>be me working in ER >EMS brings in coding/choking kid

Everyone fails sometimes. Just keep trying to help people, anon

Emt here, still pretty cool that you tried. Can't win em all

>>725184502
shit happen, it's ok dude, he was the next Hitler anyway

Also wondering what ems did /didn't do / attempted

>>725184502
You just murdered a child through incompetence anon.

>>725184502
I tell you what I believe: Shit 'appens!

>>725185502
They followed protocol - tried to get the tube in the field, failed, dropped a king, brought him in. Naturally, that king didn't do shit.

>>725185523
the same way you murdered many more by not even trying to become a doctor, imagine the lives you could have saved if you had just studied medicine?

how do you deal with that stuff without having anxiety? Id have a breakdown every day if I tried to do ur job /b/ro

>>725184502

Not a doctor, but work in healthcare. We can't do the impossible and you can't feel bad when you give something your best shot.

>>725185523

That's not rare. It's like 300k ppl die every yr from medical fuck ups.

>>725184502
The fuck had happened to the kid before they brought him in?

>>725184502
Darwinism at work. he shouldn't have swallowed it.

>>725184502
Practice makes perfect OP.

You'll get it next time.

Attending? Resident?

You make my fuck ups at work look like spilled milk. Did he die because you cut him open?

>>725184502
He had a dickhead lodged in his throat?

It's god's plan OP, now his atoms can be used for a fleshlight or jet fuel

>>725185716
He'd still be alive if he had a competent doctor not a shitty one.

>>725185716
Nah bro, I'm an armyfag. Murderi is literally my job.

>>725185739
>how do you deal with that stuff without having anxiety? Id have a breakdown every day if I tried to do ur job /b/ro

The process (med school and then picking emergency medicine) really weeds out the people who have legitimate crippling anxiety. After you find out that you're physically capable of not shitting your pants, you learn like you learn how to do anything else. Practice.

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You're are doing a great work.
Yet, where work is done, not everythong can be perfect.
Any idea what that thing in his throat was?

>>725185691
where are you from? Here in Manitoba i'm 90% sure ACPs can perform a cricothyroidotomy. just curious about your medic's scope of practice

>>725184502
You post on /b. You shouldn't be a dr.

>>725184502
Coding means choking?

That epiglottis is pretty damn swollen. Glad I just radiate cancer and dont have to deal with that ED shit.

>>725185754
Epiglottitis

>>725185913
He was mostly dead coming in the door. But if you get the airway back, these pediatric cases have a chance of coming back. I just wonder if I should have cut sooner. I spent too long dicking around trying to intubate him.

a dead kid is always good news. hopefully we all go next
peace

>>725184502

Medfag here,

You have counseling available to you. This is what they'll say:

"You are a medical doctor. Do not internalize outcomes of your procedures. Take no pride, and take no blame. Yours isn't a job or career, but a calling. Remember that though lives may be saved, or not, by your hands, your duty rests solely on applying the best of your knowledge, capacity, and ability to help.

You tried. You could not save. You're not responsible to save every life, but to use what is given to you to try your absolute best to aid.

Go back, re-check your work, and improve. Always remember that at the time of the incident, you were the best alternative available; though you wish it, yours is not to control fate, but to be a tool of science. Like science, you aren't infallible, but you are most certainly needed.

Remember you are needed. People need you. You swore an oath. Rest easy and if needed, speak to someone. Carry life, not the weight of the dead"

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>>725184502
thought this was a pic of a vage

sorry the kid died

if he was white

otherwise

Ha HA Ha HA ha

I dont understand, picture A is before you cut the hole and B is after?

>>725185880
First year attending.

>>725185716
I bet you dont vaccinate your kids, or didnt if they were alive

>>725185716
The world's overpopulated. It needs less doctors, or more shitty ones like you. Keep up the work, anon.

>>725185949
/thread.

Just quit and work at McDonald's OP. Clearly that's more in line with your abilities.

>>725184502
what was it?

If it makes you feel better I make levo and methylprednisolone drips so that we can harvest organs from dying patients. I also make methotrexate drips to abortion babies.

>>725186083
Coding dying flatlining

>>725186083
pretty sure it means no pulse/breathing

>>725186317
Nah I didn't actually take pictures - this is just a picture from the interwebs of his condition, epiglottitis. Picture on left is what a normal airway looks like when I go to put a tube in it. Picture on the right was kind of what I was looking at when I went to intubate the kid - no space at all.

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>>725184502
OP working on kid

>>725186361
A Kinder Egg toy.

They should ban those.

