Weekly Wellness

Weekly Wellness 8/4/2017

“Not everyone thinks the way you think, knows the things you know, believes the things you believe, nor acts the way you would act. Remember this, and you will go a long way in getting along with people” – Arthur Forman Sometimes it’s hard for us, both in our personal and work lives, to understand

EM/IM Sessions

EM/IM Sessions: Assessing Fluid Responsiveness

Bentzer P, Griesdale DE, Boyd J, MacLean K, Sirounis D, Ayas NT. Will This Hemodynamically Unstable Patient Respond to a Bolus of Intravenous Fluids?. JAMA. 2016;316(12):1298-1309. [paper] Why I chose this article We ask this question for every critically ill patient who remains hypotensive after what we believe is adequate fluid resuscitation. Knowing techniques to reassess these

Weekly Wellness

Weekly Wellness 7/24/2017

“One of my main regrets in life is giving considerable thought to inconsiderate people”. – Jarod Kintz What’s bothering you today? Early on we develop habits for how we deal with things that irritate us. Take a few minutes to think about the things that bothered you today. Was it somebody on their phone while

Weekly Wellness

Weekly Wellness 7/10/2017

“You are enough. You are so enough. It is unbelievable how enough you are.” – Sierra Boggess July is a month of transitions. Starting as an intern, transitioning to a senior or chief, beginning your life as an attending physician, teaching a new class of residents. And no matter how many years you have been

Critical Care

We Have No Beds: Ventilator Series

We Have No Beds: Ventilator Series Noninvasive Ventilation Part 2 Remember our 60 yo male with COPD who has been on NIV for about an hour, he was looking a little less sick, let’s check back in with him. (If you missed the last post click here) Our initial settings for the BiPAP: rate 8,

EM/IM Sessions

EM/IM Sessions: ED Management of Febrile Neutropenia

ED Management of Patients with Febrile Neutropenia: Guideline Concordant or Overly Aggressive? Baugh CW, Wang TJ, Caterino JM, et al.  Academic Emergency Medicine. 2017;24(1):83-91 [paper] Why I chose this article? It’s always interesting to find something that is practice changing, reasonable, and not commonly done. This fits the bill. I was always taught to admit febrile

Weekly Wellness

Weekly Wellness 6/17/2017

“Working hard on something we don’t care about is called stress. Working hard on something we care about is called passion” – Simon Sinek As we transition into a new residency year, it may be a good time to reflect on where we are focusing our energies. Have you had time to think about what

Weekly Wellness

Weekly Wellness 6/12/2017

You can choose what kind of day you want to have. Have you ever walked into a shift and heard someone say “just turn around now” because it’s so busy? Or you look at the schedule and see that you’re working with people you don’t always mesh with? Or maybe something’s not going great your

Weekly Wellness

Weekly Wellness 6/4/2017

You deserve to be treated well. That is such an important statement, and such an important part of wellness, that I will say it again. You deserve to be treated well. Patients cannot swear at you, yell at you, racially or sexually harass you. Nurses, techs, consultants, cannot publicly humiliate you, emotionally abuse you, retaliate