Been watching The Pitt and I have Some Thoughts as an actual practicing US medical doctor
CPR. Their chest compressions aren’t deep enough but otherwise the codes look pretty spot on (although there should be more yelling and chaos with people shouting out time and trash all over the floor from opening the stuff in the crash cart.) Snaps for showing you don’t shock asystole. Also, for showing that most people don’t actually survive CPR (eg attain ROSC) even when it’s done in the hospital by professionals.
Also good job with the FAST scans (trauma ultrasound)/general trauma assessments
Being a little judgy of people who choose to violate their loved one’s DNR/DNI. That’s legit.
The admin pressure about patient satisfaction, issues with boarding, long wait times, etc. Oof too close to home.
Patients boarding in the ED for days is unfortunately real, especially the psych pts
So far the medicine part is actually pretty accurate. Nothing too wrong/implausible yet. Although I would have done an LP to look for anti-NMDA encephalitis on the girl with new onset psychosis.
Dealing with something really personal and shitty (like a miscarriage) and still continuing on with your shift is unfortunately quite common
The walk of honor for organ donors is a real thing and always very somber & touching
The resident getting chewed out for going too slow and not seeing enough patients is very legit too. You have to remember it’s a balance, you can’t be too slow or you risk people dying in the waiting room
The homie ambulance drop off for the gunshot wound is a real thing that definitely happens. At least they took him to a trauma center, in med school it happened at our non-trauma center which was stressful
not having time to eat or pee is also real
Doctors just yelling “help!” instead of Code Blue. Just call the fucking code dude
Figs scrubs in the scrub machine. What kind of bougie ass hospital is this lol
Almost every patient being interesting/a true emergency. In a real shift it’s like 90% more boring stuff (constipation, sniffles, chronic disease exacerbation, etc.)
So far they’ve lost 4 patients. In one shift. I’m not saying it never ever happens but even for a busy inner city ED that seems like a really, really, really unlucky shift.
They are generally real bad at taking histories. And they aren’t doing enough CTs lol
Wayyyy too confrontational with patients over social stuff
Is there only one attending in this huge fucking ED? The fuck? They don’t have a peds trained ED doc either?
Who is letting med students to give verbal orders? Just no. They are not doctors.
I don’t really understand that one very arrogant girl, is she an ED intern? Did she say she might want to do surgery? Is she in a transitional year or something? Otherwise her wanting to do surgery makes no sense.
In real life a bunch of these patients would have medication lists a mile long (not that they would necessarily remember what medications they take)
Where are all the specialists? The hospitalists? No one is coming down for consults or to admit patients?
Not only would the surgeon with the scalpel in her foot be waiting hours to get her exposure work up, so would the Med student who got blood IN HIS MOUTH ew
Overall 8/10. More realistic than almost any other medical show but not quite on the money.
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