15 Years in.
No related posts. (Source: GruntDoc)
Source: GruntDoc - September 11, 2016 Category: Emergency Medicine Authors: GruntDoc Tags: Announcements Source Type: blogs

ABEM and their new POS TOS
A guest post! (Finally, a use for my blog)! So there I was, just cruising the Internet, when I thought to myself, “Jeepers! It’s about time I checked on my ABEM Maintenance of Certification status! Golly, I might be late for the latest LLSA!” Well, not really. But anyway, there I was on the ABEM website, when I ran into this rather odious new “click here to consent” barrier (see below). Most of it was pretty standard – I certify everything is true, I won’t cheat on the exam, I won’t share test questions – OK, fine. Then we get to the particularly unsavory bits: 1. a man...
Source: GruntDoc - September 1, 2016 Category: Emergency Medicine Authors: GruntDoc Tags: Emergency Guest MedBloggers Policy Source Type: blogs

ZDoggMD
Seriously, make sure you’re following him! Because of beautes like this: No related posts. (Source: GruntDoc)
Source: GruntDoc - July 30, 2016 Category: Emergency Medicine Authors: GruntDoc Tags: Amusements Source Type: blogs

Memorial Day, 2016
Happy Memorial Day, which, per US Memorial Day.org, is defined as Memorial Day, originally called Decoration Day, is a day of remembrance for those who have died in our nation’s service. You can’t thank them but you can thank their families, and remember their sacrifice. No related posts. (Source: GruntDoc)
Source: GruntDoc - May 29, 2016 Category: Emergency Medicine Authors: GruntDoc Tags: Announcements Source Type: blogs

Blog Birthday? Nearly missed it!
So, I still have the blog, though those of you in the know are following me over on Twitter where my writing and attention span really shine in 140 characters. Still in a weird place professionally, in that ‘things are happening’ and yet writing about it is Verboten. So, 14 years of a blog. Yeah, i have shoes older, but I’m enjoying having it even if I’m not busy here. Thanks to the seven of you. Related posts: Happy Birthday Dad! Thanks for not killing me all those years ago.... Happy Birthday to our youngest, latest in a series (and an Aunt!) Happy Birthday, sweetheart! We wish you all the best...
Source: GruntDoc - May 3, 2016 Category: Emergency Medicine Authors: GruntDoc Tags: Announcements Source Type: blogs

Ammunition and the Firefighter
It’s about 4 years old, but I think most haven’t seen this by SAAMI, the sporting arms and ammunition manufacturer’s institute: It’s 25 minutes but it’s informative and entertaining (though it’s a little hard to watch all that ammo being destroyed). No related posts. (Source: GruntDoc)
Source: GruntDoc - April 5, 2016 Category: Emergency Medicine Authors: GruntDoc Tags: Amusements Shooting Source Type: blogs

Yes, the VA is without doubt the model for American healthcare
Well, let’s consider their actual track record: Shot: The Pentagon reported Friday that 265 active-duty service members killed themselves last year, continuing a trend of unusually high suicide rates that have plagued the U.S. military for at least seven years. http://www.usatoday.com/story/news/nation/2016/04/01/us-military-suicides-remain-stubbornly-high/82518278/   Chaser: A VA suicide hotline designed to help distressed vets, at times instead sent their calls to a voicemail message, provided no immediate assistance, and did not even return some calls, according to a new report. … The crisis center wa...
Source: GruntDoc - April 4, 2016 Category: Emergency Medicine Authors: GruntDoc Tags: Medicine public-health Source Type: blogs

How long do condiments last?
Some good info here: Honey, salt, sugar: Indefinite Tabasco sauce, pepper, vinegar: 3-4 years Jelly in plastic tubs: 2-3 years Olive oil, parmesan cheese, taco sauce, mustard, soy sauce: 1-2 years Mayonnaise, relish, barbecue sauce, tartar sauce, horseradish sauce, maple syrup, nut butters, salad dressing, ketchup: 1 year No related posts. (Source: GruntDoc)
Source: GruntDoc - January 17, 2016 Category: Emergency Medicine Authors: GruntDoc Tags: Amusements Source Type: blogs

