I was thinking the same thing, but then a second voice in my brain was like "imagine if this was the first of his videos you'd ever seen" and felt bad for the confusion that would cause 🤣
@@grankmisguided That confusion is actually half of what drove me to watch more so I could try to understand it more, so I think it works out in the end lol
it reminds me of people in prison, use cigarettes as "currency". even the ones who don't smoke...OR maybe snack foods ? (candy, schocolate also counts !!)
You haven't seen any rural family medicine sketches yet?! Those are truly heartbreaking. Also Jimothy and Tristopher from United and Aetna, trying to fight the evil from within - and of course failing eternally? There were 10-year olds treatments denied, via mystery denial bag 😢
Purgatory....hmmmm. This sounds more like Limbo. "Limbo (Latin limbus, edge or boundary, referring to the edge of Hell) is the afterlife condition of those who die in original sin without being assigned to the Hell of the Damned." The original sin is Anesthesia..... the life of breaks, an ether curtain keeping the Dark Lord at a distance..... Moral: Just avoid the entire first floor of any hospital. Stay within the relative safety of the OR suites!
He almost makes it to the door, but then he overhears two residents arguing about whether a 6th dose of Ativan or a 4th of haloperidol would be less risky...
The way he revealed that t-shirt under his scrub top as though showing an already-bleeding-for-some-time gsw in a battlefield in some angsty scene of sacrifice... "Its too late for me."
Hi I'm a med student 5th year into my studies. I'm thinking about choosing anesthesia for specialty in the future, can I ask for your wisdom and experience on it while you're here real quick😅 are you happy with it?
@@fatemehosseinzade8291 If you like doing crosswords, enjoy frequent breaks, love coffee and do triathlons before shift starts, it’s perfect for you :) No really, it’s great. But you won’t the hero in shiny armor, you will be more like Batman. You have to be okay with not standing in the spotlight. Only if something goes wrong, people will be looking at you expectantly.
You'd think that Psychiatry is immune. But I was once roped into chasing a suicidal patient who made a break from the ED. Emergency and I were losing ground as she bolted down the main corridor towards the atrum until one of the cleaning staff tripped her with his mop.
I once lost a psych pstient in ED. She was an inpatient at the acute unit down the road and attended ED minors with a trivial laceration to her wrist. Unfortunately the psych nurse accompanying fainted when she saw blood (hence her career choice), face planted the wall and laid unconcious on the floor. In the chaos the psych patient escaped and ran back to the psych unit 200m down the road. Because being in an acute psychiatric unit was less traumatic than being in ED!
Im a medstud (going to graduate this year). At first I thought the thing with Emergency Doctor loving physical activity is just an exaggeration... until I went into Emergency rotation. My doctor literally came with a bike on his shoulder, full on gear with helmet, glasses, biking shirt and everything 😭
I remember going to the ER because my resting heartrate was abnormally high for me at 130bpm (normal is about 65bpm) and when I told my ER doctor this he replied "that's not too bad, during my workout this morning my heartrate was 190bpm".
I'm so sorry for those consultants who don't make it out. As an ER nurse, you can identify a professional escape artist as someone who asked you what tests were done, meds were given, heck maybe they try and slip you a verbal. But by the time you turn around to be like, "oh hang on they have an allergy to cef---" *POOF* And like a whisp of smoke. Were they even there? Only Epic can be certain once they verify the orders loooong after we just figured it out without them.
As a chronic acute patient with multiple fatal allergies and over 30 surgeries I'm laughing wayyyy to hard over this. I've actually heard a nurse shout "God damn it!" after running around trying to find the doctor. Of course she bolted in and apologized when I started laughing but I assured her it was all good. Never fuck with thr ppl who have control over pain meds and the ability to puncture veins!
This hits home for me. I am a urologist and whenever I need to go to the emergency room and don't leave inconspicuously enough, suddenly there are three catheters that "can't be placed" and need to be done by me, I am urged to consult on at least three ultrasounds of the kidneys and everyone suddenly forgets how to treat urinary infections.
