it's Emergency Medicine Procedures, by Erich Reichman-- I like it especially because it lists all this crazy middle-of-Alaska stuff that I pray I will never, ever look up how to do online. But part of the reason I like EM is that it's filled with the sort of people who, when put in a pinch, can and will look these things up or otherwise figure them out.
 
You can live your whole life without ever taking call! And you can have a lot of fun at conferences, even the academic ones (😉) because your colleagues are such chill, fun people. I've also heard you're less likely to get a divorce than many other specialties!
Is it true that you never work nights and weekends, and that holidays are protected time with your family? :heckyeah:
 
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Man you guys have it easy.

In my last shift I had to remove a live grenade from a patient's abdomen, deal with an hospitalwide smallpox outbreak, escape a tank that crashed through the front doors, resuscitate a colleague whose arm got cut off by a helicopter blade... all of this while dealing with my own slow growing brain tumor. And there were tons of patients with lupus, a few babies that needed emergent thoracotomies. And I had to build a jet insufflator from tongue depressors and medipore tape.

That was a rough 4 hour shift.



Alternatively, I may have just fallen asleep while watching ER re-runs... I'm not sure.
 
Two things ER physicians are not able to do:

1-Have a bowel movement at work or,

2-Release water from the bladder at work.

Honorable mention: Eating cannot be done (unless it's a pop tart smuggled in from the outside and inhaled on the fly.)

Sometimes I've had to make a cognitive decision: "If I don't go take an emergency dump right now I may accidentally fart/shart in front of a patient."