Some define a good shift as one where you sit around on your ass. And while there are times that is nice, I honestly like shifts where I am not overwhelmed but where the majority of patients I see actually have an urgency or emergency!
The other day I had (in a row no less!):
a. a 40 year old lady with acute iritis (not a serious emergency but much better then the typical bogus conjunctivitis!)
b. Elderly lady with acute left femoral artery occlusion and a nearly dead foot.
c. 30 year old man with epidural bleed and mid-line shift.
d. 29 year old man with unknown type of OD and hyponatraemia-induced seizures who needed to be intubated for airway protection.
e. 38 year old lady with 3 months of SOB and cough who wound up having numerous b/l PE’s with right sided heart failure, probable previously undiagnosed thalassaemia with platelets of 70, and guiac + stool!