>>725186319
It's a tough procedure, especially with peds since you don't get the practice. I'm training at a trauma center so surgery takes all these procedures with the exception of a few.
I can only think of a few attendings at my program that would succeed

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>>725186505
OP working on eyes

>>725186353
You can't /thread and then keep writing. That's a compiling error.

>>725186083
Coding means cardiac arrest. But in pediatric patients they are usually coding secondary to an airway issue (choked on something, deoxygenated, and then their heart gave out)

>>725186597
Fuck off.

kids dying is never ideal but dont feel bad if you tried your best at the very least. more then some people can say

>>725186613
KEK

>one w/a patch
>one w/sunglasses

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OP saving dolphin

>>725184502
sup bro, german medfag here. what was that thing in his throat

>>725184502
Shit happens, just do the best you can -- that's all anyone can really do in the end.

>>725184502
Just one kid OP, there's billions more and as far as I'm concerned you did your job.

>>725186236
Damn that was pretty good.

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OP fixed my face

>>725186485
People will believe this and not their eyes (these are penises)

>>725186605
Training at major trauma centers is hella overrated for this very reason if you're in EM. You're going to leave the ivory tower and go to the community and you won't have trauma surgery to swoop in and clamshell for you. Try to get your hands on as many of these rare procedures as possible. Careers are long. You're going to cric somebody some day.

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OP saving Crabs

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I had a tracheotomy recently

didn't feel a thing, the doc did a fucking great job on me

That x Ray shows a tooth in his throat. Was he missing any teeth?

>>725186839
Epiglottitis. Swollen epiglottis obstructed his airway.

>>725187138
Different procedure

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OP saving Wessels

>>725184502
Just keep moving along. It's your passion, don't let it die. Medicine is a practice, isn't it? Well keep practicing.

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>>725184502

>>725187236
yeah, I just wanted to be part of this thread

>>725187138
When I was a resident rotating on the MICU I saw tracheostomies being placed. Fucking brutal looking. Glad you're doing well.

>>725187247
>>725186505
>>725187110
Why do you have these?

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OP as OGBYN

This is why it's called "practicing" medicine.

Nice thread fags

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OP helping the retarded

>>725187027
I agree. My program has not been as advertised considering how much trauma surgery takes over and the fact that the area is gentrifying so trauma is less frequent. It's going to be difficult managing a cric or a thoracotomy on an obese patient in a small community center in the future.

>>725184502
That's what i like to call natural selection

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OP getting Pizza

>>725186651
Probably means different things in different places too. Where I studied it not breathing, no pulse/heartbeat, or sudden loss of consciousness

>>725187247
Nuclear Wessels?

>>725187700
It's challenging to be prepared for these rare procedures. I would get into the practice of prepping the neck and having your cric kit ready at any airway you don't get on the first attempt. Get into the practice.

When things get hard, you don't operate at the level of your expectations. You operate at the level of your preparation.

>>725184502
military doctorfag. had he actually arrested? hypoxic brain injury aside it's awfully hard to get the heart back once it goes from hypoxemia.

if that was your first look i would have fed a bougie - 0% chance you're getting it any other way. rapid transition to cric not a bad idea.

good on you for getting out the blade, though. my brother had 2 GP colleagues who effectively stood by while a man choked and lost consciousness, then started CPR. gold stars all around for circulating that deoxygenated blood, fuckers, instead of getting a knife.

there was probably literally nothing you could have done to resusc that kid. the real question is, why the fuck did his parents not bring him in sooner if his epiglottitis was that advanced? no way he wasn't stridorous at home.

sleep easy, friend. it's hard with kids but you can't get them back when they're too far gone.

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OP Rape Consular

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OP helping his co-workers.

Regardless of the outcome, he would have died had you done nothing. So you gave him his best shot, keep going anon.

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>>725184502
Keep the faith, man. Just remember Dr. Cox on Scrubs who took out 4 organs of a dead donor, and all 4 killed each recipient. That's a bad day.

Here's a funny pic, because you deserve one.

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What they do with OP's patients

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>mfw all these doctors posting on /b/
>can barely make $2,000 a month
>mfw

Hey docs how do I an hero peacefully without disgracing my family?

>>725184502
I don't know what I'm looking at here. Is it his throat closing up due to massive swelling?

>>725187939
Thanks for the advice anon. I'll be attending in just a few months and am scared shitless of dispositioning my own pts

>>725187944
Hard to tell exactly when he arrested in the initial confusion (whether it was en-route or after coming through the door) but yeah, his chances were shit to begin with.

Failed bougie. Probably tried too many times. As soon as you manipulate that swollen bitch with anything, it just gets worse.

Your story highlights why we need to get these IM/FM trained peeps away from staffing community ERs. I'm sure there are some good ones, but this kind of medicine needs specialized training for a reason.

