PGY 39, Day 47
Our current critical care team includes one surgery intern, two senior medical students, a second year OB resident, a PGY 2 Anesthesiology resident and a PGY 3 surgery resident.
Yesterday ... a 24 hour day ... rounds went OK. Our patient list includes mostly trauma casualties and a few SAH patients. Discussions focused on TBI and strategies for prevention of progressive brain injury, euvolemia, fluid and electrolyte management, diagnosis of DI, Hypernatremia and the differential diagnosis of hypernatremia, placement of central venous lines by the subclavian route and others. Everyone was pretty much organized by 10 PM and I left shortly thereafter. There were a few admissions during the night, but nothing drastic. The relationship between drugs & alcohol and trauma is STILL striking ... and disturbing ... even after doing this for so many years. Were it not for self abuse, we would have much less work to do.
We will see what today brings.
Dr. Mike
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