Weekly Wellness

Weekly Wellness 6/24/2017

“Everything that is past is either a learning experience to grow on, a beautiful memory to reflect on, or a motivating factor to act upon.” – Denis Waitley I apologize in advance that this Weekly Wellness is personal to me. But I as finished my last shift at Mercy Hospital this week, knowing that after

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

EM/IM Sessions

Journal Club: Limited English Proficiency and ED Revisits

The Association between Limited English Proficiency and Unplanned Emergency Department Revisit Within 72 Hours. Ngai, Ka Ming et al., Annals of Emergency Medicine. August 2016: 68(3), 213 – 219 [paper] Why I chose this article? I was excited to stumble across it in Annals as I have an interest in evaluating the quality of care we provide

Weekly Wellness

Weekly Wellness 5/29/2017

“Be proud of yourself for how hard you are trying” – Anonymous For some reason, it’s easier to get down ourselves than to be proud of ourselves. Maybe you thought you’d be kind and call a family member or friend you haven’t talked to in a while – only to be berated for how little

Weekly Wellness

Weekly Wellness 5/19/2017

What is your job as an emergency medicine physician? Move the room? Join several committees? Publish papers? Have good Press-Ganey scores? See more than 2.3 patients per hour? Yes, these are all aspects of our job. But they are not our main job. They are not why we got into emergency medicine. Our main job

Weekly Wellness

Weekly Wellness 5/15/2017

How much sleep do you need? No matter who you ask, the answer is usually, “more”. Some people can sleep for 5 or 6 hours and have plenty of energy. Some get 8 or 9 and feel sluggish all day. Many of us look at sleep as a bother, an impediment to all the other

EM/IM Sessions

Journal Club: Procainamide vs Amiodarone for Stable VT

Randomized comparison of intravenous procainamide vs intravenous amiodarone for the acute treatment of tolerated wide QRS tachycardia:  The PROCAMIO study.  Ortiz et al., 2016 European Heart Journal [paper] Why I chose this article? The ACLS guidelines are quite specific on how to approach unstable conditions such as cardiac arrest.  They become much more vague and