Post by Rick Dasilva

As emergency medicine providers there is something we develop over time known as our “spidey sense” that we discuss on this episode of EM Over Easy. There is a time when emergency medicine providers get this sense of urgency to patient care based on a patient’s clinical presentation. Over time a spidey sense is developed during someone’s years of train, where they will learn and develop their spidey sense through their respective faculty and experience (this happens even if you don’t recognize it). If you are unable to explain why you need the additional imaging, then prove yourself wrong and get the additional imaging to rule out pathology. Thinking “outside the box” at times can help resolve the spidey sense on the patient with an abnormal clinical presentation.

 

Listen to the Episode

Take Homes

Your “spidey sense” is developed over years of residency/training and throughout your career as an emergency medicine provider. Ignoring it may lead to poor outcomes in your patient’s care. So, if you have the spidey sense with urgency to get the additional work up and imaging, then it would be necessary to do so. Just prove yourself wrong and get the additional imaging needed in order to avoid possible bad outcomes. 

And remember:

  1. Your “spidey sense” exists
  2. It is something you need to develop and nurture over your career
  3. Ignoring it my lead to poor outcomes in your patients

 

Our Guests:

George Willis MD, is a long time friend and multi episode guest of the show. He is currently the Associate Program Director, UT San Antonio EM Residency

Chris Colbert DO, is a long time friend and multi episode guest of the show. He is currently the Assistant Program Director, University of Illinois, Chicago

 

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Spidey Sense

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