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GetMeOuttaThisMess last won the day on July 5

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About GetMeOuttaThisMess

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  1. Ours claims that 18/day at MC was a busy shift. You can see that in 4 hours at our setup easily on some days.
  2. ME path can be stressful as well due to hours/holidays/physical deformities, family interactions (you think interacting with families just when sick is tough), etc. I’ve seen it first hand.
  3. Adult: Above diaphragm (easy, EVERYTHING is viral for the most part except for actual pneumonias): PCN, PCN allergic -> Ceph. (if rash only and no anaphylaxis, with crossover risk of Below diaphragm: Ask Sanford or Hopkins. UTI -> nitrofurantoin, FQ (tendonitis warning), +/- TMP/SMX, Augmentin. Gyn: metronidazole and fluconazole
  4. Use a test to confirm a diagnosis, not to make one. Wise words from a wise man (who justifies my taking home a paycheck once a month).
  5. At this point I'm not sure what they are trying to say, that they didn't say, but maybe wanted to say.
  6. I like it. I also need the one that says "Cannabis causes myocarditis" and "Strep throat never hurts anybody, long term". How about "Your cold doesn't need antibiotics."? ;-)
  7. “We are absolutely not saying that marijuana killed that child,” said Thomas Nappe, an author of the report who is now the director of medical toxicology at St. Luke’s University Health Network in Bethlehem, Pa. Nappe, who co-authored the report with Christopher Hoyte, explained that the doctors simply observed this unusual sequence of events, documented it and alerted the medical community that it is worth studying a possible relationship between cannabis and the child’s cause of death, myocarditis, or inflammation of the heart muscle. Their observations appeared in the August edition of the journal Clinical Practice and Cases in Emergency Medicine as a case report, which is significantly different from a scientific study or research report that can be used to establish a causal relationship.
  8. Who knows. ME didn’t apparently know. Later saw story on other news outlets.
  9. If it’s on a death certificate it has to be real (just like the internet)
  10. 11 mo in CO found with THC in system after development of myocarditis leading to cardiac arrest. Myocarditis attributed to high level of THC.
  11. The point is that you would/COULD send out the ankle avulsion fracture in a boot and with crutches since the fibula only bears 6% of the weight of the lower leg and weight bearing/ambulation is dependent on pain tolerance. Why would this be any different treatment wise other than the boat wouldn't immobilize this fracture? Use the knee immobilizer and put on crutches/weight bearing with crutches, and let ortho tell them that they can walk on it as tolerated.
  12. I never said it was a typical avulsion fracture (OP doesn't describe it as an avulsion fracture either) from a ligament pull/inversion injury to ankle. I asked the question as to what one would do if it were a similar fracture on the distal fibula as displayed on the x-ray? There's a specific reason as to why I'm asking the question the way that I am. I agree with ral/skyblu with regard to initial ED/UC treatment. I think ortho is going to say something otherwise when seen in f/u.
  13. So let's play devil's advocate here. The exact same fracture is on the OTHER end of the fibula. What do you do for that, and why would you treat it any differently, if at all?
  14. You mean Tonya Harding? You would actually need the late Jeff Gillooly.
  15. I hope this thread takes off. Uh, apparently folks didn't care for the GI related acronyms that I provided a couple of weeks ago for hematuria and serotonin syndrome (SHIITTT and SHART). S: stone, H: hemoglobinopathy, I: iatrogenic, I: infection, T: thrombocytopenia, T: trauma, T: tumor S: sweating, H: high temp, A: agitated mental status, R: increased reflexes, T: tremors, and the acronym namesake, diarrhea.