I’ll open with an apology for my unplanned hiatus. Somehow my last couple of rounds in the Burn Unit have been unusually challenging. Today has been a pleasant and needed day of catch up (note: not saying I am caught up, just that I’m working on it), yoga, and quality dog and cat time. It’s part of my striving for episodic balance and my ability to clear my brain and do some meaningful cognitive work on my projects.
So, what’s on my radar from the journals on my desk right now?
Maybe that nighttime lap chole should wait until sunrise? Provocative data that may impact how we think about acute care surgery.
Would a financial incentive program for other aspects of professionalism benefit us in terms of disruptive behaviors? I know, it’s not the question the Shock Trauma group asked, but it is a logical outgrowth of their finding that financial carrots work for surgical teams.
If your patient is in septic shock, start with aggressive fluid resuscitation, then add vasopressors. And keep the fluids going once you’ve started your vasoactives until you achieve your target CVP of 8-12.
Shameless self-promotion, and proud mentor moment: Though Amy and I would both tell you that there are moments we felt like we were dragging this project forward kicking and screaming, it’s great to see it in print. And it argues for interoperability of EMRs so that repeat imaging doesn’t happen consistently to trauma patients.
And…since this is a blog…a great perspective piece from Academic Medicine on Social Media and Medical Professionalism. We’ve come a long way in the last few years, but have a long way to go yet.
Finally, a listening recommendation since I haven’t been reading much for fun the last three weeks. Lucinda Williams recently released her first album in three years, “Where the Spirit Meets the Bone.” Her distinctive voice + the magic of her lyrics makes this as good as any of her efforts that I can recall.