Room 9 Introduction by Dr. Harmon
Interns- Expose patient. ABC handled by upper level this early in year. Don’t cut clothes if you don’t have to
EFAST- Save lots of clips. Ask for help. Diagnostic exams can be pulled into chart. Educational can’t.
Cardiac view first in penetrating trauma. RUQ in blunt trauma.
If you don’t know where stuff is in room 9, ask
PGY2- Do they need a man scan? Vital signs? Open fracture? All reasons to keep in room 9
Stroke- Get last known normal. 10min to get to CT. Expedite neuro exam. Stroke attending will want BP, glucose, hx of stroke, blood thinners.
EMS Introduction / Radio Calls by Dr. Orthober
Types of EMS/EMS providers. EMT (no procedures) vs Paramedic (procedures)
Taking calls – Get Vitals. Decide triage vs room 9 vs see in room 9 and decide
Answering helicopter calls, speaker vs phone call
Be professional on calls
3 types of “death” that must be transported. Hypothermia, Cold water drowning, Electrical
Transfer of Care by Dr. Platt
Happens all the time during a patient’s stay
Be professional
IPASS
When receiving, try to dictate ToC note yourself
Try to avoid doing ICU care to get patient to medical service
Sign out AMR patients
Be aware of patients coming from EPS. If you take call from EPS, you find patient on cerner and put your name on it
Healthcare Disparities by Dr. Eisenstat
Equality vs equity. Similar opportunities vs Similar outcomes.
People come from different walks of life and it affects your healthcare
Most people experiencing homelessness are temporary. 27% are “chronically homeless”
People experiencing homelessness have life expectancy 10-15 years less than their non-homeless counterparts
Tuskegee Experiments went on from the 1930’s until 1972. We knew penicillin could treat at the beginning.
Think about bias in triage patients
Be compassionate