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  • S3 E3 - Shit Show Shifts With Sean - Part 1
    2026/01/28

    Keywords


    emergency medicine, critical care, seizures, resuscitation, thrombolysis, patient management, healthcare challenges, medical stories, physician experiences, healthcare humor



    Summary


    In this episode of 'Fed by the Firehose', Sean Kelcey shares a series of intense and chaotic experiences from his shift in emergency medicine. He recounts multiple critical cases, including a patient with seizures and infection, a code blue situation requiring resuscitation, and the management of status epilepticus. Throughout the episode, Sean reflects on the challenges faced in emergency care, the importance of teamwork, and the humorous side of working in a high-pressure environment.



    Takeaways


    Sean introduces a new series called 'Shit Show Shits with Sean'.

    He discusses a patient with recurrent seizures and infection.

    A code blue situation leads to a successful resuscitation.

    Thrombolysis was organized for a patient in ventricular tachycardia.

    Managing status epilepticus requires quick action and resources.

    Challenges arise from limited lab resources in emergency settings.

    Multiple critical patients can overwhelm a single physician.

    Sean reflects on the emotional toll of chaotic shifts.

    He humorously notes the 'black cloud' effect in his career.

    The episode ends with a promise for more stories in the future.



    Titles


    Shit Show Shits: A Day in Emergency Medicine

    Chaos in the ER: Tales from the Frontline



    Sound bites


    "Shit Show Shits with Sean"

    "We got compressions resumed"

    "It was about 14 hours"



    Chapters


    00:00 Introduction to Shit Show Shits

    00:30 Emergency Case: Seizures and Infection

    03:03 Code Blue: Resuscitation and Thrombolysis

    05:56 Managing Status Epilepticus

    09:03 Handling Multiple Critical Patients

    11:56 Reflections on a Chaotic Shift


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    14 分
  • S3E2: Am I Real or Am I Something Else
    2025/08/30

    This epsiode talks about Imposter Syndrome, in the context of what it is, how it feels, and what should be done about it...with some of my personal experience with it and trying to deal with it.

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    47 分
  • Season 3 - Episode 1 TB or Not TB
    2025/07/12

    In this comeback episode, I'll be discussing 2 widely different cases of TB that presented to my remote nursing station.

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    14 分
  • S2E1: End of Life
    2024/06/30

    Thanks for your patience on waiting for Season 2 to drop. This episode will be about End of Life Care, regarding a patient I followed and how I felt things went. I'll talk about challenges with personnel and interagency collaboration/cooperation, obtaining medications and work arounds, provider/family/patient dynamics in an end of life/palliative situation, and lastly some lessons learned.

    I hope you enjoy.

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    23 分
  • Season 1 Episode 10: Weird Sh*t Magnet Strikes Again
    2024/04/01

    In this episode, my weird sh*t magnet got stuck to my forehead yet again as something that appeared simple turned out to be anything but. Two patients, one sick, the other seemingly not so...turned out they were much sicker than the one that was sick...with profound hyponatremia, hypokalemia, hypochloremia, hyperglycemia, acute kidney injury and renal failure. I'll talk briefly about how slow mental processes get at Zero Dark OMFG in the morning, which can lead to overthinking as not to miss something/mess something up, as well as some decision paralysis that can accompany that...

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    20 分
  • Season 1 Episode 9: Trauma Trauma
    2024/03/12

    So I'm doing my Advanced Trauma Life Support course and it's being run where I did my trauma medicine/surgery rotation in PA school...and some of this is bringing up/back some odd feelings that I'll be discussing => some good, some uncomfortable.


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    25 分
  • S1E8 - DIdn't see that coming
    2024/03/04

    In this episode, I'll discuss a case of sepsis that presented much like a PE, the cause of which surprised all of us involved.

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    17 分
  • S1E7 - Things that go bang in the night
    2024/02/29

    In this episode, I'll be discussing a case of a gunshot wound in the new remote community I've started working in.

    I'll discuss the case itself, results, as well as some general considerations when dealing with gunshot wounds, both in the physical sense as well as the bigger picture regarding safety of your patient and around the medical complex in a rural site.

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    15 分