Mike Rubin MD

Emergency Physician | Disaster Med | Ultrasound | Pain | EM Fellowship Director @emergmedottawa | Writing “ROSC” on Substack — raw stories from the frontlines

[Mike Rubin MD @stopioid]

This one stirs the pot!

https://t.co/D0x3v34Ezn

[Mike Rubin MD @stopioid]

How to fix ED Crowding

https://t.co/q8kqDEvi6X

[Mike Rubin MD @stopioid]

Gender inequity in emergency medicine #medicine #physician #emergencymedicine

https://t.co/qETblDwRdT

[Mike Rubin MD @stopioid]

I thought I understood the emergency department.
Then I became the patient.
It wasn’t what I expected.

When the Emergency Doctor Became the Patient https://t.co/tUG4jR834X

[Mike Rubin MD @stopioid]

Most people think the hard part of emergency medicine is the decisions.
It’s not.
It’s what you carry after.

https://t.co/tQnvzyZaDq

[Mike Rubin MD @stopioid]

Why emergency physicians die young. https://t.co/c8BoIxvVJR

[Mike Rubin MD @stopioid]

Not a missed diagnosis.
Not a bad outcome.

A complaint about wait times.

Something completely out of my control.

And yet—mine to answer for.

https://t.co/lw1qNKsxWi

[Mike Rubin MD @stopioid]

Curious how others experience this—

If you work in high-stakes environments, do decisions ever follow you home?

Or is that just medicine?

https://t.co/ZmNJmddmBI

[Mike Rubin MD @stopioid]

We don’t discharge patients because we’re certain.

We discharge them because the risk feels low enough.

That’s a very different thing.

https://t.co/gQo2rvAbHT

[Mike Rubin MD @stopioid]

https://t.co/7wuF8FLaiO

[Mike Rubin MD @stopioid]

How I saved a life by practicing on a bell pepper https://t.co/3lRgfBEC6a

[Mike Rubin MD @stopioid]

Gender inequity in EM isn’t personal failure—it’s structural.

https://t.co/fHKniCcHwC

[Mike Rubin MD @stopioid]

The system does not flex; women do.

In emergency medicine, that quiet accumulation of friction shapes careers, burnout, and who gets to stay.

On gender inequity, family life, and design failure.

https://t.co/eYAI3HBBqd

[Mike Rubin MD @stopioid]

https://t.co/eBVOnhKVzu

[Mike Rubin MD @stopioid]

PTSD isn’t something we think happens to us.
In emergency medicine, we call it the job.
That’s why we miss the injury.
New piece ⬇️

PTSD? No—Not Me https://t.co/YB3xzdluXp

[Mike Rubin MD @stopioid]

Moral injury isn’t burnout.

It’s what happens when clinicians are held responsible for system failures they don’t control — and then blamed when patients are understandably frustrated.

I resurfaced an essay about this today.
https://t.co/QQYGsE3RaV

[Mike Rubin MD @stopioid]

Why Emergency Physicians have the shortest life expectancy
https://t.co/Z8L9nYsbQw

[Mike Rubin MD @stopioid]

Full story: [https://t.co/h0A65VuUim]

[Mike Rubin MD @stopioid]

Two weeks into residency, I took a patient’s fart directly to the face.

Stay with me.

[Mike Rubin MD @stopioid]

Emergency medicine is 90% composure.
Even when things get weird.