Palmo Anest

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...

posted by LT @ 5:46 PM