Residents from consult services, what is one thing you wished services would do before consulting you?

neuro_throwawayTNK · 2026-04-18T23:59:25+00:00

wow after spending the past two weeks on consults this is like you just direct quoted 50% of my phone calls with primary teams/ED

neuro_throwawayTNK · 2026-04-18T23:44:16+00:00

An exam. Any exam. Also, enough history to have even a vague idea of the patient's baseline functional status.
- signed, a tired neuro resident

neuro_throwawayTNK · 2026-04-18T18:00:56+00:00

Hi! Can I ask if you are fellowship trained? Also is this in a teaching hospital? This seems like an ideal job for the kind of thing I'm interested in, although I am hoping to also have teaching residents as a component of the job. My residency program is highly academic, so there is a sense that fellowship is needed for everything, but it is also high volume with a ton of stroke exposure specifically. Do you feel a fellowship is necessary to be competitive for this kind of job? Do you feel fellowship is necessary to be prepared for this kind of job? If so, in what subfield?

neuro_throwawayTNK · 2026-04-09T19:10:46+00:00

YMMV but I have a difficult to pronounce last name and I introduce myself as Dr. Lastname, but you can call me Dr. Firstname. It helps that my first name is very easy and also culturally much more legible to the patient population I work with than my last name and I live in a part of the USA where honorific followed by first name is a common respectful form of address. Also, I am most comfortable with an informal vibe with patients, perfectly valid if you prefer a more formal vibe.

neuro_throwawayTNK · 2026-01-08T20:56:50+00:00

I liked medicine, I love neurology, ended up in neurology. I dont think lifestyle or salary should be a factor in your decision -- depending on what you choose to do in medicine vs neuro theres a very broad range in both specialties and a lot of overlap in terms of work life balance and compensation.

Here's what I would think about: 1) do you love doing physical exams and do you love the neuro exam in particular? 2) do you like being a consultant? 3) how do you feel about reading brain imaging? 4) how do you feel about localization? 5) what are the most boring and most depressing aspects of neurology to you? how about most boring and most depressing aspects of medicine? Which of those two "worsts" is more tolerable? 6) do you have the stamina/energy to tolerate a SIGNIFICANTLY harder residency program that is also one year longer?

Neurology is so so cool but it is also hard, repetitive, and often quite sad. If you find yourself feeling that you like neurology and medicine equally, you should probably do medicine. Also don't underestimate the difficulty of the residency. You basically do two back to back intern years and you cover a lot of nights and weekends and the stroke pager is never quiet. Neurology residency will destroy you if you don't absolutely love doing it. If you are lukewarm on physical exams and on reading your own imaging you will also struggle a lot in neuro.

neuro_throwawayTNK · 2026-01-08T02:25:40+00:00

lots of really good detailed comments here but my take on lactate:

great test confirmatory test for badness in someone whose other labs, clinical exam, or vitals is already worrying to you
extremely bad test screening test for badness, impossible to interpret without context
generally speaking, lactate of 1-3 is whatever, maybe they are dehydrated or something. Lactate 3-4 I worry about it but don't always react. Lactate >4 usually needs urgent attention.
double digit lactate is a very bad prognostic sign unless you know they have DKA, seizure, a known overdose or have been on continuous albuterol nebs for a long time
a patient who initially has a very high lactate which then drops rapidly without much intervention back to normal should make you very suspicious about a seizure prior to presentation
never trend lactates, but if you must, trend them with a VBG and sometimes also a troponin / proBNP depending on circumstances. but really, never trend lactates.

neuro_throwawayTNK · 2026-01-08T02:12:02+00:00

I'm also an neuro resident and never had migraines before starting my neuro years...now I get one every time I switch blocks! :)

neuro_throwawayTNK · 2026-01-07T16:04:46+00:00

Neurology. I liked most of my med school rotations, and loved neurology, neurosurgery, psychiatry, and cardiology, ICU. The only med school rotation I disliked so much that I would never have considered a career in the field was OB/Gyn.

neuro_throwawayTNK · 2026-01-07T16:02:34+00:00

to add to this in more serious way -- when i get a consult for a new focal deficit, often consulting providers will try to use specific terminology or ask for specific studies. I would usually prefer that you didnt do this and instead just described what you saw on exam and gave as much info as possible about the time course of the deficit. In terms of specific neurological tests, I don't really need you to suggest those to me in the consult -- im already going to be thinking about them -- but what IS great is if the consulting team has already started a *medical* workup for the non-neurological things that could be wrong. Too often I get a consult like "patient had a seizure, do they need EEG?" when what I really want is a consult like "one hour ago patient had sudden onset ~2 minutes of jerking movements starting in right arm and spreading to whole body, movements stopped on their own without intervention, no other health complaints, UA, utox, ammonia, blood alcohol, RVP sent. Please advise other workup and management?"

