Surgery coming to an end...
You can feel that the end is getting closer...I think I'm going to miss it (I seem to say this for all my postings).
Post call today. Yesterday's call was a terrible one...it was not the admissions that were killing me, but it was a burnt patient who came in a day earlier that was driving me nuts...trying to keep him alive...
He sustained 70% 2-3rd degree burns all over the body...his toes were already like charcoal...he had inhalation iunjuries...ventilation and maintaining BP was the greatest challenge...They teach you parkland formula at med school...but you find yourself infusing like 30 litres of fluids in 48 hours! I was begining to wonder where all the fluids are going to...The best part was, this is the second time he got burnt injuries of such magnitude! He might not be soo lucky this time...After infusing so much fluids, he started having electrolyte imbalance, then later developed SVT in the early morning...thanks to my surgeon words of wisdom, which probably pissed the patient off and he started throwing his tantrums and giving us the SVT! It took us quite a while to get it back to sinu rhythm, not responding to traditional anti-arrythmic drugs...my surgeon and I were almost begging on our knees that he make it through the night...in the end, he did...but for how long more, I won't know...
The other day I mentioned about the IJN team coming to selayang for an organ salvage...for those who read the papers recently, you guys would probably know which child who was given a new lease of life after going of the mechanical heart machine and getting a new one from somebody else. Hope he does well...
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