Nursing Homes are restarting the ‘don’t send the MAR’ game
For a primer, from 2007, here. Another patient, another absent MAR (if you don’t know that acronym, you didn’t read the lead in article!). Usually they send when we call, but not recently. Here’s an amalgamation of some cases: Calls are made by the nurses at my behest. The MAR Will Not be Sent. Per nursing, whom I work with daily and trust implicitly, here are the objections proffered: 1) It’s illegal to send our signatures Really? No, it’s not. 2) It’s our policy not to send MAR’s Good luck with that policy. It’s going to get you in trouble. 3) You don’t need that. As ...
Source: GruntDoc - August 15, 2015 Category: Emergency Medicine Authors: GruntDoc Tags: Emergency Nursing Source Type: blogs

How teleconferences really go
This is way too true.   No related posts. (Source: GruntDoc)
Source: GruntDoc - June 11, 2015 Category: Emergency Medicine Authors: GruntDoc Tags: Amusements Source Type: blogs

America’s Emergency Physicians
Really good video! No related posts. (Source: GruntDoc)
Source: GruntDoc - June 4, 2015 Category: Emergency Medicine Authors: GruntDoc Tags: Emergency Source Type: blogs

VP Biden’s best speech
Joe Biden isn’t my cuppa tea. Yet, his talk to TAPPS is the best contemporaneous speech by a Pol to military families who lost family members in combat. I now like him much more. Related posts: @movinmeat @emdocbrett Do you get vertigo spinning at this rate? Get a grip, this is a political nomination for what is perceived a pol prob @movinmeat @emdocbrett Do you get vertigo spinning at this rate?... Happy 239th Birthday US Navy Here’s to all those in the Sea Services. There’s a... YARPP powered by AdBistroPowered by (Source: GruntDoc)
Source: GruntDoc - May 31, 2015 Category: Emergency Medicine Authors: GruntDoc Tags: Deployed Docs Source Type: blogs

Happy Birthday Dad!
Thanks for not killing me all those years ago.         Related posts: Happy Fathers’ Day, dad Thanks for not strangling me, even when I deserved it.... Happy Birthday, Marines! SemperFi I post this every year, and I still enjoy... Happy 239th Birthday US Navy Here’s to all those in the Sea Services. There’s a... YARPP powered by AdBistroPowered by (Source: GruntDoc)
Source: GruntDoc - May 22, 2015 Category: Emergency Medicine Authors: GruntDoc Tags: Announcements Source Type: blogs

The NYT, Maureen Dowd, and Dr. Caplan
Behold, a very worthy rant.  Recommended. No related posts. (Source: GruntDoc)
Source: GruntDoc - May 6, 2015 Category: Emergency Medicine Authors: GruntDoc Tags: Emergency Rants Source Type: blogs

It’s GruntDoc.com’s birthday!
The thirteenth, and as such is in that awkward non-communicative phase.  Thanks to the seven of you for checking in from time to time!  Yes, I intend to keep this. Should my current situation change, I suspect long form blog posts would return. Related posts: Problem? “@EMDocBrett: @gruntdoc @Apathetic_Cynic @movinmeat Problem is that I stand 100% with @gruntdoc on this one!” Problem? “@EMDocBrett: @gruntdoc @Apathetic_Cynic @movinmeat Problem is that I stand... RT @Apathetic_Cynic: Not a problem “@EMDocBrett: @gruntdoc @Apathetic_Cynic @movinmeat Problem is that I stand 100% with @gruntdoc on this...
Source: GruntDoc - May 2, 2015 Category: Emergency Medicine Authors: GruntDoc Tags: Amusements Source Type: blogs

A wonderful Fisking
I’m neither terribly for nor against paramedics working as employees in the ED, but I love people ripping apart straw man arguments. Texas ENA’s Unprofessional Attack on EMS Author’s note: I generally avoid posting non-tech matters on my blog, but this unprofessional, unsubstantiated, fear-mongering attack of EMS in Texas has me boiling. I present to you something that doesn’t just affect Texas EMS, but EMS in the entirety of the United States of America. This has been fought in other states, and if it isn’t stopped now, will set a precedent and spill into many more states and regions. If you want to advance,...
Source: GruntDoc - April 26, 2015 Category: Emergency Medicine Authors: GruntDoc Tags: Amusements Emergency Medical Nursing Source Type: blogs

