“Psych? Couldn’t be me.” Goes and visits his 4th suicide/ overdose / psychosis for the the hour

@nicholasheiser9786

3 ай бұрын

Me: hates everything about psych Also me: goes into EM...🙄

@barsdogukankarakoyun8798

2 ай бұрын

I don't think it's the cases, it's probably the day-to-day life. Too slow.

@nathanbarnes3969

2 ай бұрын

My experiences as a psych patient OD’ing is going unconscious in the back of the ambulance and waking up in a ward with a liaison psychiatrist standing over me. Asleep through the entire ER stage, never saw the ER physician

@mirbear72

2 ай бұрын

@@nathanbarnes3969Glad you made it out alive and hope you are getting the help you need 🫶

@DrDenham

Ай бұрын

So glad I chose psych over EM. Worst lifestyle and burnout. Patients deserve better care than the flyby 2 minute dispo from the attending while most care has been provided by others.

This couldn't be more accurate. As a med student, I probably had that exact "So what are the can't miss diagnoses here?" conversation with half the senior residents. Also, I've heard that calcium gluconate explanation word for word from a resident before.

@AB-my5il

Жыл бұрын

As an ER nurse my mind goes "calcium first but in a minibag on microdrip bc I am absolutely not standing there to IVP this med, hit em with the D50, 10 of IV insulin fuck I need to find another nurse for dual sign off nvm here drink this Lokelma while I find another nurse." Gets distracted finding another nurse but remembers to get the bedside commode for the inevitable shit storm after the Lokelma/Kayexalate. Finds another nurse for insulin sign off... pt "why am I taking insulin I'm not a diabetic I don't want this!" Eye roll "sir, these are the consequences of your actions when you decided to skip dialysis all week."

@indianawesomeness

Жыл бұрын

​@@AB-my5il just do emergent dialysis

@SuperBraNTA

Жыл бұрын

Sorry, but what’s wrong with explanation? Of course mechanism of “stabilization” is quite unclear, but it is recommended to prescribe calcium in case of sever hyperkalemia with ECG changes.

@indianawesomeness

Жыл бұрын

@@SuperBraNTA the explanation is fine, it's just funny that med students across the country have had the same explanation given to them by EM residents specifically

@smellypatel5272

Жыл бұрын

@@SuperBraNTA ayy I just had this question on a test. You can also give insulin and glucose to deal with hyperkalemia right?

Having the med student contact the nursing home was an incredible touch

@coffeecake8835

Жыл бұрын

We’ve all been there! 😅

@redmanish

Жыл бұрын

And of course, it’s always a dementia patient there for an “emergency med eval” due to “behavioral changes”

One time in the ER I requested a CT and that doctor looked so happy lol

@Miscelanou

Жыл бұрын

What does CT stand for again? I forget. I could Google it, but the algorithm demands otherwise. I might Google it anyways, but an answer would still be cool.

@Mastealth

Жыл бұрын

@miscelanous Computerised Tomography, it used to be called a CAT scan. Its basically a lot of X-rays taken from different angles, and then computers put the images together.

@Ananvil

Жыл бұрын

ABCs... Airway, Breathing, CT Scan

@abd-animation-22

Жыл бұрын

@@Ananvil hhhhhhh

@pissfiss

Жыл бұрын

@@Ananvil what do you mean nathaniel?

I love the "irascible" continuity bit when he's talking to the psych resident at the end 😂😂

@sterlingteall3462

10 ай бұрын

yeah that was hilarious

The conversation with the cath lab was perfect. Initial incredulity regarding signs of progressive ischemia, then by the time the Pt. meets STEMI criteria theres already an elective/non-urgent on the table and everyones scrambling to meet the 90min angio window.

@WeatherWX

Жыл бұрын

... what?

