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

    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 min
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