By Dr. Neena Cherian
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Should I treat this Troponin?
When doing nothing is the right thing.
Circulation
Feb 2, 2026
Should I give Atropine?
Thinking beyond the algorithm
Circulation
Jan 27, 2026
Should I give Amiodarone?
An Emergency Physician’s Approach to AF
Circulation
Jan 19, 2026
Should I treat this INR?
Resisting reflex reversal
Misc
Jan 11, 2026
Should I treat this lactate?
All that raises lacate is not sepsis
Circulation
Jan 5, 2026
Should I take an ABG or VBG?
When pain adds no information
Circulation
Dec 29, 2025
Should I give Bicarbonate?
Separating indication from instinct
Misc
Dec 22, 2025
Should I treat this BP?
Simplified ER approach for managing high blood pressure effectively.
Circulation
Dec 12, 2025
Is this VT?
Guide to differentiate VT from SVT using ECG analysis.
Circulation
Dec 5, 2025
Should I start Vasopressors
Guidelines for initiating vasopressor therapy in septic shock management.
Circulation
Dec 3, 2025
When Should I Give 3% Saline?
A practical guide for treating hyponatremia in emergency settings.
Disability
Nov 30, 2025
Should I intubate now?
Three key questions simplify intubation decisions in emergency situations.
Airway
Dec 7, 2023
ER Survival Guide
Airway
Breathing
Circulation
Disability
Exposure
Misc
No System
On Call Notes
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👋 Hi, I’m Nina, an ER physician who’s lived through the chaos, the noise, and the pressure of split-second decisions. Over time I learned that structure helps. Clarity helps. Even a small checklist can change everything.
I started writing to share practical checklists, honest reflections, simple algorithms—and to answer the questions I face in the ER every day.
If this helps someone breathe easier or decide faster, it’s worth it.
Welcome—glad you’re here
Disclaimer : For educational use only — always follow your clinical judgment and local protocols.