Critical Care Day 6 of 6

PGY 39, Day 339 I think ... "339" ... "lucky numbers" ... we will see how it goes. My concern is for the patients and families ... not for myself. Sure, fatigue is always an issue, but at this stage, a few hours sleep and an occasional nap will get me through. The units are full ... we have received "bolus" after "bolus" of 3 - 5 patients at a time ... to keep us at capacity. This time of year ... "trauma season" ... is usually busy, but we have "experienced" house staff in June ... before the newbies move in on July 1 ... and the cycle starts again. Ooooo my ... Issues and discussions: EMR goes "down" for "upgrade" ??? Limitations of EMR? Why first generation EMRs interfere with patient care? EMR Flaws Why we need "scribes"? How EMR fails as a research tool? Euvolemia and the "Euvolemia Checklist" Brain and CNS protection and the "CNS Protection Checklist" Resuscitation targets Acute Kidney Injury and more. To be continued ... We can fix the "Business of Medicine" ... one step at a time. StepWisely(R)TM(C) Dr. Mike