April 24, 2014

Order out of chaos

Do you ever feel stressed and overwhelmed at work? I sure do. Life in the emergency department is chaotic and packed with pressure from all angles. Sometimes it feels like the world is against us, but it doesn’t have to be that way. Start off your next shift on the right foot with pearls of wisdom from Dr Thom Mayer.  Dr. Mayer gives tips and advice on calming the mind, focusing attention and moving efficiently through an emergency department shift.




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  1. ibrahim aktaş says:

    i am an ER doctor in turkey and i love your podcast.just as a wish:instead of speaking in rate 0f 1.3 x if you speak 1x it it will be wonderful to understand for foreigner doctors.anyway even if you speak fast it is still very helpful

  2. Dr. Mayer always has the best advice to give people that are stressed out being an ER doctor.

  3. Dr. Orman, Great postcast. However, how do you suggest applying the initial part of 6 charts in the rack and 2 medics coming in to residents. If I go and try to see a few of those charts instead of waiting for the medics, as a resident, I will prob loose the medic (possible stem/trauma cases) since another resident will most likely pick them up. Is this more for an attending by himself/herself in the ed? thanks!!

    • Hi Jenny,
      Unless the patient in front of me is critical, I excuse myself and meet the ambulance patient. Report from the paramedics can be critical in understanding history and getting a precise report of prehospital treatment. I would apply Tom’s advice more to an attending working alone or with more volume than providers can handle at the moment. When there are many residents, you can divide and conquer.

Awesome article, I know - please share your erudite thoughts...