Anesthesiologist on 24-hour trauma call (busy level 1 trauma hospital)
ฝัง
- เผยแพร่เมื่อ 6 มิ.ย. 2024
- What does an anesthesiologist do during a 24-hour, in-hospital call at a level 1 trauma center? Follow me into Elmhurst Hospital in Queens, NY, to get an inside look at an anesthesiologist's role in taking care of patients with traumatic injuries, strokes, airway emergencies, and more!
No patients were shown in this video. No filming took place during active patient care. This video was approved by the Department of Anesthesiology at Elmhurst Hospital, as well as senior leadership of Elmhurst Hospital.
Chapters
0:00 Start
0:25 Trauma call overview
3:03 1st trauma case
3:56 ER to OR
6:52 Brain bleeds (IR)
8:53 Trauma OR tour
12:25 PACU
14:25 Sleep?
The information in this video is not intended nor implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images, and information, contained in this video is for general information purposes only and does not replace a consultation with your own doctor/health professional.
#Anesthesiology #Residency #MedicalSchool - วิทยาศาสตร์และเทคโนโลยี
Thank you for giving the housekeepers the credit they deserve, they all work so hard to keep the hospital clean and ready for the next patient! It's funny about the sleeping thing, in EMS the same thing happens as soon as the boots are off and you body hits the sheets you are almost guaranteed to get a call!
No kidding! I spent a month in ICU during the pandemic and the housekeeping staff not only did their jobs so well, they were kind and gracious and took time to chat with me every day which was such a HUGE blessing to me and I count them among the professionals who helped save my life!
I was a housekeeper in cath lab, main or, and EP lab before I become a surgical tech so loved it. Always try to clean up my mess after a case because it really helps.
I have to admit to being a little curious with all that blood and tissue in trauma operations, how the nooks and crannies and wires and ports and all the little things are sanitized...
Housekeeping is one of those thankless jobs because when it's done well, it's easy not to notice it was done at all. A dirty room is easy to notice. A clean room is "normal." My sincere appreciation to everyone who keeps these facilities clean. Hygiene is the bedrock of medicine. It would not be possible without them!
Always so grateful to housekeepers and make sure they know they are a vital part of my medical team! 👍🙏
Does it feel great to say “I’m an anesthesiologist” without the caveat of “resident”? Because it feels great to hear it from you. ♥️
why is being a resident a caveat its the same thing just not attending
@@swimshady7314 To irritate people. That’s the point. 🙃
@@swimshady7314because it means he's done with school so to speak and is officially in his specialty now. Yes he was doing it before but there's still behind the scenes stuff going on. He gets to officially be fully in the zone which is exciting!!!
Whoa, dude I didn't realize you became the ATTENDING ANESTHESIOLOGIST! I just wanted to say congratulations! I am a MICU RN that's been pondering taking the next step towards CRNA and over the last year or so I've been subscribed you have always been a great inspiration.
Congrats again, Max
Thanks for the nice feedback! I'm only an attending for the month of July, then next week I start peds anesthesia fellowship. Good luck on your career path!
Hi Max, I sure hope you post some videos during your time in Pediatrics. That’s the area of anesthesia that I am most interested. And no one can explain it better than you!
@@MaxFeinsteinMD this is a bit off the topic of this video but still related to general Anesthesia, as an anesthesiologist you might appreciate this joke, I was going to tell you a joke about Anesthesetics, but I was afraid that it might put everyone to sleep. I don't intend to imply that Anesthesia is funny because it's a serious subject this is just my poor attempt at a joke but I also acknowledge that Anesthesia is a serious medical subject.
I have often wondered why every hospital can't have level 1 trauma care, and this video pretty much summed it up. It takes lots of space, lots of interventional radiology machines whatever those are, lots of consumables, lots of specialists, lots of...
Top notch trauma care really takes a lot of effort and resources, not every hospital can manage to allocate those resources.
Dr. Finestein, I just wanted to take a second to say how educational and entertaining your videos are. Thank you for taking the time to plan and produce your quality videos. I am sure you have helped many wary patients enter the operating theater with significantly less fear and trepidation.
I agree. He's a keeper, for sure! He does such a good job, in all aspects of each video.
