coffeewhore17
u/coffeewhore17
The sub is currently going dark based on a vote by users. The sub will be back up tomorrow night. Welcome to the Residency subreddit, a community of interns and residents who are just trying to make it through training! This is a subreddit specifically for interns and residents to get together and discuss issues concerning their training and medicine/surgery.
The sub is currently going dark based on a vote by users. The sub will be back up tomorrow night. Welcome to the Residency subreddit, a community of interns and residents who are just trying to make it through training! This is a subreddit specifically for interns and residents to get together and discuss issues concerning their training and medicine/surgery.
Anesthesiologists and trauma
I’m in an anes/CCM program and ATLS is part of our curriculum. I’m in the United States and anesthesia is part of every full activation to help with resuscitation and facilitate the transition to the OR. if the airway is wonky we take over.
I get that this is institution dependent but we have a big hand in trauma in my region of the country (PNW).
Anesthesiology: Keeping Patients Safe, Asleep, and Comfortable. Subreddit for the medical specialty dedicated to perioperative medicine, pain management, and critical care medicine.
Anesthesiology: Keeping Patients Safe, Asleep, and Comfortable. Subreddit for the medical specialty dedicated to perioperative medicine, pain management, and critical care medicine.
UK med student —> USA residency
I’m an anesthesia resident who does some stuff with our EMS fellowship here.
It isn’t like it is in the UK. EMS physicians are primarily medical directors and do stuff like write protocols, do training, and review cases. They’ll occasionally go out on the ambo but it’s not really part of the job.
I know a couple anesthesiologists who are medical directors for helicopter-based agencies, but the vast majority of EMS docs here are emergency medicine.
That being said, the University of Washington has a trauma anesthesia fellowship which I believe has some prehospital stuff incorporated into it.
The sub is currently going dark based on a vote by users. The sub will be back up tomorrow night. Welcome to the Residency subreddit, a community of interns and residents who are just trying to make it through training! This is a subreddit specifically for interns and residents to get together and discuss issues concerning their training and medicine/surgery.
The sub is currently going dark based on a vote by users. The sub will be back up tomorrow night. Welcome to the Residency subreddit, a community of interns and residents who are just trying to make it through training! This is a subreddit specifically for interns and residents to get together and discuss issues concerning their training and medicine/surgery.
Worst intern
I’m still the worst intern.
The sub is currently going dark based on a vote by users. The sub will be back up tomorrow night. Welcome to the Residency subreddit, a community of interns and residents who are just trying to make it through training! This is a subreddit specifically for interns and residents to get together and discuss issues concerning their training and medicine/surgery.
The sub is currently going dark based on a vote by users. The sub will be back up tomorrow night. Welcome to the Residency subreddit, a community of interns and residents who are just trying to make it through training! This is a subreddit specifically for interns and residents to get together and discuss issues concerning their training and medicine/surgery.
Workout routine/split in residency
Home gym is the secret otherwise it wouldn’t happen (mostly cause I’ve got kids).
Ultimately you just gotta get it in when you can. I consistently get 3+ workouts in a week, usually more like 5 or 6 if you include boxing or runs with my oldest kid. But it’s rarely consistent timing and frequent shifts between morning and evening day to day.
I use the Hevy app to track what muscle groups I’ve been focused on to ensure I hit everything with balance. Usually if I’m lifting I focus on a barbell movement or 2 and supplement with kettlebells, body weight, and resistance bands (or landmine stuff with my attachment). My main lifts were doing great until I injured myself, so now my leg routines are mostly physical therapy but my bench, row, and OHP are still progressing well.
The sub is currently going dark based on a vote by users. The sub will be back up tomorrow night. Welcome to the Residency subreddit, a community of interns and residents who are just trying to make it through training! This is a subreddit specifically for interns and residents to get together and discuss issues concerning their training and medicine/surgery.
The sub is currently going dark based on a vote by users. The sub will be back up tomorrow night. Welcome to the Residency subreddit, a community of interns and residents who are just trying to make it through training! This is a subreddit specifically for interns and residents to get together and discuss issues concerning their training and medicine/surgery.
