{"id":13723,"date":"2025-10-31T19:19:20","date_gmt":"2025-10-31T19:19:20","guid":{"rendered":"https:\/\/www.roshreview.com\/blog\/?p=13723"},"modified":"2025-12-16T17:18:04","modified_gmt":"2025-12-16T17:18:04","slug":"spooky-nights-on-call-halloween-tales-tricks-for-resident-physicians","status":"publish","type":"post","link":"https:\/\/www.roshreview.com\/blog\/spooky-nights-on-call-halloween-tales-tricks-for-resident-physicians\/","title":{"rendered":"Spooky Nights on Call: Halloween Tales &amp; Tricks for Resident Physicians"},"content":{"rendered":"\n<h6 class=\"wp-block-heading\" id=\"h-halloween-for-many-is-a-time-of-spooky-fun-wild-costumes-and-candy-overload-but-for-resident-physicians-on-call-the-night-is-far-from-a-playful-scare-instead-it-s-a-dizzying-gauntlet-of-bizarre-injuries-illnesses-and-the-occasional-patient-still-dressed-as-a-spaghetti-monster-with-bloody-marinara-sauce-dripping-off-a-fork-accessory-meanwhile-you-scramble-to-figure-out-whether-it-s-the-costume-or-an-actual-medical-emergency-not-exactly-the-kind-of-halloween-trick-you-were-looking-for\">Halloween, for many, is a time of spooky fun, wild costumes, and candy overload. But for resident physicians on call, the night is far from a playful scare. Instead, it\u2019s a dizzying gauntlet of bizarre injuries, illnesses, and the occasional patient still dressed as a spaghetti monster with bloody marinara sauce dripping off a fork accessory. Meanwhile, you scramble to figure out whether it\u2019s the costume or an actual medical emergency. Not exactly the kind of Halloween trick you were looking for!<\/h6>\n\n\n\n<h6 class=\"wp-block-heading\" id=\"h-as-we-close-in-on-halloween-weekend-brace-yourselves-as-i-share-some-ghoulish-tales-from-the-hospital-all-with-the-overarching-reminder-to-keep-yourself-and-your-patients-safe-out-there\">As we close in on Halloween weekend, brace yourselves as I share some ghoulish tales from the hospital, all with the overarching reminder to keep yourself (and your patients) safe out there.<\/h6>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity is-style-wide\"\/>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"h-tales-from-the-shift-three-halloween-stories\"><strong>Tales From the Shift: Three Halloween Stories<\/strong><\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">When the clock strikes midnight, the hospital transforms into somewhat of a haunted house. Patients dressed as witches, werewolves, and zombies stagger into the ED. It\u2019s hard to tell where the costumes end and the real injuries begin.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Here are a few stories I\u2019ve seen\/heard from witching hour on Halloween night!<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity is-style-dots\"\/>\n\n\n\n<h5 class=\"wp-block-heading\" id=\"h-case-1-zombie-panic-attack\"><strong>Case 1: Zombie Panic Attack<\/strong><\/h5>\n\n\n\n<p class=\"wp-block-paragraph\">Ah yes, the time a teenager strolled into the ED wearing a full zombie costume, complete with rotting skin, a foul stench, fake blood, and a dead stare that made even the seasoned ED nurse do a double take. But this wasn\u2019t just your average post-apocalyptic zombie roleplay\u2014<strong>this patient was in the middle of a full-blown panic attack. <\/strong>It turns out he\u2019d been working at a haunted house, giving patrons the fright of their lives, when suddenly he was the one who needed resuscitation after collapsing during a scare.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Rumor has it he got punched in the chest by a terrified customer, which left him gasping for air and in a state of cardiac arrest. Could it have been a case of commotio cordis? Possibly. A direct blow to the chest is no joke, as it can lead to dangerous heart rhythms, even in a seemingly healthy teenager without prior cardiac history. Luckily for our zombified patient, a quick defibrillation brought him back to the land of the living.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Lesson learned: if you\u2019re working at a haunted house, remind your audience that laying hands on the actors is NOT part of the show. <strong>And to my fellow residents, be prepared for anything in the ED, especially around Halloween.