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Also keep in mind that it is statistically unlikely to have more than one acute episode of Bell’s palsy, and a history of Bell’s palsy certainly does not exclude the possibility of acute stroke. If a patient had an acute episode of chest pain one month ago and was diagnosed with costochondritis...

There are several studies and case reports of thrombotic events. I think it important to keep in mind that a lot of the early data on TXA was coming out of the military which has a relatively young and healthy population compared to civilians. Tranexamic acid and thrombosis. Prescrire Int. 2013...

Same thing happens every time I’ve brought up the risk of PE and stroke.

The finding of an acute focal neurological deficit should be treated as an emergency until adequately evaluated and proven otherwise. Bell’s palsy is the result of a viral infection of the facial nerve. It is not unreasonable for a patient to have bells or another non-stroke related facial...

I doubt an anonymous unrelated online forum really provides a therapeutic opportunity.

She got a full work up by forensic pathology since she was a pediatric death. No other risk factors were found.

No good military or law enforcement program is going to have their medics at the front of the stack clearing rooms. Having your medic get shot because of unnecessary risk is poor tactics.

I had a 16 year old code that we never got back from a massive saddle PE. No risk factors other than a recent long car trip.

I usually just blame autocorrect on my phone.

Nope.

For some insane reason I paid with my debit card. Apparently my homeowners insurance might cover it though.

Sent my bow without a signature on delivery despite me paying for it. Shipper won’t pay out since it was delivered. The shop refuses to pay even though they made the mistake.

Probably going to be out $600 from a bow shop who’s owner doesn’t keep his word, and knows that it would cost me more to get my money back than it’s worth.

Sorry, unfortunately it is like that all throughout healthcare. I was asked to to consider the director role for our ED about a year ago. I’d end up taking a pay cut by giving up all of my specialty differentials and going from hourly to salary. No thanks.

:rolleyes: Your over compensation and Dunning-Kruger are showing. There is certainly a lot of importance in some basic rhythm recognition and morphology presentation. More importantly is a solid understanding of the treatment of a broad category of abnormal cardiac pathologies. For example it...

I had a brand new frontier rental about a year ago. It worked fine but it just felt like I was driving something straight out of the mid 90s. It also had a weird steering feeling, it felt disconnected from the road but also really heavy. It was also quite slow for a gas powered engine and...

Hospitals who have the luxury of easy access to phone or internet service will have a much higher requirement of translators as it is less costly to have a vetted medical translator than the potential legal costs of a lawsuit, fines, or unpaid insurance claims. Cost reduction strategies don’t...

Adenosine is taken up by a variety of cells including peripheral vascular tissue and RBCs. If the delivery of the drug is slow and resultingly there is a small plasma concentration by the time it reaches the heart you are going to see less clinical effect. A small does may or may not be enough...

One of the challenges of clinical is that you really cannot evaluate a student and make a good clinical education plan during just a few clinical hours/days or when they are put with a different preceptor every time. Instead what you end up with is 1-2 days of essentially shadowing and maybe...

I can’t say for certain, but I assume so. We leave a stethoscope in each of our critical care patient rooms and I think they are classic II so it’s not like I had a nice high end set of ears or anything.