Ultrasound GEL Waves
Oct 13, 2025
Adaira Landry, an emergency medicine physician at Brigham and Women’s Hospital, and Jeremy Boyd, an academic physician at Vanderbilt, join the discussion on the emotional impact of difficult cases in medicine. Adaira shares her journey toward prioritizing clinician well-being over self-sacrifice. Jeremy emphasizes the importance of peer support and mindfulness in coping with burnout. They explore the trauma that affects clinicians, debating the stigma around seeking mental health care and advocating for systemic changes. Their insights on self-compassion and institutional support are eye-opening.
AI Snips
Chapters
Books
Transcript
Episode notes
Prolonged Arrest With Persistent Cardiac Motion
- Jeremy recounted a prolonged resuscitation of a young patient who had cardiac activity but no perfusion despite extensive efforts.
- The team used ultrasound repeatedly and ultimately stopped after ~45 minutes when resuscitation proved futile.
Visual Data Can Increase Uncertainty
- Ultrasound added important visual data but also increased diagnostic complexity and emotional weight for clinicians.
- Visual findings (cardiac motion without circulation) can produce uncertainty rather than clear answers.
Debrief And Clarify Roles After Codes
- Check in with colleagues after difficult cases and avoid carrying decisions alone when possible.
- Define roles clearly during codes to reduce coordination stress and prevent frustration.