<\/strong> If someone in full costume comes in gasping for breath, take it seriously and rule out the dangerous causes first. An EKG is often easily obtainable!<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The main ED seems quiet for now, let\u2019s check out how things are in the trauma bay.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity is-style-dots\"\/>\n\n\n\n<h5 class=\"wp-block-heading\" id=\"h-case-2-pumpkin-carving-gone-wrong\"><strong>Case 2: Pumpkin Carving Gone Wrong<\/strong><\/h5>\n\n\n\n<p class=\"wp-block-paragraph\">We all love a good jack-o\u2019-lantern, right? Well, this patient\u2019s pumpkin carving took a sinister turn. A young woman, two weeks shy of her wedding, tried to impress her groom-to-be with some decorative pumpkins in the front yard. As she was channeling her inner Picasso with a table saw, instead of crafting a masterpiece, she ended up carving off a couple of fingers, including the one with her engagement ring.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Cue the Halloween safety reminder:<strong> pumpkin carving might seem safe, but it can land you in the OR faster than you can say &#8220;trick or treat.&#8221;<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">As we prepared the woman for surgery, we couldn\u2019t help but think about all the other festive hazards lurking around. Knives, saws, sharp props\u2014Halloween is a goldmine for hand injuries. If you happen to get called to the ED for one of these, remember the first aid basics: wrap those severed digits in saline-soaked gauze, bag them up, and keep them chilled. Just don\u2019t put them directly on ice, unless you want frostbite to be the final nail in the coffin. Then, a quick call to the plastic or orthopedic hand specialists is in order.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Pro tip: if you\u2019re on call this weekend, prepare for a flood of lacerations, burns, and\u2014yes\u2014severed fingers. And remind your friends to carve pumpkins with caution.<\/strong><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity is-style-dots\"\/>\n\n\n\n<h5 class=\"wp-block-heading\" id=\"h-case-3-bee-sting-surprise\"><strong>Case 3: Bee Sting Surprise<\/strong><\/h5>\n\n\n\n<p class=\"wp-block-paragraph\">A middle-aged man had been enjoying a fun afternoon at a pumpkin patch with his kids. His stomach grumbles as he chomps down on a delicious apple cider donut. He\u2019s living the autumn dream\u2014until a rogue bee, drawn to the sugary glaze, decides to hitch a ride into his mouth.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The man, allergic to bee stings, experienced an immediate reaction: tongue swelling, hives, and the works. Thankfully, he had an EpiPen on hand, and he was only 10 minutes from the hospital. He presented to the ED as a precaution, and we treated him with the usual cocktail of epinephrine, antihistamines, and steroids. His allergic reaction? Defeated.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Halloween tip: for patients with allergies, the treats may contain some hidden tricks. <strong>Make sure they\u2019re carrying their EpiPen, and remind them to read candy labels carefully.<\/strong> You never know when a well-meaning neighbor will hand out peanut-laden chocolate bars disguised as a fun-size treat.<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter is-resized\"><a href=\"https:\/\/lp.roshreview.com\/question-of-the-week\"><img decoding=\"async\" src=\"https:\/\/lh7-rt.googleusercontent.com\/docsz\/AD_4nXdvo6xF8V7CRXvCD_XZWskEpFfHtWTHo11Bnl4qbUhCOP1w0tHH5NB2FWeHu2unb3j8rcN18TQihGSAIBjzPi45Zc2vKKjbN3I_BqDaFQ_SKNxemhGs3CUSO8qloaSl3RbKVOPv6087W1cbvn3J9fsuNy87?key=zEhJucezgOQJ6ayncSzR4g\" alt=\"\" style=\"width:779px;height:auto\"\/><\/a><\/figure>\n<\/div>\n\n\n<p class=\"has-text-align-center wp-block-paragraph\"><em>Want to test your knowledge with more practice cases? Sign up for <a href=\"https:\/\/lp.roshreview.com\/question-of-the-week\">Question of the Week<\/a><\/em><a href=\"https:\/\/lp.roshreview.com\/question-of-the-week\"><em> <\/em><\/a><em>to get Rosh Review practice questions sent straight to your inbox\u2014for free!