Friday, November 14, 2008

Weird experience

I am blogging this "real time".It just happened a few minutes ago. I reckon I will be the first person to report this to the world ( through my blog) as it happens. 4 am 14th November 2008. Due to certain legality issues which may arise , I will only comment about my experience being called to be involved in the assessment.

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The phone rang hard , waking me up from my short nap. It was 4 am in the morning.
" Hello... "
" Hello Dr. , sorry ye.. ni nak mintak tolong tengok patient kejap.. "
I said.. rats.. must be that patient again desaturating..
" Patient mana ? " I asked.
" Ada satu patient dekat tepi bilik 10 , jatuh bangunan "
" What ??? dekat mana ? " I asked again. My eyes opened up wide ! Am i dreaming ?
" Patient jatuh dari tingkat XXX. JAtuh dekat bumbung tepi bilik 10. Nampak mcm breathing. Nak mintak tolong dr assess "
I quickly moved out from my bed , an express face wash and proceeded to the scene of crime.
There were a number of my ICU staff there along with the security guards beside the window. Outside , there were two men safeguarding the patient.
I climbed through the window seal and immediately was on the 3rd floor roof. It was dark and only the torch light became the beacon for assessment.The patient was already on cervical collar ; spontaneous breathing was present eventhough she was unconcious. Good sign.. I may not have to airway protect this patient in this very odd place and position ! She initially did not respond to my call. Pupils were both reactive. According to the A&E staff ( who was coincidentally in ICU when this happened ) the patient was prone when they found her. They slowly repositioned and had the cervical collar on. We gave her oxygen after seeing her saturation to be just there.
Moments later , she woke up.
E4 spontaneous eye opening.
V5 able to talk and communicate , obeying my command.
M6 able to move her arms and legs.
She complained of lower back pain , and can't mobilize her left leg without inflicting pain.
The A&E crew arrived shortly and she was brought to the emergency department for reassessment and stabilization.
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too dark for a clear pic on the roof
Hahahahaha.. that was a totally wierd experience while managing ICU. Today , the ICU care went across borders ; through the window literally !

3 comments:

mafiz said...

from the patient's point of view, she wants to be in ICU straight away agaknya..thru the window!

imr4n said...

hah aku ingat kat HKL je jaga ICU kena gi sampai ke ward P2.. kau kena pegi sampai bumbung lagi terrer..

imr4n said...

hah aku ingat kat HKL je jaga ICU kena gi sampai ke ward P2.. kau kena pegi sampai bumbung lagi terrer..