lundi, septembre 27, 2004
TTSH
the start of the morning was rather boring. to some extent A&E functions like a business, with peak hours. and the nurses dislike remarks about peacefulness. we did so many ECGs today the nurses trusted us with it by ourselves. it started getting so packed around lunch time that we were running out of space to put pple and to manoeuver.
interesting case 1: young man, looked twenties, but had ring on that finger. walked into resus room, saw him sitting there upright peacefully. and there were jabbing this canula on a big syringe into his left upper chest. i was like, woah what's going on. so this guy had a spontaneous pneumothorax and they were going to just draw out the air with a 16G need and a 3-way valve and a syringe! with minimal local anaesthesia, really minimal. gosh. can u imagine sitting there watching them jab it into you and keep syringing out air, 19 x 25ml of it. so shocking. apparently he could go home later. not a big problem. hm.
interesting case 2: old man was making a helluva lot of noise complaining he can't pee and blah blah. so they did the catheterisation on him lor. expected. took a long time about it though, and he kept making alot of noise while having to wait. rather painful i imagine. watched while the jittery and inexperienced doc put the tube in shakily, actual process is rather fast though. but no urine came out, shrug. (later on when i walked by i saw some, but that was a long time later)
interesting case 3: walk-in woman. was crying and making noise to the doc. i forgot about what. something about squabbling fighting with some related person i think. with a fractured wrist or something. couple of minor trauma, minor RTA, but still not nice enough.
not a good enough day. but it's my record for number of pairs of gloves used. probably half a box or something. no wonder they have boxes of gloves Everywhere, like in every sub-room. and each box location has all S,M,L boxes.
so there. TTSH A&E is a nice home. quite like the working environment. it's good to have patients/cases that come, get processed, and get sent away. don't have to see the same one for like very long. but it got so busy that there wasn't really time to explain properly to the patient what you're doing. not very good in that sense. but peak hour too bad. get the doctors to see faster.
TTSH
yet again.
the start of the morning was rather boring. to some extent A&E functions like a business, with peak hours. and the nurses dislike remarks about peacefulness. we did so many ECGs today the nurses trusted us with it by ourselves. it started getting so packed around lunch time that we were running out of space to put pple and to manoeuver.
interesting case 1: young man, looked twenties, but had ring on that finger. walked into resus room, saw him sitting there upright peacefully. and there were jabbing this canula on a big syringe into his left upper chest. i was like, woah what's going on. so this guy had a spontaneous pneumothorax and they were going to just draw out the air with a 16G need and a 3-way valve and a syringe! with minimal local anaesthesia, really minimal. gosh. can u imagine sitting there watching them jab it into you and keep syringing out air, 19 x 25ml of it. so shocking. apparently he could go home later. not a big problem. hm.
interesting case 2: old man was making a helluva lot of noise complaining he can't pee and blah blah. so they did the catheterisation on him lor. expected. took a long time about it though, and he kept making alot of noise while having to wait. rather painful i imagine. watched while the jittery and inexperienced doc put the tube in shakily, actual process is rather fast though. but no urine came out, shrug. (later on when i walked by i saw some, but that was a long time later)
interesting case 3: walk-in woman. was crying and making noise to the doc. i forgot about what. something about squabbling fighting with some related person i think. with a fractured wrist or something. couple of minor trauma, minor RTA, but still not nice enough.
not a good enough day. but it's my record for number of pairs of gloves used. probably half a box or something. no wonder they have boxes of gloves Everywhere, like in every sub-room. and each box location has all S,M,L boxes.
so there. TTSH A&E is a nice home. quite like the working environment. it's good to have patients/cases that come, get processed, and get sent away. don't have to see the same one for like very long. but it got so busy that there wasn't really time to explain properly to the patient what you're doing. not very good in that sense. but peak hour too bad. get the doctors to see faster.
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