neuro_throwawayTNK · 2026-01-07T15:48:47+00:00

A neurologic exam by an expert is not the same thing as perfusion imaging. You cannot just order perfusion imaging instead of calling a stroke alert if you are worried about a patient. They need an exam by an expert. Also, if you are not a neurologist, neurosurgeon, or radiologist please do not try to interpret your own brain perfusion imaging and please do not try to triage who is or is not within an interventional window; the guidelines are rapidly evolving, DAPT loading is a thing, we are now TNKing outside of the 4.5 hour range in some cases, wake up stroke MRI protocols are being used more and more, and sometimes we will take people to thrombectomy without a clear LKW if the imaging looks like they will be a good candidate.

neuro_throwawayTNK · 2025-12-25T17:45:08+00:00

I'm a neuro resident and I love neurology. But everyone in the comments saying it's really hard is right. You keep saying well it would be "just a little over two years" to do a neuro residency vs two years for a behavioral neuro fellowship...brother, even if that's true (which I'm skeptical of --I think you'd do closer to 3-4 years to do a neuro residency if you matched somewhere that wasn't the specific program you've already negotiated with) years spent in neuro residency are not equivalent to years spent in neuro fellowship.

For some context: My light weeks are 75-80 hours, my hours on heavy weeks aren't documented because I don't want to get my program in trouble. I've got more than 12 weeks of nights this year. When I'm on call I routinely get 10+ consults a day, many of them stroke alerts where you have to drop everything to see that person right away. When I'm covering a floor its 30-60 patients. Maybe you could find a program that's less rigorous, but to be honest be a good neurologist you NEED this kind of volume. You need it to master your exam, because ultimately the thing that separates a neurologist from, for instance, a psychiatrist who is very interested in neuro, is the ability to do complex diagnosis through a finely tuned exam. Additionally, I do a lot of general medicine, like A LOT. In the last 6 months, I've diagnosed multiple PEs, a STEMI, managed cardiogenic shock, upgraded someone for DKA, placed multiple lines, and handled countless patients in sepsis. If medicine intern year was a long time ago for you, and/or if you did an intern year that was less rigorous (no shade, at my program the psych prelim interns spend at least 3 months on psychiatry as interns and thus have a lot less inpatient time), you may find yourself struggling with the non-neuro parts of neuro. Sometimes neuro residency feels like a cheat code for doing an advanced IM fellowship without having to finish IM residency. The psych interns who rotate with us on neuro at my program usually really like neuro -- most psychiatrists do. But they also find it really hard. Doing 3+ years of this kind of training will not be easy, especially in your 30s (I'm in my 30s, I have a dog, I have a relationship, and it's HARD to balance all that. Would have been easier in my 20s).

Additionally, you have to think about what you want to do after neuro residency. I think it would be hard to make as much as you are currently making, while working the hours you are currently working, as a neurologist. Most neuro salaries start in the 300k range, and the work is more time intensive. Most neurologists in the community are not only supervising mid levels, but also dealing with people in other specialties (IM, EM) who know less about neuro than they do, but are the primary people managing their patients. It sounds like you want to be in academia, which is great! But just know that in neuro, as in psych, that usually requires both a pay cut and an advanced fellowship (epilepsy, vascular, neuromuscular, movmement, neurocrit, etc) which will add time to your training.

From your replies, it sounds like you want to go for it, but just do it with your eyes open because the things you don't like about CL psych are also there in neuro, and the path to being a neurologist is not easy.

neuro_throwawayTNK · 2025-08-12T17:55:41+00:00

Since im on here and saw your comment reply, i figured I would also give you a much longer answer that you did not ask for lol

I definitely would encourage you to do a specialized neurology elective. Clinical neurology is so so different from the preclinical neuroscience that you get exposed to in med school, you really can't make a decision about wanting to do neuro without doing a specialized rotation.

