MGH ED Consult
The MGH neurology service provides dedicated consultation to the emergency department at all times. While on this busy service, the junior resident takes neurology consults from the MGH ED. This rotation, although hectic and busy, is a favorite of the residents because of the opportunity to see a fantastic array of neurology as a first responder. The range of cases is enormous, from benign headaches to intractable seizures, and goes through a myriad of chief complaints including confusion, back pain, numbness, headache, weakness, blurred vision, slurred speech, tingling, and 'dizziness'. A significant proportion of consults are for acute strokes and hemorrhages, which are triaged with the stroke/critical care team. The ED has both CT/CTA and MRI scanners for neurology patients, and you work closely with neurosurgery, neuroradiology, neurointerventional, stroke/critical care, and a wide variety of subspecialty attendings. Shifts are either 7am-7pm, 2pm-10pm, or 7pm-7am.