i rushed down to cardiac care unit (ccu) after receiving a call from my medical officer to attend a 51 year old gentleman who suddenly stopped breathing.
there were four or five nurses there, and one of them was busy doing the bagging and the other one pumping drugs down through the vein, and the rest were busy with some other things.
heart rate on screen progressively dropping, blood pressure and oxygen saturation were merely undetectable.
CPR then commenced but too bad, it was not working. pulse was still not felt. oxygen nil.
and obviously at this point of time, i was panicking. i need my dear medical officer stat.
nurses waiting for my order but apparently i was startled, until the nurse who did the bagging thing shouted at me, "doctor! quick! make up your bloody mind!"
isn't this the part where i should intubate him?
but if it's the time, how the hell could i do that? my experience is nil and doing without supervision is like digging my own grave. fml.
screw it and i've intubated him anyway. luckily, i didn't stab his trachea or esophagus and the tube was nicely inserted to where it supposed to be. yeay me!
...........
anyhow people, despite of inotropes, oxygen and non-stop chest compression, he still couldn't make it. may he rest in peace and, al-fatihah.
there were four or five nurses there, and one of them was busy doing the bagging and the other one pumping drugs down through the vein, and the rest were busy with some other things.
heart rate on screen progressively dropping, blood pressure and oxygen saturation were merely undetectable.
CPR then commenced but too bad, it was not working. pulse was still not felt. oxygen nil.
and obviously at this point of time, i was panicking. i need my dear medical officer stat.
nurses waiting for my order but apparently i was startled, until the nurse who did the bagging thing shouted at me, "doctor! quick! make up your bloody mind!"
isn't this the part where i should intubate him?
but if it's the time, how the hell could i do that? my experience is nil and doing without supervision is like digging my own grave. fml.
screw it and i've intubated him anyway. luckily, i didn't stab his trachea or esophagus and the tube was nicely inserted to where it supposed to be. yeay me!
...........
anyhow people, despite of inotropes, oxygen and non-stop chest compression, he still couldn't make it. may he rest in peace and, al-fatihah.
