What’s The Most You’ve Given?

I think I just broke a record. The other night I had a guy in SVT (supraventricular tachycardia) and had to give him adenosine. He was a big dude (over 250 lbs). Guess how much I gave him?

First Dose: 6mg. Did nothing

Second Dose: 6mg. Did nothing

Third Dose: 12mg. Broke the SVT for [...]

When Life Gets To be Too Much

Caution! disturbing image below.

Sad how some people just suddenly decide life is not worth living any more. This guy argued with his wife, told her he was going to kill himself, locked himself in his room and 3 minutes later, BANG. Game over.

See the bullet entrance wound circled in white on the second picture.

I Knew it

Sir, I know you really wanted to go home – in fact I technically discharged you.  You reportedly had a breif seizure at work- the first one in over 5 years but had a negative CT scan and blood work up so I was debating sending you home on seizure meds or just having you follow [...]

How Did we Survive?

The other night I went out with about 15 friends of mine from my college fraternity days. It has been a while and it was a lot of fun. Everyone has done well for themselves, families, careers, etc. However about halfway through the night I realised that it is a miracle that we survived let alone [...]

Class Act, Dude.

ERP: Ma’am, what brings you in today?

Ms Chandelier : I got some pain down there.

Mr Aloof (bf of patient sitting there stuffing french fries down his gaping maw) : Yeah, and she stink.

ERP: Have you two been using condoms?

Ms Chandelier : Mostly

ERP: Discharge?

Mr Aloof : Munch, munch, munch. Yeah, Doc.

ERP: [...]

Paging Dr Ripoff

There are doctors out there that just give the rest of us a bad name. It looks especially bad if the doctor is a plastic surgeon – who already have to deal with media stereotypes (like that douche-bag Dr Rey who does push-ups in his muscle scrubs before a case – [...]

Healthcare Roundup Part 2

Hey – its WhiteCoat from EP Monthly again with some more healthcare-related tidbits from around the web. See the rest of this week’s roundup over at my blog if you’re interested.

Should rural surgeons in Oklahoma receive tax credits to encourage them to take call in the emergency department? Personally, I’m betting that most specialists [...]

Alcohol or Drug Addiction?

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