By Dr Neena Cherian
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Should I do an MRI for this giddiness?
Not every dizzy patient needs one
Disability
Apr 16, 2026

Should I wait for creatinine before this CT?
The risk we fear, the harm we ignore
Misc
Apr 7, 2026
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Should I Give Anti-Edema in This TBI?
Not a checklist
Disability
Mar 23, 2026
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Should this UGI bleed go to ICU?
It’s not all about scores
Circulation
Mar 18, 2026
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Should I give Levitracetam in this TBI?
Not every intracranial bleed needs levetiracetam.
Disability
Mar 9, 2026
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Should I treat this Troponin?
When doing nothing is the right thing.
Circulation
Feb 2, 2026
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Should I give Atropine?
Thinking beyond the algorithm
Circulation
Jan 27, 2026
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Should I give Amiodarone?
An Emergency Physician’s Approach to AF
Circulation
Jan 19, 2026
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Should I treat this INR?
Resisting reflex reversal
Misc
Jan 11, 2026
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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
Should I give Amiodarone?
Should I give Atropine?
Should I treat this Troponin?
Should I start Vasopressors
Is this VT?
Should this UGI bleed go to ICU?
Should I treat this BP?
Should I take an ABG or VBG?
Should I treat this lactate?

👋 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 protocol
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