@iTheShirt

Жыл бұрын

Lol

@alyssah3087

Жыл бұрын

@Weather WX The cath lab (the lady thay he talked to) didn't think the initial signs of a heart attack on the EKG (the t wave inversion) were actually due to a current heart attack (there can be other causes including an old heart attack), until the very obvious, defining signs of a heart attack showed up in the EKG, but by that time there was probably an elective cath lab case on the table so people are scrambling to get the patient having a heart attack to a cath lab to remove the clot within the 90 minutes window required for better patient outcome. Hospitals also report on how they are doing following these guidelines.

@deBrawnyo

Жыл бұрын

Currently preparing for my pre medical exams, is that really how I will start speaking once I start studying medicine?

@iTheShirt

Жыл бұрын

@Brawnyö Yes, you'll understand everything about this situation and laugh about it too when you get towards your final semesters of medical school. The funny thing mostly is trying to meet the 90 min window when you already screwed up. Best they can do is use thrombolytics and transport because of oversight and poor planning.

It’s so incredible how personalities within specialties align SO perfectly. This is every ER Doc I’ve ever met. 😂 Is there some group on the medical board that just reads personalities then sends those folks to that group. It is WILD.

@alyssah3087

Жыл бұрын

They actually choose thier own areas of practice. I guess certain personality just fit certain fields better.

@irresponse

Жыл бұрын

It's the opposite, some personalities or disorders types are more attracted to some areas and end up in there because one thing attracts the other, like Emergency Medicine and ADHD or Surgery and Psychopathy.

@Baraa.K.Mohammad

Жыл бұрын

@@irresponse You are absolutely right... But then I start to think that's it's neither personalities aligning with certain specialities nor an inherent psych/mental variant sorting doctors into said specialties... Sometimes I think it's a specialty environment that nurtures an already existing tendency within any individual (although to varying degrees). A cycle that started since medicine existed and different fields emerged and archetypes were chiseled into each clinical practice... But I'm most likely talking nonsense due to USMLE prep and I need to sleep 💤 🤣🤣🤣

@sterlingteall3462

10 ай бұрын

@@irresponselol bro said psychopathy for surgery specialties. That's a bit hurtful since I want to be a Trauma Surgeon.

@LC-jq7vn

8 ай бұрын

@@irresponse I’m ADHD, and I’m trying to get into med school to do just that. 😂. Wish me luck.

I worked in patient registration for 3 years in the er and I’ve never seen anything more accurate in my life 😂😂😂 The snacking the chill bro energy, the amount of caffeine

Not quite enough ultrasound talk but otherwise perfect

@Blueoceandog

Жыл бұрын

A lines and B lines AMIRITE?

@padelackles

Жыл бұрын

Literally had a debate w/ an ED attending (who ran the ultrasound fellowship) about POCUS vs stethoscopes

You're the real life EM guy from Dr. Glaucomflecken. Badass.

"top 4 conifers" got me LOL

i remember as an ER scribe i asked, “how tall do the T waves need to be to be considered peaked” without fail: when it looks like it hurts to sit on them

@reorio7376

Жыл бұрын

Ohh so thats what hes talking about. Now i get it😂😂

@alexrogers777

Жыл бұрын

lmao, love that the official answer to that is "when they look pointy"

@exodeus7959

Жыл бұрын

But then you respond with the “end of watch” movie quote and say…yeah but med school has a huge ___. Every med student is “fully dilated” by the time they are practicing medicine.

@Angie-Cruz

11 ай бұрын

They should be nice, soft hills 😌

This is far too accurate. Just had my first day in the ER last week and almost everything in this video happened in that one day!!

Honestly by far the coolest residents and consultants I’ve met during placement were in ED :)) I thoroughly enjoyed my ED term so much!

As a non med person, all this is telling me is that EM people are to hospitals what kitchen staff are to hospitality. Even down to the “I think ADHD helps” comment which I’ve heard multiple cooks say in different kitchens.

