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@bigyikesem
To all my girls who feel like they’ve hit rock bottom, there’s nothing stronger to push you forward than yourself and your perseverance.

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what's an ER tech?
hello friends and enemies! I've already made a post about physician assistants and our role in the ED, but now I'm making one about the role of techs/aides/assistants.
I was a tech at a small ER about 13 years ago, before I went to PA school. My official title was clinical assistant, and other hospitals called theirs emergency service assistants or patient care assistants, but broadly, if someone says they teched in an ED, this is what they mean.
Techs are basically extra sets of hands; their role is not to diagnose or evaluate patients, but to help the care team. Techs room patients, do EKGs, draw blood (but don't start IVs), take vitals, do point-of-care testing (like urine dipstick and fingerstick blood sugar) and help patients with toileting/cleaning. They answer call lights and either deal with the patient's concern (they've slid down in the bed and need to be moved) or let the nurse or clinician know (they're having new symptoms or they want to know if they can eat.)
We assisted with codes: chest compressions, running things to the lab, getting blood from the blood bank, getting equipment from the closet. (We were a very small department with a single code/trauma room, which was actually two curtain-separated rooms most of the time. We kept the Lucas, video laryngoscope/glidescope, and code cart in the room, but the EKG machine and other stuff was in another area.) Depending on which way the code went, we either brought patients up to the ICU with their nurse or we prepared the body to be brought to the morgue.
We assisted with procedures, too. My job during shoulder relocations was to hold traction on the patient so that the doc could apply enough force to pop it back in place (like we see Garcia do in s2e1.) I once held down a 2 year old who was absolutely maxed out on ketamine while they sutured his face. (He was calm but SO squirmy.)
I got to know a lot of the doctors and PAs really well, and once they knew that I wanted to go to PA school, they were eager to teach me little things when they could, like what the steps of rapid sequence intubation are or what to look for on a chest x-ray.
Many of our techs (myself included) came from one of the local ambulance services, and many of us (myself included) were using it as a stepping stone to apply to PA school. Others went on to become nurses or physical therapists, but by and large this is not a job people work as a career. It's physically and emotionally demanding, and in 2013 I made...$14 an hour?
It was also a LOT of fun. I had clear and concrete tasks to complete, and none of the responsibility that comes with being an actual EM provider. That being said, I did answer a call light for a patient who was suddenly unable to speak clearly or move half of her body, and I was the one to slam that code button on the wall to get everyone in there FAST, so I wasn't just being a pretty set of hands, either.
(I did flirt with the residents and the attendings and the paramedics and if any of the nurses had been into women I would've flirted with them, too. And yes, I am writing a fic with 23 y/o tech Mel and 40-something attending Langdon that is HEAVILY inspired by true events.)
Obviously, I did this job over a decade ago and in a very different setting than the Pitt. This was a 24-bed ER within a few miles of multiple level 1 trauma centers, so most of what we did was medical. We didn't do peds, either, so (mercifully) kids were either minor problems or immediately shipped out to the children's hospital. All that being said, if you've got someone taking vitals or doing an EKG or getting a fingerstick, they're probably a tech!
OMG! I just saw this in r/ThePitt on Reddit.
how i love the hyperfixation of this fandom. as someone who had wished someone had done this i can't express how happy i am!!!
+ i really wish i could learn how to code so i can do amazing stuff like this. ppl with creative tech skills are so so cool to me!
site: https://thepittcasebook.com/en/
click here for the reddit post in case anyone needs ^^
Ok this is actually really cool…..
Going to a protest? Bring first aid.
I don’t mean bandaids and acetaminophen (although those are helpful). I’m talking trauma first aid. I’m talking gunshot wounds and car accidents and stabbings, stuff to keep somebody alive long enough to get to the hospital. Because it happens, and you need to know what to do if and when it does.
You need an IFAK (Individual First Aid Kit) pouch. You can find them easily online, this is my favorite model. No clasps, no buttons, just pull and it’s open. You don’t want something that will take a long time to open or something that has seventeen pockets. Everything needs to be in one place and easily accessible.
