Drama 2

Last night was my first oncall in o+g. Oncall with senior baik kak aindah, dgn dr shazreen, dr miji, dr nash. Pukul 7 red alert. Okay setel kes sampai kul 9. Pt primid chronic hpt with severe pe. Develop eclampsia. Berdebar siot. Pt fitting kau blank. Okay ingat ni step dia.

1st call mo and activate red alert. In my hospital red alert tekan 2222. 2nd dilute mgso4 siap2 both bolus and infusion. Bolus ambil 8cc dilute in 12cc normal saline give slow bolus about 20min. Infusion ambil 40 cc dilute in 10cc ns. Give 5cc/h=1g/h. Give patient airway and high flow mask O2. Then prepare brg2 for intubation. In this case bp slightly hivh so prepare bolus iv labetalol 10mg stat. Take pe profilen coag. Prepare us scan. To look for placenta abruptio. Prepare ceaserian trolley. Pt may need emlscs. Insert cbd. Pt on mgso4 skrg urine output wajib monitor. Refer paeds for eclampsia mother.

Ni mcm kali ketiga jumpa kes mcm ni. Klu x reti jugak lps ni mmg bengap tahap z laa kau ni izzah. 1st simulation. 2nd time 1st day tagging. Ni time oncall first.

No interesting case to share last night. Just as a reminder. Once pt had molar pregnancy, please counsel them betul2 regardless you duduk di department mana pun. Sbb smlm ad satu case h/o molar pregnancy. Tak tau pun dia x sepatutnya mengandung lagi. And defaulted follow up. Satu lg pt masa di medical dtg dgn anemic symptoms. And how shock when i saw her xray. Cannonball lesion. Asked about past history then her husband told she had h/o molar pregnancy and defaulted follow up after 6 months. Anemic symptoms laa hb masa tu 4 je. Severe pallor. Terus laa suspect choriocarcinoma. Masa tu mengeluh haih kenapa masuk medical. Should be in o+g laa. But then o+g accepted that case.

Teamwork! O+g best klu you have a good team who x kisah kerja org lain pun dia tolong when was asked for help. Tapi kalau dapat team yang s*** selfish memang merana. Quote bos miji "ho nowadays, mo tak tidur, ho yang masuk tidur". Terkena batang hidung sendiri la sbb aku antara yg terlentok kt sofa masa tu.