There is a certain level of confidence that comes with being a senior resident. The nurses finally trust me. My attendings allow me to manage patients with autonomy. The juniors look to me for advice. I’m learning to juggle a busy department. I still have much to learn, but most days I feel in control. … Continue reading Killer Looks – Silicone Embolism Syndrome

From the moment I called Toxicology regarding a recent life-threatening Verapamil overdose, I realized that the number and variety of potential treatments for this toxicity can be overwhelming in an emergent situation. I was instructed to give “10-20mL of 10% calcium chloride followed by 48.75mEq/hour or 19.5-39mL/hour of 10% calcium chloride if needed.” None of … Continue reading ED Management of CCB Overdose: what works and where to start