Currently listening: Owl City - Vanilla Twilight
I followed an ambulance to the scene of a motor vehicle accident, and the guy had a fractured clavicle (collarbone). I was trying to set a IV drip, then suddenly the stretcher which the patient was lying on was not locked properly in place, and suddenly slid backward as the ambulance accelerated. Lost my balance and almost went flying. The IV branula? Bunged..
Patient came in at the middle of the night. Highly suspected dengue from the blood results. Set IV drip for him, and he was awaiting ward admission. Later he became frustrated as his phone ran out of battery and there were barely staff around to offer him a phone charger. He told a staff member that he was going outside to use the public phone to call his wife, and.. later ended up absconding (ie ran away from the hospital)
We were stunned to have a patient had epigastric pain the day before, so she took 2 panadols for the pain every hour from the evening before until this night. Paracetamol poisoning, required gastric lavage and activated charcoal (black powder mixed with water, looks like ur oil spill). As the nurses were pumping the charcoal into the patient's stomach, 1 of the nurses mentioned, "The patient looks nauseated, later I have a feeling the ceiling is going to become black due to projectile vomiting." The vomiting did come, except that the patient end up turning towards me at bedside. There goes my white coat. The nurse cheekily remarked, "I told you :p"
There are 4 ECG machines in the yellow zone for use (2 among the beds, 1 at a nearby clinical consult table, 1 in the observation ward). 3 were spoilt, leaving only one, and the specialist grumbling away on how to meet the standard of their performance indicator, ECG needs to be done within 10 minutes to rule out myocardial infarction (heart attack).
Young man wheeled in unconscious, but vital signs were stable, nothing seems broken. Apparently he broke into somebody's house and molested a girl, so the villagers beat him up. When he came in, the nurse tapped him on the shoulder. No response. Another member of staff decided to give him several tight slaps on the face. No response. Poured a bottle of saline onto his face. No response. I mistakenly thought a Ryles tube was required, so I inserted it, only to realise it was meant to stimulate the gag reflex and wake the patient up in a pretty crude way. No response. They then poured hydrogen peroxide on the patient's abrasion wound (OUCH.. you can see the wound site bubbling away). No response, quite horrified when they joked of pouring it down the Ryles tube. Later, I asked where did the patient go? Answer I received, "Oh, mereka pergi mandikan dia (they went to give him a bath)." *swt*
Baby day 2 of life, transferred all the way from Batam (island under Indonesia) by ferry, then from the jetty to the hospital by ambulance, diagnosed with gastrochisis (bowel outside the abdomen). Called paeds surgical, no choice but to inform the parents that a central directive from KL forbids them from accepting and operating on their child due to difficulty following up foreigner patients - ie have to go private..
Slept 2 out of 36 hours post-on call
No comments:
Post a Comment