Never Let Go Of Your Dreams @livinthepreplife - Tumblr Blog

Please check out my beauty channel! I just posted my first tutorial on how to do a everyday smokey eye 😊 it would mean a lot if everyone checked it out! And don’t forget to subscribe and follow me on there!

Depression

I have just wanted people to know that I am going through the roughest time in my life. I have depression, anxiety, and OCD. I can't even stand to talk to my boyfriend about it because he doesn't understand. I need help. I need someone to talk too. I take celexa and it doesn't work and I go to therapy about 2 times a month. I just really need help. I don't know how to control the depression in anymore. Its affecting my school life now too. Please send help.

#please help me #online counselling #therapy #help #i need help #depressing thoughts #depression #anxiety #OCD #my life sucks

bottleoftonic-blog

Most bang-for-buck things every intern should know before starting inpatient wards

Source. A collection of Meddit resources and advice on what bread-and-butter topics interns would most benefit from brushing up on/memorizing prior to the beginning of their internship. 1) Fluids. How and when to use them, dosage, timing and other pearls.

Review of fluids (not how to use them per se) by Dr. Strong /u/ericstrong

Maintenance Intravenous Fluids in Acutely Ill Patients - NEJM.

Pretty thorough review of fluid management on openanesthesia.org

2) Nausea. When to treat, how to treat and at what dose.

3) Standard pn orders: pain killers, sleep aids and antiemetics aka how to reduce nighttime calls from nurses by 25%

4) “Reflex” antibiotic choice for routine inpatient infections.

http://www.bpac.org.nz/Supplement/2013/July/antibiotics-guide.aspx /u/ChristianM and /u/ive_been_up_allnight

5) Initial work-up and treatment of dyspnea. (more realistic to approach by symptoms as, unfortunately, you first have to diagnose whats wrong. E.g. heart failure, pulmonary edema, embolism, COPD, pneumonia).

6) Initial work-up and treatment of oliguria/anuria.

7) A sensible initial approach to suspected ileus.

8) Blood. When, how, why to replace.

9) Pain. Optimal management without inducing narcosis.

Managing cancer pain: Frequently asked questions: CCJM

10) Potassium. When, why and how to shift or replace.

A review on both potassium and sodium disorders by Dr. Strong /u/ericstrong (Not reposted in 12) hyponatremia but applies there as well) https://www.youtube.com/playlist?list=PLYojB5NEEakXVIAapcSEleP4doUdHVtld

11) Hyponatremia. Most common electrolyte disturbance, commonly mismanaged.

12) Resuscitation aka commit the ACLS algorithms to memory.

Current ACLS guidelines. https://www.acls.net/aclsalg.htm

Would love a video series, interactive cases etc.

13) Basic EKG interpretation.

Whole EKG video courses

A whole free youtube EKG video review course by meddit’s own u/ericstrong

An alternative EKG course that takes you through all the basics. This however has no free version and costs 96$ a year. The quality is amazing. Here are 6 basic sample videos on youtube. The paid course is available on http://www.ecgteacher.com/

I have to admit I haven’t used this course personally but his free youtube videos are on-point and he seems like a good teacher. Also behind paywall. Free youtube samples are here. The full course can be found here https://www.ecgacademy.com.

EKG video cases

Amazing case-of-the-week emergency medicine EKG videos on youtube by Dr. Amal Mattu

– If you like Dr. Mattu’s cases (and you most certainly will) he is still posting every single week on his new site https://ecgweekly.com. It costs 4 starbucks coffees a year and is going to save someones life.

Practice EKGs with answers

Watching videos isn’t enough, you still have to grind out EKGs to keep your game strong. Visit http://ecgmadesimple.com and http://ecg.bidmc.harvard.edu/maven/mavenmain.asp for this.

EKG blogs

I recommend signing up for some kind of RSS feed (e.g. https://feedly.com/) and subscribing to the following EKG blogs:

http://hqmeded-ecg.blogspot.is (Dr. Smiths ECG blog)

http://www.ems12lead.com

http://ecg-interpretation.blogspot.is

http://jhcedecg.blogspot.is

EKG resource libraries

Life in the fastlane has a nice resource to look up a specific EKG finding, criteria or concept.

http://www.practicalclinicalskills.com/ekg.aspx /u/collidge

14) Know when to order ABGs and how to interpret them.

Almost too detailed video lecture series on ABGs and how to interpret them by Dr. Eric Strong (/u/ericstrong)

Practice makes perfect. ABG interpretation generator. https://abg.ninja/abg

Bonus 15) Basic CXR interpretation

CXR video lecture course

Again, Dr. Eric Strong has an excellent video course for free on youtube

Step-by-step guides to basic CXR interpretation

The Radiology Assistant: Chest X-ray - Basic interpretation

Radiology Masterclass step-by-step basic CXR

University of Virginia’s step-by-step basic CXR

All inclusive resources

The art and science of thoracic imaging All inclusive resource for all things thoracic! Jokes aside amazing resource.

UPenns CXR learning website

Loyola Universities excellent CXR Atlas Most outdated look but amazing content.

Checklist approach to CXR

Bonus 16) Overnight o-shit-what’s-that Head CT interpretation

Midnight radiology: Emergency CT of the head

University of Virginia’s guide to the Head CT

sothisisnursingschool

Hey, self: review before NCLEX. Xo, me.

md-admissions

Oh hell yes

populationpensive

For future reference.

doctorkintsugi

Must. Study.

telep0rt

Reblogging again to read ASAP.

ourloveandtrials

I'm a nursing student, Reblog if you are to😘🏥

nursingistheshit

Codes.

Let’s talk for a minute about codes.

Doesn’t matter if it’s your first or your 100th, there’s nothing like that chill when you walk into your patient’s room and the monitor reads a heart rate of 31 and dropping. You look at your patient’s face and they are grey. Eyes open, staring at nothing.

There’s that moment of silence, right before you hit the code button, or call the operator, or do whatever it is that gets the ball rolling in your particular hospital. You drop the bed flat into CPR position and place your hands over your patient’s chest as you hear the rumbling of the cart cart being pushed towards the room.

You start to pump their chest. If it’s an older patient, you hear the agonizing sound of ribs cracking like twigs. This is a patient who was laughing and joking with you not even 20 minutes ago, you see. And now their chest is caved in, but you’re still pumping hard.

By now, there’s feet pounding down the hall to join you and someone tags in on compressions, which is good, because you hadn’t even realized until you stop that you’ve broken out into a sweat and your muscles are screaming already. Another nurse is breaking out the epi, and there’s a doctor at the head of the bed hollering for someone to get the damn intubation kit, already.

By now, they’ve got orders to move to the ICU and the bed is already in motion and your patient is still grey, but the only thing we can do is get them there. So everyone’s in motion, rolling the bed out the door, and suddenly the patient’s children are stepping off the elevator, rushing up. Their eyes are panicked and you can FEEL them searching your face for answers, but there’s just no time to say anything as you whip past with their parent looking grey and lifeless, and all you can hope is that they are able to follow the bed rushing down the hall.

So you’ve gotten your patient to the ICU, you leave the family praying in the waiting room. You walk down the hall back to your unit…

….. because you still have 10 hours of your shift.