ER Survival Guide

I started writing to share practical checklists, honest reflections, simple algorithms and to answer the questions I face in the ER every day.

Featured Posts

Should I apply a cervical collar to this patient?
Disability

Should I apply a cervical collar to this patient?

Neena Cherian Neena Cherian
Jun 12, 2026

Protect the spine, not the myth.

Should I call this MLC?
Misc Featured

Should I call this MLC?

Neena Cherian Neena Cherian
May 30, 2026

Know When It Matters.

Posts

All Airway Breathing Circulation Disability Featured Misc
Should I treat this Troponin?
Circulation

Should I treat this Troponin?

Neena Cherian Neena Cherian
Apr 10, 2026

When doing nothing is the right thing.

Should I give Atropine?
Circulation

Should I give Atropine?

Neena Cherian Neena Cherian
Apr 3, 2026

Thinking beyond the algorithm

Should I give Amiodarone?
Circulation

Should I give Amiodarone?

Neena Cherian Neena Cherian
Mar 27, 2026

An Emergency Physician’s Approach to AF

Should I treat this INR?
Misc

Should I treat this INR?

Neena Cherian Neena Cherian
Mar 20, 2026

Resisting reflex reversal

Should I treat this lactate?
Misc

Should I treat this lactate?

Neena Cherian Neena Cherian
Mar 13, 2026

All that raises lacate is not sepsis

Should I take an ABG or VBG?
Misc

Should I take an ABG or VBG?

Neena Cherian Neena Cherian
Mar 6, 2026

When pain adds no information

Should I give Bicarbonate?
Misc

Should I give Bicarbonate?

Neena Cherian Neena Cherian
Feb 27, 2026

Separating indication from instinct

Should I treat this BP?
Circulation

Should I treat this BP?

Neena Cherian Neena Cherian
Feb 20, 2026

Simplified ER approach for managing high blood pressure effectively.