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hemiarch

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So many dont understand this. Im an ER provider and this is the forefront of almost every patient that comes in. “How would this look in court?”
It also hurts care directly. It’s why we document constantly spending way less time on actual clinical problem solving.
Epic alone rakes in about 6 billion dollars a year. Mad respect for what you do in the ED. I come down for traumas, but that’s generally something that’s been activated by either EMS or another provider. If I had to deal with the masses of people who dont actually need to be admitted or scanned and so forth, I would have quit years ago
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Pops

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This isnt accurate. I had the “take over immediately” blaring alam happen during a snow storm. Fsd doesnt just release the controls when this happens.
It is accurate. No one claimed it releases the controls, but it does stop self driving. I have disengagements frequently in my model Y. It's also demonstrated in the video I included. When the alert happens the vehicle does 2 things.

1) It begins to slow down, at a very gentle pace.
2) it stops steering and goes forward.
 

MCraft99

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Maybe I missed it. Honest question, who is claiming this? The warning AND the disengagement are the same thing. When you see the warning, the vehicle is no longer self driving (its only going straight and slowing down). As shown in the video.

Edit: A better way to put it is there is no warning before disengagement. The warning and disengagement happen at the same time
I've tested ignoring the "take over immediately" alert when I first got it last year. It continued steering but tried slowing down. I pushed down on the accelerator and it continued to maintain speed while still steering. I gave up after 5 minutes of it beeping and it of course, gave me a strike.


If I get bored, I'll test it again and maybe record it for you.


I've noticed with this new v14, if you press on the accelerator too much during sharp turns, it no longer steers more aggressively and will cause you to fail to maintain your lane worse than v13. She could have also just mashed the accelerator while in FSD. The same outcome would have happened.
 
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Oscar

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I've tested ignoring the "take over immediately" alert when I first got it last year. It continued steering but tried slowing down. I pushed down on the accelerator and it continued to maintain speed while still steering. I gave up after 5 minutes of it beeping and it of course, gave me a strike.


If I get bored, I'll test it again and maybe record it for you.


I've noticed with this new v14, if you press on the accelerator too much during sharp turns, it no longer steers more aggressively and will cause you to fail to maintain your lane worse than v13. She could have also just mashed the accelerator while in FSD. The same outcome would have happened.
I also found that FSD still works after “take over immediately"
 

JCERRN

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It also hurts care directly. It’s why we document constantly spending way less time on actual clinical problem solving.
Epic alone rakes in about 6 billion dollars a year. Mad respect for what you do in the ED. I come down for traumas, but that’s generally something that’s been activated by either EMS or another provider. If I had to deal with the masses of people who dont actually need to be admitted or scanned and so forth, I would have quit years ago
Its the gutter of healthcare. In all regards. Im sure you've heard the statistics of EM docs and life expectancy.
 


hemiarch

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Its the gutter of healthcare. In all regards. Im sure you've heard the statistics of EM docs and life expectancy.
That’s why I don’t get it when other specialties are pricks to you. You screen everything for us and have to know enough about pretty much everything not to be dangerous.
Trauma surgery has its downsides too. Believe you me. When the ER is freaked out and needs to get through a workup legit quickly they activate it as a trauma because they know we show up and everything happens lightning fast, but then once I’ve bailed them out and maybe intubated the patient for them and put in lines and so forth, I’m so involved in the workup that it ends up being my admission even though it’s a medical disaster without legitimate trauma because well “we don’t know what happened” and nobody else will take care of the poor patient. So the trauma service can become a bit of a dumping ground.
 

JCERRN

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That’s why I don’t get it when other specialties are pricks to you. You screen everything for us and have to know enough about pretty much everything not to be dangerous.
Trauma surgery has its downsides too. Believe you me. When the ER is freaked out and needs to get through a workup legit quickly they activate it as a trauma because they know we show up and everything happens lightning fast, but then once I’ve bailed them out and maybe intubated the patient for them and put in lines and so forth, I’m so involved in the workup that it ends up being my admission even though it’s a medical disaster without legitimate trauma because well “we don’t know what happened” and nobody else will take care of the poor patient. So the trauma service can become a bit of a dumping ground.
Oh wild. That doesnt happen at my shop. Trauma will say no thank you at the door and walk away for anything less than 2 confirmed traumatic injuries below the neck+abnormal vitals or mental status. (Hyperbolic but its happened). They even made a direct to ct protocol for falls on thinners with headstrike that they dont even see if the ct is negative. Everyone hates the ER lol.
 

hemiarch

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Oh wild. That doesnt happen at my shop. Trauma will say no thank you at the door and walk away for anything less than 2 confirmed traumatic injuries below the neck. They even made a direct to ct protocol for falls on thinners with headstrike that they dont even see if the ct is negative. Everyone hates the ER lol.
That sucks. Surprised they get away with that if it’s a level 1 trauma center. One of the ABS accreditation metrics is what percentage of traumatic injuries are worked up by services other than trauma. It’s a big no no.
The direct to CT protocols do actually have some science behind them. The idea is that earlier identification of epidurals improves outcomes. They aren’t intended to be evasive maneuvers for the trauma service. lol
Maybe you could use some new trauma surgeons? 😁
 

HaulingAss

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Maybe you could use some new trauma surgeons? 😁
Yeah, they sound pretty entitled. This is not what trauma care was like when I was a child. Almost all doctors were logical and methodical in their attempt to solve problems. And, yes, unjustifiable lawsuits happened then too, the docs still just did what they thought was right and didn't concern themselves with lawsuits until a lawsuit was actually filed.
 

EWELON

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im sure I missed this in the 10 pages of the post but they cropped out the telemetry info from the bottom of the video!
 


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Yes if you use FSD so much you tend to forget how to drive. And yes should you accidentally hit the wheel (or wheel hit your knee) in a series of turns, it will disengage and you must be ready.

Found myself disengaging after a long FSD drive, and was like “why is the vehicle driving towards the side of the road, oh it’s not in FSD?!”

Your brain does get lazy and complacent with FSD, so sometimes you must supervise self!!
 

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It’s the same thing in healthcare. The reason society puts up with outrageous lawsuits filed against people trying to save other people’s lives is to protect the innocent against someone who may egregiously be endangering vulnerable patients. And yet, a good proportion of these lawsuits are settled out of court or hurried through by the legal system which almost always errs on the side of the plaintiff resulting in enormous cost to the healthcare system that’s eventually transmitted to other patients.
Some states have chosen to cap these settlements and verdicts.
our country is sue crazy...
Too many shyster liarwyers.... Most are not.. ambulance chasers..
 

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Mad respect for what you do in the ED.
Watching The Pitt has been so stressful that my household has adopted two firm rules:
  1. Never more than 3 episodes in a row
  2. Never, ever while eating 🤢
 

EWELON

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Watch “this is going to hurt” and youll see what OBs do haha. But the Pitt is pretty real….except I’d be surprised if just one attending was in charge of all those patients.
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