my first night shift doing TRIAGE tonight!!! super stressed before coming to work lor.. the thought of doing triage during the wee hours jus scares the hell out of me.. wat if some parent comes running in with an unresponsive child or wat which they usually come during that time.. and furthermore i'm with kak jah lor!! the well-known jinxed! i myself is quite jinxed in the dept.. i think among my batch i met with the most number of BID(brought in dead) cases.. so imagine when me n kak jah combine power.. haha! jinxed+jinxed=super duper jinxed!!
i dunno y but there's this omen i have that it'll not be a smooth sailing shift tonight.. i even prayed to God to give me a good shift.. haha! and true enough.. the moment we come out frm report and sit at triage kak jah brought in a SVT(supraventricular tachycardia).. i haven't even seen a case lor!! haha! so i stayed to triage cos of the new assignment arrangement.. then a small crowd came.. THEN, jus when i was almost done triaging the last pt of tt small crowd, THE VHF ALARMED!!!!! i was abt to instruct the parents to proceed for registration, but due to shock i suddenly jus didn't know what to say to the parents.. haha! after like 5seconds i then regained my 'consciousness' and quickly ask the parents to register and i went to answer the VHF.. it was a 11yr old boy, near drowning with h/o congenital heart disease, conscious but cyanosed, ETA 10 mins.. tts the gist of it.. but the actual thing the control mentioned was much much more.. with like pulse rate, BP, SpO2 and even the B/C No.!!! haha.. first time i receive such a detailed VHF!!
afterwhich was to call for doctors to standby.. then the resus nurses all came.. so we were all busy preparing and didn't realise no doctor came.. and i tot the ETA was 10mins, but the ambulance arrived like less than 5 mins!! and no doctors still!! so i quickly called for doctors to resus again and now all 3 docs came..
i must say the pt's mom was really fantastic.. the story was, the child was playing with his siblings in the pool while the mom was sweeping the floor.. den suddenly it became quiet and the mom went to check it out and found him floating on the water face up and unconscious.. so quickly she brought him out and started CPR immediately.. after a while the child coughed and subsequently regained consciousness.. his mom actually brought him back to life!! see the importance of bystander CPR ya.. :) the child went to HD eventually..
1700HRS, 23/06/08
Rest of the night was all peaceful.. as in no more resus.. but pts jus keep coming and they come ONE BY ONE!! tts kinda irritating cos u can't really rest(night shifts are really draining ya noe.. ).. haha! and i don't know whether my ear has some problem or wat.. wat i heard was a wheeze and another was rhonchi but when seen by Dr the lungs were clear for both.. thou the wheeze was eventually diagnosed as pneumonia.. kak jah say the nasal sound sometimes could sound like a rhonchi.. *shrugs* anyways.. was a OK shift lah.. haha.. 3 MORE NIGHTS to go!!! hai.. y did i request for the nights??
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