They call me ‘Doc’
For the mighty Navy Corpsmen, past, current and future.   Related posts: Navy Matters: A-10 Scrapping Justification Exposed Please click through and read the whole thing. Something I... YARPP powered by AdBistroPowered by (Source: GruntDoc)
Source: GruntDoc - March 20, 2015 Category: Emergency Medicine Authors: GruntDoc Tags: Deployed Docs Source Type: blogs

Olivet Nazarene University ED Nursing graphic
Well done, and some good information:   via http://graduate.olivet.edu/ Related posts: RT @KenKalthoffNBC5: Emory University Hospital in Atlanta confirms new #DallasEbola patient will be transferred there. @NBCDFW RT @KenKalthoffNBC5: Emory University Hospital in Atlanta confirms new #DallasEbola... YARPP powered by AdBistroPowered by (Source: GruntDoc)
Source: GruntDoc - March 5, 2015 Category: Emergency Medicine Authors: GruntDoc Tags: Nursing Source Type: blogs

TELCO types, I have a question
So, I figure someone out there knows the answer to this, and I’ll share my guess, but I can’t find an answer on the internet. My Question: Why does my cell phone ignore (or add) a “1” with a phone call, but my POTS* line phone doesn’t. Not only does it not just ignore unnecessary “1”s, it makes the annoying tri-tone and tells me it’s not necessary to dial a 1. Well, if you know it’s not necessary, why not ignore it and put the call through?   My guess: the equipment being used is so old it cannot be taught new ticks, but I’d be interested in an informed answe...
Source: GruntDoc - February 27, 2015 Category: Emergency Medicine Authors: GruntDoc Tags: Web/Tech Source Type: blogs

What doesn’t kill you makes you stronger
unless it’s the tail rotor. They will straight up kill you. Buy the t-shirt! Related posts: EVD: ebola virus disease; kills 70% of the patients and makes those unaffected into paranoid zombies. EVD: ebola virus disease; kills 70% of the patients and... RT @kidney_boy: I didn’t get how horrific Ebola is in Sierra Leone. This proposed triage system makes it clear. pfmhcolumbia.wordpress.com/2014/10/12/les… … RT @kidney_boy: I didn’t get how horrific Ebola is in... YARPP powered by AdBistroPowered by (Source: GruntDoc)
Source: GruntDoc - February 10, 2015 Category: Emergency Medicine Authors: GruntDoc Tags: Amusements Aviation Emergency Medical Source Type: blogs

I read blogs were dead the other day
And then forgot to check this one. It’s not dead, it’s just being left fallow. You have my apologies. It’s fallow as I’m in one of those weird career places, where I’m doing just enough interesting things that are fun but that I cannot talk about, and so rather than screw up I self-censor. Long-form blogging isn’t dead for me, but now really isn’t the time.     Related posts: @movinmeat Numerator unknown to me. Yet, if spraying them down only has 9 dead and 16 infected, umm, stop doing that? @movinmeat Numerator unknown to me. Yet, if spraying them down... @movinmeat @n...
Source: GruntDoc - February 8, 2015 Category: Emergency Medicine Authors: GruntDoc Tags: Announcements Source Type: blogs

12 STI’s of Christmas, 2014
I missed posting this last year! My yearly Christmas favorite, reposted: Courtesy of the British National Health Service (click the banner): NSFW. Funny, but Unsafe for work,unless your work involves STD’s in which case it’s required. It’s my seasonal favorite post, and I hope it’s one of yours. Not the STD’s, the funny song with equally amusing illustrations. The backstory, from a previous blog post: I have seen several searches of this blog for the British National Health Services’ “12 STI’s of Christmas“, and wondered why. The answer: the NHS site no longer carries the wonderful s...
Source: GruntDoc - December 22, 2014 Category: Emergency Medicine Authors: GruntDoc Tags: Amusements Source Type: blogs

Happy Birthday to my brudder, and a niece!
a reprise… For my little brother (who’s taller and smarter than me, thank goodness I’m better looking): He’s a touch older than in this picture (he was the lead mechanical engineer making this thing fly, in one year): The Aerospace Genius and one of his creations.   And, to my niece Annie! I have no pics of her with an airplane, but when I get one, I’ll keep it for her next birthday. Related posts: Happy Birthday, Marines! SemperFi I post this every year, and I still enjoy... Happy Fathers’ Day, dad Thanks for not strangling me, even when I deserved it.... Happy Birthday to our y...
Source: GruntDoc - December 12, 2014 Category: Emergency Medicine Authors: GruntDoc Tags: Announcements Source Type: blogs