>>725188241
i think op can help you with that

>>725184502
>a-a-at least I tried right you guys?
You're going to repeat the same excuse fuck up after fuck up?

>>725188241
Hold your breath until you die.

>>725188241
why not change your life and make them proud? maybe make yourself proud too, anon. there has literally never been a better time in all of human history to be alive. giving up is always harder than change - it just doesn't feel like it at the time.

good luck, anon.

>>725184502
What shithole country are you in that isn't doing H flu vaccinations so you don't get epiglotitis?

Seriously, thats a 30 year old disease most places.

>>725184502
How did you fuck up a tracheotomy bad enough to result in death?

>>725188337
One of my sites has this old Indian doc that come in everyday in business casual and white coat, treats the place like urgent care. Luckily this site doesn't get traffic

>>725188299
Swollen epiglottis. Look up epiglottitis.

>>725188336
You know those old crust attendings who you laughed at because they admitted the weakest shit you'd ever seen and scanned every belly that walked in the door? You'll do that for the first few months. Then you'll realize your training was actually pretty good and you'll get into your groove.

>>725188528
Vaccines are optional in most countries

>>725184502
It's a stupid kid, quit impeding Mother Nature and allow the survival of the fittest to take its course.

You'll save the next one OP. Good luck.

>>725186236
was not expecting anything like this when i clicked on thread

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>>725188241

>>725186236
Just this.

>>725184502
what color was the kid?

>>725188620
All the new attendings tell me that. I've learned not to criticize attendings on their shotgun aggression when I started considering all that they've seen.

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>>725188508

I want too but my motivation has been shit and I'm in debt. Will perfecting / improving diet, exercise, and sleep cure this? Had an option to get put on antidepressants but said fuck that, passed on therapy as well.

>>725186634
>expecting newfags to understand basic 4choms neologisms
It's expected of OPs to inb4 their own posts, nowadays. This place is lost.

>>725184502
You'll gettem next time

Jesus this thread makes me realize how easy my job is. Good luck OP.

Can you tell us more about how this happens? Too lazy to Google the thing you listed.

You in the US OP??

>>725188528
It's rare but it's still out there. Not just H.flu causing this shit. And thanks to the hippies, vaccination rates aren't what they used to be in the U.S.

That said, I asked around after and he was vaccinated.

>>725184502
I'm gonna recommend you for the position as the personal doctor for the US president. Keep up with the good work anon.

>>725188337
that's shitty. what did ems say about his most recent vitals? or were they so fixated on getting an airway they weren't doing checks?

that's good advice the other doc gave you. i always have 1st, 2nd, and 3rd available, if not laid out. tube and bougie, rescue and bag, blade. but if there's a good reason why 1 doesn't work, i would go straight to 3.

it's not a bad idea to get tied in to the military - i assume you're american. they'd probably be happy to let you train with them. doing live tissue airways on pigs can give you some training scars, but holy shit it'll make the procedure a lot more familiar. a lot of their special forces medics will have more experience putting in crics than your average traumatologist or anesth will in a career. something to consider.

fuck off liar. Also kill yourself if true. I am not even med and I have succeeded with a cricothyroidotomy when my uncle choked on food. Took the scalpel I had bought for slicing tissues for my microscope, did a 5 cm vertical incision beginning slightly above Adam's apple. Located the cricoid membrane above the cricoid cartilage with my left index, and incised the membrane, heard a "pop" and then inserted the scalpels handle, twisted and lifted the box. Uncle began breathing by himself although shallow so I helped by breathing for him via the incision until the paramedics came and secured the airway. Loser!

>>725186048
That image hurts me more than it should

>>725188241
You obviously regret being a lazy piece of shit (at least subconsciously), so get off your meme-lovin' ass and do something you can be proud of.

>>725184502
The other posters in here are right.

You're a fuckup.

Due to your inability to do a simple procedure, a child is dead.

You should quit now and just flip burgers.

No one should have a lousy Doc like yourself.

GJ Child-murderer.

>>725184502
I'm sorry, doc. Please be okay.

>>725188960
>being bluepilled
>2017

hey doc, doc
doc
doc
ive got this lump in my pants

>>725188979
Nice Google quote faggot

>>725189040

he should make his own memes

>>725187371
Why DON'T you have them?

>>725189132
Google quote. retard?

>>725188899
Diet, exercise and sleep is important. Those alone will have you feeling better. Therapy can be beneficial. Avoid the drugs unless you have a chemical imbalance fucking you over.

That's nothing OP. I'm a former autopsy technician.

I think I may have cut somebody that wasn't dead.

