Happy Birthday to our youngest
Another happy birthday, sweetie! Related posts: Happy Birthday USMC! SemperFi I post this every year, and I still enjoy... Happy Fathers’ Day, dad Thanks for not strangling me, even when I deserved it.... YARPP powered by AdBistroPowered by (Source: GruntDoc)
Source: GruntDoc - September 10, 2014 Category: Emergency Medicine Authors: GruntDoc Tags: Family Source Type: blogs

Happy Birthday to your youngest
Another happy birthday, sweetie! Related posts: Happy Birthday USMC! SemperFi I post this every year, and I still enjoy... Happy Fathers’ Day, dad Thanks for not strangling me, even when I deserved it.... YARPP powered by AdBistroPowered by (Source: GruntDoc)
Source: GruntDoc - September 10, 2014 Category: Emergency Medicine Authors: GruntDoc Tags: Family Source Type: blogs

Scribes in 2014
I’ve written about scribes in the ED before (here’s one from 2007) and continue to utilize their services. Did I say utilize? Wrong thought: enjoy and marvel in their help is more my experience. I’m spurred to extoll their virtues and my experience after reading “Attack of the Scribes” by the great twitterer @SkepticScalpel  (he also blogs at SkepticalScalpel.blogspot.com ). Read the article, it’s well written though more than a touch odd; why’s a doc who’s never worked with scribes editorializing on their pluses and minuses? The literature review is fair, and there p...
Source: GruntDoc - September 2, 2014 Category: Emergency Medicine Authors: GruntDoc Tags: Emergency Medical Medicine Rants Source Type: blogs

There’s always another surprise
We remodeled our kitchen 16 months ago. Today, my wife decided to pull out the broiler pan.   We don’t use the broiler, obviously. It did answer the question ?Why didn’t it come with a temperature probe?! The red is plastic that was holding some nice black trim screws. So, we now have a temp probe and I have some plastic-coated screws.   I kinda like surprises. Sometimes. No related posts. (Source: GruntDoc)
Source: GruntDoc - September 1, 2014 Category: Emergency Medicine Authors: GruntDoc Tags: Amusements Family Source Type: blogs

ACEP Now still silent on EM President interviews.
Which is terrible, yet predictable. ACEP Now | The Official Voice of Emergency Medicine. Yeah, it’s completely devoid of interviews or conversations with the purported future leaders of Emergency Medicine. What a surprise. Again, if you’re running for President of ACEP but abide by the Gag Order, you aren’t worthy, and we (as a specialty) shouldn’t support them. Related posts: My professional college beclowns itself A fisking of a paranoid, ill-considered and frankly stupid idea... 33 Charts — medicine. health. social media. Well put! After a recent presentation on social physicians, someone......
Source: GruntDoc - August 18, 2014 Category: Emergency Medicine Authors: GruntDoc Tags: Policy Rants Source Type: blogs

Emergency Medicine Literature of Note: The tPA Cochrane Review Takes Us For Fools
  Posted by Ryan Radecki It’s been 5 years since the last Cochrane Review synthesizing the evidence regarding tPA in acute ischemic stroke.  Clearly, given such a time span, in an area of active clinical controversy, a great deal of new, important, randomized evidence has been generated!Or, sadly, the only new evidence available to inform practice is IST-3 – a study failing to demonstrate benefit, despite its pro-tPA flaws and biases.  So, it ought not be a very exciting update, considering the 2009 version included 26 trials, and the 2014 update now includes only 27 trials.  Their summary conclusion, with onl...
Source: GruntDoc - August 5, 2014 Category: Emergency Medicine Authors: GruntDoc Tags: Emergency Source Type: blogs

My professional college beclowns itself
A fisking of a paranoid, ill-considered and frankly stupid idea a 9th grader would be ashamed to put forth. From the American College of Emergency Physicians ‘leadership’. ACEP Clarifies Campaign Rules By James M. Cusick, MD, FACEP Chair, Candidate Forum Subcommittee of the ACEP Council ACEP is a member-driven organization with a representative body of our peers – the ACEP Council – chosen through component bodies, including our chapters (1 representative per 100 members), our Sections of Membership, and other aligned organizations. There follows some boilerplate language designed to get you to tune out. No...
Source: GruntDoc - June 26, 2014 Category: Emergency Medicine Authors: GruntDoc Tags: Policy Rants Source Type: blogs

Amusing typo
Flew on American Airlines yesterday and today. The plane both ways was an Airbus A319, a smallish but perfectly nice plane. It had a really fancy infotainment system built into the back of the seats, and I enjoyed following the flight with this view selected: but there was something bugging me about one of the menus, so on the return flight (where an hour ground delay once we loaded up gave me some time to actually look) I found what had been making something in my brain itch: I sent this to @AmericanAir while waiting for the plane to park (their people-less parking system apparently doesn’t work in rain), and they...
Source: GruntDoc - June 25, 2014 Category: Emergency Medicine Authors: GruntDoc Tags: Amusements Aviation Source Type: blogs

Another reason I like my job
Colleagues I can call on and count on. Recently I was the 11p doc in my ED (the overnight shift), and I knew what my evening had in store when Colleague/suspect1 said “It’s been slow all day”. Oy. At 11:03P the charge nurse (who deserves a Medal for her actions that night) said ‘you’re getting a level 1 medical and two level 1 trauma transfers in the next five minutes’, and that was in addition to the waterfall of regular patients who heard the word ‘slow’ and ran like very sick possessed zombies to our ED. The medical was a great case I would have loved had I had no other du...
Source: GruntDoc - June 19, 2014 Category: Emergency Medicine Authors: GruntDoc Tags: Emergency Source Type: blogs