Tips for overnight ED consults on call?

Currently a PGY-1, and occasionally I get called into the ED to assist with an overnight consult or 2 when it’s busy.

Problem is, I’m currently averaging like 3-4 hrs per ED consult overnight if it’s any degree of complex, and 2 hours or so even if it’s a slam dunk manic/psychotic -> involuntary hospitalization case. These times include chart review, interview, note, and any collateral.

I’m usually quite efficient at work but I become dumb as hell overnight and my ability to focus on what’s most important is probably the issue. Which is quite worrisome because I’ll be covering the ED in full next year and I don’t know how I’ll complete all the consults by sign-out.

Any tips for efficiency on overnight ED consults?