How emotionally taxing is your specialty as a resident?
Anesthesia is 0 to 100 real quick with very little warning.
Give ‘em all a try. I’ve rolled with people that size and sparred with people that size. I’d pick one that you feel most enjoyment with and stick with it consistently for a bit. Sounds like you’ve got great options and can’t go wrong.
Best defense in order of efficacy:
Avoidance
Escape
Protect your head, be hyper-vigilant for a weapon, get them dazed/preoccupied as quickly as possible -> escape
Anesthesiology: Keeping Patients Safe, Asleep, and Comfortable. Subreddit for the medical specialty dedicated to perioperative medicine, pain management, and critical care medicine.
Anesthesiology: Keeping Patients Safe, Asleep, and Comfortable. Subreddit for the medical specialty dedicated to perioperative medicine, pain management, and critical care medicine.
Pulmonary HTN
I see! Does that increase the risk of pulmonary edema?
Anesthesiology: Keeping Patients Safe, Asleep, and Comfortable. Subreddit for the medical specialty dedicated to perioperative medicine, pain management, and critical care medicine.
Anesthesiology: Keeping Patients Safe, Asleep, and Comfortable. Subreddit for the medical specialty dedicated to perioperative medicine, pain management, and critical care medicine.
Pulmonary HTN
I guess I don’t know enough about tet kids and the physiology there, but if there’s an SpO2 drop which I assume causes hypoxic vasoconstriction, how does phenyl improve the oxygenation?
Anesthesiology: Keeping Patients Safe, Asleep, and Comfortable. Subreddit for the medical specialty dedicated to perioperative medicine, pain management, and critical care medicine.
Anesthesiology: Keeping Patients Safe, Asleep, and Comfortable. Subreddit for the medical specialty dedicated to perioperative medicine, pain management, and critical care medicine.
Commiserate with me about bad surgeon behavior
This literally just happened to someone I know, and it was also OB/Gyn.
No mistake! You’re totally right. I’m just adding to what you’re saying. Durant himself said it took years to admit to himself the horror of that experience.
Durant writes about it in his book. He says that it took him years to come to terms with the fact that it wasn’t a rifle.
Anesthesiology: Keeping Patients Safe, Asleep, and Comfortable. Subreddit for the medical specialty dedicated to perioperative medicine, pain management, and critical care medicine.
Anesthesiology: Keeping Patients Safe, Asleep, and Comfortable. Subreddit for the medical specialty dedicated to perioperative medicine, pain management, and critical care medicine.
Pulmonary HTN
I definitely don’t rank my ability to find evidence above that of an attending’s actual research but so far all the research I’ve found suggests that both those pressors do increase PVR. I’ll have to keep digging.
Anesthesiology: Keeping Patients Safe, Asleep, and Comfortable. Subreddit for the medical specialty dedicated to perioperative medicine, pain management, and critical care medicine.
Anesthesiology: Keeping Patients Safe, Asleep, and Comfortable. Subreddit for the medical specialty dedicated to perioperative medicine, pain management, and critical care medicine.
Pulmonary HTN
I had an attending tell me that alpha receptors don’t exist in pulm vasculature when I mentioned I wanted to avoid phenylephrine in our pulm HTN patient.
But I was pretty sure a1 receptors exist in small and medium arterioles of the pulm vasculature? Am I wrong?
The sub is currently going dark based on a vote by users. The sub will be back up tomorrow night. Welcome to the Residency subreddit, a community of interns and residents who are just trying to make it through training! This is a subreddit specifically for interns and residents to get together and discuss issues concerning their training and medicine/surgery.
The sub is currently going dark based on a vote by users. The sub will be back up tomorrow night. Welcome to the Residency subreddit, a community of interns and residents who are just trying to make it through training! This is a subreddit specifically for interns and residents to get together and discuss issues concerning their training and medicine/surgery.
Do you trust your co-residents?
I trust my coresidents to hell and back.
Med school classmates? Hell no.
Anesthesiology: Keeping Patients Safe, Asleep, and Comfortable. Subreddit for the medical specialty dedicated to perioperative medicine, pain management, and critical care medicine.