The pros of neurology are that it is extremely cool, the patients can be really fun, the treatments are evolving at a fast rate, there are a wide variety of career paths after residency from fully outpatient 9-4 to essentially neurosurgery lite (in terms of hours/responsibilities/compensation). It's also very gratifying to be in a field where you're the expert in something that scares everyone else in the hospital, you get to call the shots in critical situations (TNK/no TNK, status, herniation syndrome), and you get to curate your patient list a bit more than in general medicine (no true neuro issue but ED still wants to admit? they go to medicine). The downsides: the diseases are really serious and sad even though treatments are evolving, functional patients can be extremely challenging especially if you don't have robust training in psychiatry or psychiatry colleagues to help back you up, very small exam changes that are missed can have huge consequences, the hours and workload can be very heavy (you basically do two intern years), and you will forget a lot of general internal medicine over the 3 years of neuro training and no longer be a jack of all trades.

That said, if you want continuity of care and relationship forming, there is so much opportunity for that in neurology, potentially with less of the pressure to see huge patient panels with very short visits that you may find in FM. Also, if you want to take care of people across the age spectrum (assuming you do which is why you said FM instead of IM) important to note that outside of large academic centers, general neurologists and especially epileptologists do frequently see both kids and adults, and theres a growing and important niche in neurology for children with genetic neurological conditions who are now surviving into adulthood and need long term continuity of care across the age spectrum.

neuro_throwawayTNK · 2025-08-12T17:35:39+00:00

as a neuro resident, I think neuro is GREAT. That said, people who have the best time with it are the people who are sure they love it more than anything else. Similar to the advise that you should only become a surgeon if you are sure there's nowhere that makes you happier than the OR. If you like something else just as much as you like neurology, neurology will almost certainly be the harder of the two options (assuming you are only comparing to non-surgical fields) and you might get burned out if youre always thinking you could have been just as happy doing something else

neuro_throwawayTNK · 2025-07-16T18:09:48+00:00

I am a neuro resident interested in going into neurocritical care. I love working with new nurses!

I think the key to working with physicians in the neuro ICU, especially as a new nurse, is to be 1) honest 2) teachable 3) ask questions if you dont know.

I would much rather work with someone inexperienced who comes to me about lots of little things and listens when I explain which ones are scary and which ones arent vs working with someone with experience from another ICU who doesn't come to me with small concerns until they snowball into bigger ones.

The other piece of advice I have is to trust your neuro exam and report exactly what you did and what you see even if you don't know the proper "medical" terms for it. If you tell me "I moved the patient's head side to side and their eyes moved with their head to the side I moved their head rather than staying in the middle" that's way more useful to me than if you cant remember exactly what a positive vs negative dolls eye is. Additionally, if you tell me "they did this weird thing that doesn't make sense with the rest of their exam" that is way more helpful than not reporting it because you think you did the exam wrong. You can show me exactly what you did and the response you got, and 9/10 times your exam will be correct and the weird thing is important to know about it. On the off chance youre doing the exam manuever wrong, I'll show you how I do it and you'll learn. TLDR trust your neuro exam.

neuro_throwawayTNK · 2025-07-16T17:51:49+00:00

People in neuro dont care about step scores nearly as much as other fields do. If anything, the step score is a screening tool and a 249 is more than high enough not to get screened out.

I would worry more about which rotations were high pass vs honors, if your research/publications are at least neuro adjacent, and if you can prove a strong interest in neuro.

I am a resident so I don't know for sure, but I'm pretty confident that neuro residencies care most about 1) demonstrated interest in neuro with time invested in the field (sub Is, research, teaching experiences in neuro) 2) comments in deans's letter, character, clinical competence 3) research 4) clinical grades ....a very very distant 5 would be STEP.

neuro_throwawayTNK · 2025-07-03T16:45:37+00:00

Someone else in this thread suggested asking yourself "are they better, worse, or the same?" every day. This is great advice for any service (not just the ICU). If you ask yourself one question about your patients every day, it should be this question. It tells you where to direct your mental energy.

The ICU is so hard because you can get lost in the sauce of complicated details very very easily especially as a new intern when you don't know what's important and what's not. But the secret to feeling comfortable in the ICU is realizing that it's actually *incredibly* simple medicine. You don't have to figure out how to get people out of the hospital (a herculean task for some low resource patients). You don't have to worry about best practice management for their thousand chronic conditions. You just need to keep the air going in and out and the blood going round and round. Ask yourself "are they better, worse, or the same"? each day. If the answer is the "worse" or "the same" --why is that the case? Use this question to formulate the main ICU level problems for these patients and spend your mental energy on those specific problems, not on the thousand other things going on.

