Self-Care in the Emergency Department: Hydration & Taking Time Out

Sunny Jutla

Working in the Emergency Department (ED) is relentless. High-pressure, fast-paced decision-making often means that basic self-care is neglected.

Amidst the chaos, two essential but often overlooked elements of well-being are hydration and taking time out.

Hydration: Fuel for the Body and Mind

Dehydration impairs cognitive function, decision-making, and physical endurance—three things we simply cannot afford to compromise in the ED. Studies show that even mild dehydration can reduce concentration, increase fatigue, and impair mood (Popkin et al., 2010). Given the nature of our work, hours can pass without us realising we haven’t had a proper drink. But keeping hydrated isn’t just about drinking when thirsty—it’s about regularly fuelling our bodies to function optimally.

One simple strategy I use is drinking warm water throughout the shift. Many of us rely on coffee, but warm water can be just as comforting and has the added benefit of keeping me hydrated without the caffeine crash. Herbal teas also count, and adding slices of lemon, mint, or fruit can make water more appealing. Keeping a bottle within reach and setting a water alarm on my phone reminds me to take small sips regularly. If I’ve gone too long without a drink, I make a conscious effort to pause, take a breath, and rehydrate.

Taking Time Out: A Necessity, Not a Luxury

Short breaks—even just five minutes—can reset the mind, improve resilience, and prevent burnout (West et al., 2016). In the middle of a hectic shift, stepping away can feel impossible, but I’ve learnt that even a moment of stillness makes a difference. When I need a break from Resus, I sit under the tree by the ambulance bay. The sunrise at the end of a night shift is breathtaking, and just a few deep breaths in that moment change my mindset completely.

Sometimes, taking time out means simply closing my eyes for a few seconds, focusing on my breath, or even leaning against a wall for support. These micro-breaks reset stress levels and bring much-needed clarity. The Calm app provides excellent guided breathing exercises and meditation techniques, which I’ve found incredibly useful in regaining focus during intense shifts.

In his book Atomic Habits, James Clear (2018) discusses how small, consistent changes can lead to long-term improvements. A few minutes of hydration, breathing, or mindful pausing can create a habit that significantly enhances well-being over time.

Prioritising small but impactful self-care habits makes us better clinicians, teammates, and individuals. Your well-being matters—stay hydrated, take breaks, and be kind to yourself.

References:

  • Popkin, B. M., D’Anci, K. E., & Rosenberg, I. H. (2010). Water, hydration, and health. Nutrition Reviews, 68(8), 439–458.

  • West, C. P., Dyrbye, L. N., & Shanafelt, T. D. (2016). Physician burnout: Contributors, consequences, and solutions. Journal of Internal Medicine, 280(6), 463–474.

  • Clear, J. (2018). Atomic Habits: An Easy & Proven Way to Build Good Habits & Break Bad Ones. Random House Business.

  • Calm. (n.d.). The Calm App – Sleep, Meditation & Relaxation. Retrieved from https://www.calm.com

Page Contributors

Dr Sunny Jutla
Consultant in Emergency Medicine, Lead for EM3

Tom Brown
Website Designer

Jake Fudge
Multimedia Technologist