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Sometimes I imagine @maddow commentating emergency medicine residency. It goes something like this....thread (feel free add)
ED resident walking from the parking garage into the hospital to start a shift...
ED resident finding out that their favourite attending and nursing line is on for the Monday night shift!
The ED resident, attending, and charge nurse huddle up to develop a plan to tackle the night...
The first triage note the ED resident reads ends with...
The junior resident is interpreting a blood gas and has just highlighted the CO2 (of 80) and pH (of 7.10) circled...the ED attending chimes in with....
The ED resident explaining to the IM resident the identified issues list for the patient they are referring.
A resuscitation comes in. The ED resident thought they were running the case but the attending keeps giving orders to the team.
During the resuscitation the ED attending tries out the new ultrasound machine that is on loan and make a mental note to email the department head about how awesome it is.
During the hectic case the resident ends a recap with...
Someone on the team has an idea and things start to go in the right direction. The patient is stabilized and transferred to the ICU.
The ED resident takes a few minutes to sit with the family and explain what happened and then walks them to the ICU family waiting room.
The ED resident barely gets back down to the department when the attending asks what the plan is for the other 5 patients they have on the go...
Reading through a past resp clinic note for a patient with shortness of breath, the ED resident finds the term "pneumoultramicroscopicsilicovolcanoconiosis"
The medication list has 21 lines - 10 of which the ED resident does not recognize and some of which end with 'mab'
On that note, the ED resident decides it is time for a 3am coffee.
While taking a quick breather, the ED resident regales the junior resident with a time that they had to call the attending vascular surgeon in the middle of the night because there was no resident on call.
spoiler alert.
The quick downtime is interrupted by the patch phone. The ED resident hears that a patient will arrive in 5 minutes. They gather the team...
false alarm. The ED resident and team stand down.
Tests, ordered earlier in the night start coming back confirming the ED resident's suspicions and narrowing differential diagnoses.
The ED resident starts to request consults for patients that need to be admitted but wonders a bit why these consults need to happen in the middle of the night...
The attending chimes in with their favourite advice again - now with regards to ED management - timely consults and patient flow....
It's 430am now and staff, including the ED resident, are starting to get a bit punchy...
The ED resident trying to decide whether to call the CT tech in from home for a a patient with abdominal pain or whether it can wait until morning...
Finally the day team arrives to take over!
