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Monday, May 16, 2011

My 1st successful CPR, Allhamdulilah!!!

dated 11th may.

For the record, my 24hrs duty, in which ever part of the world is tabooed with overwork, overtime, over energy n exhaustion to the limit!
The enery level drops as the time passes by and then there is a time when my battery is almost on a switch off mode when a critically ill patent collapses and requires emergency attention and management.
This was just another day, we were supposed to correct the electrolyte disorders in quite a number of children.
This one kid, immunodeficient, had a low calcium level, so we needed to inject calcium gluconate under cardiac monitering, as injection of calcium can cause bradycardia(low heart rate) upto a risk of cardiac arrest (heart stops beating).
His immunodeficiency status explained his severly malnourished ill health, fever, seizure disorders and poor oral hygiene.
The ward sister injects the meds and the docs are supposed to moniter the vital statistics. As the sister injected the med, the child was crying out loud, which itself increases the hert rate, so basically its a good sign. Apart from the crying, the child had a good heart rate and no drop until the entire medicaltion was infused.
We asked the mother to pick her child up and go back to her bed, just when the child developed seizures. This was unexpected. Though low calcium is one of the most common causes of seizures in children, his calcium was on a lower range but not so low that he would seize and that too after the treatment! His body remained stiff for about 3 mins, we told the mother to put her child back onto the table where i was monitering his heart, and i noticed the child turned blue. I placed my steth to his heart to get the heart rate, and to my shock, i coud not hear his heart beat, neither was he breathing. I rechecked his pulses, breathing, and thats when i relised the kid has gone into cardiac and respiratory arrest. The sister with me was very promt and got the ambu bag (for lung ventilation) ready and we started resusitating him. The mother started crying out,'Whats wrong? My kid was just fine'. Also amazed at myself to keep my calm, cause otherwise this is where i really panic! Just then my senior came into the scene and helped in the CPR ( its done better by 2 docs than 1). We intubated him just at the right time and continued CPR. We ordered the sister to give him adrenaline, as we continued for about 10 mins, and suddenly Allhamdulilah the kid blinked his eyes, we checked his heart, it was at the rate of 60/min.( we needed a higher rate, but were happy that the heart started beating.)
The rush i felt seeing him come back to life literally, i have ever felt in my career, as until now i hav done a few CPR's but its either too late already or the patient doest survive through it for more than an hour even if it was succesful.
This child revived, we aksed the father to hold on to the ambu bag and continue until we dont ask him to stop. In about 2 hours, he started coughing due to his gag reflex, and we were wondering shoud we extubate him (remove the tube) or shall we sedate him. We extubated him after about 3 hrs and he started talking after a few more hours. Ah.. what a feelingg to see him fine!
He is still an inpatient and doing absolutely fine. The only unfortunate thing is that he is an HIV patient. But this day i literally felt like a saved a life. Im so greatful to Allah and my parents who helped and encouraged me get in to medicine and be a doctor and have this amazing capability to save lives. There is no feeling greater than this in the enitre world! I hope to save more lives and be blessed InshAllah :)

Thursday, March 24, 2011

Standing Midway.

Midway i stand,
Looking back,
Wondering what went wrong,
So blue.

Midway i stand,
Hard to focus,
Unable to understand,
No clue.

Midway i stand,
So alone,
Scared to walk ahead,
So true.

Midway i stand,
Wanting to cry,
No tears left,
Aint new.

Midway i stand,
Praying for a miracle,
Yet again,
Still due.