For those interested, the "Q" word is "quiet". NEVER say that when you're on call for traumas! A sure way to get things running fast.
It was educational seeing how the trauma room looks after a massive transfusion. As a blood banker, I only see the product as it goes out the door, so to speak. I wonder if the blood gets placed on or near the fluid warmer just in case there's a sudden need for it?
Thanks for the tour on your busy 24 hours!
Never, ever say the "q" word no matter what! 😊
@@psj9640 Unless you're feeling particularly mean....
Thank you so much for making this video. So many people have a hand in helping the process along. And the equipment used---amazing. Emergency trauma centers have so much intense situations that happen. Takes a special breed to thrive in those conditions. Thank you for sharing so much
I appreciate u giving the cleaners credit!! I currently work as a cleaner at my local level 1 trauma centre in the Emergency department. My dad works as a cardiac Anesthesiologist at the same hospital, so your videos are super interesting as they provide insight into what he does up in the OR. I’ll be applying to medschool this upcoming cycle and would say you (and my dad) have both been big inspirations for me, keep up the great content!
Congratulations, Max, on now being an ANESTHESIOLOGIST!
Love your videos! Thanks for all you do!
Truly love your vlogs, I was so excited when I saw you posted one!!!! As an ER nurse, I love seeing how passionate you are about your job and your patients. And I love that I can learn new things from your videos too, even as a HCW!!! One of my absolute favorite TH-camrs!! Your videos are truly so fun to watch 🫶🏼
I love the hard working staff at Elmhurst hospital. I was born there 32 years ago. Keep up the great work, you and your team are very much appreciated.
I really appreciate the fact that your department / hospital is supportive and aware of your channel and supportive of your content. I guess I always worry about some healthcare professionals recording on the job, but it’s really helpful and educational for us viewers. It’s good to know you’re backed by your hospital to do it. Props to you!
I enjoy learning from your videos about anesthesiology. You are so sweet and down to earth with no attitude of being a Dr. like often seen. The blood monitor you showed is such an asset to not have to send blood to the lab.
This is one of my favorite videos to date! Really showcases the various roles of anesthesiologists!
You sir are AWESOME! I’ve had 9 heart surgeries. And I wish you were apart of them. Thank you for all that you do and I can tell you genuinely care about your team and patients! Keep it up my friend
I’m a CVOR RN & I loved this video. Great to see on-call from the perspective of anesthesia
You are kind and display the qualities an excellent anesthesiologist and heath care provider should have. I know it takes a lot of time and effort to make these videos, but they are excellent and extremely informative. I have learned so very much. The very best to you...
As someone who’s been in multiple/different bike accidents/falls before due to bad terrain/road conditions I can definitely attest to the importance of wearing helmets!!!
The one where I hit a patch of soft sand on a trail access ramp and fell backwards landing flat on my back on the trail actually cracked part of my helmet and I had to buy a new one, I was definitely grateful I was wearing it that day.
Also as a blood donor I really appreciate seeing some of the scenarios and equipment wherein blood products are used because it reminds of the importance and why I do it.
Hi Dr. Feinstein, I enjoy your videos/vlogs, but I especially enjoyed this one. It's so informative, and so nice to see your comical side as well. Thank you for all that you do.
Its very cool to see how much success you’ve had since the beginning of your TH-cam channel.Keep up the great content.👍🏼
Hi Max, always pleasing to see your new videos. I am an Anaesthesia registrar, I just completed my hectic 24hr shift at 4am and saw this video...💯
Hi Dr. Feinstein! I Stumbled across this video on my homepage and I’m so glad I clicked! I’m graduating with my BSN in one month and this video was so educational and entertaining! Most of my OR experience is in Labor and Delivery which is where I will be working early next year as an RN and we work pretty closely with our anesthesia team. The operating room is one of those areas in a hospital that not many people get to see because it is more restricted so thank you so much for sharing your experience and thank you for what you do as an MD in your trauma care setting!
While I understand that doctors don't grow on trees, and, as such, these situations are necessary, the notion that medical professionals don't have sleep requirements in a manor similar to that of other safety critical professions (such as pilots, for instance) is slightly terrifying.
