Research
Protocols
Protocols
Before enrollment, research staff must always first do this with the clinical team
What is get verbal clearance to approach the patient
“c/o” in a triage note stands for this
what is complains of
They're still too new to ignore us and too sweet to say no
the new PGY-1's
i stubbed my pinky toe three days ago and now my whole leg hurts
what is toe trauma (possibly nothing at all?)
23-year-old with 2-day history of pink eye. no fever, no vision changes. requests note for work.
what is waiting room
what are the 4 lab values conjunctiva asks for
what hemoglobin, hematocrit, total and direct bilirubin
"AMS" on triage note
what is altered mental status
BIDMC's emergency medicine motto: We treat chest pain, sepsis, and this religious calendar"
what is the Jewish holiday schedule
"i feel like im dying after eating shrimp"
what is anaphylaxis or allergic reaction
35-year-old-female, found in street yelling at traffic, history of schizophrenia, refusing vitals and is increasingly aggressive with staff, denies medical issues
what is psych zone (yellow)
These studies don't require written consent, they require____
What is "verbal consent"
What is "do not resuscitate/do not intubate"
even with permission, residents and attendings will still fume if someone from this group grabs a sandwhich before them
what is "literally anyone who isn't a resident or attending"
A 70-year-old with sudden left-sided weakness and facial droop c/o of this
what is stroke
58-year-old male with chest tightness and nausea, started 1 hour ago. History of hypertension and high cholesterol. BP 145/85, HR 98
Main ED
In conjunctiva, photos should this feature
What is ID bands
The abbreviation "R/o PE" in an ED provider note
what is "rule out pulmonary embolism"
This attending is rarely in the ED during their shift
Shapiro
came in for leg swelling and shortness of breath after a long flight
what is concern for pulmonary embolism
33-year-old unrestrained passenger in rollover MVC. EMS reports GCS . Bruising to chest, and FAST negative for free fluid
what is trauma bay (red zone)
In compassion, what index is used for patient medical history review
What is Charleston Comorbidity Index
"ACS" is a term for a patient with chest pain and possible heart attack
Despite seeing 9 patients, placing 12 orders, and getting yelled at by 3 attendings, this is still the one thing a resident hasn't done by hour 10 of their shift.
what is write their notes
woke up confused, has history of recent uti, fever of 102, and hypotension
what is urosepsis secondary to uti
60-year-old male, abdominal gunshot wound, hypotensive (BP 70/40), HR 140, unresponsive. FAST shows large amount of fluid
What is go straight to surgery (OR)