Here’s what you need in that pouch:
Tourniquet (https://www.rescue-essentials.com/combat-application-tourniquet-cat-gen-7/) This is how you keep people from bleeding out. Relatively easy to use, there’s plenty of videos online on how to properly use them. When somebody is shot in an arm or leg and is bleeding out, you need to use this or they will die. You can keep this on a limb for about six hours before there’s any risk for amputation, so they’ll be fine. Have one easily accessible on the outside of your pack and another inside your bag. Two is a safe number, but the more the merrier. Don’t cheap out on them, either, you need something that will hold up and do what it needs to the right way. Bright colors are your best friend here, use them. Black may look cooler, but it’s harder to see. Neon orange will always be your friend in the medical field. You can also write a “T” on the person’s forehead to let medical professionals know that they have a tourniquet on.
Trauma Shears (https://www.rescue-essentials.com/north-american-rescue-trauma-shears/) Somebody gets shot in the upper leg? You need to cut their pants off and this is what you’re gonna do it with. No time to waste with taking them off the normal way, get to cutting. Sorry, but their jeans are not top priority at the moment, their life is. I like to get mine in a color that I can easily recognize, like orange or glow in the dark green. Makes it easier to find.
Nitrile Gloves I’m talking medical gloves, the blue ones. You don’t want black because you can’t see blood as easily with that. You want blue or green. Keep multiple pairs (I personally have a handful just shoved in mine), because god forbid you’re working on multiple people, you NEED to be able to change gloves so you don’t cross contaminate their blood with each other. That can lead to so many problems. This protects both you and them from any contagions on your skin or in their blood. You can honestly get these at any store, but please get them allergen friendly (latex free). Keep them in their own little baggie to prevent contamination.
Sharpie When you apply a tourniquet, there’s a little white piece. You need to write the time you applied the tourniquet on that little strip. Worst comes to worst, if you forget your sharpie you can use blood to write on the person.
Compressed Packing Gauze (https://www.rescue-essentials.com/nar-responder-compressed-gauze/) If somebody has a deep wound like a gunshot wound where you can’t use a tourniquet (far up on the shoulder, far up on the thigh, etc.), you need to use this. Find where the blood is coming from and shove it in there. You can get hemostatic packing gauze with a clotting agent, but it can be a bit expensive. Apply pressure, it’s a game changer. Also, if you’re using a clotting agent, keep the package to show to the medical professionals. This can only be used on extremities.
Compression Bandage (https://www.rescue-essentials.com/israeli-t3-bandage-4/) Also known as an Israeli bandage (I know, that’s just what it’s called and referred to). It ahs some plastic on it so you can wrap it around and twist the plastic piece to apply as much pressure as possible. Theta aren’t overly common, but they’re good to have. Perfect for slowing bleeding or securing a bunch of gauze you packed into a wound that you don’t want to move.
Nasopharyngeal Airways (NPAs) (https://www.rescue-essentials.com/rescue-essentials-naso-airway-kit/) Basically a tube you slide down somebody’s nose to keep their airway open. Best for if somebody has significant trauma to the jaw or mouth. Always use the lubricant!!! If you don’t, this becomes so much harder to do and so much more painful. These cannot be used when there is a suspected head injury, like a concussion.
Vented Chest Seal (https://www.rescue-essentials.com/hyfin-vent-compact-chest-seal-twin-pack/) For a penetrating wound to the chest like a bullet, use these. One for the entry wound, one for the exit wound. These let trapped air to escape, but don't let air come in. Best for chest, back, stomach, and neck.
Space Blanket (https://www.rescue-essentials.com/nar-survival-blanket/) You know those funky silver blankets that look like tinfoil? That’s it. When somebody goes into shock, their body temperature will drop significantly. They can literally go hypothermic in ninety degree weather.
Rat’s Tourniquet (https://www.rapidtq.com/collections/tourniquets-1/products/r-a-t-s-tourniquet) Sometimes a regular tourniquet is too bulky. Maybe somebody is super skinny or it’s a kid or an animal, this will stop blood flow when a regular tourniquet won’t. They’re a little harder to figure out, but they’re worth it.