<\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">I hope you enjoyed the spooky stories! Now, here are some tips to surviving Halloween night if you&#8217;re on call.&nbsp;<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"h-10-tricks-to-help-residents-on-halloween-nbsp\"><strong>10 Tricks to Help Residents on Halloween&nbsp;<\/strong><\/h4>\n\n\n\n<h5 class=\"wp-block-heading\" id=\"h-1-prepare-for-the-unexpected-nbsp\"><strong>1. Prepare for the unexpected.&nbsp;<\/strong><\/h5>\n\n\n\n<p class=\"wp-block-paragraph\">Halloween is prime time for unusual injuries. <strong>Be ready for patients showing up with costume-related mishaps, from accidentally gluing themselves into outfits to burns from DIY makeup experiments.<\/strong> Your job is to expect the unexpected and handle whatever comes through the door with calm competence.&nbsp;<\/p>\n\n\n\n<h5 class=\"wp-block-heading\" id=\"h-2-pace-yourself-nbsp\"><strong>2. Pace yourself.&nbsp;<\/strong><\/h5>\n\n\n\n<p class=\"wp-block-paragraph\">Halloween night on call is a marathon, not a sprint. <strong>With the emergency department bustling and the wards full of activity, it\u2019s essential to pace yourself. <\/strong>You\u2019ll likely need a boost to keep going, but <strong>try not to overdo it with caffeine.<\/strong>&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Instead, make sure to stay hydrated, have snacks on hand, and take breaks when possible, even if they\u2019re just a few minutes to catch your breath. <strong>Prioritize your tasks and know when to delegate or ask for help.<\/strong><\/p>\n\n\n\n<h5 class=\"wp-block-heading\" id=\"h-3-dig-deep-and-lean-into-your-history-taking-skills-nbsp\"><strong>3. Dig deep and lean into your history-taking skills.&nbsp;<\/strong><\/h5>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>There will be some strange cases and it\u2019s up to you to identify and separate relevant symptoms from mystical stories.<\/strong> In other words, be thorough, ask the right questions, and don\u2019t let any cryptic details slip through the cracks!<\/p>\n\n\n\n<h5 class=\"wp-block-heading\" id=\"h-4-watch-out-for-candy-nbsp\"><strong>4. Watch out for candy.&nbsp;<\/strong><\/h5>\n\n\n\n<p class=\"wp-block-paragraph\">While candy is everywhere during Halloween, it can bring its own set of challenges.<strong> Be prepared for cases involving allergic reactions, particularly to nuts, and for kids showing up with candy-induced stomach aches or sugar highs.&nbsp;<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>You might also need to manage concerns about choking hazards, especially for younger children.<\/strong> Keeping an eye on these potential issues can help you anticipate and act quickly.<\/p>\n\n\n\n<h5 class=\"wp-block-heading\" id=\"h-5-stay-safe-yourself-nbsp\"><strong>5. Stay safe yourself.&nbsp;<\/strong><\/h5>\n\n\n\n<p class=\"wp-block-paragraph\">Amidst the chaos, don\u2019t forget to look after yourself. It\u2019s easy to get caught up in the flurry of activity, but maintaining your own well-being is essential. <strong>Take short naps if you can, drink water throughout the night, and make sure to eat.<\/strong> Maintaining your focus and energy will help you provide the best care for your patients, no matter how wild the night gets.<\/p>\n\n\n\n<h5 class=\"wp-block-heading\" id=\"h-6-stay-vigilant-for-intoxicated-patients-nbsp\"><strong>6. Stay vigilant for intoxicated patients.&nbsp;<\/strong><\/h5>\n\n\n\n<p class=\"wp-block-paragraph\">Halloween is a prime night for parties, which means you\u2019re likely to see a spike in cases involving alcohol and substance use. <strong>Be prepared for everything from minor intoxication to severe cases like alcohol poisoning or drug overdoses.<\/strong> Remember to check for hidden injuries or illnesses that might be masked by intoxication, and always monitor for signs of aggressive behavior in overly intoxicated patients.<\/p>\n\n\n\n<h5 class=\"wp-block-heading\" id=\"h-7-be-mindful-of-psychiatric-concerns-nbsp\"><strong>7. Be mindful of psychiatric concerns.