@thedominion6643

Жыл бұрын

The number of motherfuckers I meet that say they're "diagnosed ADHD but just manage their symptoms well"....what bullshit. No bro, the stuff that I do, that you cannot relate to, are what people with ADHD are actually like.

@bonitagirlyy

Жыл бұрын

I think this is my sign to do emergency medicine. I'm pre med and work in food service and I definitely prefer BOH stuff and have ADHD and have definitely made this comment a million times 😂

@xeriffe8708

8 ай бұрын

this word for word is me LMAO I love the chaos

Nah but forreal, having ADHD i think is really helpful in trauma

I can't stop watching this, I've watched it several times and I still crack up, I have so many favorite parts I can't pick one. All so accurate.

I feel like personality types definitely do match their residencies because this is painfully accurate for an ER resident.

The fidgeting and flipping of the trauma shears, I can't.

I feel this. Emerg for life. This specialty is such a beat down but I love treating sick patients.

I also love the request to call, “Sun Setters Estates”!! 😂. IYKYK 😉

i was confused why cbum was wearing scrubs until i clicked the video

@user-bv7jc

Жыл бұрын

now that's a compliment

Oh god. Was the lady on the line in on the joke? She sounded genuinely pissed. XD

@itspresro

Жыл бұрын

That was my girlfriend. I can post bloopers/ behind the scenes

@rusinoe8364

Жыл бұрын

@@itspresro Please do. Also, I saw you filming in that building that day hahaha

@user-em4wh5ji3w

Жыл бұрын

@@itspresro yesss please do

@chrissytheconqueror7049

Жыл бұрын

@@itspresro Do it

I thought the toe shows was a myth until I saw an ER doc actually wear them

It feels so relieving to see someone in the medical field wearing a whole length arm tattoo, let along a cool personality.

The tattoos wow. I think I fell in love

Lmfao dude, im still a pre-med but I checked off the fanny pack, head band, shoes, and same color hydro flask, and adhd all in the same sitting. I guess I know where im headed in the near future

@royaltoadclub8322

Ай бұрын

I have a head band and Fanny pack and chug monsters. It’s like an ADHD litmus test

Alot is this jargon goes over my head by the content and editing is primo

As a med student who loves shadowing in the ER and wants to go into EM this is literally every EM doc and the fact that I also carry a large water bottle with carabineer, rock climb, etc etc. it's just eerie

@stevencooper4422

10 ай бұрын

I've noticed this too. Is this a persona they take on once they hit residency? Or were residency programs looking for guys like them?

@Fede_uyz

10 ай бұрын

@@stevencooper4422 ive always loved this kind of stuff, always carried my keys or water on a carebiner, etc. Its definitely not something i took on but something i always liked. I reckon that certain types of people just naturally gravitate towards one or another specialty based on their speciality

@TimmMix

8 ай бұрын

Do you guys know the brand of the bottle?

@TimmMix

8 ай бұрын

Its hydro flask right

Insanely immersive, gonna go watch this in VR so I can fall asleep.

Not the mustache trim with the shears 😂😂 for real though that was me last semester after a preceptor gave me my first pair of shears

but he didn't order a CT to confirm the patient wasn't pregnant

Damn! I wish I was smart enough to have gone into medicine. I know this is a funny video but I have so much respect for doctors.

Our emergency room is suffering from the Adderall shortage

My father reflecting on his general surgery residency and witnessing that absolute negligence of ER docs, "rather than take me to the ER, leave me on the rode to die".

I love working with this doctor

As a Paramedic.....I love this video!!!

As an EM attending, I feel attacked.

Dude, this burns but is such a good roast.

EM resident and this is literally so accurate.

This is 100% me, especially the part where he says “ADHD helps me do this”.

Did you draw a whole tattoo on yourself just for this bit??

@itspresro

Жыл бұрын

I ordered an entire sleeve it won’t come off

@michaelegotti6439

Жыл бұрын

@@itspresro where'd you get that apple watch band?

