It's four in the morning. It's been a long night... I know, believe me. But before you discharge the 60 year-old man who came in gasping for air a few hours earlier, take the time to consider a few things.
Sleep is a little bit like sepsis. Both start with S and the importance of proper management has been underestimated for years - so lets find a solution
Tom survived. After five days on ECMO, another seven ventilated and a total of three weeks in hospital, we strapped our tiny bundle into his capsule and, driving slowly and carefully, took him home. I don't mind working night shift anymore...
When I was starting out, I was told there were three types of doctors doing emergency medicine: missionaries, adrenaline junkies, and fools. I was all three...