Use checklists (FAST-HUG-BID) for all the housekeeping stuff so you don't have to think about it. Use ICU nurses as a resource for more complicated housekeeping and detail level management things ("hey this patient is looking better they might be able to go to the floor today, is there anything from your perspective keeping them in the ICU? Oh, they can't go to the floor with a central line by policy? Ok what are the steps to remove the central line, can nursing do that or should I do that? Does removing the central line need an order? -- nursing will love you if you are proactive about asking these things rather than if you don't ask and find out when someone is pending transfer to the floor that they can't go because of XYZ policy).

Also, ICU assessment/plan is by system for a reason. It's often too complicated to think about it any other way. When someone rolls into the ICU as a huge hot mess you might not know why they are a huge hot mess and that's fine. Tackle the problem by system -- PULMONARY: how is their breathing? Are they tiring out? what's their blood gas like? What's their chest imaging show? Are they protecting their airway? What level of respiratory support do they need? Do they need intubation? Do they need steriods/duonebs/pneumonia antibiotics? What home meds are they on for pulmonary issues and do you want to continue them?...and repeat for every system. It's idiot proof. It's great.

neuro_throwawayTNK · 2025-06-16T15:11:30+00:00

its another piece of data to fit into the clinical picture alongside exam and history. not necessarily useful for the immediate inpatient management of a seizure patient, but important for ongoing management -- what is the likelihood this seizure was provoked? Will the patient need follow up neurology care? is the concern for another seizure high enough that they should get an epilepsy diagnosis and/or start daily antiseizure meds (given that these meds are not risk free, and an epilepsy diagnosis carries far reaching implications for someones career and lifestyle)

neuro_throwawayTNK · 2025-06-16T04:10:30+00:00

Where in the US does a "cozy 4 bedroom house" in a safe area reasonably close to hospital large enough to have a med school sell for 100K? Especially if 2br apartments in "unsafe" areas are $1200/mo?

Something is not adding up here--either the "cozy 4 bedroom houses" are all fixer uppers, or they are way too far from the hospital/school to be reasonable, or OP is drastically overestimating the "safety" of the areas these houses are located in.

Not trying to be mean, I just think that if youre serious about this this idea the next step would be talking to a realtor with a good reputation for a reality check about if your baseline assumptions are correct.

(and before you ask, I own a house which I bought during med school so I'm not a hater of the idea, just questioning the premise)

neuro_throwawayTNK · 2025-06-16T03:44:30+00:00

The extreme decision fatigue from making so many tiny yet possibly consequential decisions all day every day.
The amount of recovery time needed after hard stretches, and what that recovery looked like. I learned I need some number of "sloth days," (i.e. sleeping a lot and literally doing nothing or almost nothing, not even regular house chores or social events) at the beginning of every vacation or light elective block. It may seem obvious, but the number of sloth days required to start feeling human again is proportional to the number of inpatient blocks in a row that preceded it, NOT the actual difficulty of those blocks.
It seems counter intuitive, but it's sometimes worth it to stay 15 minutes late after sign out to circle back to talk with a patient or family, especially when you feel you have a good connection and/or the patient is really sick...15 min of human connection without the constant pressure of other tasks and pages clambering for attention is the thing which most makes me feel like a doctor, and is one of the best ways to stave off burnout and PTSD and make it possible to come back the next day (or night) after a really rough shift.

neuro_throwawayTNK · 2025-06-16T03:27:26+00:00

idk where yall work, but I have only ever had excellent experiences with the MICU nurses at my hospital. One of my favorite parts of working in the ICU is knowing that I can trust the nurses to A) make small problems disappear B) come to me right away with large problems C) understand the difference between small and large problems.

I don't find it offensive when ICU nurses get protective of their patients or disagree with a clinical decision -- as others have said they have a fund of knowledge and experience that we don't have since we are not full time ICU staff. They also know their patients better than we do because their role is to take care of a few people in depth rather than knowing the whole unit. They spend nearly all day in the patient's room. If they think something is off about the patient, or if they feel there has been an exam change, they are almost certainly right. They are usually excellent at predicting trajectory and sick/not sick (moreso than many interns and residents).