Other Helpful Stuff
Bandaids
Regular old sterile gauze
Alcohol pads
Neosporin
Sealed water bottles for washing out wounds if need be
Medical tape
Rolls of sterile gauze
Antiseptic
Tweezers (DO NOT GO DIGGING AROUND FOR BULLETS THIS IS FOR NASTY SPLINTERS)
Penlight
Glucose gel for all of our hypoglycemic friends
Blood glucose monitor to test if need be
Pulse oximeter
Shit ton of eye drops for tear gas, because that stuff hurts
Superglue
Masks
Hand sanitizer
Rubbing alcohol (Can be substituted with drinking alcohol if need be. Find the highest ABV you can, vodka and whiskey are your best choices here.)
Hydrogen peroxide
Electrolyte packets/chews
Bandanas
Eye protection, like goggles
Something to make a splint with. You can use an actual splint (https://www.rescue-essentials.com/sam-splint-original-36/) or any long rod or stick, really.
Duct tape
Multi tool and/or pocket knife
If you’re going to be That Guy in full tactical gear, make sure people know which side you’re on with patches. Pride flags, ACAB patches, whatever it is, put them everywhere. Make sure the people around you know which team you play for.
Buy multiples of everything. Make sure you practice and know what you’re doing. Have a bigger bag than that pouch I linked above? Great! Shove more stuff in there, the more the merrier.
Take a Stop The Bleed course, that makes everything easier and you’ll be better at what you’re doing. They’ll teach you how to pack a wound, you’ll stick your fingers in a fake leg and learn to do it. Also take a CPR course and get certified. I believe they teach you how to use an NPA, but I’m not entirely sure since I took one for my EMT certification and was taught to use NPAs, but I know that EMT certification for CPR is different from civilian certification in some way.
I did not include CPR materials for a reason. If somebody is passed out from massive blood loss, they won’t wake up with CPR. If there’s no blood for the heart to pump, then CPR won’t do anything. If someone isn’t breathing and this is a mass casualty event like what this bag is packed for, leave them. I hate to say it, but you need to leave them. There is no way you are going to get this person breathing again in time for you both to get out alive if you’re being shot at. If somebody needs CPR, they are classified as “meaningfully dead.” CPR is meant to keep blood moving until first responders arrive, and during protests, they won’t. You’re free to bring CPR materials, I won’t stop you, but be aware of that.
Tampons are a good emergency alternative to packing gauze if need be. You’ll probably need a lot of them, but they’ll work in a pinch (and will be awesome if somebody needs one for their normal purpose).
If you have anything to add, please do. Any information helps.
Updated January 27, 2025.
Photo dumps pt.2

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"this thing is rare and only affects 1% of the population" dude that's 80 million people can you shut up
Kind reminder that a degree will not get up one day and leave you, cheat on you, cut your funds, disrespect you or assault you. A degree will be worth a thousand sleepless nights and rivers of tears, because in the end it does matter more than anything else. A degree will make you an independent and undefeated woman, so stop belittling the importance of education nowadays. Every woman who studies is a woman who is ensuring a greater future for all women.
First post! Made this a while ago as a Christmas gift for a fellow Andy Weir fan, we both loved The Martian! Also this quote = me every time I walk into my lab with a to-do list of experiments a mile long

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Grad school is wild because you'll spend 5 straight months minding your own business and trying to fix a very specific problem, and then someone will come up to you one day and just drop the most feral departmental drama. What do you mean one professor probably murdered another? That girl you don't like is getting fired for drinking ultrapure lab water? There's a guy stealing toxic chemicals from other labs "to banish demons?" I'm over here trying to improve my standard deviation for months on end and across the hall there's a whole HBO show going on, apparently.