Warm, too much blood.

>>725186236
Sounds like a load of fucking bullshit you hacks tell yourself to make yourself feel better.

If you cannot save lives, don't a be a fucking doctor.

Kill yourself, you wimpy pussy bitch.

>>725189328
How did you react?

>>725188938
You get unlucky as shit. It's a bacterial infection of an area in your throat. Used to be much more common in kids but we vaccinated against the most common bacteria that caused it.

>>725188977
No formal report from EMS, considering the kid was blue and they knew their king wasn't cutting it. Went right to work. I'd have to check the documents after the fact to see where we really lost him.

Props to you military guys. I'd love the experience of doing more of these kinds of procedures, but I don't think I want to have to ever be in an environment where I have to do it so much haha. I like my airway toys and they work well 99% of the time.

>>725184502
You must be slightly handicapped not being able to perform a crico. Seriously, you didn't have any supervisor near you or something?

Wow. Please stop while you are at it.

>>725189338
Does it really make you feel better, being this edgy on the internet?

>>725189449
Sorry cannot hear you over how awesome I am

>>725184502
Paramedicfag here. You and I both know that a Cric is basically a last ditch "they are dead if we don't...so might as well try" kinda thing...

don't let it get to you. You tried.

>>725189328
is he dead now?
is that why you're a "former" autopsy technician?

>>725189328
Was there a notice posted later for employees not to nap in the coolers?

>>725189444
This. Also checked and kekked!

why does his neck look like a pussy?

you fucked up. this is your craft. experience makes you better. try your best, keep improving. life is such

>>725188899
you've gotta be your own best friend and coach, anon. hardest job you'll ever have. everything gets worse together, and everything gets better together.

don't try to change everything at once. you wouldn't train a dog like that. don't train yourself like that. do things that will let you know you give a shit about yourself. that's step 1. shower. feed yourself.

stop the bleeding. that's step 2. figure out how to stop going further in debt. there are easy, free apps like mint that make this really easy. start investing. it's a gesture to yourself that there's a future, and you're watching out for yourself.

start the breathing. that's step 3. figure out something you're remotely good at. get better at it. yes holy shit optimize sleep, diet, and start exercising. pills are not a solution for the pain of life - not for the vast majority of people. they're given by lazy doctors to lazy patients, neither of whom knows how to be wise, or cares to learn. don't fuck off therapy - understanding why you treat yourself the way you do is the key to everything.

give a shit about yourself, faggot. nobody else ever will as much as you do, and they're all taking their cues from you. play your life like you'd play a game. level up. git gud. good luck.

>>Shitty doc murders child.
>>comes to /b/ with the guilty realization he's a psychotic failure.
>>wants other autist to rub his tiny peenis and make the feelz go away.
>>Gets all that with a side of Nuggies.

fuck of OP

If you can't perform a crico then contemplate suicide or at least change career.

>>725184502
Good, one less person to feed. Keep up the good work.

>>725189328
Would this be considered murder or manslaughter if you cut someone up that's still alive, but in a deep comma/low heart rate?

>>725189444
/bread

>>725187138
Disgusting wart you got there

>>725189328
fake and gay

>>725185930
all my keks to you sir.

>>725186597

Kinder surprise egg almost killed me when i was like 5-6. I remember seeing my life flash before my eyes before my mom ran in and smashed my back till it flew out. Weirdest shit ever and most clear memory i have from around that age

OP should stop and work in the meat packing business.

>>725189793
This. What a fucking douchebag. Not only does he fail with a basic procedure like a crico, he even comes her to receive shoulder taps.
>At least you tried

Yeah, no, just end your life retard.

>>725184502
https://tineye.com/search/2881c54588a985117215e820e97d78dff9ca2b40/

Toll Harder

>>725184502
I don't work in medicine and have successfully performed that procedure OP

>>725184502
shit happens bro.

just do your paperwork and hope you dont get sued.

>>725184995
He didn't even fail. It was a shit situation to begin with.

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Otolaryngologist here. You may remember me as /b/'s friendly neighborhood head and neck surgeon who posts here sometimes.

#1 For you all you keyboard cowboys out there, cric'ing a child is not a walk in the park. Adults have a couple of minutes of oxygen reserves after respiratory arrest. Kids don't. They go from respiratory arrest -> cardiac arrest -> brain death quickly.

And if you're pulling the knife on a child, they've already failed other airway attempts, so chances of him walking out of the hospital are low.

#2 I've been in many, many bad airway situations. Too many to remember. There's a big difference between trach'ing an intubated patient or cric'ing a pig/cadaver, and cric'ing a blue child in front of you.

