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Trauma ICU: how to survive?

Discussion in 'Emergency Medicine' started by buffywannabe, Sep 26, 2014.

  1. buffywannabe

    buffywannabe 7+ Year Member

    May 15, 2009
    Hi everyone,

    I just started my trauma/SICU intern rotation and feel completely lost. The attendings just seem annoyed by my presence and the residents are too busy to really help me which I understand. Anyway our suggested reading for this block is from tintinali which has some good trauma readings but nothing about ICU. Any tips in survival or high yield books I could read to stop looking like a dumba$$?

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  3. kmb1908

    kmb1908 7+ Year Member

    Dec 27, 2008
  4. hobbes23

    hobbes23 10+ Year Member

    Dec 11, 2007
  5. TimesNewRoman

    TimesNewRoman 2+ Year Member

    May 14, 2013
    Coffee in AM. Beer in PM.

    That's how I got through.
  6. Evisju7

    Evisju7 2+ Year Member

    Feb 3, 2014
    Your question is clever. "How to SURVIVE? " lol
  7. littlejuan

    littlejuan 10+ Year Member

    Jul 3, 2007
    Step 1) Don't let pissy surgical residents and attendings get to you. Their lives are awful even if they say they aren't, and they just take it out on you (and each other).

    Like kmb and hobbes mentioned:

    Step 2) The ICU Book is great. Easy to read, but big. Try to select certain topics to read through that you feel you need extra help with.
    Step 3) For everything else, use web resources like ccmtutorials and fastlane. Those helped me out a ton!
  8. TimesNewRoman

    TimesNewRoman 2+ Year Member

    May 14, 2013
    Oh, and my actual helpful answer is The Little ICU Book. It's the pocket sized version of The ICU Book.

    Just know that nothing you're going to do is going to be right. A ton of what surgeons do is institutional and a lot of it is personal preference and not necessarily supported by strong evidence. The only way you'll learn it is by being around long enough....i.e. you're not going to learn it, lol. Sorry.
  9. dotcb

    dotcb --------- 10+ Year Member

    Oct 15, 2001
    My experience: how you are perceived in SICU has to do w/ only 1 thing - how prepared you are for daily rounds. I go there earlier and earlier each day until I was ready for these. Ask someone senior about any controversial things you might be presenting. Make sure you understand everything you're presenting. In the afternoon - divide up work and try to get some good procedural experience.
    kmb1908 and Hair Police like this.

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