ROSC - Return of Spontaneous Circulation
Mike Rubin MDA pulse-check on the strange, heartbreaking, and occasionally hilarious world of emergency medicine.
| Platform |  | Pricing | Freemium | Publishes | Twice weekly |
|---|---|---|---|---|---|
| Issues | 86 | Founded | a year ago | Last Issue | 8 days ago |
| Active | |||||
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mikerubinmd.substack.comLatest Issues
Sometimes the Delusions are Real
The shortage of outpatient psychiatric care has had an impact on the emergency department.
More and more, we are the system of last resort.
Not for stabilization.
For containment.
Acutely psychotic patients—severely agitated, dis...
Shift Change
One of the biggest stressors for me in emergency medicine is what happens at the edges of the shift.
The handover.
The moment someone either helps carry the load,
or criticizes your decisions at the exact moment you’re most exhausted.
I...
Why We Laugh When We Shouldn’t
If you’ve ever stood in an emergency department long enough…
You’ll hear it.
Laughter.
Not the polite kind.
Not the kind you expect in a place filled with pain, death, and fear.
The wrong kind.
The kind that makes outsiders uncomfort...
There Is No Protocol for This
I still get humbled by this job.
Daily.
Right when I think I’ve seen it all…
something walks into the emergency department and reminds me:
I haven’t.
Some shifts feel predictable.
Chest pain.
Broken bones.
Abdominal pain.
Algorit...
My First “Save” Was at 35,000 Feet
Two months into medical school, I wasn’t a doctor.
I barely knew how to use a stethoscope.
But somewhere over the Atlantic, that didn’t seem to matter.
It started with a sound.
A choking noise.
Violent. Desperate. Wrong.
Heads turned....
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Authors
The writers behind this newsletter.
Emergency physician. Harvard-trained disaster responder — the heartbreak, the humour, the humanity. These are the stories I never forgot.
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