>>725189941
How the heck do you fuck up breaking apart, taking out the toy and eating the chocolate?

>>725190134
He failed to secure airways. OP literally write it was his first attempt. I didn't know experiments were allowed to be performed using humans.

>>725190162
^this

OP You'll be okay.

>>725190162
You so alpha, wish I could be you.

Yet here you post in /b/. So I don't know. Maybe I am you.

>>725190002
that's 3 times you've tried to refer to it as a "crico," figgus. the slang is cric. that's how everybody who knows, knows you don't know.

if only you had been there, they could have just asked you to cut the throat with those edges of yours.

go to bed, faggot.

>>725190002
Bruh you almost got quads.

also this. what anon said about the other anon

>>725184502

Ah sucks, I've heard some medfags have gotten some bad nightmares and causes them ptsd type problems down the road

>>725185351

was thinking of becoming one when given the chance, (I've completed my EMT-1/Basic training) is it worth it?

>>725189941
I chocked on some grapes a couple years ago when I was pretending to be a squirrel. I was on the floor ready to die until I fingered my throat causing my gag reflex to vomit them out.

>>725190162
The roleplay is strong with this one.

Shut the fuck up, who the fuck says keyboard warrior.

You're either a literal oldfag or amazing at roleplaying.

either way 5/10

>>725190162
Who gives a shit?

>>725190379
Yeah, you are litterally a cunt. That's not how the slang is used where I work. But ok, cric. Just to please your shitty ass.

>>725190379
L M A O

rek't em ralph

>>725190089
lawsuits are covered my man, hospitals have insurance/funds to prevent uppity people from screwing you for helping them.

>>725190089
>>725184502

OP you need to provide more detail,

Exactly how did you fucked up?

by waiting to much to cut him?, or did you cut him improperly and he died because of it?

>>725186048
I'm a chemist, it hurts, it hurts so much.

>>725190379
Ouch, my soul hurts even though this wasn't aimed at me.

>>725190608
Whatever you say, kiddo.

Power down and go to bed.

thread is fake as fuck

saged

>>725190608
i didn't know walmart stocked cric kits. your tears are delicious.

op is a failure kek

>>725190734
Kys failure. Learn to perform the cric correctly next time, or wait, you won't because you'll end up losing your license. And thanks god for that!

>>725190867
wat.

i'm not op you shit tard lmao.

learn to decipher post. faggot

>>725190672
>>725190162
>>725189699

can you answer me this?

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>>725186341
Best fucking reply all thread!

>>725189941
my greedy anon, you need to break the egg first.. remove the plastic toy then eat the chocolate!

>>725184502
>Tell me I'm not a bad doctor, medfags.

You tried. Can't win 'em all. Hang in there.

>>725190965
There is nothing to answer. A real physician wouldn't come on /b/ to talk about the loss of a patient, like this retard OP has done. It's a fake. End of story!

>>725184502
so what was in his throat?

>>725191147
this

sage and hide thread

>>725190528
sounds really gay for some reason.

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>>725191147

Otolaryngologist again. This is probably true. I occasionally post AMA threads every few months for my own amusement, but would never discuss details of specific cases, especially one where I would be freaking out over a lawsuit.

Never know what's going to get subpoened.

>>725190672
OP didn't fuck up, he's just struggling with decisions he made around how aggressively to try to get an airway, and when to change to a different approach.

his initial option was to try to jam a tube into the trachea through the mouth. because of all the swelling in the area, this was very hard. he tried to use a small flexible stick into the airway as a guide, but that ate up time, and might have worsened the swelling. the brain and heart are slowly dying while this happens.

he then decided to cut straight into the throat through the neck to bypass the swelling - a cricothyroidotomy.

>>725191216
According to pictures provided, inflammation of the epiglottis, the flap the opens and closes when breathing.

>>725190702
>>725189017
This hurts anyone whos taken GCSE level chemistry, you're not special

>>725189429

Here's how it went down.

Guy ODs and his friends drop him off in front of the ER at around 6 in the morning. He's pronounced dead.

He is placed in the walk in cooler at 8am.

I get him at around 11am.

He's unusually warm. It just don't seem right.

I call in the pathologist. I ask him to check if he's still alive. He gets a stethoscope from his office and comes back and checks.


He says " No, "lol" , he's dead."

I proceeded to do the "Y" incision.

He bleeds too much. Usually there is little blood.

I kinda freak, I call the pathologist to check him again.

He does, and says proceed.

By this time, the pathologist thinks I'm crazy.

He leaves the suite.

I proceed, I keep going. I get out the hedge cutters and remove his chest plate.

I cut open the parcardium, and I remove his heart.

