Weekly Wellness

Weekly Wellness 12/10/2017

“Those who think they have no time for bodily exercise, will sooner or later have to find time for illness” – Edward Stanley, Earl of Derby Why do you exercise? Most people exercise to lose weight, get flat abs, look good for others, or fit into their old clothes. Most people also pressure themselves to

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

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

Weekly Wellness

Weekly Wellness 10/8/2017

“It’s a simple solution. You change one thing, and suddenly you’ve changed everything.” – Rebecca Onie When you sit back and look at your work life, what do you want to change? There is likely an endless list. More time to study, see a higher volume of patients, stop making little mistakes, approach colleagues that

EM/IM Sessions

EM/IM Sessions: High-Sensitivity Troponin T

Mokhtari A, Lindahl B, Smith JG, Holzmann MJ, Khoshnood A, Ekelund U. Diagnostic Accuracy of High-Sensitivity Cardiac Troponin T at Presentation Combined With History and ECG for Ruling Out Major Adverse Cardiac Events. Ann Emerg Med. 2016;68(6):649-658.e3.  [paper] Why I chose this article  High-sensitivity cardiac troponin T (hs-cTnT) is a relatively new biomarker assay and