Tamingthesru
Moonlighter - Recap
This is our final recap of our "Out on a Limb" Case Series! If you missed the initial "Moonlighter" case and discussion you can check it out here. There were a number of great responses to the questions which we'll recap below.
Q1 - What are your options in handling this situation?
You have a few options in handling this situation. As many of the respondents chimed in, the wound definitely needs to be cleaned out and closed and the patient requires antibiotics as soon as is reasonably and safely possible, especially since the injury is already 6 hours old. The first option is to complete a sedation and multilayer repair in the ED yourself. As many people point out, this is not an excellent proposition unless there are extreme extenuating circumstances.
Trouble Abroad - Recap and Commentary
The responses provided so far have been phenomenal, both insightful and provocative. I am truly impressed. As mentioned by several of my colleagues, many of these cases are deeply personal, not only because they involve highly vulnerable populations, but also because they may put clinical providers in harm’s way. When we begin to discuss ethics, especially global health ethics, there is often no single correct answer to a given scenario. We often deal with hard science and hard facts but sometimes you just have to go with your gut and do what you think is right. If you missed the first case and initial discussion, check it out here.
Grand Rounds Summary - July 22
Dr. Miller - Leadership Curriculum
"Give me six hours to chop down a tree and I will spend the first four sharpening the axe" - Abraham Lincoln
In order to lead the team, you need a reflection of what you need to improve as a leader:
- In a survey of academic chairs, communication, decision making, collaboration and trustworthiness were the top rated characteristics
- In a survey of UC EM residents and faculty confirmed that these apply to every level of training