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ROSC - Return of Spontaneous Circulation

A pulse-check on the strange, heartbreaking, and occasionally hilarious world of emergency medicine.

Newsletter · By Mike Rubin MD · Official site

Indexed issues, last 90 days
7
Latest publication
Sep 8, 2026
Audience
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Earliest in this view
Jul 9, 2026

Latest issues

  1. Issue · Sep 8, 2026

    The Rectal Exam in Trauma (opens the original)

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    Most people have no idea what happens when they’re brought to the hospital as a trauma patient.They imagine flashing lights, heroic interventions, maybe a dramatic defibrillator moment like in the movies.What they don’t picture is a finger up their butt.I didn’t either—until high school.My buddy got smoked during a pickup basketball game at the local community centre. He was going up for a layup when an overaggressive defender clipped him in mid-air. He landed flat on his back.For a moment, he d

  2. Issue · Sep 1, 2026

    I Stopped Asking Why (opens the original)

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    When people ask for a good ER story, they usually mean one thing:“Tell me about something weird someone got stuck in an orifice.”Fine.In my fifteen years in emergency medicine, I’ve seen foreign bodies in every body cavity. Honestly, I’d rather deal with chest pain than a foreign body case any day. Nothing good ever comes from putting things where they don’t belong.Let’s start simple, the eyeball. Fairly common, generally boring. A speck of metal, maybe a piece of sawdust. Who hasn’t felt like s

  3. Issue · Aug 18, 2026

    Your Phone Shouldn’t Tell You That You Have Cancer (opens the original)

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    Today, I told a young patient that we had found a tumour.He was at least ten years younger than me. He had come to the emergency department with chest pain. Somewhere during the workup, his imaging revealed something neither of us had expected.ROSC: Return of Spontaneous Circulation is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.<input class="email-input" name="email"

  4. Issue · Jul 28, 2026

    Don't Make Your Family Guess (opens the original)

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    Last year, my mother-in-law suffered a catastrophic brain bleed. Just days earlier, we’d been celebrating her birthday together. In hospital we were told she could survive indefinitely on a ventilator but would never regain meaningful brain function.Fortunately, she had already made her wishes known.As heartbreaking as it was, our responsibility wasn’t to make the decision. It was to honour the decision she had already made.It spared us from having to guess what she would have wanted. I wish eve

  5. Issue · Jul 21, 2026

    Sometimes Saving a Life Isn't the Right Choice (opens the original)

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    After completing my Disaster Medicine Fellowship at Harvard, I returned to Canada to begin a new role as an Ultrasound Fellow and faculty physician at the University of Ottawa. I’d come to see ultrasound as the new stethoscope—portable, affordable, and indispensable in both emergency departments and field settings.Before starting in Ottawa, I received an invitation from the director of the ultrasound program, who was on sabbatical teaching in Rwanda. He asked if I would join him for a few weeks

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