Reletter
Artwork for ROSC: Return of Spontaneous Circulation

ROSC: Return of Spontaneous Circulation

Mike Rubin, MD
Tens of paid subscribers

True stories and reflections from an emergency physician on medicine, patients, ethics, burnout, and life inside the emergency department.

Platform
Substack
PricingFreemiumPublishesTwice weekly
Issues98Foundeda year agoLast Issue13 days ago
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Artwork for ROSC: Return of Spontaneous Circulation

Latest Issues

Your Phone Shouldn’t Tell You That You Have Cancer

Today, I told a young patient that we had found a tumour.

He was at least ten years younger than me. He had come to the emergency department with chest pain. Somewhere during the workup, his imaging revealed something neither of us had exp...

13 days ago
28
8

Don't Make Your Family Guess

Last year, my mother-in-law suffered a catastrophic brain bleed. Just days earlier, we’d been celebrating her birthday together. In hospital we were told she could survive indefinitely on a ventilator but would never regain meaningful brain...

a month ago
29
8

Sometimes Saving a Life Isn't the Right Choice

After completing my Disaster Medicine Fellowship at Harvard, I returned to Canada to begin a new role as an Ultrasound Fellow and faculty physician at the University of Ottawa. I’d come to see ultrasound as the new stethoscope—portable, aff...

a month ago
35
8

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...

2 months ago
26
2

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...

2 months ago
40
7

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Authors

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  • Mike Rubin, MD

    Emergency physician & Harvard-trained disaster medicine specialist. I write ROSC — true stories about emergency medicine, from heartbreak to humour to humanity.

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