It’s all part of the job and they train to work under extreme pressure and yes, often sleep deprived. Consider this scenario- you are a thoracic surgeon doing a heart or lung transplant or any complicated surgery- “things” start to go wrong in surgery and a 4-5 hour surgery turns into 8-10 hours. That’s when the years of stressful residency and repetitive experience have trained you to overcome the pressure and stress of someone’s life literally depending on you.
Repetitive training while under extreme stress is the same method used for Navy Seals and s
@@WilliamWBG makes sense but it also shortens your life span and leads to health complications down the road.
Well. We pay the price around the age of 60!
@@WilliamWBG any human being, no matter how well adapted they may be, is going to perform better when well rested. No amount of training can get around that.
I LOVE anesthesiologists!!!! you guys do NOT get enough credit after I had my 1 baby I started making thank you gifts/cards for my anesthesiologists NOT just nurses & ob!!!!! You guys took the worst pain away!
my first baby I had at 20 was young thought I can handle labor pain Im young strong…. lets just say once the epidural started working & my anesthesiologist came back in to check on me I was crying happy tears & hugging him thanking him repeatedly lol!!!
I love that you mentioned continuity of care- so important!
As a hospital employee, I think all HCW are important, each member plays a vital role, whether it is on frontline (direct patient care), or not on frontline. W/out every single hospital staff, it would make doing my job more challenging. So thank you!
Thanks for a glimpse into the life of one of the people that helps keep us alive. Next procedure I will remember to thank my anesthesiologist.
I absolutely love your videos! Always educational and entertaining! Keep up the great work!
Great content as usual. He does these videos to educate and as a passion, so I have respect for that. He doesn’t have to do this. He is busy enough I’m sure. Thanks again for your passion.
You guys rock. Love all medical personal , nurses, doctors, ambulance, fire. You don't give them the credit they deserve until you yourself or your family needs serious help. Without these specialized people we would be in trouble. They deserve all the credit, funding needed to save our families lives.
Love this video. I am currently an anesthesia technologist and I love my anesthesiologist… I always operate the Belmont so the anesthesia provider can focus on other things during a trauma. It’s an amazing job!
The hospital is one of the most fascinating places and we're all so thankful for you! ❤
Wow trauma anesthesiologist is very cool! I learned so much! It takes a special person to be a anesthesiologist or CRNA and you’re one of them! I really enjoy donating to the anesthesiologist Foundation, since it was hard for me to go to college because of my cerebral palsy, I really wanted to be a anesthesiologist physician! You rock man! I really love anesthesiologist
Thank you for your efforts serving community
Congratulations Dr. Feinstein, Attending Anesthesiologist!! You did great! You have grown in your profession and I know that you are a wonderful doctor! Thanks for a good video! It really is interesting to watch the other video when you were a resident! Nice to see the growth!! 😊
Wow growing up around elmhurst hospital I actually was in a car accident and was taken there and was taken care of- the trauma bay always packed with victims like us. a lot has changed thank you for your service again. ❤
Hey friend and Dr. Thank you for everything you do to help others.
Hi Max
i am impressed with your video's . I worked in Elmhurst in 1972/3 as a anesthesiologist from the Netherlands. I know....I couldnt work as such but i did.
Had 3 president as my responsibility.
I met Dr.Shoemaker during his rounds in the ICU. Am impressed with the super trauma equipment.
Great. I went back to the Netherlands and retired in 2005
Hi Max big fan of your videos . I work on the medical waste field . And I currently work Elmhurts at least once a week amount other Hospitals. You have cover nicely the atmosphere of the trauma rush - good job !!!
so glad to see someone enjoying bolivian food❤️💛💚🇧🇴🇧🇴 you are my inspiration for pursing anesthesia!
Thank you Dr. For the tour. Very interesting.
