tgk 2 patient meninggal dpn mata berturut2 dlm masa 2 hari agak menguji kekuatan. both cases sudden cardiac arrest. tp case semalam lg more affected because i involve with the pt.
case smlm. kt icu. male pt 41y. sudden cardiac arrest, dt hypoventilation and hyperkalemia. start cpr and dr ask me to ambu the pt. 3 org dr gilir2 buat cpr. cpr kn memang guna sepenuh tenaga nk tekan chest, massage the heart, memang penat. ecg machine just beside the pt and repeated ecg has done. all ecg reading only shows pulseless rhythm. nothing change though after loads of drugs. stat bicarb, Ca, insulin & glucose n errr lg tk igt. then after 30min still no cardiac activity on ecg. then resident decide, ok stop cpr. ecg flat. pt death but continue ambu for few more minutes for medicolegal issue.
and today almost the same case. male pt kt emergency int med. nampak muda lg. end stage renal disease. on hemodialysis. cardiac arrest dt hyperkalemia. tk pay attention sgt kt pt tu sbb mula2 masuk terus attach dgn dr masukkn nasogastric tube kt pt hematemasis & melena, my 1st NGT insertion, by my own and alhmdulillah pt very cooperate and it went very well. back to the renal pt, perasan mula2 masuk nmpk pt tu conscious. memang sudden. dr dx cardiac arrest, order abg, ecg, n masukkn ETT utk resuscitate. same scene mcm semalam. pt has metabolic acidosis. loads of drugs stat with continuously cpr & ambu. i just watching at the side and couldn't give more hand because already 6 doctor attend this case. at least pt smlm ade jgk pulseless rhythm. tp pt yg ni cuma 1st ecg je contraction. the rest 20min of cpr, repeat buat ecg memang da flat. then dr pun ok decide, ok last cycle of cpr then let go the pt.
tahu tak perasaan tu.. rase mcm penat je bersusah payah hbs byk tenaga. (continuous ambu pt for 30min while standing penat tau) end up bad prognosis. tk dpt nk selamatkn pt. pt meninggal jg. rase mcm.. kecewa. mcm segala usaha sia2. of course la tk kn, because we put an effort try to save the pt. tp.. hmm dpt bygkn tk perasaan tu? sedih pt meninggal on our hand. org cuma ambu je pun. dr lain yg buat continous cpr, yg buat keputusan, yg handle case, lg la. nyawa org tau.
pt dtg hosp because they seek for the doctor. they seek for our help. derg mengharap pd kte. kuasa semua kt tangan Allah. kte cume beri jalan bantu supaya sembuh. tp ape nk ckp kt sini, they trust us. thats why they come to us. so byk mana kte punya effort & kesungguhan utk berikn khidmat yg terbaik utk rawat pt. walaupun bad prognosis. at least kte da cuba yg terbaik. tp sedih ble bad prognosis. :( memang kena strong utk hadapi semua ni. huhh. kena train emosi lg supaya lebih kuat.
setiap usaha tu iA ada ganjarannya. pk positive, kalau pt tu sihat boleh beramal & buat ibadat kpd tuhan kte secara tk lansung menyumbang utk tu kn.
****
2 weeks hols. alhmdulillah. tp tk rase mcm cuti. lots of thing to do. hr ni da hari ke 4 cuti, tp not a single task done in my list. penat. tk larat. demam. selsema. homesick. :( stress tau ramai org blk msia. how i missed my family so much! alahai~ try utk tabah. da final year da pun. nanti tahun dpn da tkde kt alex lg da.
tak larat, sgt. siapa nk masakkn porridge utk sy? and i crave for sushi so badly.
case smlm. kt icu. male pt 41y. sudden cardiac arrest, dt hypoventilation and hyperkalemia. start cpr and dr ask me to ambu the pt. 3 org dr gilir2 buat cpr. cpr kn memang guna sepenuh tenaga nk tekan chest, massage the heart, memang penat. ecg machine just beside the pt and repeated ecg has done. all ecg reading only shows pulseless rhythm. nothing change though after loads of drugs. stat bicarb, Ca, insulin & glucose n errr lg tk igt. then after 30min still no cardiac activity on ecg. then resident decide, ok stop cpr. ecg flat. pt death but continue ambu for few more minutes for medicolegal issue.
and today almost the same case. male pt kt emergency int med. nampak muda lg. end stage renal disease. on hemodialysis. cardiac arrest dt hyperkalemia. tk pay attention sgt kt pt tu sbb mula2 masuk terus attach dgn dr masukkn nasogastric tube kt pt hematemasis & melena, my 1st NGT insertion, by my own and alhmdulillah pt very cooperate and it went very well. back to the renal pt, perasan mula2 masuk nmpk pt tu conscious. memang sudden. dr dx cardiac arrest, order abg, ecg, n masukkn ETT utk resuscitate. same scene mcm semalam. pt has metabolic acidosis. loads of drugs stat with continuously cpr & ambu. i just watching at the side and couldn't give more hand because already 6 doctor attend this case. at least pt smlm ade jgk pulseless rhythm. tp pt yg ni cuma 1st ecg je contraction. the rest 20min of cpr, repeat buat ecg memang da flat. then dr pun ok decide, ok last cycle of cpr then let go the pt.
tahu tak perasaan tu.. rase mcm penat je bersusah payah hbs byk tenaga. (continuous ambu pt for 30min while standing penat tau) end up bad prognosis. tk dpt nk selamatkn pt. pt meninggal jg. rase mcm.. kecewa. mcm segala usaha sia2. of course la tk kn, because we put an effort try to save the pt. tp.. hmm dpt bygkn tk perasaan tu? sedih pt meninggal on our hand. org cuma ambu je pun. dr lain yg buat continous cpr, yg buat keputusan, yg handle case, lg la. nyawa org tau.
pt dtg hosp because they seek for the doctor. they seek for our help. derg mengharap pd kte. kuasa semua kt tangan Allah. kte cume beri jalan bantu supaya sembuh. tp ape nk ckp kt sini, they trust us. thats why they come to us. so byk mana kte punya effort & kesungguhan utk berikn khidmat yg terbaik utk rawat pt. walaupun bad prognosis. at least kte da cuba yg terbaik. tp sedih ble bad prognosis. :( memang kena strong utk hadapi semua ni. huhh. kena train emosi lg supaya lebih kuat.
setiap usaha tu iA ada ganjarannya. pk positive, kalau pt tu sihat boleh beramal & buat ibadat kpd tuhan kte secara tk lansung menyumbang utk tu kn.
****
2 weeks hols. alhmdulillah. tp tk rase mcm cuti. lots of thing to do. hr ni da hari ke 4 cuti, tp not a single task done in my list. penat. tk larat. demam. selsema. homesick. :( stress tau ramai org blk msia. how i missed my family so much! alahai~ try utk tabah. da final year da pun. nanti tahun dpn da tkde kt alex lg da.
tak larat, sgt. siapa nk masakkn porridge utk sy? and i crave for sushi so badly.
2 comments:
Salam..
dear hani,
be strong and always remember that you've try your best when it comes to saving people's life..
and Allah is always by your side..
apape yg kita buat pun, kita akan cuba yg terbaik kan?
jd jgn biarkan emosi menguasai diri..chaiyok! ;)
thanks for sharing your experience here..
secara tak langsung, dpt ilmu sikit2 pasal bidang kedoktoran..
hehehe..
*jauh nau la nak hantarkan bubur...kalau dekat dah bg seperiuk..take care..
mekasih sazoh. mixed feeling, cuak excited, tk sabar tp takut jg nk hbs belajar ni. doakn aku selalu. :)
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