"That emergency doctor you mentioned have been dead for ten years. Funnily enough, whenever we need help in this hospital, someone just turns up, but they always end up asking for him right after..."
Yea. Imagine the amazing ER docs that were on the frontlines taking care of the sickest COVID patients while everyone else was working remotely. And when a patient needs to be treated for a STEMI, a stroke or other emergency, it’ll be the ER docs saving their lives
First time I’m commenting ❤ My dad is both a geriatric physician 👨🏾⚕️ and an ER (don’t ask me why…). He called me yesterday to tell me that one of his patient almost died of a heart attack and internal bleeding, because Anaesthesia came to “quickly help”, thought that the patient already died, and then proceeded to make a swift exit from the ER 😂 Thankfully Dad 👴🏾 thought of making a scan, found the internal bleeding, and quickly called back Anaesthesia to prep him for surgery. Last I’ve heard, the 69 years old was saved and is now sleeping soundly. After watching your videos, I really can’t blame my dad’s colleague to bolt out of the ER as soon as possible, I’m just glad he came back 😂 Great video as always Doc, keep them coming. Cheers from France 🇫🇷
@@hayleycakes3435 Yes, there was an incompetence of care, but due to the competency of the rest of the team, the patient was saved. I’m not sure you read it?
The ED docs in our hospital are famous for waiting until the end of their shift to call you with bullshit consults. So by the time you get there and evaluate the patient, they've gone home. When you go and try to find the original doc who called you to explain the dozen reasons why they should have never called you in the first place, they're nowhere to be found. And when you search for the ER doc they signed the patient out to, they say "Oh, I don't really know anything about the patient; Dr. X just told me you were coming in to admit the patient."
And the admitting docs at our hospital when called for an admission are famous for demanding some spurious additional test to be added before they will consult. So, near the end of your shift, you end up signing out what should have been a completed admission an hour ago to the next ER doctor who is completely disinterested in this being that they just showed up and are being bombarded with new patients. Therefore, they are not too knowledgable about it when the admitting doctor eventually rolls around and wants to discuss it. Finally, if it is a "bullshit" consult the simple and obvious thing to do is just discharge the patient instead of searching out someone else to talk to about the bullshit. Funny, despite all the complaints, that NEVER happens.
That’s why you always carry the OB phone with you when going to the ED. A fake obstetric emergency will get you out of “helping” with any central lines.
They defs all take crazy amounts of breaks in the uk, and are always doing something thats not work lol. If the anaesthesiologist is actually paying attention it’s something to worry about. This is from an outsider, lil old xray over here
Not really! As an emergency medicine physician I did request help very few times but never left my patient to any consultant. But I must say that would be awesome to do!🤡👻👺😎🤣
@@billyrodriguez1878 I hope this wouldn’t be the case irl haha but would like to clarify I was referring to how in the last video about the ER (the one set up like a horror movie) that had the surgeon slowly become a trauma surgeon haha
In the UK anesthesia is very much part of ED as much as ED doctors - as most ED doctors are not trained to tube patients. They also put in lines. Anesthesia also are the doctors on ICU/ITU departments.
When I had my 4 wisdom teeth out with the maxophiliofacial surgeon, I was super nice to the man putting me to sleep / anaesthesia. He was such a great person. He was learning to ballroom dance at the time, with his lovely wife, and did a little demonstrated in the surgery room as the team were prepping the gear. I couldn't stop laughing to do the countdown from 10, and he said, "Don't worry, we'll know that you are out, when the maniacal laughing stops!" 😆😂🤣 Thanks anaesthesia, love you all! Princess Holly of Australia🕊🌿🌴🌻🌳🌲🍀 hairdresser 🕊🌿🌻🌴🌲🍀
If you haven’t you definitely need a book prop for anesthesia. We did a emergent IR case and after the proceduralist asked Anesthesia “were you reading a book?” And yes he totally was. Boring or emergent it makes no difference lol
The funny thing is that where I’m from, emergency medicine doesn’t exist as a stand-alone speciality. Out of all specialities, anesthesiology does the most emergency work
This is very good but, before I claim that this is in fact a documentary, I should be honest and say the the emergency physicians are usually wonderfully helpful and give give handovers during most crashes to theatre. Keep up the great work!
