Work in Progress: Visual Aid Project

Practicing at an academic ED, such as in San Francisco General, I find that I am constantly surrounded by medical students, interns, and residents. Most are working on shift with me, but occasionally I have medical students shadowing me to learn more about the Emergency Medicine specialty.

Have you ever had a person shadow you (excluding your annoying little brother when you were a kid)? It’s actually a little stressful for me, because I want the shift to be a positive learning experience for them. Inevitably, it doesn’t take long before I get immersed in mundane troubleshooting activities (eg. calling to transfer a patient to another facility, coordinating the CT scan priority list, paging the inpatient team for admitting orders).

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2016-10-26T17:05:44-07:00

Hot off the press: Two journals join Medline

If a journal gets accepted it into the Medline database, it is viewed with significantly more legitimacy. It follows then that your academic CV is better regarded if your publications appear in journals which are listed on Medline. Plus, it’s just fun to see your name listed in Pubmed when you search yourself! Hmm, that sounded more egotistical than I intended, especially since I don’t have that many publications on Medline…

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2017-03-05T14:18:36-07:00

Trick of the Trade for Intubation: Two hands are better than one

Recently on my ED shifts, there were several especially challenging endotracheal intubation scenarios.

  • A patient with thick frothy sputum constantly oozing out her trachea such that we couldn’t see the vocal cords– no matter how much suction we used. Imagine the Diet Coke and Mentos backyard experiment. I’m not kidding.
  • A 300+ pound agitated trauma patient with almost no neck, who eventually was found to have an epidural and subdural hemorrhage.
  • A COPD patient who was increasingly lethargic, hypoxic, and hypercarbic (pCO2>115), who I knew would start desaturating quickly as soon as rapid-sequence induction drugs were given.

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2016-10-26T17:05:44-07:00

Faculty spotlight: Dr. John Brown

Dr. John Brown is the well-known (infamous?) Medical Director of the San Francisco EMS Agency — not a small task or for the weak of heart. He also practices at SF General Hospital and manages to keep level-headed in the midst of chaos. I’m constantly impressed by his clinical and political saaviness. You would never know how big of name he is when you meet him. Totally humble and understated, especially given all that he’s done for the city and our specialty.

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2016-10-26T17:05:44-07:00