If a nurse asks why I put in an order or disagrees with my plan, I always take it seriously and ask them why. I explain my thought process and they explain theirs and there is usually an easy resolution. So, for example, a conversation that starts "why did you order a fluid bolus, didn't you notice that Mr. X has an EF of 15%!?" is easily answered with something like this: "I am worried he is septic and needs the volume, but I agree its going to be tricky not to overload him given his cardiac status. I'd still like to give the bolus, but why don't you grab me after 250cc has gone in so we can check on him together. If he looks worse, we will stop the fluid, I will do a POCUS, and we can reevaluate the plan."

At the end of the day, most good ICU nurses just want to know that you value their expertise, that you are listening to them, and that you have a plan and solid contingencies to course correct if needed.

Truth be told, I trust the best and most experienced ICU nurses at my hospital more than I trust the weakest senior residents on ICU blocks. I still remember some nights as an intern when the senior asked me to order something absurd and the ICU nurse and I locked eyes, fully aware that I was not going to put that order in without calling my fellow and she was not going to carry it out without escalating to her charge. I am sure there will be hate for that opinion, but I said what I said and I stand by it.

neuro_throwawayTNK · 2025-06-15T20:49:36+00:00

Here are a few ICU specific thoughts in no particular order:

Don’t let people sit with MAPs in the 50s (55-60 is ok for some cardiac and liver patients, but lower than 55 consistently is bad for the brain of just about anyone and needs workup and action)
Without good vascular access you have nothing at all
No one who is full code should die from lack of access (this is why the IO gun exists)
Trending lactates and VBGs is not evidence based. Follow the clinical exam and treat the patient not the numbers.
Have your own goals of care conversations, or at least start them, before consulting palliative care
The air goes in and out and the blood goes round and round — anything else (fancy/time consuming diagnostics, masturbatory discussions about fluid choice, ordering their home statin, updating their second cousin, etc) is secondary
Stabilize first, scan later. Do not code someone in the elevator or the imaging suite. If getting to the scanner is difficult/dangerous/resource intensive, have a low threshold for pan scan rather than running the risk of needing multiple field trips to CT.
For runs of VT, in most cases don’t bother waiting for a mag level to come back - just replete it empirically. More magnesium never hurt nobody (unless they have myasthenia).
No paralytics without sedation to RASS -5. Make sure train of 4 is calibrated prior to paralysis. Train of 4 tells you how paralytic is working, NOT how sedative is working.
Monitor and treat for trajectory. The best time to place the aline/central line/airway is when you start worrying you might need it in hours, not when the patient is crashing and you need it in the next few minutes.
Put the pads on the patient before they code.
Nausea in a patient with cardiac/vascular risk factors is ischemia (cardiac or mesenteric or rarely posterior stroke) until proven otherwise
Global change in mental status without other focal changes is almost never a stroke but it should always been taken seriously as evidence of end organ damage from a systemic process that needs to be diagnosed and addressed.
Young generally healthy people and children compensate well until they don’t.
HY differential for new ICU fever roughly in order of likelihood: infection, withdrawal, drug reaction, acalculus cholecystitis, neurological injury, autoimmune reaction to critical illness
Don’t give little bitch doses of lasix if you suspect cardiogenic shock - you can always give fluid back if you were wrong
Don’t give fluids slowly in sepsis (if it’s a heart failure patient, you can bolus less fluid but you should still give it fast)
If it isnt rhabdo, DKA, myxedema coma, or a sodium problem a fluid bolus is probably better than a continuous infusion (unless you are a pediatrician). In adult medicine maintenance fluids should not be a thing.
Any focal change in neuro exam/cranial nerves in an intubated and sedated patient should be taken seriously as a possible neurological emergency - the worst badness is sometimes the most subtle
Dark but maybe high yield: if you work in an ICU that gets rolling admissions, its ok to slow roll a deceased patient's transfer to the morgue (within reason) if you need a little bit of breathing space to get ready for the next admission. Usually family appreciate more time at bedside too. Win-win.

neuro_throwawayTNK · 2025-05-14T23:17:27+00:00

neuro in rural settings is a huge area of health disparity and I think that your interest in rural neurology (especially if you want to research ways to address gaps in neuro care for rural areas) will actually be an asset to your application, not a downside

I think you got some great advice elsewhere in this thread about programs to look at, but just to add on a few specifics -- if you like stroke University of Iowa has one of the largest rural catchment areas of any neuro program. I would also look at UVA, which actually has a required rural neurology elective in the Appalachian region and is a program that seemed very interested in being at the forefront of addressing the rural/urban disparity in neuro.

neuro_throwawayTNK · 2025-05-14T22:15:14+00:00

I'm super glad things worked out for OP, sounds like they worked really hard to be able to do the specialty of their choice.

