Full patient load, one crisis at a time — how do I choose what's first?

You already know how to care for one patient well. That is not in question. What breaks you is the belief that a full assignment requires you to hold all of them in your mind at once, equally, all the time. No one can do that. Not you, not anyone with your training. The drowning feeling comes from treating every task as if it were the only task. It is not weakness. It is a sorting problem, and sorting is a skill you can build, not a trait you either have or lack. You are not alone in this room. Your team is sorting too, even when it looks like everyone is running separately. The fix is not to carry more in your own head. It is to make the sorting visible, so the team can see it and catch what you miss.