TRAPPED!!!!!! Wow I needed that today. Hey, I think I am being triggered........ I actually AM a BASE jumper as well as a doc. Have I been trapped without knowing????? I was just "helping out" with a small facial laceration; anyone could have closed it. But I was flattered that they asked ME to close it. This blows my mind. I think I need to go to counseling now...........
I’d sooner go to the cafeteria and get a whole new coffee-nay, venture to Starbucks and procure a completely new mug and coffee than approach near the dreaded ER-adjacent call room. Godspeed, Anesthesia. Godspeed.
Honestly this is what it feels like as a patient in ER . . .there are no doctors coming and you are trapped in your curtained cubicle for what feels like an indefinite period of time.
I think if the various specialties spent a whole shift in the ED, we might get a little more respect for what we do. Guardian of the at-risk population, chief resuscitationist, and perceived second best at everything else. 😉
Exactly. Sometimes I just want to call a consultant or hospitalist and tell them they have no idea how much shit I protected them from last night. Not only on the patient end but how many times I told the admitting team it’s not necessary to wake the consultant up at 3am for a “possible non displaced patella fracture” on the patient I’m admitting for a potassium of 2.2
Every time I hear a doc say something like “don’t call this ward again cause they’re mad we’ve sent them too many patients tonight and have spent so long on the phone with us”. Like man, we don’t get to choose who or what wanders in the ED at any given time. As if we go out hunting for renal patients or cardiac patients or whatever just cause we want to be annoying. ED is such a crazy environment, and those docs are probably running away cause they’re getting called to like 8 other things lol.
In all these videos I am struck and heartened by the fact that no one ever says no, or at least not for long. That the patient is an important duty to them even if terribly inconvenient. As a past and possibly future patient I take great comfort in that.
It must be heartbreaking for the anesthesiologist when the scrub cap starts peeling off revealing the helmet-y growth underneath and he comes to the realization that it's too late for him as well 😰
I'm always fascinated how surgeons/cardiologists/misc will complain that all Anesthesiologists ever do is go on breaks and consume coffee, yet at the same time they happily and instantly dump every patient who might possibly require catecholamines or airway management in the not-so-distant future on anyone capable of holding a laryngoscope the right way around... ;)
The ICU gets dumped on a lot with many patients that could be possibly managed on the floor or at least stabilised. I've seen that from both perspectives and I guess surgeons tend to do it a bit more, because most patients that go from the floor to the icu have medical rather than surgical indications, and the surgeons will use that or will truly not be comfortable dealing with them. That being said, I don't know how medicine is practiced in your country, but in Germany you wouldn't see a patient that needs to be intubated or needs vasopressors outside the ICU. In my homeland Greece you see them everyday though, mixed with stable patients in the same room, mixed with MRSA positive patients and the intern is taking care of them along with thirty other patients. I find that suboptimal for patient care though.
YOu are mistaken and have been given a distorted view of reality. General surgeons spend a lot their training managing intuabted/ sick patients without help from other services. Plus, if the airway issue is so bad that anesthesia is unable to intubate, they call in the surgeon for a surgical airway, ENT or gen surg.
@@sachinvaikunth nah. If it is too difficult (failed VLS or Bronch) we will go for an emergency cricothyrotomy and then a percutaneous trach. Most of the trachs in our hospital are actually done by anesthetists. So no, we don't run and call the surgeons for airway management.
@@drhtum You obviously don't practice in the US. never heard of an American anesthesiologist putting in a surgical airway. That's not part of their training.
