‘ASYSTOLE!!!!’
a voice came from the back…
‘DOCTOR, PATIENT ASYSTOLE!!’
the staff nurse continued…
Spinal reflexes made us run to the acute bed.
Mdm X lay there, pulseless… ECG reading flat…
‘Start CPR , chest compression, bagging..’
Spinal reflexes made us run to the acute bed.
Mdm X lay there, pulseless… ECG reading flat…
‘Start CPR , chest compression, bagging..’
shouted the senior HO
‘page MO oncall’
Then, we jumped onto the bed, locked the fingers together, and started CPR…
30:2
Still pulseless, asystole…
Repeat CPR… continuously…
Change rescuers, repeat CPR…
Continue bagging…
IV Adrenaline Stat…
Still asystole…
IV Atrophine Stat…
Still asystole..
.
.
.
.
Aunty, please come back…
.
.
.
MO arrived… continue CPR… repeat IV Adrenaline Stat,
IV Atrophine Stat…
.
.
.
.
.
Finally, after just about 30mins of CPR, someone spotted apex beat visible, pulse
present…
Patient arrhythmia…
Prepare cardio defibrillator…
Laila squeeze some gel on it, rub them together, “CHARGE” she shouted…
Still asystole…
Continue bagging…
DeFib again, “CHARGE”
Finally, sinus rhythm…
... [phew] ...
Take ABG, Buse/creat… repeat full leads ECG…. Continues monitoring…
The MO went to counsel family members…
---------------------------------------------------------------------
This was my first performed CPR on a life patient, who actually had a successful CPR...
I learnt that:
1. The hospital can be a very scary place
2. Miracles do happens, at times
3. CPR can be very tiring… especially chest compressions…
currently suffering from biceps/triceps muscle-ache CPR induced…
i also found that working 0630-2300 daily can be super tiring... sometimes, eben longer hours... i just punched out at 0115am today,.. and tomorrow, 0630am, i need to be back in the wards... shoulder and heels & calves aches very much... how i wished for a massage, at this point of time... and a hot shower bathe... with both luxury, currently not accessible to me.. haih...
‘page MO oncall’
Then, we jumped onto the bed, locked the fingers together, and started CPR…
30:2
Still pulseless, asystole…
Repeat CPR… continuously…
Change rescuers, repeat CPR…
Continue bagging…
IV Adrenaline Stat…
Still asystole…
IV Atrophine Stat…
Still asystole..
.
.
.
.
Aunty, please come back…
.
.
.
MO arrived… continue CPR… repeat IV Adrenaline Stat,
IV Atrophine Stat…
.
.
.
.
.
Finally, after just about 30mins of CPR, someone spotted apex beat visible, pulse
present…
Patient arrhythmia…
Prepare cardio defibrillator…
Laila squeeze some gel on it, rub them together, “CHARGE” she shouted…
Still asystole…
Continue bagging…
DeFib again, “CHARGE”
Finally, sinus rhythm…
... [phew] ...
Take ABG, Buse/creat… repeat full leads ECG…. Continues monitoring…
The MO went to counsel family members…
---------------------------------------------------------------------
This was my first performed CPR on a life patient, who actually had a successful CPR...
I learnt that:
1. The hospital can be a very scary place
2. Miracles do happens, at times
3. CPR can be very tiring… especially chest compressions…
currently suffering from biceps/triceps muscle-ache CPR induced…
i also found that working 0630-2300 daily can be super tiring... sometimes, eben longer hours... i just punched out at 0115am today,.. and tomorrow, 0630am, i need to be back in the wards... shoulder and heels & calves aches very much... how i wished for a massage, at this point of time... and a hot shower bathe... with both luxury, currently not accessible to me.. haih...
Grats Shinyin, well done! Proud of you!
ReplyDeleteI remember my first CPR.. 10 mins, but still no heartbeat. =( Poor Charlie. Fortunately it was just a dummy.
Azrudi
Hope you survive the ordeal. With less than 6 hours of sleep, I will go mad
ReplyDeletewow, at least a successful CPR. so far all my CPR have failed :(
ReplyDeletesound that u enjoy ur housemanship in mlk....
ReplyDeletethat is great lar...
doing cpr...can learn lots leh..
i been doing wound debridement..during taggin weeks...
hope every thing will be fine lar...
update my blog d...feel free to go there lar...
uush....yaya
hey ShinYin, good to hear tat ur 1st CPR was succesful! those tat i had seen so far didnt make it! =(
ReplyDeletewow.. nice story. must b so tired to work so many hours. i hope i can survive that. keep on writing, sis! ur writing helps me to prepare for da worst.
ReplyDeletelurve from
ainulrhy (still a med student)
ehe~~
cheers!
Wow!!! punched out at 1.15am, and blogged at 2.15am!!! you dunwan to sleep??!! gotta be in hosp at 6.30am the next morning!!
ReplyDeleteGuess you r too happy and proud and be so eager to blog about this! =) good job!!! jiayou dr wu shin yin!
hotchick!! ur cpr success!! great news...so far mine oso all failed....=.="...
ReplyDeletechest compression hor....real tiring...the SN all don wan switch wit me...they switch among themselves do bagging nia...=.="...cpr 30 mins myself den all my muscle died....wahaha
wuaahh..good job...
ReplyDeleteget more rest when u get to ya... :)
You have a very cool and noble job there! You are actually saving someone's life! Kudos to you there. And get more rest ya! More people need you out there. :D
ReplyDeleteBravo - The first kiss of life from shinyin!
ReplyDeletenot to pour cold water...
ReplyDeletecan u update whether patient survive after 48hours...??
usually after CPR for asystole, if condition persist... the pt never make it after 48huors...
my 1st cpr in teluk intan,....pt died...
ReplyDeletehere in hospital, cpr also failed..pts die also......u r lucky to ve a successful cpr
Rudi, why you so cute one??? of course dummies won't come to life lar... if they do, it would be pretty hauntingly scary, right?
ReplyDelete-----------------------------------------
BorneoFalcon, actually, i think i'm starting to turn mad liao... hungry, sleepy and angry.. not a good combination...
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Fengy, i later found out from the MO, that this was the first CPR which she saw actually successful... unfortunately, prognosis is usually not too good after that... oh well...
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im sing, how come you do wound debribement one? no medical assistent or staff nurses there ma??
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zzzyun, yup... i just found out about that too... sad huh?
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ainulrhy, i hope you'll find med school enjoyable... i think it's the best time.. learning without needing to shoulder responsibilities... enjoy as much as you can, learn as much as possible.. when you start working, it would help a lot... work hard, play hard!!
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christina, yeah.. tagging period hv to work long hours,... otherwise, after that it's usually 630am-630pm on none-on-call-days... hopefully...
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yml, you did 30mins of chest compressions all by yourself??? WALAU!! you SIAO ak?? your ck levels sure damn high wehh... kesian you... i take turns with Laila also feel so tired liao...
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michelle, i hope so too... will find time ^^
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a@ron, thanks for that bit of motivation... i needed it...
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MRC, erm... actually in the hospital setting, dunnit to do the mouth-to-mouth thingy one... we have the mouthpiece and bag device.. haha..
too bad, no kiss of life.. hehe..
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pilocarpine,
actually, you are right!! prognosis for the patient is poor... she's still in coma.. she probably had many end organ damage already... siGh...
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honey, dunno leh... although heart still beating, the patient already on DIL (death in line) for active resusscitation... the prognosis for her is not good de...