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ROSC - Return of Spontaneous Circulation

Mike Rubin MD

A pulse-check on the strange, heartbreaking, and occasionally hilarious world of emergency medicine.

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Substack
PricingFreemiumPublishesTwice weekly
Issues95Foundeda year agoLast Issue8 days ago
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Artwork for ROSC - Return of Spontaneous Circulation

Latest Issues

Gunfire at an Orphanage

The first night in Haiti, I threw myself across the bed, dragged my wife onto the floor, and waited for the bullets to come through the wall.

I wasn't in Haiti on vacation. As a Disaster Medicine Fellow, I had been assigned to support an o...

8 days ago
23
1

Providing a Good Death

I recently sat with a dying woman whose breathing had become a soft rattle. I held her hand. There was nothing left to fix—only someone to keep company in the final moments of her life.

We’re experts at saving lives.

Airway, breathing, ci...

13 days ago
39
6

How Many Patients Have I Seen Die?

Recently someone asked me how many patients I have seen die.

I didn’t know.

I have never kept a list, but the question made me think.

I have been an emergency physician for more than fifteen years. I’ve probably cared for somewhere betwe...

22 days ago
31
4

The Dead Were Leaking Into Our Sleeping Quarters

A small white tarp lay on the bright green grass, corners held down by stones.

On top of it was the body of a little girl.

She couldn’t have been more than four years old.

Her abdomen was swollen with gas. The skin on her face had been p...

a month ago
13
1

The Last Hour

In the final hour of my shift, I dealt with an immaculate conception, a missing inpatient found hypothermic in the bushes, someone else’s bloodwork in the wrong chart, and a massive heart attack.

Let me explain.

This was not a regular eme...

a month ago
19
5

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  • Mike Rubin MD

    Emergency physician. Harvard-trained disaster responder — the heartbreak, the humour, the humanity. These are the stories I never forgot.

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