adrenaline surge
pun not intended.life is getting more exciting.. or should i say busier?
i continued to reach the ward at around 7.15 am, and i think i should come even earlier next time. ideally (that's what i think), i should have reviewed all the cases before the registrar and consultant made their rounds, cos the consultant's round can be fast and i will not have time to:
1) fill up my icu review sheet
2) correct the imr
3) AURORA the inx
4) wear mask + gown + gloves and remove mask + gown + gloves
and as u know, working in ICU can be quite unpredictable at times.
today, i have 3 new cases (of which one came at around 7.30am - when i am just reviewing my first patient...) and one collapse. that took up my whole morning and i only managed to have my lunch at 2 plus =(.
one case was a patient who became breathless and subsequently required intubation.
another was a patient with renal failure and collapse in general ward, probably had a heart attack.
the last one was a patient who was hypotensive on dopamine support and requires dialysis in ICU.
and the collapse case - was damn fast. transferred to MICU yesterday evening for sudden collapse in ward and subsequently turned worse. became pulseless and went into VF after cpr - first time i actually shock a patient, and i probably shocked him like 16 times before we terminate resus.
i have more stories to tell.. till next entry maybe.
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