When I was in medical school doing my critical care elective in EM, I remember seeing the interns preparing tubes and IVs before their shifts started. Since then it was instilled in me that coming early to the shift was essential to make sure that at least your resuscitation room was adequately set up for any major emergency coming through. With the help of a few friends, I made up a list of the equipment that should be present and working appropriately in your resuscitation room.
I haven’t found a way of keeping up with all the information out there, even with textbook reading. I don’t know if there is way. Here are my thoughts.
If you were to take a look at my bookcases, you would classify me as a book hoarder. Yes, it’s true I have been collecting book. Some have been with me since college. Books have so much information, and I have always felt a bit paranoid about throwing them away and then not having them for a critical piece of information that I need.
This is part 2 of my review of Dr. Rosen’s 1979 article on “The Biology of Emergency Medicine” (see part 1).
According to Dr. Rosen, there are 3 broad categories of ED patients:
- The emergent
- The urgent
- The non-urgent
We must know how to identify and prioritize these. Medical students and residents are poorly taught the differences.
This post is based on one of the most interesting articles I have ever read in EM. The article written by Dr. Peter Rosen in 1979 and published in The Journal of the American College of Emergency Physicians (later become Annals of Emergency Medicine) is a landmark piece. It defines the specialty with so much precision that even contemporary authors find very little discrepancy of what Dr. Rosen wrote and the state of EM in present time.