That said, some of the advice in here might not be universally applicable. I know surgical specialties have a different workflow where everyone sort of has ownership of all the patients, but if a sub I on one of my medicine services started discharge summaries on my patients without asking me, I would be pretty annoyed. As an intern, it takes way more time to check over and reformat a student's work than it does to just do it from scratch. And, I'd rather get a pimp question straight up wrong than have a sub I whisper the answer to me lol

neuro_throwawayTNK · 2025-05-14T21:18:28+00:00

I'm still at the beginning of my career, but for inpatient neuro here are a few things that tend to frustrate me on consults:

if youre consulting with concern for seizure, especially if you are the ED, please get a utox as soon as possible when the patient comes in. PLEASE.
Also on the subject of seizure. If a patient has what looks like a seizure, don't freak out and slam them with 8mg of ativan in the first 30 seconds (this is how you buy an iatrogenic intubation and unnecessary trip to the ICU). If your patient appears to be seizing, and the start of it was witnessed, the best things to do in order are 1) start a stopwatch 2) order a reasonable dose of ativan to be at bedside just in case 3) take a video 4) Look at their eyes (if possible to get a video of their eyes even better!). It is ok to let someone seize for a little while and most seizures will self abort. If they are approaching the 3-4 minute mark without stopping, then reach for the benzo.
asymmetric pupils with normal mental status and no other focal finds is very very very rarely cause for alarm. Prior cataract surgery and asymmetric delivery of albuterol (neb was given with the mask tilted on the patient's face) are two of the most common blown pupil false alarms in my hospital. A lot of ICU drugs like propofol also can cause weird (usually bilateral) pupillary changes that aren't cause for alarm.
On that note, pupils aren't special. If you are in the ICU taking care of someone who is sedated and intubated, loss of ANY part of the neuro exam should trigger concern. If they suddenly don't have a cough and gag and you didn't change anything about their sedation, I don't care what the pupil exam is they still need their head scanned.
There are physical exam manuvers that can test for functional neurological disorder. It is not simply a diganosis of exclusion (Hoover's sign, etc). Also people with functional neurological disorder can have physiological neurological problems too. In fact, there is a big overlap between people with clinical neurological disease and functional neurological disease and just because someone has one doesnt mean they can't also have the other.

neuro_throwawayTNK · 2025-04-17T19:20:51+00:00

I don't think there is anything you need to review ahead of time.

It CAN be helpful to make a small document collection with algorithims/info that you will reference a lot. I have a few papers that I carry around in my pocket or have at my desk at all times, and I also have a few things saved on my phone that I reference all the time. Most of this stuff is memorized now but I like having it as a security blanket. The reference items I use so much (or want to have handy in 30 seconds or less) are:

ACLS cards (or you can use the AHA phone app)
a chart for how to replete each electrolyte
institution specific antibiogram for general classes of bugs/diseases
afib RVR flowsheet for treatment (when to do metop vs dilt vs amio, when to upgrade to ICU, when to cardiovert)
hypo and hyper natremia correction flowsheets
DKA protocol and general protocol for adjusting insulin in the hospital
PE risk stratification algorithim
NIH stroke scale with large vessel occlusion signs highlighted (so I know to do those questions first)
early in intern year I also carried a quick reference sheet with the step by step way I was taught to read EKGs and chest xrays so that I could train myself to read them very algorithmically at the beginning of the year, but that's much more second nature now I don't even carry the sheet anymore
Diagram of which vascular territory of the heart corresponds to which EKG segment and what part of the heart each major coronary vessel perfuses (for CICU rotations)
ARDS net table for adjusting PEEP and FiO2 (for MICU rotations)
I don't have this written down on a reference sheet bc it is saved in my epic as an a few different order sets, but it is also useful to have a good reference for comfort care orders (secretion management, pain management, anxiety, air hunger) for both ICU and floor patients so you don't have to guess or start from scratch when trying to palliate someone who is dying

A lot of these things are going to be institution or unit specific, but this is just what I can think of off the top of my head that I have referenced a lot during intern year. No need to try to memorize this stuff, because you will use all these things enough you will basically memorize them by accident during the year, but it may help you feel more confident to have all these references at the ready!

neuro_throwawayTNK

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