Blood fills up his chest cavity so fast. Like it seemed to be at least a gallon or two of blood.

There was alot of blood and it was warm

Really warm.

>>725185716
0

Studying something doesn't mean shit.

I just read a book about physics, does that mean I just figured out how to time travel?

>>725184502
maybe you like iduno cut too big of a hole op

>>725191216
>>725191216
>>725191216
>>725191216
sadly not my cock.

Top Kek.

>>725190162
Another incompetent murder-doctor trying to make excuses for OP killing kids

>>725184995
Everyone falls in love sometimes
I don't know bout you but it ain't a crime

>>725184502
Literally not your fault. The fucker is to blame, not you. I mean, how do I explain this? The chance you succeed is minimal. It's like someone blows his brains out and you have to put it back together; 0.0001% chance you do it.
You are NOT at fault. Don't take it hard. being a better doc isn't the answer. Luck is the true component.

>>725185969
So people with crippling anxiety go into other medical professions?

>>725184502
you pull the triger, op... you pull the trigher..

>>725184502
Epiglottis is the flap of skin at the back of the tongue.

Pic A is anterior epiglottis.

Pic B is a penis penetrating a vulva.

so much roleplay

i should do it next time as well.

looks fun

all these pretend medfags who couldn't even get into medschool coming to /B/

Nothing's wrong... OP, he couldnt survive anyway...


Child killer Monster.

I'm joking dont suicide /b/ro

or at least livestream it

>>725184502
The hell is it?

Same former autopsy technician.

Assisted on an autopsy if a 4 year old kid who choked on pancakes.

His grandpa put bits of bacon in the pancakes.

Our pathologist was from Mexico and was not familiar with such a dish.

It bugged him.

And he made sure he put down that the kid choked on a piece of bacon, just to make the grandpa feel bad.

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Was the kid white or some kind of minority?

>>725189793
old /b/ would have gloated...

>>725186048
REEEEEEE

Isn't "that fucked up thing" just an Epiglottitis? Lol.

>>725184995
this place has changed......

>>725191384
fucking murderer

>>725185381
>Underrated comment

>>725184502
the hell am I looking at?

Med here. Why did you took am x-ray on a compromised airway if you had access to video intubation? That was an easy tube with a lower bulbed tube and a guide. And surgical airway isn't that hard. Not under roncuronium. Just practice. It is your fault but that's ok. Won't be the last one. Your job is to get better.

>>725192514
Maybe.

But there is nothing we can do about it now.

>>725186194
my epiglottis is always visible, will this happen to me bc i don't really fancy choking to death ty

ITT the people who know what the fuck they are talking about counsel or inform, the WebMD faggots are flaming about burger flipping and killing even more.

Sage, stoic advice. Marcus Aurelius would be proud

>>725185381
kek

you're a hero OP

>>725192628
Pretty sure that pic is just from the interent somewhere

>>725188899
>Will perfecting / improving diet, exercise, and sleep cure this?
fuck yes it will at least give you enough encouragement to start getting things done
>>725186236
>>725184502
hey medfags whom on average knows their shit more and is better for the patient NP or PA?

>>725184502

New-ish nurse here, just don't take it out on yourself too hard. If I was there, I'd give you a big dose of ativan, a hug, and tuck you in for a nap somewhere. No homo.

>>725184502
Was there a ENT paediatrician available?

>>725184502
Why does your "kid" have their second molars and a ossified thyroid cartilage? That's no kid. You're an idiot and a liar.

>>725192628
>Just practice
What if OP doesn't have any kids? Get one from the neighbor?

>>725193768
hopefully big enough of a dose to kill him haha

>>725191302
Hey doc, i remember your threads from before
with regards to throat cancer due to hpv, do you see a lot of it now? is there anything to help discover it early or prevention wise? thanks

>>725187593
Can I pet the interns, George?

>>725184502
>the kid didn't make it
Why do you care? You're still getting paid and unless you do it every day they wont fire you

>>725184502
What is it in the x-ray? Is it a bone of some sort stuck in the kids throat??

>>725193696
Trips and dubs bitch checked

>>725192628
-what's your "med" background?
-how would video laryngoscopy have assisted, given that a poor view was not the issue, but rather epiglottic swelling?
-how much experience do you have with paralytics, given that you're calling one of the most commonly used ones roncuronium, rather than rocuronium.
-how would roc have assisted with achieving a surgical airway?

D- effort. just like real life, no doubt.

>>725184502
Why did EMS not perform a Cric in the field? I would have a paramedic

>>725184995
yeah everyone fails but the guys dead life isn't that easy let go of

would you let him try with your life you being dead would just be a mistake lol

>>725184502
If it makes you feel better I have tried to quit drinking and failed various times, next time try to get another doctor that is in duty, and ask him for his opinion.
Or two other doctors, at least you tried.

