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EMEDPA last won the day on November 7

EMEDPA had the most liked content!

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    Physician Associate

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  1. Sounds like a triage issue. no one potentially septic should be sent to FT. that should be the expectation and all the walking well with flu/influenza/colds should not be expected to get septic workups.
  2. Check on sempa website. generally a decent # of solo jobs in MT and WY. don't know that I have ever seen 1 in ID. Miles City, MT has frequent openings. most of the rural jobs tend to be ME, VT, upstate NY. very few on the west coast.
  3. anyone had luck with this or known of folks who have? A relative asked me...
  4. AGREE that bridge should be 2 years, not 3.
  5. my understanding is that the state of KY has (or had) a need for em folks a few years ago and had a state based program of loan repayment....although as one of the worst states to practice as a PA it's not hard to see why they have trouble recruiting folks.
  6. option #3 (what I did): get BS degree then get paramedic certification. It really depends what interests you. you need hce. just figure out what you could see yourself doing for a few years if you don't get in on the first round. either rn or paramedic are excellent routes to pa school. you pretty much need a bs to apply to pa school at this point. that does not exclude any particular hce.
  7. I'm guessing pre-existing conditions...
  8. I would like to see programs go to a 36 month model like USC currently does: 18 mo didactic, 18 mo clinical. Alternatively, a 24 month program with a 12 month postgrad internship/residency.
  9. yup, great case. Have had several over 30 years in em, but this was probably the best as I got to see it evolve. The pt ended up doing ok. They were extubated without deficits and now are a med/surg pt awaiting psych placement....
  10. Agree with above. The one dominant factor I have seen in folks who end up doing solo coverage rural EM is a prior career as a paramedic. Those folks have the right mindset to play cowboy, a host of important skills from day 1, and know when to ask for help. There is no shame in getting a consult. Like Clint Eastwood says. " a man needs to know his limitations...."
  11. Many of these are from EMS, but useful to most providers. Please feel free to add to the list: PQRST for describing a painful problem Pastmeds for workup of sob (progression, associated chest pain, sputum, temp, medications, exercise tolerance, dx, severity) Sludge for cholinergic overdose aeioutips for altered mental status critical patient and suddenly forgotten everything you know? Just Vomit (vitals, o2, monitor, IV, tubes(ET, Foley) & Transfer(?) basic admission orders: ADCVANDISML: admit to (service, name of provider), dx, condition, vitals, activity,nursing orders, diet, IVs, special studies, meds, labs
  12. pt has been on a bicarb drip x 2 days after several amps pushed initially. looks like they will probably make it at this point with plan to extubate in am.
  13. agree. I think the wave of the future for PAs is required internship in a specialty, followed by a specialty board exam. my preference would be this progression: bs/ba degree to MS level 2 yr PA program to 1 yr residency/internship concluding in a doctorate and specialty board certification. 7 yr progression(not including hce) vs min 11 for md/do.
  14. apparently doing much better today. fighting the vent and requiring sedation. plan is for trial of extubation tomorrow.
  15. 1 day f/u. still intubated and pretty obtunded. no ongoing sedation requirements for vent management and responding only to painful stimuli.