❤. Thank you Max! Your knowledge is priceless! Kind Regards, England 🇬🇧
Hey Dr. Max, I've been following your videos for a while, it's funny that you went to that bakery, because im writing from Cali, Colombia. I'm starting med school soon, and i'm very interested in anesthesiology, of course I still have to go into med school and actually see what I like, but from your videos I've gotten great inspiration, also I've been several times into the hospital for many medical problems, and I feel like anesthesiologists role accompanying the patients for me on the patient side, can be a huge difference on how you feel and how confident you feel for any surgeries, so I wanna be one of those doctors that will make you feel safe and that you are being actually cared of :D (you give me that vibe on your videos so I look up to all these things), local pandebonos ofc are the best so hopefully one day you can visit this beatiful city, if you do and want to learn salsa I was a salsa teacher for some time I would gladly give you some lessons haha! :D Best of luck and very happy that you now say anesthesiologist wiithout the resident! Keep up the good work with the videos, I'm guessing that as me ther are many other people inspired by them :)
Elmhurst Hospital is a special place for me. They have lots of records with my name on them spanning from childhood to child birth! 💖 Love this video!!
Your videos Really helped me and my wife she has a needle phobia and had to have her gallbladder surgery i had her watch you explained a lot of her fears
I’m impressed by how well prepared you are in the surgical suite and how you’re notified that a severe case is coming in. Here in Canada, I don’t think a stoke would get looked at. Probably come in via ambulance then park that person in the hallway for a few hours. It’s very common here for people to pass away while waiting for treatment.
Great job. As a retired medic from the Show Me State it is great to see you doing great. I understand you are from Missouri. As foar as going to bed and getting called it happens. It would be great for you to come back to Missouri
Thank you Dr. Max. I love all your videos ❤
Thank you Dr Feinstein for another well thoughout video. I enjoy how you teach us valuable information while keeping things interesting. Happy Holidays to you doctor and wishing you a happy and healthy New Year 2024! 🎉
Noti gang 💯💯💯
Any day is a good day for a video from max
You just reminded me when I was on call for trauma at Manchester Royal infirmary hospital as an ST 7 Anaesthetic trainee. Thank God I survived all in my calls 😅
I really enjoyed this video and the comedy. It's great to see the human side of doctors.
Wow !! I really enjoyed this video .
I worked O.R. , recovery room , just for training and Labor & delivery.
Which was very interesting.
Keep up the good work !
👏👏👏👏👏🤗👊❤
i’m a junior in hs and i want to work as a nurse in the hospital so i love watching vids like these to see the different medical jobs day in the life it’s so interesting
Thank you for a really engaging look at the role of an on-call anesthesiologist managing emergencies and traumas! Also, thank you tremendously for the shoutout for Bolivian Llama Party, which was a standout hit for our family while visiting NYC. The friendly staff at BLP were definitely shocked when we answered their "How did you hear about us?" question during our visit. 😂
I didn't know anesthesiologists did so many varied things before I found this channel, I had no idea about the airway work that they do for example.
I like how you explain everything about the operation room and you as an anesthesia I like your video
Seeing a working Level 1 Trauma Room brings back alot of memories as a Paramedic
I work in an ICU in Norway and it's nice to see that so much of the equipment we use is also used overseas. I recognize a lot of this equipment and medications but I could still never work in the US because my license wouldn't be valid.
Dr. Finestein thank you for sharing!
I have the worst memory of being in the PACU after surgery and being in so much pain but not being able to open my eyes because the world was spinning. I heard a nurse say "she's sleeping" and I just shouted "I"m not sleeping!" opened my eyes, puked everywhere and cried even more. UGHHH
Thanks for your job saving humans lives
Great video! Thanks for sharing!
Great video , very educational . Thank you Dr Feinstein.
This reminds me of the old times I was an anesthesiologist in a level 1 trauma center in France. Specially at 3.16! So true.
Love your videos Max. I just wondering because this isn’t your usual hospital, are most operating rooms set up the same? Or how difficult is it to adjust to different operating room set ups?
I love this series!
Love your videos, always very professional and spot on. People don’t always give anesthesia the credit they deserve. IMHO, anesthesia is the most important person in the OR, but we won’t mention that to the surgeons. Since you are also responsible for PACU, how do you handle being needed there for an issue when you are on another case?
Your Spanish is incredible! What a great video.
Induction Maintence Emergence. I could not remember Emergence today. Anyway Thanks Dr. F love these videos and they get better the next few times around.
Great content. I love when a Dr. Gives u their perspective. So thank you for taking the time to create your videos. Im in The RT program currently..with an end goal of becoming CAA. It's really motivating to see someone who's successful in a related field. I suppose ill leave a question..Dr. Feinstein, do you work with CAA's at your hospital?