@itspresro

Жыл бұрын

@@michaelegotti6439 OUHENG - here is the link a.co/d/b09lu1A

I miss my ER docs they were the most chillest ones. Also the “social admit” bc they can’t walk 🤣🤣🤣🤣

Omg I’m a plant science major premed and I picked up on ur tree tattoos so quickly 😭

As a frequent flyer due to a chronic condition & also occasional bad luck (3 concussions in the last 1.5 years) thanks for the work that you do. We see you.

You know it's a resident because they haven't yet figured out how crap those Leatherman raptors actually are and Leatherman won't warranty or sharpen them Sincerely, an EMT who wore them out in under a year. SOG for life. When they wear out, sog sends me a new pair. Forever. It's interesting that ER docs hate psych so much. It's honestly one of my favorite patient types. One thing I'm gonna be mentioning in my personal statement this year is just how much I love the patients and jobs that burns out ED docs.

@andynonymous6769

Жыл бұрын

Really? I thought they sharpened them, could’ve sworn people told me that

@jessicazaytsoff1494

Жыл бұрын

In the nicest possible way, how dare you make me doubt my Leatherman and and search out an SOG mutitool. That I will probably buy 🙂.

@AT-yj8gl

Жыл бұрын

What's SOG?

@ceruleanbandit1692

Жыл бұрын

The real tips are in the comments

@SteezySteez2011

Жыл бұрын

Nah my leatherman’s dope. Haters stay mad lol

Lol that call with cardiology got me

Underrated, this should have way more views and likes!! ❤. Made my day 😂

ED tech here. Absolutely spot-on. So many great moments.

Jesus christ the accuracy HAHAHAHAHAHAHHA

Lolol the editing is on point

"Honestly bro, it kinda helps to be ADHD to do emergency medicine" Same man, same..... except I'm an engineer and there's no way we can pump those workloads without being high off out tits on meds the whole time.

all of us with ADHD are the only ones crazy enough to get into medicine

The shoes 💀

Hahahah!! I've watch all of your videos about 10 times and even showed them to my buddies! PLEASE do family medicine! I'm 2nd year FM resident!

Docs sporting the karate kid head band. Must be a black belt in ER doctoring!

This is genius. I had to watch about 10 times.

OBSESSED with the balisong tricks with the raptors.

“A lot of reasons for T-Wave inversion” like we don’t know that already 💀💀

Current EM resident. Unbelievably accurate. I keep coming back to this periodically for a laugh. Well done.

Woah your a really great Preston!!!

finding every possible excuse to use the raptors is a shared experience between EM docs and EMS lmao

the tattoo too accurate 😂

this was actually great

He can't control himself with his obsession of playing with his surgical scissors lol

Bros my spirit animal lmao

MY PEOPLE

Holy shit he's gorgeous....

i cannot tell you how much i love this

the accuracy!!!

I HAVE PUT MONSTER IN MY WATER BOTTLE TOO LMAOOOOOOOOOO This is such a fucking funny video. The Raptor is a classic meme at this point

Bros gonna end up a patient with SVT if he keeps gunnin monsters 😂 hella fresh tats though...

This is like watching an episode of The Office except it’s emergency medicine

Dude, this is literally every single med student I deal with on a daily basis lol😂

Funny thing is the ED docs gonna deal with psych patients probably 30% of the time

The can't miss diagnoses The metal water bottle 😂😂😂 Omg, too acurate

Literally yesterday, me AND MY ATTENDING couldn't get cut off a guy's pressure bandage because the shears were too dull, we had to rip it off 🤣

The ADHD joke hit home because I’m ADHD and I’m going into EMS. My caffeine regulation is already broken.

@ksenijavranjevac2572

Жыл бұрын

ADHD and EMS are a match made in heaven! 25 min attention span, ability to kick into high gear instantaneously, with a mind that subconsciously screens the environment for danger all the time. Perfect!

