1st, utk buat Central Venous Line, mark the spot. in this case, is the IJV
2nd, inject some local anesthetic
3rd, inject and aspirate the marked spot at the same time (so that you know that you're at the right place.. kalau nak, boleh je guna ultrasound to see the IJV~)
then pull the syringe out but leave the wire in
then you insert the CVL through the wire
then you sew it in place so that it wont lari.. tadaa!***
ECT (Electroconvulsive Therapy)
this is the ECT machine thingy.
thiopental.. one of the 2 components you need before you proceed with the ECT. you need your anesthetic (the thiopental) and muscle relaxant
"ok Dr.X, you read the papers 1st. i'll prepare the patient for you.."
patient's ready ! ok nurses, pegang dia betul2~
can you see the doctor holding the handle of the machine at the patient's head? then you shock the patient!
ok dah! terbalikkan patient ke tepi~ what's this position called? ok i forgot but this is to make sure the patient's tongue dont jatuh ke belakang of her throat so that it wont obstruct her airway.
ok pastu habis~ tu je. its not even painful pun. the patient will wake up few minutes later~***
PAIN CLINIC
at the Pain Clinic.. "Dr, saya sakit sini sana sini etc."
Pain assessment ruler.. you cant measure pain with a device.. so the only thing you can depend on is your patient's own assessment of his pain.
7 comments:
salam.
Im thinking of writing a medical stuff instead of a mundane life story. Pics would be nice, innit?
Anyway, how could u bring a camera into the OT? Is that prohibited? never know. pfft.
Hafiz
Wsalam.
tak prohibited lah~
tgk keadaan jugak ar.
maybe some hospital or some doctors tak bagi.or maybe the patient yang tak bagi.
huhu.. better off bragging about useful stuff rather than talking about rubbish
(sapa2 jangan trasa ok~)
i know that doctor!!!
hi uncle!!!
thnk u for sharing the information!!!
heee~
ok creepy stalker.
to hafiz:
gune camera phone n make it silent.they wont realize it lol
ye! sy kenal pacik itu juge :D
hey, thanks for ur picture of ECT machine and visual analogue pain scale, was looking for that.
that tepi position is called Left lateral/Trendelenburg position, although in Anaesthesiology, Trendelenburg position means head tune to lower than body.
thanks.
Eunice Wong
Final Year Medical Student
Hey, thanks for the picture of ECT machine and visual analogue pain scale, i was looking for that for OSPE.
That "tepi" position is called Left lateral/Trendelenburg position, although in Anaesthesiology, Trendelenburg means a position where head is tuned lower than the body.
Final Year Medical Student
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