The ICU is a place where decisions have to be made frequently and sometimes in a matter of minutes. The phrase "stop iv fluids/start vasopressin/wean norepi to MAP of 70" summarizes multiple orders in a few words. This is a fraction of the orders I placed today in my am shift 
Ordering blood count and coags are 2 orders but there are so many other orders that are not documented. It is not far from true to say that an intensivist has to make hundreds of decisions every day in a 15-20 beds' ICU. For those interested, Halpern's group studied intensivist
decision making and how the number/type of decisions are affected by patient, provider, and systems factors. doi: 10.1097/CCM.0000000000001084
If you like making decisions on the fly and titrating pressors while giving orders for a bowel regimen, ICU is your place!
If you like making decisions on the fly and titrating pressors while giving orders for a bowel regimen, ICU is your place!
This was a tweet for those asking me how it is working in the ICU
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