EM Residents should rotate in a SICU. If your program doesn't send you through, it probably is worth an elective and a major trauma center. My friend, Rich Savel, has created a couple of videos to orient his rotators to the unit. I think they would be valuable for any resuscitation resident.
Additional Resources for SICU Education
coming soon…
An ED Intensivist from NY. No conflicts of interest (coi).
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Where Dr Savel mentions spinal shock it should be neurogenic shock…neurogenic shock may occur in the setting of spinal shock of course.
Thank you for pointing that out.
I made up a mneumonic for shock, and share it with my fellow paramedics whenever possible. It is easier to remember if visualized, but here goes. “You could end up with a nasty cohd (pronounced=code), with a silent “h”.” The “cohd”, with a silent “h” is cardiogenic, obstructive, hypovolemic (the silent “h”) and distributive. The nasty is actually nas-d, and sits above the letters “cohd”, over the “d”. NAS is neurogenic, anaphylactic, and septic. So, neurogenic, anaphylactic, and septic sit over the “d” and sound out as NAS-D (nasty). It probably sounds silly, but perhaps it is the silliness that… Read more »
Dr Savel:
Love this review and love your enthusiasm for teaching. Thanks for sharing this.
Hi Scott,
Thanks for sharing! This is very helpful. Can you please share the additional resources for SICU Education?
Thanks,
Lauren R.
PGY-2 EM