• Schedule:
    • 8 24hr, 4 12hr shifts
    • You will always work a 24 on Thursdays
    • This is the kind of rotation you don’t plan anything else during
    • You will get this schedule last minute, and asking for it ahead of time may lead to a worse schedule
  • First Day: Show up to the trauma resident room next to room 3 in the ED at 6am for signout.  You'll get a print out of the trauma google doc with all of the current STIC patients.  Pay attention to signout and make sure to ask if the neuro exam that's listed is still accurate.  Same with whether or not the patient is intubated and their current vent settings.  After signout, divide up the patients and take the D elevator up to the STIC.  STIC has some of the nurses in the hospital so try to get to the night shift nurses before they leave for the morning and find out what actually happened with your patients overnight.  
  • Rounds vary greatly by attending.  See attending sheet for more info.  In general expect to carry somewhere between 4-10 patients.  Pay attention to every patient on rounds because on your 24s you sometimes cover the whole place alone.
  • After rounds, you can go to all of the code yellows.  If you have a sick patient in the STIC and the trauma sounds boring, don't feel obligated to go help out. 
  • Admissions: Half of the admissions to STIC are post operative patients from other services like vascular/ortho.  In general just meet that patient when they arrive and get the specifics recs from the covering resident.  These are the easiest patients usually and you just babysit them overnight. For trauma admits, make sure to order SCDs, diet,  activity order, wound care orders and any repeat/AM labs and imaging.   Also do an admit med rec. Most of the sick trauma patients who got blood in the bay or OR will need a TEG when they get to you.  Google thromboelastogram and find a good diagram and just transfuse according to a TEG nomogram to fix the parameters that are out of range.  It's easier than it sounds.
  • Use the STIC Pharmacy book frequently.  
  • Make sure to keep the google doc up to date.  
  • If you transfer a patient to the trauma floor, move them on the google doc when they get a bed and call the floor resident to let them know they'll be arriving. 
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Attendings:

Omi: Super smart, expects you to know everything about your patient.  Makes you justify everything you say/do, so don't guess and do your due diligence.  Will yell at you only if you deserve it.  

Doherty: Prone to the occasional angry outburst, otherwise super smart and good to learn from.  Expects you to know everything about your patient.  

Cartolano: Pretty relaxed, likes to verbally spar with the trauma pts.  

McElmeel: Super relaxed, takes a "less is more" philosophy.  

Santaniello: Super relaxed, STIC rounds take about 15 minutes.  Puts a lot of trust in you, don't let him down.  Will let you do almost anything as long as you can justify why it should be done. 

Lee: Super smart, calm under pressure.  Teaches you things everyone else just assumes you know.  Gives you wide leeway with procedures.  Pretty thorough on rounds. 

Thomas: Prone to angry outbursts, likes to know the nitty gritty like what is the patients ideal body weight, what cm is their g tube secured at, etc.   She likes to know everything that is going on so feel free to page her for any changes you make, at risk of getting an earful.  Primary survey rules tend to change from patient to patient so just try and go with it.