Great video. Thanks.
The anesthesiologist that took care of me during my c section was amazing. Such a nice guy and took care of me so well. I started getting horrible referred pain, which he handled so fast. Then I got nauseous with the morphine and he gave me that zofran so quick lol. He even took pictures of my (breech) baby getting pulled out of my abdomen and they’re my favorite pictures. I was young and afraid and he was great 👍🏽
Wonderful educational video!!
Another great video. You may have touched on this in a previous video, but how do you deal with not knowing when the patient last ate?
Wow this was so awesome. Thank u so much! Kudo s to the cleaning crew. If I saw that I'd be omg where do I start? Thank u so much for the tour and education 💗 you're so awesome. 💗 ❤❤❤❤
Great video. I'm a Respiratory Therapist at a level 1 trauma hospital (at one of your HHC sister hospitals). For intubated or trach-to-vent patients going to IR, we keep them on a transport vent for the IR procedure. I'm curious if you do the same, or if you place them on the anesthesia vent regardless. I am also wondering how you have so many empty rooms! Our PACU is busy at all hours - I'm shocked that yours was closed. (And I will not tell your higher ups, but that central line kit is expired...whoops.)
These are very encouraging
Super interesting - thanks.
As a Paramedic, i totally feel ya on the "as soon as my head hits the pillow" comment. Oh, and the "Q" word.
Wow. Just, Thank you. ❤️
Super interesting video! Makes me want to go to med school so badly. Thank you for all the insights you give us, please more of that
I love your surgical cap...so cool!
Please Dr also make a video on the role of Anesthesia technologist/technician in your team that'll be very helpful
Is there a possible topic for a future video on how doctors leverage different resources in the hospital to assist with knowledge gaps between various fields of medicine.
My father is in the hospital recovering from a successful triple bypass, valve replacement, but seemed to have some issue related to metabolizing the medication required for the operation.
In the day after a 9 hour operation my father was showing signs of rapid horizontal eye movements during recovery. He got a CT scan to look for a stroke and a EEG looking for epilepsy.
Stroke was cleared out and the EEG would take another 12 hours to complete.
This amazing happenstance during the first day of recovery, the ICU nurse fixed in his room all day was an anesthesiologist from Georgia (the country).
It was this amazing collaboration between the surgeon and the nurse where he was picking the nurses brain on topics I didn’t understand about drugs and their impact on different receptors.
It was this beautiful situation where the surgeon had not seen something like this in his 30 years of practice, but had a non practicing anesthesiologist from another country who was now a nurse who he trusted her opinion on to fill in his gaps.
Jajajajajaja el plot twist del pan de bono!!! Ahora tengo que ir a probarlo a ver si sabe igual que acá! Excelente video mi hermano.
A great way to see if you’d like the operating room is applying for operating room assistant or SST entry level. Great to see if you like the environment before any schooling. You’d be surprised how many med students pass out from their first surgery.
Your a cool kid!! Doc!! Thank you for all you do!! Super Jelly of your life!!!
Brilliant and informative video
Awesome blog Max
God bless hospital janitors
This is so interesting to see. I am an anesthesiology resident in Austria. I’d love to visit/work there for a while but I guess that’s gonna be hard to arrange. Nevertheless, thanks for your insights! 🎉 they’re great! Some things are really similar, some different.
Man your work sounds so hard
You’re amazing!
good man for not mentioning the 'Q' word. In paramedicine we very much believe in the jinx that is the saying the 'Q' word out loud whilst on shift
How long does it take the cleaners to go from what you showed in the first clip in the OR to being ready for the next patient?
YEAHHH MAX IS OFFICIALLY A ANESTHESIOLOGIST ‼️🙌😎🎉
3:30 An OR with a lot of blood sprayed around has a weird smell of metallic copper.
5:12 Your beeper just sent a shiver up my spine. The sound became a neural whip after thirty years,
I've got to do a week of oncall every 5-6 weeks for my MSP job and it's pretty rough, I can't imagine how much more stressful it is when you're working on people instead of servers in a much faster pace then I do.
you are a hero!