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If you're currently in an A&P course then it's probably not going to be worth it, financially or time wise, to get out of this class and sign up for the other one. Experience in a cadaver lab is nice and definitely can be helpful for some in learning anatomy, but honestly I wouldn't call it an...

Not saying you should burn the book or not use it. Just bringing up a bit of trivia. At some point during medical school, probably most med students have used that book to some degree, and then shortly thereafter would learn about his legal trouble.... one of those moments during school that...

I guess Dubin's child porn checkered past doesn't bother anyone....

And it's sometimes a tough call. The really bad ones I've seen that truly crashed go down fast and there was no time for anything. Once we pushed thrombolytics during the code since there was a known PE but we did t expect much at that point. The ones that went to IR for thrombectomy or to...

IV fluids cautiously at first and then pressors. From what I've seen no good studies out on which pressor, use what you have I guess. Ultimately get 'em to a surgeon, interventional radiologist, or at least ER that can push thrombolytics. I've had a few saddle emboli that I've had the...

Currently have a ton of medical texts/reference PDF on my iPad. Ultimately, if I'm doing any sort of extended time reading I think I prefer using an actual book with real pages. But it's hard to beat the convenience of having all your references with you all the time. Any new book I'm...

What Ven said. The Anesthesia guys are the ones that mostly use bolus propofol during induction. The few times I've had to push it in the ICU (ex: for intubation and nothing else was available) I did see some transient hypotension that resolved with fluid. Certainly something to keep an...

During the day I'm a fan of water or water with one of those powdered tea packets mixed in.

Love me some iced coffee as well. I'm actually a fan if plain/black coffee with nothing added, especially a good bean made with a french press.

Ultimately you're kind of limited by your protocols and unfortunately didn't have RSI available. We do occasionally use barbiturates, usually phenobarbital on out ICHs when we just can't control their ICP. Usually the usual sedation and other ICP treatment measures work fine. Just...

Hx of CLL. Looks like now converted. At least going to get some leukapheresis over next few days. Had a case of AML with leukostasis a few months ago, VERY sick with pulm infiltrates, resp failure, multi organ dysfunction, etc that we started induction chemo on.

It's our go-to drip for ICU sedation.

Another record lab value to add to my list: Admitted a pt with WBCs of over 600,000.

Dialysis pt, all bets are basically off. Had an interesting case the other week that added to my differential diagnosis for altered mental status during/after dialysis..... Dialysis Dysequilibrium Syndrome. Basically if the BUN is lowered too quickly, osmotic shift, cerebral edema, AMS...

Not a fan of an external manual safety on handguns, especially if it's for concealed carry/protection use. If you are going to go that route then make sure you train with that particular gun so using that safety becomes second nature. The best safety is between your ears.

I remember my vascular surg rotation and spending hours in the OR wearing lead for peripheral bypass cases. And open AAA repairs were one of my favorite surgeries to scrub in on, great chance to see anatomy.

Got a pair of Merrell's a few months ago and so far I have really enjoyed them. I never had much luck more regular tennis shoes.

http://www.ncbi.nlm.nih.gov/pubmed/18572345 J Emerg Med. 2011 Feb;40(2):135-45. Epub 2008 Jun 24. Should acute treatment with inhaled beta agonists be withheld from patients with dyspnea who may have heart failure? Maak CA, Tabas JA, McClintock DE. Source Department of Emergency Medicine...

Diuretics are still Grade 1B for acute decompensated heart failure from what I see and certainly still what our groups are doing. In regards to the original topic I agree, a good history and exam should tell you which direction you're going to go with the patient. Honestly, on the...

Not sure I'd put GCA (giant cell arteritits) high on my DDx here. Of course hard to say with the details we have but common things being common I'd put money on possible opiate overdose with questionable history of taking a a bunch of pills. She was already going hypotensive and with some...