>>725190528
>Pretending to be a squirrel
Kek

>>725191384
wait you removed the his heart ?
yeah blood is really warm when youre still alive, dude did you even checked his pulse ?
or did you do the shock thing first before or hitting him on the chest ?
screaming live damn it liveeeeee!!! you should had done at least a webcam video about it.

>>725189544
he's likely a well-paid doctor and you're an angry troll online. please, remind us again how awesome you are.

>>725184502
Mob Doctor here you should had pumped that with a hose or a small vacuum or a strong hit to the throat while you gave him oxygene.
probably would had left him mute but he would had a 50/50 chance of living.

>>725184502
your supposed to make a small incision into the airway, not cut the hole neck

>>725186353
you would end up with the bun between the meat and the lettuce

>>725185691
What's this king you speak of?

>>725191414
what the fuck are you even trying to say, by learning physics you know the law of physics not how to time travel you goddamned idiot

>>725196272
Mob doctor here again it is just a hole like cancer patients and a straw, he literally slit his throat.
new a guy who had shot in the throat point blank he didnt lose his voice, the straw helped.

>>725191414
it is quantum physics you dumb shit.

>>725188533
OP went full ISIS

>>725186236
Wow, that's good stuff.

I mean, cutting holes in peoples neck you were bound to kill one someday.

>>725192634
We can pray for your soul.

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>>725196676

>>725185716
that's a philosophical question, anon.

but most concede that inaction is not of the same moral equivalence as action, as one requires a motivator force to initiate and one happens passively.

Wtf is in his throat? Any idea how he got that in there?

>>725186236
medicina student, is there any clinical specialization that needs clinical research, and has little work with the patients itself?
I'll explain myself, I don't like physical exploration or working in consultation, but I enjoy a lot research and being in a lab. What should I orient myself to, and what advice an you give to me? Marks aren't a problem, already the highest note in my year

What I enjoyed the most the past year was the central nervous system, physiology and endocrinology and cardiology

>>725184502
did he choke with an arrow?

>>725196676
King lt emergency airway device

>>725189338
Writing this comment must have been such a hollow, meaningless exercise for you. I don't think you get hugged enough and that is so very sad

>>725186048
I don't remember hydrogen having five valence electrons.

>>725198060
No patient contact is radiology. You can always do a medicine specialty then move over to academics

>>725186048
No. Just no. My god, it just gets worse the more I look at it.

>>725198957
is it hard to get into academia? heard science is fucking difficult and just a slave job

>>725199231
What country are you in?

>>725184502

if you're too incompetent to perform such an easy task, maybe ask someone else to do it before you kill someone.

This kid will haunt you in your sleep for the rest of your life

>>725199400
Spain

>>725199677
I practice in the USA. I really can't answer questions regarding Spanish medicine

>>725185351
Currently in basic emt class, got any interesting stories? Heard a few from different instructors. Always interesting

>>725186236
Fuck me. That was deep. I'm not sure if I agree with all of it, but it was still deep. I would just remind you that we are all mortal, in spite of all of your gifts and years of training and natural talent, you can never prevent death. It didn't have to be an unfortunate child, it could've been anyone else, but people will die no matter how hard you push yourself.

>>725184502
You did what you could and what you should have. That didn't work and it's not your fault

>>725186505
Kek

>>725199755
I've heard science in USA is in a good spot, here there might be 10 to 20 post-doc jobs, per year, and that's it for the whole country. Really sad future for medical science. That's why I'm considering a medical speciality

>>725184502
EMT fag here anon, something I learned about saving and looseing patents, is that a lot of the time, when someone dies, it really isn't up to us. We can do everything right and they won't make it. But you should remember that because you were there, because you were doing your best to save that kid, he had the best possible chances of making it. Keep working hard, and you will keep saving lives.

>>725189338
>Remember you are needed. People need you. You swore an oath. Rest easy and if needed, speak to someone. Carry life, not the weight of the dead"
i thought 12 year olds weren't allowed on here

>>725188077
But theoretically if a better doctor was on the kid would still be alive. That's where the guilt comes in. But as long as you're at least average then you're technically not killing anyone.

>>725200231
Lots of research here in the USA. We get a lot of foreigners doing science, one of my professors was Spanish. The scientists that usually come are very sharp and top of the line.

lol op you should kill urself failing such an easy procedure.

>>725186048
3 doublets on a carbon with a double bond (10 fucking electrons shared on your carbon)

I love the way the poor hydrogen is raped, I mean, it has 1 single electron. It is like it takes 9 weewee in its butt. This is savage. Dat gangbang.

