Unless you are living under a rock, many healthcare and public media platforms are talking about the insidious problems with burnout in the health professions world. One thought leader out there is especially vocal about wellness, resiliency, and mindfulness — Dr. Zubin Damania (alter ego: ZDoggMD). For instance, do you know the difference between empathy and compassion, and why that is important to differentiate this as a clinician? We were honored to have him join the Wellness Think Tank to field questions that we peppered at him, specifically around resident wellness.
The new emergency medicine (EM) residency application season is upon us! Senior medical students are arranging away EM electives, asking for letters of recommendations, and thinking about what residency programs to apply to. But before we look forward, what lessons can we learn from the 2016 EM Residency Match? In this EM Match Advice series installment, an esteemed panel of program directors reflect on the trends, surprises, and lessons learned from the 2015-16 year.
So much attention is appropriately focused on the anatomy and technique for intraosseous needle placement. In contrast, very little attention is paid to securing the needle. Often this involves a make-shift setup which involves gauze, wraps, and/or tape. This becomes especially important in the prehospital setting where these can be easily dislodged. The following trick stems from a Twitter discussion in 2015 amongst prehospital providers, lamenting this fact.
During your shifts in the pediatric ED, you may encounter a few patients with adrenal insufficiency or adrenal crisis. Some of the most common causes include those patients with Addison disease, pituitary hypothalamic pathology, and those patients on chronic steroids. When these patients get sick or sustain trauma, it is important to consider giving them a stress dose of hydrocortisone. Patients in adrenal insufficiency or crisis can present with dehydration, weakness, nausea, vomiting, confusion, lethargy, and severe hypotension refractory to vasopressors. 1–3
We are thrilled to hear that the first 3 Google Hangout videos for EM Match Advice were helpful for medical students, applying into EM. With interview season rapidly approaching in a few months (Nov-Feb), we gathered a few of our favorite program directors to discuss interviewing tips. Thanks again to Dr. Mike Gisondi for spearheading this innovative and helpful resource for medical students.
Today launches a series of Google Hangout videos, which was created and expertly facilitated by Dr. Michael Gisondi (@MikeGisondi) from Northwestern. In this series, he recruited an amazing panel of program directors from around the country, who have kindly volunteered their time to share their insights and expertise. In these videos, you get a sense of each panelist’s personalities while they outdo each other with behind-the-scenes advice and stories, which would normally be shared only at the institutional level. Our videocasts are a unique must-see for medical students interested in and applying into Emergency Medicine (EM). Keep a look out for more videos in the future! (more…)