"Narrowing the gaps in Anaesthesia" - 23rd - 25th Nov 2005. Hanoi, Veitnam.
People there are friendly although english is a problem for them. Most of the educated one knows french but few knows english.
We had a good time there. That's the closing night.
Malaysian brought them our mini fashion show of the nation at the closing night.
I think I've drank more beer in those 4 days then the combination of all these years. Every corner or every other shops u'll able to see some small tables and stools, they serve usual vietnamese noodles and beers. Nice food.
My boss who is an Indian expatriate, learned how to use chopstick well in those roadside shops enjoying vietnamese food and beer to the max.
I really like the cool weather (12-24 deg) and the wide pavements on their roads.
Presented my paper at the congress: Continuous Spinal Anaesthesia for Palliative Surgery in Colonic Cancer - An Initial Experience. Receiving quite a few comments and interest from the experience. No firing.
We walk around the streets at night. Caught the Vietnamese celebrating their entering into football semi-final.
Like China, Vietnam is opening up, and it's no more communist economy, look at those cars parked in front of the Congress hotel.
New 2005 Guidelines for CPR & ECC
Today, 28th of Nov 2005 is the day that the new guidelines of CPR (Cardiopulmonary Resuscitation) & ECC (Emergemcy Cardiovascula Care) officially published by members of International Liaison Committee on Resuscitation (ILCOR). The AHA (American Heart Association) published it's guidelines in their juornal
Circulation. The ERC (European Resuscitation Council) published the european guidelines in their journal
Resuscitation.
Those who are interested can download the new guidelines for free by clicking the links above or visiting their homepages.
The most significant/noticeable change will be the change of compression:ventilation ratio of 15:2 for adult and 5:1 for younger kids to 30:2 in the new guideline for all except neonates.
Go grab your copy today!
Been bz with my new ride - The Kangoo!
Haven't been posting for some time. Coz 1st I was bz searching the net to gather info about this new ride of mine,
Renault Kangoo. Later after I've gathered enough info, went ahead and bought the car/mpv/van from TC Euro Prai branch. After getting the car I was just all over it.. hahaa... Looking for accessories, waxing the car etc etc...
I was looking for a 7 sitter due to my family size getting bigger... I wanted the Inova, but had to wait 1 yr for the delivery. Next in line will be the Avanza, Citra and Kangoo. Kangoo definitely stand tall among them. It's safety features alone already win my heart.
I get my car on the 7th Nov. 10 days after booking the car. Fast right? :)
Some peoples think it's funny or ugly, I think it's just cute! Don't you agree with me too?
And take a lot of the space I have... after installing 2 baby car seats, there's still lost of space on the 2nd row seat. However, the 3rd row is nothing to shout about.
Pityriasis Rosea Part II
I'm no longer spotty as I mention in
previous post. The rashes, fading away as they should be.
Although study suggest that there is no association with stress but my personal experience told me there might just be! Every post call day the rashes seems more erythematous (redness) the normal day. So I think it does associate with stress (yes anaesthsia call is very high stress). The other possible factor will be cold aircon environment (but even when I'm home, my room's aircon is usually on, although not as colc as in OT), or the detergent they use for our OT scrub shirt (I wear it every working day too) so very unlikely are these 2 causes.
Anyway, am glad that I'm no longer spotty! :)
One fine day in surgical ward...
One day, I was doing my pre-medication round for the next day surgical elective list. Eavesdropping over 2 housemen's conversation...
New HO: Eh.. the new case BP drop! How ah?
Few months old HO: Err.. Issue DIL!
I don't really know what's going on in the wards nowadays... The next thing ppl do when a patient collapsed would be calling the anest team. They don't seems to willing to learn how to handle emergency anymore...
Happy DeepaRaya!
Happy DeepaRaya to all of us! :)
As Malaysian, we all celebrate together!
Happy Deepavali to Hindus and non-hindus.
Selamat Hari Raya to Muslims and non-muslims.
And for all of us who had to do EOD calls and hold the fort while our friends balik kampung to celebrate, all the best and God bless.
Cheers!
Part 2 from yesterday...
Cont. from last post...We brought the pt up to OT, I can assured everybody that we did give our best for him on the table (started at 6:45am), trying hard to maintain his vital, Struggled for 2 hrs in OT. Surgeons finally complete their task but my pt finally past away in ICU 1hr post operatively.
I have pitty this pt for we acted late, missed the diagnosis in A&E level. If someone notice or even query the intra-abdominal injury in A&E level, we have very high chances to save his live. But we failed...
Meanwhile, in A&E, there's another victim involeving in the same MVA, again diagnosed some long bone fracture and cerebral concussion. The initial splinting and an IV line was given in A&E. The pt was there at the other bed when we were resuscitating the 1st victim to prepare him to OT.
When the ortho, surgical and anest guys are there in A&E, where/what do u think the A&E MO went to/ to do? She went back to her consultation room to continue seeing her cold cases!! This is happening when there's another MVA victims in on the trolley shouting in pain. I 'keh poh' and took a peep on the monitor, it was actually already off! No monitoring at all! I know that they have made the primary survey and diagnosed him with just some cerebral concussion and open long bone fracture, GCS full... but then... to leave him there without continuous monitoring and no secondary survey... I rest my case. Very sad, very sad indeed.
After we transfer the 1st pt to OT and started the case with surgical team, the ortho guy went down to A&E to see this 2nd victim... Again, he found a gasping half dead body!!
What a shame when I read in the newspaper that 2 victims was brought to hospital and dead after receiving emergency treatment... The 1st guy, yes.. we try to do our best but too late... The 2nd guy.. i'm sorry... I don't agree that there's any 'real emergency treatment' had been offered to him!
We'd have resuscitated the 2nd pt, bring him to OT and probably can save him rather then desperately trying to save the almost dead 1st patient, ended up not saving both of them... but we didn't even know he needs any resuscitation if A&E didn't refer the case to us.
We lost both the victims that early morning...
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