It makes life a little easier maybe. Troy Madsen: It's helpful, you know. Ultrasound is very helpful. We use ultrasound a lot. But if I were just in a location and I said, "What's the one thing I need? Interviewer: What about skills? What are the three most important skills that you think you have? Troy Madsen: That's a great question because in emergency medicine it really requires a unique skill set. And number one is multitasking. You know, I was working in the ER just two days ago and I looked at one point and I had had in the previous 30 minutes I had had eight new patients that were placed under my care.
And I looked and I had 20 total patients under my care. And we're not talking just like patients coming in with coughs and runny noses.
We're talking strokes, heart attacks, very serious abdominal pain, really complex patients. So you really have to be able to multitask. The second one I think is just being able to kind of keep your cool. And that's probably one of the most rewarding things in my job is to be able to walk into a situation and I had one of these cases too just two days ago where people are just freaking out a little bit and kind of like, "Well, what are we going to do?
And you just walk in, you just kind of take control and not control like bossing people around but just very calmly say, "Okay, first let's do this. Next we'll do this. And here we'll do this. And then I think the third one is just, you know, just trying to keep your emotions under control and that's a tough one.
And, you know, when I say emotions under control, you know, we're talking number one, don't get angry because there are some people who in other situations and even in the ER can make you really angry. And when you have someone that comes in that's trying to get narcotics that you're talking to them and saying, "Hey, I'm concerned about this. You've got a pattern of going to a lot of ERs to try and get narcotics," they call you all sorts of names.
And they tell you how horrible you are and they're going to call the hospital administration and that's something you learn over time. That's a tough thing and it's a tough thing emotionally. The application for Medical School is a year-long process. You want to make sure you apply early. Medical School applications are detailed and will require a personal statement, letters of recommendation, an MCAT score , and a list of all the extracurriculars and volunteer work you did throughout college.
After completing and submitting the primary application, most medical schools will then invite you to complete a secondary application with extra essay questions. All medical schools will provide deadlines to submit an application from September all the way through March. Forget about these deadlines. You need to make sure you submit everything during the Summer at the start of the application cycle. The earlier the better. Medical School will take 4 years to complete.
Usually, this involves 2 years of courses and 2 years of clinicals. During your clinicals you will rotate in an ER. Make sure to take lots of notes and make a good impression to the ER physicians You never know who will be involved in your residency acceptance decision! This is a 3-part exam required to obtain a license to practice as a physician in the US. Residency is where you will train to be an ER doc.
Emergency Medicine residencies take years and include intense training at a teaching hospital. As an ER resident, you will face the challenges of being an ER physician under the supervision of an attending.
Following residency, and ER physician will have to become board certified. Many modifications have occurred since then. The original version consisted of a wooden box in which the doctor heard the sounds within the patient's chest cavity. The modern version is composed of two earpieces that are connected by a piece of flexible tubing to a diaphragm. A doctor makes use of this tool when he wants to hear the low-volume sounds that are put out by the heart, intestine and the fetal heartbeat.
An otoscope is another commonly used tool in health exams. It has a cone-shaped attachment on the end called an ear speculum. It is used to examine a patient's ear canal. The doctor is able to peer into the ear canal in order to check whether the eardrum is red or has fluid behind it; this is indicative of an ear infection. A pneumatic otoscope delivers a small puff of air to a patient's eardrum to see if it vibrates. This vibration of the eardrum is completely normal.
An otoscope examination can also detect a wax build-up in the ear canal or whether the eardrum is punctured or ruptured. Measuring blood pressure calls for an instrument named sphygmomanometer which measures the blood pressure in the arteries.
There are basically two types of these instruments. One kind is a mercury column and the other consists of a gauge accompanied with a dial face. The sphygmomanometer which is most commonly used today is the gauge which is attached to a rubber cuff. It is then wrapped around the patient's upper arm and is inflated in order to constrict the arteries. When the cuff is fully inflated with air, the doctor places a stethoscope over the brachial artery in the crook of the patient's arm. As the air in the cuff is slowly released, the first sound the doctor hears through the stethoscope is the systolic pressure.
As the air continues to be released from the cuff, another point is reached when the doctor no longer hears any sound. This marks the diastolic blood pressure. A thermometer is one of the most commonly used tools by doctors. It is a doctor's tool that measures the body temperature. They come in the following types:. Oral and rectal thermometers: A conventional oral or rectal thermometer consists of a sealed glass tube containing a liquid like mercury.
Imprinted on the tube is a temperature scale.
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