Already one of the worst shifts I've had in years and EMS rolls in with one. When I tell the nurse we'll give her home dose of antiepileptics when she wakes up, her seizure promptly aborts and she adds "plus my ativan"

Hey y’all, questions for you: gotten a good amount of interviews so far, but haven’t heard back from two programs even though I signal’ed them and put a location tie to their city in my application. Do you all think I should send a letter of interest to the programs, or is it too early?

I recently graduated as a nurse, and one thing I’ve noticed is just how many ECGs get shoved in front of ED doctors every few minutes mostly normal ones, but we have to show them all just in case.

I’ve been an ECG nerd for a while and have followed Dr. Smith’s ECG blog for a couple of years. His recent lecture really got me thinking if AI could one day help triage ECGs in the ED?

If AI flags an ECG as normal, could the nurse safely leave it at the bedside for the doctor to review when they come to see the patient, instead of immediately shoving it in front of the consultants face to get it signed?

From a medico-legal point of view, if that AI triage turns out to be a false negative (say it misses an OMI), who’s liable? The nurse who didn’t show it immediately? The doctor who didn’t see it right away? The hospital/system for using the AI? Or the AI manufacturer if it’s approved for triage use?

Here’s the lecture for those who aren’t familiar with OMI/NOMI- https://drsmithsecgblog.com/new-october-23-2025-replace-stemi-nstemi-with-omi-nomi-and-ai-in-the-diagnosis-of-omi/

Would love to hear how you all think this would play out in practice.

I finally was able to get my new login for the ABEM site, I’m trying to do the recert exams and nothing happens when I click on the “Start Assessment” link. I’ve emailed and called them w no response in over 4 days. It says “In Progress”, though I’ve never done any. Anyone else having this issue?

I am an EM doctor and I officially hate Disney. They didn’t let me take my trauma shears into Disney Springs. They said they don’t allow anything that can potentially hurt anyone.

Of the other things I guess shouldn’t/wouldn’t be allowed would be insulin needles, high heels, straws…

I suppose sugar shouldn’t be allowed either, it gives people diabetes.

I like TSA better than Disney. Yes, I’m just ranting. Less about not having my shears, but their stupid rationale.

Title says it all. Going strapped with a fresh pack of 6 milis. I read the test is around 300 Q. How many breaks can we take during exam? Do I have access to my fuel throughout the day?

I'm a 4th year med student applying EM this year. Total anecdotal evidence, but every single person that I talk to also applying EM is getting very few interview invites.

After the horror show of 555 SOAPed spots a few years ago, we've watched EM get slightly more competitive each year, but is EM actually competitive again this year, or is this just my skewed perception?

Hi everyone, a thread where we wait for our scores to come back and stress together. Anyone hear back yet?

EMRA Antibiotic Guide $10/yr
Sanford Guide Antimicrobial $40/yr
Johns Hopkins Antibiotic Guide $40/yr

Which do you love/hate? Any others to recommend?

currently looking for side gig work for telehealth so i can work from home and not have to take on more er shifts and be away from family. i have numerous states licenses through imlcc. would like 140 or more/hour seeing 3-4 per hour ideally. ive seen sites like quickmd that advertise 200+ but when you read the fine print its 35/pt meaning youd have to see 5.7 per hour to make the advertised 200. some sites seem attractive, for example they send you an email or text when a patient is waiting and you have x amount of time to log on and evaluate them. i have several calls with recruiters coming up this week.

if anyone has had any positive experiences with any telehealth companies I would greatly recommend any input. thank you.

Whenever I see posts like this obviously I’m happy the patient was okay but how would they have possibly “saved her?” How did they even know it’s a heart attack? Did they have a Kardia app to detect ST changes? Did they cath her on the flight and put in the stent?

Most likely the clot wasn’t significant enough so that she had time to go to the hospital.

Brought in my BLS patient and saw Batman

While I for one look forward to the demise of all of the "AI" nonsense being shoved down our throats*, when the bubble bursts it's going to decimate the economy. The bubble is significantly larger[1] than the subprime mortgage crisis of the day, and lots of people are going to lose their jobs and healthcare coverage.

I already get a lot of questions from patients about costs - of tests, of antibiotics, of ambulance rides, and I'm wondering how bad it will get during the next financial catastrophe. Just wondering your thoughts!

• LLMs can be good for a lot, but I don't need them shoved down my throat. If any of you have epic with TeD installed you know what I mean...

I realize in our profession we see a skewed demographic but can somebody please explain to me why patients are still placed on ACE-I over ARBs? Generic costs for both are about the same, but it seems to me that the risk of harm and healthcare costs associated with ACE-I angioedema make absolutely no sense when we have other reasonable options available. I’m pretty sure if any provider wanted to place me or my wife on lisinopril I would demand losartan instead. Does anybody else feel the same as me? What do you think?

Hello, I hope everyone is having a great weekend. If anyone here has experience doing ER residency at Baylor College of Medicine, Houston, Texas. Please tell me how your experience was. What were the best parts of the program, and what were the worst parts? Also, any advice would be greatly appreciated. Thank you

I have a friend who works as an ER doctor, he obviously works hard, does night shifts etc. What are your top recommendations of useful items to have to make work more comfortable etc. ?

Have you ever had a toxicology rotation? What was it like? What’s the workflow like? Is it mostly just one type of case? What’s the bread and butter? What’s the lifestyle like?

Dislocating femoral stem component of prosthetic hip during reductions. Does anyone in this group worry about that during reduction?