EM/IM Sessions

EM/IM Sessions: VANISH Trial

Effect of Early Vasopressin vs Norepinephrine on Kidney Failure in Patients With Septic Shock: The VANISH Randomized Clinical Trial. Gordon, AC, et al. JAMA 2016 [paper] Why I chose this article The kidney is painfully fragile, often one of the first organs to fail in septic shock. According to the last several iterations of the Surviving Sepsis Campaign Guidelines,

Well Aware

Well Aware: Crisis Mode

This post is inspired by the recent devastating hurricanes that have affected millions and tested the perseverance of many healthcare professionals in the areas. I started writing this blog post over a month ago, after spending a few minutes out on my sunny stoop with a cup of coffee and a cooing baby. Like so

Weekly Wellness

Weekly Wellness 11/11/2017

“All frustrations are self-induced. The world can invite us to be upset, but ultimately we accept the invitation” – Unknown On your next shift, take note each time someone voices frustration. A nurse, frustrated because her medications didn’t come up quickly enough. Techs frustrated that they have to go to the supply room because someone

Weekly Wellness

Weekly Wellness 11/4/2017

I’ve heard multiple residents, who are concerned about their wellness, say, “I just have to get through residency, and then things will get better”. My response? “No, they won’t”. They look surprised. And sad. Because how can it not get better? No more conferences, no requirements to work 50 hours a week. No more attendings

Critical Care

We Have No Beds: Ventilator Series

We Have No Beds: Ventilator Series Reading a Ventilator Screen Before diving into a specific mode of ventilation, we should address what you see on a ventilator screen first.  What do all these abbreviations mean?… Note: the pictures and order of descriptions reflect the Puritan-Bennett 840 ventilator.  However, most of the information will reflect most

Weekly Wellness

Weekly Wellness 10/20/2017

“Out of your vulnerabilities, will come your strength” -Sigmund Freud Our jobs can be very isolating, despite constantly being surrounded by people. The ER team of docs, nurses, and techs is fun, always making jokes and proving we can handle anything. It can be quite lonely and exhausting to constantly keep up that persona. But