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I am 5 weeks into my rotation on the ICU team in a surgical/trauma ICU. The experience is exciting and challenging. The ICU team in this particular unit manages ventilation, sedation, pain management, and vascular access. The primary team (eg. trauma, neurosurgery) manages all other aspects of care. When a patient requires admission the ICU team is notified, and the patient is admitted concurrently by the primary team and the ICU team. My role on the ICU team is to admit the patient, gather a history, perform a physical, and write pertinent orders (ventilator settings, pain meds, etc). I will then present any patients I have admitted at ICU rounds and continue to manage their ICU needs. Of course, I don't do this independently; a resident and the fellow are close at hand. Every note I write and all my orders are co-signed by one of them. So far, this has been an invaluable learning experience.
The patient population in this ICU is varied. Most of the patients are traumatically......
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