ZDogg sings about stroke
It’s good! Follow him on twitter, @ZDoggMD or at this blog ZDoggMD.com Related posts: How ER docs actually process what we do A remarkably good blog post from Seth Treuger ( @MDaware... YARPP powered by AdBistroPowered by (Source: GruntDoc)
Source: GruntDoc - January 17, 2016 Category: Emergency Medicine Authors: GruntDoc Tags: Amusements Emergency Source Type: blogs

Pearl Harbor Day
December 7, 1941. 74 years ago. If you meet a Pearl Harbor vet, thank ’em. They’re pretty rare (an 18 year old then would be 92 now…). Thanks to our Pearl Harbor vets. Related posts: Happy Birthday Dad! Thanks for not killing me all those years ago.... YARPP powered by AdBistroPowered by (Source: GruntDoc)
Source: GruntDoc - December 7, 2015 Category: Emergency Medicine Authors: GruntDoc Tags: Announcements Source Type: blogs

Happy Birthday, Marines!
SemperFi I post this every year, and I still enjoy it… Related posts: Happy Birthday to our youngest, latest in a series (and an Aunt!) Happy Birthday, sweetheart! We wish you all the best. Here’s... Happy Birthday to my brudder, and a niece! a reprise… For my little brother (who’s taller and smarter... Happy Birthday Dad! Thanks for not killing me all those years ago.... YARPP powered by AdBistroPowered by (Source: GruntDoc)
Source: GruntDoc - November 10, 2015 Category: Emergency Medicine Authors: GruntDoc Tags: Announcements Source Type: blogs

Happy Birthday to our youngest, latest in a series (and an Aunt!)
Happy Birthday, sweetheart! We wish you all the best. Here’s a nice throwback birthday post: We love you a lot! Your life has progressed in the last seven years (see the following post), we’ve been happy to have raised you (so far), and we wish you the best. First year out of the teens. Congrats. Still can’t drink. Looking at the blog I found this trip down memory lane turned up this ‘gem’ from several years ago: Today’s the first day of teendom for my littlest girl. She still talks to me, and that’s encouraging, but usually only about horses, or how much she loves horses, or how ...
Source: GruntDoc - September 10, 2015 Category: Emergency Medicine Authors: GruntDoc Tags: Family Source Type: blogs

How ER docs actually process what we do
A remarkably good blog post from Seth Treuger ( @MDaware on twitter). The classic model of history, physical, testing, diagnosis & treatment does not apply to us. I think we do 3 things in emergency medicine: Resuscitation Risk stratification Care coordination Resus is the fun sexy stuff that we stay up late at night having twitter arguments about. As much as I love ketamine, I can go a number of shifts without using it, and very little of what we do is resus. Most of what we do is risk stratification and care coordination. Read it. It’s good.   Related posts: RT @BrianCurtisNBC5: Dallas County can now do...
Source: GruntDoc - September 7, 2015 Category: Emergency Medicine Authors: GruntDoc Tags: Emergency MedBloggers Source Type: blogs

When healthcare is literally legislated
Hint: it’s not good. A terrific article from Weingart and Faust. … If the drafted CMS measure goes into effect, we are hosed. Because data will be collected retrospectively, hundreds of patients will be deemed severe sepsis who were never actually sick. Government organizations do not invent this stuff. Behind every measure there is, somewhere, a group of physicians that made it happen. Just as medical malpractice would not exist without plaintiff witnesses, these measures would not exist without us. Let’s fight back before it is too late. Hint: it’s too late. Enjoy the people who wrote the tax code...
Source: GruntDoc - September 3, 2015 Category: Emergency Medicine Authors: GruntDoc Tags: Emergency Rants Source Type: blogs

Dragonfly
I’m not a book reviewer but when I read one I want to share I’ll tell you about it.  This is one for a small audience, those who are space junkies who don’t know a ton about the U.S. Mir space missions. It’s very well written and well sourced, the author having gotten a lot of access to NASA and Mir astronauts  and the myriad people who support them.  I’m told by a friend who’s briefly mentioned in the book that the author began as a rah-rah angle but soured on NASA and that probably explains the more than warts and all presentation.  It’s not a hatchet job but ...
Source: GruntDoc - August 15, 2015 Category: Emergency Medicine Authors: GruntDoc Tags: Announcements Source Type: blogs