Hey #MedTwitter! I’m Priscilla & I've officially decided that this upcoming #Match2023 I'll be applying to #emergencymedicine 🚨 As a bilingual US-born Puerto Rican/Chilean, I have an immense passion for serving underserved communities like the ones I grew up in. Looking (1/2)
wins this past week:
-1st cruise/amazing vacation in the DR & Bahamas
-Scored 91st percentile on ITE
losses this week:
ran but unfortunately was not selected for a chief resident position
A little sad but nonetheless grateful to have been considered for it & invited to CORD 🩷
Sometimes in EM you save a life by tubing someone. Sometimes, you make the referral for a young adult with diabetic nephropathy and get them plugged in with the right specialist.
Read the story 👇
It's so often that those of us who work in EM and critical care see devastating injuries and wonder whether we're really making a difference...
SPC Jordan Kirkpatrick is a @usarmy Soldier who was riding his motorcycle on his day off when he had a high-speed collision. He had a bad TBI (IPH, SAH, DAI), pulmonary contusions, multiple rib fractures, skull fracture, facial fractures, femur fracture, multiple pelvic fractures, and a splenic laceration.
EMS found him hypotense with a GCS of 3. Shortly after EMS arrival, he arrested. EMS started CPR, an i-gel was placed, and his chest was decompressed with ROSC achieved. In the ED, they intubated him, placed chest tubes, and transfusions were started. He was emergently taken to the OR for a multi-surgeon case and received >30 units of blood. Shortly after surgery, he went into ARDS/TRALI refractory to all medical management. @uchealth LifeLine air lifted in very critical condition to @CUAnschutz where he was emergently cannulated for ECMO. He had a bolt and EVD placed, was deeply sedated, paralyzed, and cooled for his TBI. He spent several weeks on ECMO in our CTICU and then was decannulated and transferred to our STICU, where he spent several months receiving dozens of procedures. I was part of his critical team in the STICU for several weeks.
He's now almost fully recovered mentally and is making progress physically recovering. Next week, he will be discharged from in-patient rehab. He will rejoin his fellow Soldiers at Fort Carson and transition to the Soldier Recovery Unit. The video and photos are from him and his family documenting his journey.
It's patients like Jordan who remind you that what you do matters.
(Photos, video, and story shared with patient and family permission)
#emergency #emergencymedicine #criticalcare #icu #erlife #iculife #science #army #armymedicine #trauma #motivation #motivating
Say Goodbye to Hypertensive Crisis and Urgency.
https://t.co/WQtaCmcM0I
Reference:
Hypertension. 2024 Aug;81(8):e94-e106. doi: 10.1161/HYP.0000000000000238. Epub 2024 May 28. PMID: 38804130.
when you deliver new diagnosis of a brain tumor to a patient and their family and they tell you god bless you and have a good night when you pass them on your way out 🥲😞 i’m not worthy
We must be outraged by the death of resident physician Dr. Moumita Debnath in Kolkata. She was found dead in a seminar room of the hospital with signs of severe sexual & physical assault.
Female physicians should not have to worry for their safety, especially in a hospital.
@arielleerdz Always have shears on you to help cut off clothes, remove shoes/jewelry, grab warm blankets to cover pt, learn the different types of splints so you can start measuring and get supplies when there’s a fracture that needs to be immobilized
I had a patient’s daughter tell me I have confidence issues when I corrected her when she called me by my first name AFTER I had already introduced myself as Dr Orellana 🙃
If you matched, congratulations. Now, DO NOT USE your home address and personal number for anything license/provider number related. Use your hospital’s, this will be public info. Thanks for coming to my TED talk