@jetson_

Жыл бұрын

@@ksenijavranjevac2572 Exactly!

@HiHi-ol3hs

Жыл бұрын

​​@@ksenijavranjevac2572bruh, my hand tremble during anxiety, can I go for EMS I have adhd but I am really good at spontaneous ideas

@sammyluvsya1265

11 ай бұрын

I'm EMS and I have ADHD too. Half of my program has it and most of my preceptors had it too. There has to be a connection there.

@jetson_

10 ай бұрын

You can train yourself not to tremble with practice. It happens to everybody and its just about learning to calm the nerves with breathing tricks and stuff.@@HiHi-ol3hs

Lol the cardiologist wasn’t happy.

Must be Washington/Oregon. Good to know.

Okay but why is this legit me and I’m studying emergency medicine

😂 that was me last week with the social admissions 😂.

The scissors really got me

This is the fricking best

The scissor bump was incredible

As someone going into EMS with a pine on my left arm, I feel called out.

And he’s one of the smartest docs you know

Really sold it with the fresh sleeve

Those green and black shoes you have, what are they caloed? I could use them at work.😊

Those Raptor multi-tool scissors are the best

@petelancaster6715

Жыл бұрын

Until they're stolen. That's why the more senior ED staff uses the crappy cheap ones.

SUNSETTERS ESTATES lmfaooo

"are you really calling me for this" 20 minutes later "can we get this moving for 204" hahahahaha

i swear i have met this dude in my hospital- the hair and tattoos were almost identical 😂

as an emt this is the most accurate shit ive ever seen hahaha

The raptors 😂😂😂😂😂

Legit first shift I had with an EM resident she goes "have you called a nursing home yet. You can do that for me now."

“IDK what Irascible is, but whatever synonym you want to use just bit his IV out”😂

This video needs to blow up.

I’m glad I’m choosing to go emergency response and not medicine… I’d never live with myself if I wore toe shoes to work every day.

@mrbeanieboy2752

Жыл бұрын

It’s not all of them just the few he’s representing 😅😅😅😅 Also- the croc people in medicine 🙃 “lets just risk our toes” typa people

@syed2694

Жыл бұрын

I don't think you could get into medicine buddy

@FarewellChorus

Жыл бұрын

@@mrbeanieboy2752 In what way do Crocs risk toes more than, say, sneakers? I've had my foot run over by a stretcher while wearing Crocs and had no problem. Are we supposed to be wearing steel-toe boots in the hospital?

@mrbeanieboy2752

Жыл бұрын

@@FarewellChorus have you ever tried to kill a Dansko? Those are practically steel-toes 😂 it was mainly a joke, but crocs are for sure not the best choice we deal with blood, puke, piss, literally any and all bodily fluids why would you risk that yuck in ya crocs? I mean you can hose them out easier but that’s still getting right into contact with ya feet through ya socks 😦 a foot is more likely to survive a stretcher or wheelchair impact with a dansko or a good sneaker on it than that thin a$$ croc material 🤷🏻‍♀️ just facts

@FarewellChorus

Жыл бұрын

@@mrbeanieboy2752 The Croc specialist doesn't have vents on top, so the only way fluid gets in is from standing in/walking through a deep puddle, or pouring and entire bucket at once. At that point, I'd be changing socks and washing out my clogs, and I expect it'd be a similar story for anybody who wasn't running around in rubber boots (incidentally, I did see several ED staff wearing cowboy boots). And if they do get ruined, they're 1/3 the cost of the Dansko clogs. At $16.50 an hour (in a state where In-N-Out paid $20), I was trying to make every dollar count. At the end of the day, the important thing is that you find something which works for you. I'm not going to tell you your Danskos don't work for you, and I can say that Crocs worked for me and most of the other transporters. Also, we were sleeping on copper compression socks for a long time.

Did my ER rotation I'll never leave.