Knowledge Bomb

Knowledge Bomb: LOV-ED Trial

We continue on with the series with Knowledge Bomb #15. The purpose and motivation for this series is outlined in the first entry and extensively in an ALiEM IDEA series blog entry. Background: Annually, 250,000 patients are mechanically ventilated in US Emergency Departments (ED). Of these patients, 20% will develop complications such as Acute Respiratory Distress Syndrome (ARDS) or

HYFTF

HYFTF: Hypertensive Emergencies

Written and Edited by Dr. Jessica Zahn

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