Anesthesiology: Keeping Patients Safe, Asleep, and Comfortable. Subreddit for the medical specialty dedicated to perioperative medicine, pain management, and critical care medicine.
Recommendations for ICU fellowships programs
Can say that my ICU attendings that trained at each of those programs are phenomenal and I feel lucky to learn from them.
Anesthesiology: Keeping Patients Safe, Asleep, and Comfortable. Subreddit for the medical specialty dedicated to perioperative medicine, pain management, and critical care medicine.
Anesthesiology: Keeping Patients Safe, Asleep, and Comfortable. Subreddit for the medical specialty dedicated to perioperative medicine, pain management, and critical care medicine.
Recommendations for ICU fellowships programs
Can’t comment on a lot as I’m just a CA1 but I know you can staff CVICU without a cardio fellowship. Most of our attendings are anes/CCM. Only a couple did CCM and cardiac after residency.
Anesthesiology: Keeping Patients Safe, Asleep, and Comfortable. Subreddit for the medical specialty dedicated to perioperative medicine, pain management, and critical care medicine.
Anesthesiology: Keeping Patients Safe, Asleep, and Comfortable. Subreddit for the medical specialty dedicated to perioperative medicine, pain management, and critical care medicine.
Ayo what are the divets in CO2?
Absolutely, thanks for that. I completely neglected to read the vent mode.
Anesthesiology: Keeping Patients Safe, Asleep, and Comfortable. Subreddit for the medical specialty dedicated to perioperative medicine, pain management, and critical care medicine.
Anesthesiology: Keeping Patients Safe, Asleep, and Comfortable. Subreddit for the medical specialty dedicated to perioperative medicine, pain management, and critical care medicine.
What's your OR snack of choice?
Sometimes I sip a lil from my emotional support epi stick that I keep in my front pocket.
Anesthesiology: Keeping Patients Safe, Asleep, and Comfortable. Subreddit for the medical specialty dedicated to perioperative medicine, pain management, and critical care medicine.
Anesthesiology: Keeping Patients Safe, Asleep, and Comfortable. Subreddit for the medical specialty dedicated to perioperative medicine, pain management, and critical care medicine.
Tell us about the last time you felt respected/appreciated in the hospital?
Today the PACU nurses told me that they always feel good taking my patients because they know I pay attention and don’t dump train wrecks on them.
Granted I’m a CA1 so I’m not exactly getting a lot of train wrecks but it still feels good knowing the nursing staff trusts me.
For now.
Anesthesiology: Keeping Patients Safe, Asleep, and Comfortable. Subreddit for the medical specialty dedicated to perioperative medicine, pain management, and critical care medicine.
Anesthesiology: Keeping Patients Safe, Asleep, and Comfortable. Subreddit for the medical specialty dedicated to perioperative medicine, pain management, and critical care medicine.
Any pain docs here perused the chronic pain subreddit? Sheesh
This is how our program works. No prescriptions at all, can just make recommendations to the referring provider and do procedures. Seems like a way better practice.
Anesthesiology: Keeping Patients Safe, Asleep, and Comfortable. Subreddit for the medical specialty dedicated to perioperative medicine, pain management, and critical care medicine.
Anesthesiology: Keeping Patients Safe, Asleep, and Comfortable. Subreddit for the medical specialty dedicated to perioperative medicine, pain management, and critical care medicine.
Wedding bands in fhe OR
This is what I do as well, even have a tungsten wedding band.
The sub is currently going dark based on a vote by users. The sub will be back up tomorrow night. Welcome to the Residency subreddit, a community of interns and residents who are just trying to make it through training! This is a subreddit specifically for interns and residents to get together and discuss issues concerning their training and medicine/surgery.
The sub is currently going dark based on a vote by users. The sub will be back up tomorrow night. Welcome to the Residency subreddit, a community of interns and residents who are just trying to make it through training! This is a subreddit specifically for interns and residents to get together and discuss issues concerning their training and medicine/surgery.
What are you currently playing?
I started a new game so I haven’t seen too much yet but I’m STOKED for ship fabrication.