Final peds surgery oncall today:
1. Death on table
- Day 5, term kid had a bowel perf. He was unstable from the go. Peds medical team insisted the surgical team went in despite not optimally stabilized. So we went in. BP crashed despite on full blast inotropes. CPR initiated. We all knew the baby won't leave the table alive. We closed him up. poor boy expired. Blame game begins.
2. 3 Neurosurgical admissions
- All 3 kids had some sort of fall and bang on the head. Admitted for observation. On admission all were normal active kiddies. Too bad the last one came in at 3 am.
3. Trauma alert
- Before that 3 am admission, I was on my way to sleep at ~12am. Then came the unusual trauma alert which I have never heard before. I ignored it and shut my eyes. The trauma alert was called the second time summoning my MO oncall that night. Shit, I said. It means there's a dying kid in casualty. I went down pronto and attended to a pale looking kid with a distended abdomen. He had a tractor backhoe fell on his tummy. Intra-ab injury. He needs blood. I went up - down for the blood. Scan later showed Liver and splenic laceration. Can't go in for this case as opening the kid up might distrupt the clots causing a tamponade effect on the injured liver. Opening him would cause him to bleed more...
4. Intestinal obstruction and excuse to not go too work :)
- Another admission at 6am. My perfect excuse to not go to work at SMC side :D Kid had an intestinal obstruction. History of gastrostomy for a stomach volvolus. Fortunately he was stable enough. Then followed peds surgery rounds.
Damn, I really wanna do peds surgery...
*******************
No comments:
Post a Comment