VID Oh shit!
- Thread starter mysticmac
- Start date
Oh my.
We had a patient who had a hematoma behind his eye one night. Blood and swelling was slowly pushing his eyeball out. Eye surgeon on call was hour away in surgery. He told the ER doc the procedure that needed to be done asap. ER doc asks him how to do it. He told him to google it. Lol
He watched it on YouTube and then went in there and did it. It worked!
We had a patient who had a hematoma behind his eye one night. Blood and swelling was slowly pushing his eyeball out. Eye surgeon on call was hour away in surgery. He told the ER doc the procedure that needed to be done asap. ER doc asks him how to do it. He told him to google it. Lol
He watched it on YouTube and then went in there and did it. It worked!
Where's that bad doctor advice thread?
That is how I fix my car, cook, and learn how NOT to use the Hoverboard...
Walk it off bro.
D
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No joke, in emergency situations with enough background on the other procedures and anatomy and physiology you can probably wing quite a few things.
It sounds hilarious and crazy and
@Shinkicker is likely describing a lateral canthotomy. In the end the procedure is just learning what tissue to cut. If you are an ER physician that's already used to dealing with tissue working with your hands for other procedures, etc. This is a small step outside of your comfort zone and has big payoff in such an emergency situation. You would never do it electively without more experience but it's minimal risk for the benefit.
Makes sense. My comment was made in jest.No joke, in emergency situations with enough background on the other procedures and anatomy and physiology you can probably wing quite a few things.
It sounds hilarious and crazy and
In the end the procedure is just learning what tissue to cut. If you are an ER physician that's already used to dealing with tissue working with your hands for other procedures, etc. This is a small step outside of your comfort zone and has big payoff in such an emergency situation. You would never do it electively without more experience but it's minimal risk for the benefit.
I would hope anyone with a degree would show discretion when consulting google for professional info no matter how small.
Makes me hungry.
Nope!
I get weirded out with eye stuff. Glasses are my only option for corrective vision because of it.
That's exactly what it was!No joke, in emergency situations with enough background on the other procedures and anatomy and physiology you can probably wing quite a few things.
It sounds hilarious and crazy and
In the end the procedure is just learning what tissue to cut. If you are an ER physician that's already used to dealing with tissue working with your hands for other procedures, etc. This is a small step outside of your comfort zone and has big payoff in such an emergency situation. You would never do it electively without more experience but it's minimal risk for the benefit.
The new docs though, splint.......some send patients to radiology even for LPs now. Smh (even skinny peeps lol)
D
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Graduate medical education is a disaster built on the false premise that the world looks like an academic medical center.
I'm a Family doc that can deliver babies, intubate, LP, central line, etc.
I watched things like basic hospitalist procedures get deemphasized during my training. And it took me being a bit of a militant resident to not have that affect me. The idea was, "there's a procedures team!!!"
I was tubing and putting a line in someone two days after residency in the real world. I also was making a lot more per hour (locums work) than my colleagues that's didn't learn these fairly simple self sufficient life saving procedures.
I could go on for hours. The ivory towers have their heads so far up...
I absolutely love assisting in procedures. I find myself trying to talk new docs in to doing them.
We had a family doc who went to concierge after Obamacare and started moonlighting in ER. I wasn't thrilled. I figured he was going to practice like in an office setting. Day 2 that I worked with him a guy came in with a soccer ball size tumor attached to a 7 inch long rope-type strip of tissue coming from his hip. The guy had to carry it around. No insurance. Doc came to me and said, "if you can find me what I need I think I can take that off for him." It didn't go perfectly (artery bigger than expected and we had to administer a unit of blood) and he faced some criticism for it. But we got it done. One of the best days Ever. And I have a forever crush. Smile every time I see his name on the schedule.
I, for one, appreciate and have great respect that you are a 'doer'. They are handicapping these docs.
This is sadly very true in many cases, and has been only exacerbated by the work hour restrictions that came into being at the end of my fellowship. I did more procedures during my the first half of my intern year than many residents do their entire residency now, and got considerably more PCICU experience doing every other night call in fellowship than current fellows can possibly get. While shorter resident work hours seem like they should enhance safety- I would argue if you have residents doing things that result in patient harm you have a SUPERVISON problem, not a sleep problem; and there was not data that suggested shorter hours would benefit patients. It IS known that one of the most dangerous things that happens to patients is when one MD hands a patient off to another who is taking over, as it takes some time to get up to speed on what is going on with the patient and "get a feel" for them. The duty hour restrictions drastically increased the number of hand offs necessary , and has fostered a sense of "shift work" amongst many new physicians, and seems to have led to less of a sense of "ownership" of patients and more of my pet peeve attitude of "not my patient". I still fear we are going to see problems created by newer physicians having less sense of patient ownership, less procedural experience, and less experience overall as the proportion of practicing physicians that trained under the duty hour restrictions grows.
Sorry for the semi-hijack
I can't read this shit....me lady loves all that shit but I pretend Im made of steel and balls
she and my dad are In medical
I stay away from all that gory shit
props though...I had surgery from a former top surgeon of the air force trauma unit and he saved my life...was a really badly burst appendix
she and my dad are In medical
I stay away from all that gory shit
props though...I had surgery from a former top surgeon of the air force trauma unit and he saved my life...was a really badly burst appendix
@Splint
Yesterday, had an ER doc (resident shadowing, not sure what year) call in an ENT to stop an arterial nosebleed because rhino rocket didn't work on first try. Doc was yelling at me to get Afrin up her nose while she was vomiting baseball sized blood clots. Resident vagaled. I propped his feet up on a small garbage can and let him lay there. The doc was doing tennis ball head between resident and pregnant arterial nosebleed while I was trying to benzo her nose to get clamp to stay on (on his orders, which was useless. Bleed was from displaced fracture) It was a cluster fuck. Lol
(In case you are interested, ENT used a Fox with larger balloon, which still wasn't large enough so he shoved a Pope up beside it. Job accomplished.)
Yesterday, had an ER doc (resident shadowing, not sure what year) call in an ENT to stop an arterial nosebleed because rhino rocket didn't work on first try. Doc was yelling at me to get Afrin up her nose while she was vomiting baseball sized blood clots. Resident vagaled. I propped his feet up on a small garbage can and let him lay there. The doc was doing tennis ball head between resident and pregnant arterial nosebleed while I was trying to benzo her nose to get clamp to stay on (on his orders, which was useless. Bleed was from displaced fracture) It was a cluster fuck. Lol
(In case you are interested, ENT used a Fox with larger balloon, which still wasn't large enough so he shoved a Pope up beside it. Job accomplished.)
@SC MMA MDThank you for sharing. I have been noticing a trend in things that could be contributed to a lack of ownership, but didn't really understand what might be the cause. (I won't mention the lack of initiative).
Also, we use a group of hospitalists now for admits. You see whoever is on duty that day. So a three day stay could mean you see a different doctor every day!
Side note: I was on a waiting list for a year to get in with my pmd. I liked how he practices but a big factor in my decision is that he does his own admits.
@Splint
Question. Does our military have or use these? I had the opportunity to try these out on a cadaver at a Trauma conference in Mississippi a few years back.
The Future of Medicine: Anti-Bleeding Clamps
Question. Does our military have or use these? I had the opportunity to try these out on a cadaver at a Trauma conference in Mississippi a few years back.
The Future of Medicine: Anti-Bleeding Clamps