At least two hydrogens are legit, it could be worst.

This picture deserve a Brazzer logo.

>>725200546
that's what teacher told me, as english isn't a problem for me. i might be able to make academia there.

What are the best research fields in medicine?

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>>725186236
well i was bout to rage but then i just ...

>>725200845
just kill yourself u spanish fag. Science isn't for you just stop while you're at it.

>>725184502
What happened to his throat? Why was it swollen shut?

>>725191384
So was his heart beating when you opened the chest? Pretty simple to figure that one out, if you weren't a lying faggot.

Brb I'm going to go Google some medical terms so I can pretend I'm a doctor too.

Ongisurgical med student here. You did good op.

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>>725191384
OP's a fucking nutcase performing Saw and Hannibal together.

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>>725186194
>I'm gonna hafta intubate because the kid's mother won't sign the Do Not Resuscitate. Mercy killing doesn't translate well in Spanish

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>>725190162
i say chap verry well said but wtf this child is dead yo

>>725184502
What's the difference between the cricothyroidotomy and the tracheostomy and why did you choose to do the cricothyroidotomy over it?

Regardless, as many people have said there's only so much we can all do.

It's sad especially when someone young dies, but it happens.

If you're a troll, you suck.

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>>725184502
idk, when i go to the doctor i prefer not to die.

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>>725189338
t. Bitter neet/ex-premed that never got to med
Lay off the doritos and come schedule an appointment to check for the inevitable heart disease that is going to kill you soon

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>>725190162
>the surgeon is.back

>>725201816
ICU fellow here. Cric is an emergency procedure through the cricothyroid membrane which is higher up and easier to do but with higher risk. Tracheostomy is lower down and is for more long-term ventilation when you have time to do a proper procedure.

>>725185523
The kid killed himself by swallowing some sort of jagged razor blade.

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I've always had this question, medfags.. If you have to do an urgent tracheostomy, doesn't it fuck up your thyroid gland??????

>>725202198
So is it possible that the Emergency procedure in this child's case wasn't suitable because of the location of his swelling?

I.e. could going further down have been an option or medically not ideal?

Obviously it's hindsight and i don't want to make the OP feel bad. Just curious

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>>725184502
Do you believe in God?

>>725202740
The thyroid doesn't actually sit that high up. If you do it percutaneously you usually go through the 1st or 2nd tracheal rings where there is no thyroid. If open then you retract the isthmus or divide it before inserting. There are case reports of going through the isthmus and there were no complications.

>>725186194
By the time you found out his airway wasn't competent he'd have had massive brain damage anyhow. Even if you'd cut and tubed him a couple minutes earlier he'd have been full potato. Sometimes there's not much you can do, I guess the take home from this one is try the tube and if you can't get it down in 2mins, give him a nice scar to tell stories about.

>>725184502


>be RN working Trauma
>pt ready for discharge, no remarkable variances in labs or vitals over past 24 hours
>time to go fucker
>discharge orders come, pt literally screaming in pain
>crippling stomach ache
>projectile vomiting
>suggest imaging of bowels to assess possible obstruction
>doctor reluctantly agrees
>pt being prepped for transport downstairs
>get call 5 min later
>pt died, aspirated on vomit during transport
>howthefuckdidtheyletthathappen.jpg
>drink heavily that night knowing the family was happily awaiting their father/spouse in the family room only to be told he died

its no condolence, but i can feel ya, sometimes you just have a fucked up day where you are given a shitty hand in an unfair game

but then again, he could have been the next Hitler...

>>725202897
No, either a cric or trach are well below the epiglottis where the swelling was located. But we only do crics in emergent situations because a trach takes too long.

>>725186634
this nigger doesn't have the first clue about writing code man.

>newfag probably has no idea green text was for non executable script to make coding notes/annotations.

>>725201874
>We can help
/b/ couldn't help someone out of a paper bag, these incompetent neckbeards.

>>725203466

What was wrong with him to cause all that??

>>725184502
why didn't you needle cryc him to get him table?
You are a bad doctor; let the critical care nurses do it next time doctors shouldn't perform actions they aren't familiar with.

>>725198740

Well, it does

>>725204657
probably bowel obstruction from meds. Like turbo constipation. Pain induced nausea and then whoever the nurses/docs on the situation were they were ass, failed to keep the patient from inhaling their own vomit.

>>725184502
Thanks for killing him, this is a great thread

>>725205082

What meds can cause a bowel obstruction!?

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>>725186048
What in the, I say, what in the fuck is going here boy?

>>725205153
opiates primarily but many others as well