I love this series. Emergency turns into something of a paranormal being at night, luring and trapping his victims. I think OB/GYN NEEDS TO COME SAVE THEM! Everyone is scared of her because she’s: a) a female and b) handles parts of the body none of the others do. It’s her super power!!
This is so good I can't stop thinking about it. I've spent twenty years in the overworked, understaffed and unappreciated grocery industry, and there are so many interpersonal parallells here.
How I handle going to the ER as a Pharmacy Tech. Go equipped with candy. You can always distract them with candy. Outside the door take a deep breath and assess posture; chin up, shoulders down and back. Show no weakness.Enter and head straight for the trackboard to discover the identity of the RN looking after the patient whose medicines I carry. I then locate the nurse and confirm that they are indeed who I seek. If they look hungry, distract with a single wrapped candy and light humour. When thus appeased, it is safe to physically and verbally pass on custody of the medication to the ER RN. Leave as fast as you can manage without looking like prey or an escaping patient.
As emergency I have never done this before. Even if I'm forced to call anesthesia it's the CRNA that shows up and they make everything more difficulty and time consuming than it should be....Now that I watched this video I wonder if that's by design........... my brain is exploding
Ffs 🤣🤣🤣 the moment he was like can you help me for a second I was like bro it’s a flippen trap 🤣🤣🤣 worse if Obs asks you to come help with a tube only for you to end up spearheading the entire resus 😭 at least that’s how it is for me 😭
The looking up from doing something in resus and finding the A+E team has vamoosed is completely true!! If your covering ICU and you get referred a patient that, after you've reviewed, you either don't need to bring/aren't appropriate to bring your next job is to hunt down the A+E team to let them know you aren't taking the patient, which can take as much time as the actual review.
🥳 The looks on each of their (your) faces are real! As a GI Nurse, would have to travel to a dark underground older OR...with minimal staff and the looks 😟. Well done, Doc
"...Tell my wife and kids...I'm going base jumping this weekend..." Bwahahaha! That had me laughing so hard I snorted my coffee. Seriously, those ER people don't get enough praise. They are pure gold.
So yesterday I had a endo & colonoscopy and after the paperwork, some chit chats, and that fun stuff I watched the anesthesiologist pace between me and two other people I knew he was taking care of that day and I just remembering your videos and made me giggle, I am sure my husband thought I was nuts
The beginning of the video is gold! By saying "You owe me an extra break," Anesthesia is cleverly accruing enough for a whole day off! I'm guessing the ER is karmic retribution then. AHAHAHA!
At my hospital, I’ve never once seen the face of an anesthesiologist.. they will never come to the ER to help out. I was desperately calling one to come in to do a nasopharyngeal intubation because this girl had so much tongue swelling you could not intubate her regularly.. they said well i don’t think I’ll be able to help.. ent also refused to come in. Basically all was left was me doing a cric on this girl. There I was left out to dry by everyone in the middle of the night doing my first cric on a real patient. Went pretty I must say
That's the most horrible thing ever. They should administer the pain med first, THEN the paralytic. It happens to a fairly large percentage of patients. You should sue the h out of them- it's the only way they'll learn. It's the worst torture. I went through that, too, and as the paralytic wore off I was screaming, and the docs were standing over me arguing with each other that it was "impossible" and telling me the pain med should "still be in effect". Dude, it never was. Duh. I'm also traumatized for life. I won't get surgery for any reason. Better to die. Maybe less passivity and sudoku and more attentive practice of medicine. The inattentiveness of anesthesia isn't funny to me. At all.😢
Oh my god, this happened to us two weeks ago. We went to attend a cardiac arrest call in resus and after the paramedics left they said they'd do a full a to e and then everyone just disappeared. We had to do bloods, lines, take the patient for a scan and then to icu all by ourselves. Just me (ODP), the a&e nurse and the anesthetist