Me: *walks into room at 4AM* Hi, I'm the supervising pediatric emergency doctor. I've heard about you from Dr [resident] and I just want to make sure that we have all the details straight, so-- Parent: It's been 8 hours and no one has seen or done anything for my child. Me: I'm sorry for the wait, but we can get things going if I can just-- Parent: Is it normal for a child with a fever to wait 8 hours to be seen? Me: Unfortunately, yes, when the emergency department is very busy and many children are very sick. Parent: How can that be okay?! My child has had a fever and no one came to see her-- Me: We are here now and we'd like to help, would it be okay for me to do a check so we can make a plan? Parent: You should be concerned! Me: ...I am concerned, which is why I want to do this check to figure out what we can do to take care of your child. Parent: Why didn't anyone do anything before? Me: ...The nurses cannot order tests or medications for patients until the doctor has-- Parent: LAST TIME we came here, the nurses just gave us a cup for her to get a urine sample as soon as we got here, and I've never had to wait this long and I've been here many times. Me: I'm glad that your experience previously has been as such, but unfortunately tonight there have been many children needing care. Parent: You have absolutely no bedside manner, you know that? Absolutely none. You have no compassion for a parent that's been waiting here with their child for 8 hours, I haven't slept, and no one came to see us. Me: I'm sorry you had to wait. I'd like to assess your child to help you now, if you'd like. If not, that's your choice. Parent: Of course you have to do something! I've been waiting here--I am not just going to go back home with nothing. --Exam done, tests ordered, parent again questions wait times and rants, there are many other kids in the department who have ALSO waited 8 hours to be seen, I have multiple acute respiratory patients on escalating oxygen therapy that I am now overdue to reassess, oncology patient comes in with fever and needs acute assessment, blah blah blah emergency department blah--
Nursing note x2 between triage and my resident's first assessment: Parent up to nursing station asking about wait time, writer expressed we are unable to estimate due to acuity of department. Parent upset; writer offered to reassess pt now, parent refused as child is sleeping.
...You have been here for 8 hours and no one came to see you.
I have no bedside manner.
It’s been really interesting to see the turn medicine has made with the public over the past several years. I would never advocate that you should trust any physician blindly, but it’s quite amazing that those with GED level education are trying to convince others glucola is evil, the vitamin K shot is unnecessary, and that doctors order certain medicines and tests because “big pharma” pays them to do so.
I want to be very clear- as an EM physician I am paid hourly, much like all other EM physicians. I do have an RVU component meaning I make more money if I am more efficient but that is only a minimal component of my pay. I want to have conversations with my patients and help address your emergencies, but it’s incredibly difficult when I’m met with antagonistic attitudes from the start that stem from misinformation and fear mongering of online crunchy mom influencers.
“For new doctors, domestic violence should be like appendicitis. You are not the one that will solve the problem, but you have to suspect and also help contain the fire in the meantime.”
I need someone to talk to about feeling like a total loser in your big girl doctor job.
I started studying again so when I start I dont feel useless and have a mental breakdown.
But at the back of my head there is this voice telling me:
- I dont want to deal with this job and the responsibility that comes with it.
I didnt even start working....

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Working in the emergency department is just:
- Seeing 5 people with colds who shouldn’t be here
- Someone with diabetes who just chugged a Big Gulp Soda
- Mystery Abdominal Pain
- An old person who fell and somehow broke every bone in their body
- Seeing the happiest healthiest baby ever with parents who look like they haven’t slept in 3 days because the baby sneezed (I don’t mind these patients - cute baby, knowing the cute baby is cared for, and easing people’s worry? Great time)
- Someone who got in a car accident 2 days ago and just now decided to get checked out and is about to learn about whiplash
- Someone who didn’t try any OTC medication for their symptoms before coming and is about to get the most expensive Acetaminophen & Ibuprofen of their lives
- An interaction that changes your life; that leaves you with a deep sadness but also hope and a certainty that despite everything, in their hearts people are good and want to love one another
- A 3ppd smoker with diagnosed COPD who decided today is the day to figure out that cough they’ve had for 5 years
- Homeless people who just want to get out of the elements and have a snack you want to help but can’t
- Someone who will scream at you for not prescribing antibiotics for a viral infection
- Someone with 13 heart stents who vehemently denies any heart problems because “they fixed it!”
- Someone who just invented a new way to take medication wrong
I don’t know who needs to hear this, but I can 100% guarantee you that your doctor does not want to see a photo of your bloody shit floating in a toilet. I believe you. Please do not show me a photo. I don’t want a photo. Let me check for hemorrhoids and go on from there.