&nbsp;<\/strong><\/h5>\n\n\n\n<p class=\"wp-block-paragraph\">Halloween\u2019s themes of horror and fear can exacerbate anxiety, PTSD, and other mental health conditions. Some patients may experience heightened stress, flashbacks, or panic attacks. <strong>Approach these situations with extra sensitivity and patience, and be prepared for a potential increase in mental health admissions.<\/strong><\/p>\n\n\n\n<h5 class=\"wp-block-heading\" id=\"h-8-expect-costume-related-complications-nbsp\"><strong>8. Expect costume-related complications.&nbsp;<\/strong><\/h5>\n\n\n\n<p class=\"wp-block-paragraph\">Costumes can bring unique challenges. <strong>Watch out for patients with issues related to tight or restrictive outfits, skin reactions from face paint or latex, and even injuries from props (like swords or wings). <\/strong>Costume accessories can also pose hazards, so be mindful when assessing injuries and don\u2019t overlook the possibility of foreign objects or compression injuries.<\/p>\n\n\n\n<h5 class=\"wp-block-heading\" id=\"h-9-have-a-plan-for-triage-and-crowd-control-nbsp\"><strong>9. Have a plan for triage and crowd control.&nbsp;<\/strong><\/h5>\n\n\n\n<p class=\"wp-block-paragraph\">The hospital may see an influx of patients, especially in the ED. This can lead to bottlenecks and overcrowding, which can increase stress for both staff and patients. <strong>Have a plan to manage patient flow, triage effectively, and ensure everyone gets the care they need.<\/strong> Communicate with your team to stay organized and coordinated throughout the night.<\/p>\n\n\n\n<h5 class=\"wp-block-heading\" id=\"h-10-keep-some-emergency-supplies-handy-nbsp\"><strong>10. Keep some emergency supplies handy.&nbsp;<\/strong><\/h5>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>If things get busy, it helps to have a stash of essentials like extra gloves, masks, snacks, and water. <\/strong>You never know when you\u2019ll get a chance to refuel, so having quick access to necessities can make a big difference in getting through the night. Plus, a quick snack break can boost your energy and morale.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"h-final-thoughts\"><strong>Final Thoughts<\/strong><\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">Halloween may be spooky, but the real horror stories unfold in the hospital. Between panic attacks from haunted house actors, pumpkin carving injuries, and bizarre cases like a mouthful of bees, the nights on call during this holiday are anything but dull. You\u2019ll encounter everything from candy-induced sugar crashes to costume mishaps, and maybe even a few patients who believe they\u2019ve been hexed.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">So, as you don your white coat and step into the night, keep your guard up, your sense of humor intact, and a stash of gauze ready for the unexpected. Use the tricks above to help make a hectic Halloween shift a bit more manageable. Happy Halloween, and may your on-call night be more treats than tricks!<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p class=\"wp-block-paragraph\"><em>Rosh Review is a&nbsp;<a href=\"https:\/\/www.roshreview.com\/\">board review<\/a>&nbsp;company providing Qbanks that boost your confidence for your boards and beyond.<\/em>&nbsp;<em>Get started with a&nbsp;<a href=\"http:\/\/app.roshreview.com\/trial\">Rosh Review free trial<\/a>&nbsp;to the Qbank of your choice (no credit card required!) and gain access to board-style practice questions,<\/em>&nbsp;<em>detailed explanations, beautiful medical images, and more.<\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><em>Originally published October 2024 <\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Halloween, for many, is a time of spooky fun, wild costumes, and candy overload. But for resident physicians on call, the night is far from a playful scare. Instead, it\u2019s a dizzying gauntlet of bizarre injuries, illnesses, and the occasional patient still dressed as a spaghetti monster with bloody marinara sauce dripping off a fork <a href=\"https:\/\/www.roshreview.com\/blog\/spooky-nights-on-call-halloween-tales-tricks-for-resident-physicians\/\">read more&#8230;<\/a><\/p>\n","protected":false},"author":139,"featured_media":13724,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false,"footnotes":""},"categories":[1996,2007],"tags":[3454],"coauthors":[3930],"class_list":["post-13723","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blogtype","category-md-do","tag-residency"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.2 (Yoast SEO v28.2) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Spooky Nights on Call: Halloween Tales &amp; Tricks for Resident Physicians - RoshReview.com<\/title>\n<meta name=\"description\" content=\"Halloween comes with a lot of tricks for a resident on call. We can help. These tips will help you navigate the spookiest day of the year!