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 give DAPT?
Should I…?

Should I give DAPT?

Neena Cherian Neena Cherian
Aug 5, 2026

Before you add the second antiplatelet.

Should I call this MLC?
Should I…?

Should I call this MLC?

Neena Cherian Neena Cherian
May 30, 2026

Know When It Matters.

Posts

All Featured Should I…?
Should I give Levitracetam in this TBI?
Should I…?

Should I give Levitracetam in this TBI?

Neena Cherian Neena Cherian
Apr 17, 2026

Not every intracranial bleed needs levetiracetam.

Should I treat this Troponin?
Should I…?

Should I treat this Troponin?

Neena Cherian Neena Cherian
Apr 10, 2026

When doing nothing is the right thing.

Should I give Atropine?
Should I…?

Should I give Atropine?

Neena Cherian Neena Cherian
Apr 3, 2026

Thinking beyond the algorithm

Should I give Amiodarone?
Should I…?

Should I give Amiodarone?

Neena Cherian Neena Cherian
Mar 27, 2026

An Emergency Physician’s Approach to AF

Should I treat this INR?
Should I…?

Should I treat this INR?

Neena Cherian Neena Cherian
Mar 20, 2026

Resisting reflex reversal

Should I treat this lactate?
Should I…?

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?
Should I…?

Should I take an ABG or VBG?

Neena Cherian Neena Cherian
Mar 6, 2026

When pain adds no information

Should I give Bicarbonate?
Should I…?

Should I give Bicarbonate?

Neena Cherian Neena Cherian
Feb 27, 2026

Separating indication from instinct