Today, waking up late. Arrived for ward training 15 minutes before 10 o'clock.
Upon arrival, I get into the ward. Seeing the doctor and my friends doing gastric lavage on Mr Hanafi. He had history of vomiting blood several times this week. Doing gastric lavage to remove the blood from his stomach. He looked helpless, his wife who stand beside him started to worry. I've seen her crying before, when his husband had an attack of haematemesis (vomit blood) before .
Then the doctor taught us to measure his central venous pressure. He had more than 12 mmHg, so we considered him to be hypervolemic. So the doctor give him adrenaline. Before that, the doctor ask one of us to measure his blood pressure. So I did, trying so hard to feel his radial pulse on his arm, but couldnt feel it even I try to feel it on his ABG site (the site to take arterial blood sample, in radial artery)So I just skip the palpatory method and try to feel his brachial artery on his arm just up before the elbow. It was so weak, I barely feel it. Then continue to put my stethoscope on the site, and try to measure his pulse. But I couldnt hear anything. I was wonder if I did wrong, try to feel his brachial artery again, and did the same thing. Negative. I asked my friend to measure then, but she did a few times and couldnt measure it too. We just told the doctor, and the doctor said he was in shocked and having pulseless electrical activity, means that his heart is still beating, but there no pulse could be felt. That's why we couldn't feel it.
After minutes later, Emergency doctors came to our room. I couldnt see what happened to him bcoz we were asked to get out from the room. It was a hectic situation, where the doctors and nurses came in and out of the ward. Hours later, he died. I could watch her family especially his wife, crying outside the ward. With her handphones trying to call someone. I guess some family members. I feel sorry for them. Al fatihah.
It was the most precious experience indeed.
Upon arrival, I get into the ward. Seeing the doctor and my friends doing gastric lavage on Mr Hanafi. He had history of vomiting blood several times this week. Doing gastric lavage to remove the blood from his stomach. He looked helpless, his wife who stand beside him started to worry. I've seen her crying before, when his husband had an attack of haematemesis (vomit blood) before .
Then the doctor taught us to measure his central venous pressure. He had more than 12 mmHg, so we considered him to be hypervolemic. So the doctor give him adrenaline. Before that, the doctor ask one of us to measure his blood pressure. So I did, trying so hard to feel his radial pulse on his arm, but couldnt feel it even I try to feel it on his ABG site (the site to take arterial blood sample, in radial artery)So I just skip the palpatory method and try to feel his brachial artery on his arm just up before the elbow. It was so weak, I barely feel it. Then continue to put my stethoscope on the site, and try to measure his pulse. But I couldnt hear anything. I was wonder if I did wrong, try to feel his brachial artery again, and did the same thing. Negative. I asked my friend to measure then, but she did a few times and couldnt measure it too. We just told the doctor, and the doctor said he was in shocked and having pulseless electrical activity, means that his heart is still beating, but there no pulse could be felt. That's why we couldn't feel it.
After minutes later, Emergency doctors came to our room. I couldnt see what happened to him bcoz we were asked to get out from the room. It was a hectic situation, where the doctors and nurses came in and out of the ward. Hours later, he died. I could watch her family especially his wife, crying outside the ward. With her handphones trying to call someone. I guess some family members. I feel sorry for them. Al fatihah.
It was the most precious experience indeed.
