Yeah, as a medical student trauma seems like fun but once you see a ton of traumas, thoracotomies, chest tubes, trauma tubes it really is just all cookbook. And a lot of the trauma activations are things like drunk with possible or known head bleed, little old lady transferred with head bleed, patient transferred with a cervical fracture, stable gun shot wound, etc....and no procedures. Last night I was dealing with a ton of traumas and the workups and management of my medical patients was much slower than usual, and I was getting killed by traumas when I needed to closely monitor one of my worrisome ACS patients and speak to Cards multiple times, etc.
There is also plenty of action in decompensating medical patients, pts with severe angioedema, patients in flash pulmonary edema, ST elevation MIs, unstable patients with Vtach, unstable patients with bradycardia who need to be paced, crashing asthmatic, medical codes, etc.
I thought trauma was awesome as a medical student...and now I'm looking forward to my awesome Texas job and much less trauma.