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Showing content with the highest reputation on 12/05/2012 in all areas

  1. Anthony is checked in to the hotel, ready for tomorrow. Katie's going to both, so she's finishing up the first day. BEorP is currently driving down from Canada and arrives in a few hours. EMTCity has officially invaded Dayton, Ohio!
    1 point
  2. Because we do not have the luxury of an ECG. If the patient is having a Right Sided Ventricular Infarction and we administer Nitro we will drop the preload due to the vasodilation. This can induce severe hypotension resulting in immediate hypoperfusion. In essence we could contribute to the patients ultimate demise. Here is a link that explains it in detail. http://www.emsworld.com/article/10321209/recognition-and-treatment-of-right-ventricular-myocardial-infarction?page=2
    1 point
  3. Death by powerpoint is the fastest way to lose an audience. Use it as an outline to the lecture.
    1 point
  4. Well keep it simple and fun, remember that it's not about you, it's about the class, what can you do to present the information in a dynamic and memorable way? OB is fun because you can have wacky scenarios, I like to always have one of the guys be the first "mom" to kick things off with a light note and break the ice. Make sure not to read the powerpoints to the class, great way to put them to sleep, just use them to highlight what you are saying. My powerpoints have as little text as possible to keep me from focusing on it and not on my class.
    1 point
  5. No, yes, and no. A medical student does not have an MD degree, and therefore no license. They cannot bill. A first year RESIDENT (and that may be why they identified themselves as a student) can see and treat patients, but not independent of oversight by an attending (typically has to review each case directly, as well as any diagnostic adjuncts. Many don't necessarily see the patient themselves.). They also have no license until they have completed their first year of residency, Step 3 of the USMLE, and complete the state's licensing process. Billing for this without being seen by a physician is fraud. Without a physical examination, you can't bill at that level either unless you are a psychologist. A level 5 coding requires examination of a certain number of body systems, history points to include medical, family, and social history, and a review of several body systems (ROS). Call the billing company and explain this, and they should write it off. If they push back, mention the fact that an actual doctor found it was due to a dangerous condition, and that should also make them lean toward writing it off. What probably happened is that the doc probably got busy, staffed the patient with the student, then didn't see you though the medical student thought he did. 'zilla
    1 point
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