So, for the most part standing on the sidelines, I have watched for some time the frequent verbal jabs between Nurse K and Happy Hospitalist. She has stated that Happy has done some medically questionable things, (which I agree that he has some perplexing ideas about how to treat patients and how our health care […]

I like performance cars. Especially sports cars and vintage muscle and European cars. My current car is somewhat of a hot-rod (2009 Pontiac G8 GXP with a 6sp manual) and I have a Big Block 71 Camaro for summer weekends. Thus, I tend to be a little heavy on the […]

Preparation: Place patient in bed in home. Don’t bother with a cardiac monitor, intubation equipment, or ACLS meds.
Step One: Give 10mg Valium by mouth
Step Two: Give Ativan 2mg IV
Step Three: Give Versed 2mg IV
Step Four: Give Propofol 25mg IV
Step Five: Go to bathroom
Step Six: Wait 82 minutes before calling EMS once you […]

A heated fist-fight discussion has been going on on three mediblogs - White Coat’s, Happy Hospitalist’s, and Nurse K’s. It started when White Coat bemoaned the fact that Michael Jackson’s doctor is possibly being charged with manslaughter in connection with the singer’s death, allegedly from the drug, propofol. He (and […]

So, according to Emergency Medicine News,  there is a new push (we’ll see how far it goes) in congress to make physicians (primarily ER docs obviously) who provide “EMTALA - related”, federally mandated, uncompensated care in the ER “federal employees” for liability purposes. Since we are mandated to provide such care we would be […]

RN’s out there. PLEASE DO NOT DO THIS.
Don’t write inflammatory things in the chart unless you are CERTAIN the patient is going to go down the tubes and the MD refuses to intervene. I know you are trying to be a patient advocate but writing something like, ” MD is too busy […]