All in Physician Blog

The Pediatric Emergency Department is its own unique world. Most of the time shifts go smoothly without any problems. But when things go wrong in the Peds ED things really go wrong. In this episode of the Physician Grind Podcast Dr. Basrai shares a story of a pediatric cardiac arrest. Initially the resuscitation is mechanical but all of that changes when the patient’s father is brought into the room.

In this episode of the Physician Grind Podcast, Dr. Jacobs shares with us a story from his time working in an Emergency Department in Anaheim, California. Concierge physicians would commonly treat guests staying at hotels next to Disneyland. The care provided by these physicians was highly variable and on one particular instance the care provided resulted in a critical patient landing in Dr. Jacobs’ ED. The happiest place on Earth isn’t always happy.

In this episode of the Physician Grind Podcast first time contributor, Dr. Scott Jacobs, shares with us a story from his emergency medicine practice. What should have turned out to be a routine exam on a pregnant woman transitions into a cascade of events that will stay with him and his staff forever. He shares how EM can be isolating with no outlet for the horrifying things we see and deal with as providers.

In this episode, Jessica shares with us a memory from her EM sub I. She enthusiastically comes to her shift and is assigned a patient by her attending. Her attending gives her a brief overview of the patient but when she performs her own history and physical things don't line up exactly. What ensues is a case of mistaken identity.

In this episode of the Physician Grind Podcast, Dr. Zahir shares with us a story of when an emergency suddenly ended his vacation. He had just returned from a "soul searching" trip to India and South East Asia, when he decided to go bowling with old friends. On his drive home the traffic on the freeway suddenly stopped. What he found was a motorcyclist on the ground that had been involved in a terrible accident. Dr. Zahir struggles with dealing with an emergency outside of the comfort of an Emergency Department. He feels useless as he tries to figure out what to do to help begin the resuscitation of the patient. Luckily paramedics arrive before the patient loses his pulse and are able to scoop and run. Link to the full written narrative piece:

In this episode Dr. Zahir shares the story of inserting his first chest tube. After a long overnight call, the cobwebs are suddenly cleared when he summons the power of Hulkamania to complete the procedure.  Under the watchful eyes of surgeons, Dr. Zahir hears his fans cheering him on and successfully inserts the chest tube.  

In this episode of the Physician Grind Podcast, Dr. Michael returns to share with us another one of his incredible stories from the Emergency Department. Dr. Michael is in the middle of his shift when a pregnant patient in labor is brought in. After examining the patient, Dr. Michael determines that the delivery is imminent and that there is no time to take the patient to labor and delivery. An OB/GYN intern rotating in the Emergency Department performs the delivery with no problem. However, as she is about to perform an episiotomy tear repair, she is greeted by a "surprise delivery".

In this episode of the Physician Grind Podcast, Bryan shares with us the story of dealing with an "animated" trauma patient. The patient was riding his bicycle when he was hit by a car. The patient is screaming and refusing to answer any questions. One of the paramedics decides to look through his bag to see if there are any drugs that would explain his erratic behavior. Sometimes it's just better not to look through the contents of a Satchel.

In this episode Dr. Todd Feinman shares a personal story where a false positive tumor scare resulted in him having an unnecessary and painful surgery.  Dr. Feinman believed that his experience could have been avoided had there been user-friendly technologies in place that would enable patients/physicians to use the data found in clinical studies to determine the most effective test or treatment for a given medical issue - so he created his own company, Doctor Evidence, to solve this problem.