\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.roshreview.com\/blog\/spooky-nights-on-call-halloween-tales-tricks-for-resident-physicians\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Spooky Nights on Call: Halloween Tales &amp; Tricks for Resident Physicians\" \/>\n<meta property=\"og:description\" content=\"Halloween comes with a lot of tricks for a resident on call. We can help. These tips will help you navigate the spookiest day of the year!\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.roshreview.com\/blog\/spooky-nights-on-call-halloween-tales-tricks-for-resident-physicians\/\" \/>\n<meta property=\"og:site_name\" content=\"RoshReview.com\" \/>\n<meta property=\"article:published_time\" content=\"2025-10-31T19:19:20+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2025-12-16T17:18:04+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.roshreview.com\/wp-content\/uploads\/sites\/2\/2024\/10\/spooky-nights-on-call.png\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"600\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"Mike Ren, MD\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Mike Ren, MD\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"8 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/www.roshreview.com\\\/blog\\\/spooky-nights-on-call-halloween-tales-tricks-for-resident-physicians\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.roshreview.com\\\/blog\\\/spooky-nights-on-call-halloween-tales-tricks-for-resident-physicians\\\/\"},\"author\":{\"name\":\"Mike Ren, MD\",\"@id\":\"https:\\\/\\\/www.roshreview.com\\\/blog\\\/#\\\/schema\\\/person\\\/1896052269c121f9f8cf39d43228fdde\"},\"headline\":\"Spooky Nights on Call: Halloween Tales &amp; Tricks for Resident Physicians\",\"datePublished\":\"2025-10-31T19:19:20+00:00\",\"dateModified\":\"2025-12-16T17:18:04+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/www.roshreview.com\\\/blog\\\/spooky-nights-on-call-halloween-tales-tricks-for-resident-physicians\\\/\"},\"wordCount\":1722,\"image\":{\"@id\":\"https:\\\/\\\/www.roshreview.com\\\/blog\\\/spooky-nights-on-call-halloween-tales-tricks-for-resident-physicians\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.roshreview.com\\\/wp-content\\\/uploads\\\/sites\\\/2\\\/2024\\\/10\\\/spooky-nights-on-call.png\",\"keywords\":[\"Residency\"],\"articleSection\":[\"Blog\",\"MD\\\/DO\"],\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.roshreview.com\\\/blog\\\/spooky-nights-on-call-halloween-tales-tricks-for-resident-physicians\\\/\",\"url\":\"https:\\\/\\\/www.roshreview.com\\\/blog\\\/spooky-nights-on-call-halloween-tales-tricks-for-resident-physicians\\\/\",\"name\":\"Spooky Nights on Call: Halloween Tales &amp; Tricks for Resident Physicians - RoshReview.com\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.roshreview.com\\\/blog\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/www.roshreview.com\\\/blog\\\/spooky-nights-on-call-halloween-tales-tricks-for-resident-physicians\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/www.roshreview.com\\\/blog\\\/spooky-nights-on-call-halloween-tales-tricks-for-resident-physicians\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.roshreview.com\\\/wp-content\\\/uploads\\\/sites\\\/2\\\/2024\\\/10\\\/spooky-nights-on-call.png\",\"datePublished\":\"2025-10-31T19:19:20+00:00\",\"dateModified\":\"2025-12-16T17:18:04+00:00\",\"author\":{\"@id\":\"https:\\\/\\\/www.roshreview.com\\\/blog\\\/#\\\/schema\\\/person\\\/1896052269c121f9f8cf39d43228fdde\"},\"description\":\"Halloween comes with a lot of tricks for a resident on call. 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