Wednesday, May 28, 2008

Transformers Yang Sakit ;( bumblebee..





2pm, Emergency Dept. UMMC
Receive a phone call from National Emergency Hotline Service 999 - A trailer from Port Klang had accident and the driver stuck inside the wreckage.

10 minutes later, the ambulance team arrived. support team, Bomba & Penyelamat arrived 5 minutes earlier to carry out the patient. meanwhile, I sneak out and give O2 and IV drip to replace the fluid and prevent 'hypovolumic shock'. (sebenarnya x boleh masuk site, medical team should wait outside of the danger area and wait til the rescue team carry em' out) - the incident area looks safe for me to give 1st responder aid since the blood from forearm pouring out.

1.30hour later, Bomba & JPA manage to carry him out of the wreckage.
my full management at side.
On board, emergency dept inform departure from scene.
Patient fully conscious and looks in deep depress. Of course he knows what is going to happend with the hand.

patient sustained a crush injury at right hand and vascular problem.

send to ER, UMMC stabilize and send directly to operation theater (OT) for further management.

Poor Him.

Thursday, May 22, 2008

Kesian Pesakitku...

Aku hampir2 menyaksikan kekuasaan Allah yg maha esa.
tat kala fikiranku masih di Cherating disulami dgn kenangan2 indah disana..

Setelah penat memandu 5jam terus di siang hari. Malamnya pula, giliranku bekerja.

seorang pesakit 70tahun, lelaki, melayu yang datang pada 5pagi
ditemani oleh ahli keluarganya. mengadu 'chest pain','upper limb numbness', nausea + vomiting, sakit perut nak buang air besar
(typical sign+symptom of acute miocardial Infarct - serangan jantung yg boleh membawa maut)

tanda vital tekanan darah didapati rendah. manakala bacaan ECG menunjukkan (ST elevation) -serangan jantung.

ubat-ubatan seperti Aspirin 300mg, GTN diberi untuk mengurangkan kesakitan dada.disertakan dgn Iv Morphine + iv maxalon diberi utk mengurangakn kesakitan dan menggalakan pesakit berehat + melawan kesan ubat morphine.

Sepatutnya pesakit diberikan ubat 'streptokinase' (ubat pemecah segala yg tersumbat di dalam saluran darah) untuk mengurangkan kesakitan + pelancaran darah.. malangnya tekanan darah pesakit terlalu rendah dan mengundang risiko besar sekiranya prosedur diteruskan..

ubat2 seperti dobutamine, dopamine, iv gelafundin diberi untuk meningkatkan semula tekanan darah tapi, malangnya tiada sebarang perubahan..

suasana terlalu sunyi ketika itu. cuma kedengaran pesakit mengucap 2 kalimah sya'adah perlahan2 (atas nasihat jururawat) sambil menahan kesakitan..

aku terlalu sedih melihat situasi itu dengan tidak dapat berbuat ape untuk melawan kuasa Allah.pendapat aku, pesakit ini akan meninggal dunia secara perlahan2 dan pasti akan merasai kesakitan bila nyawa dicabut..

tempat yg biasanya tidak boleh ahli keluarga masuk lebih2 lagi ketika aku membuat rawatan, dibenarkan masuk.

Ahli keluarga diberitahu yang pesakit sekarang terlalu tenat dan tapi tidak pasti bila dia akan pergi..
(aku tak pernah anggar hidup/mati seseorang, itu semua kuasa Allah)
aku nasihatkan kepada anak2+saudara supaya meminta maaf serta mengajar 'mengucap' kepada pesakit.

(dipendekkan cerita)
waktu untuk pulang, pesakit semakin tenat..
aku pun pulang kerumah..

malam berikutnya sewaktu bekerja, ku periksa buku catatan pesakit, 5minit selepas ku tinggalkan tempat kerja,
pesakit meninggal dunia

aku tidak pernah menghadapi situasi pesakit yg meninggal dunia secara perlahan2 begitu.. selalunya meninggal mengejut/terus

terlalu sedih, tapi ku simpan di dalam hati utk menjaga tingkahlaku profesional. tetapi didalam hati, sekuat2 mana manusia
tidak mungkin akan menahan ujian + kuasa Allah dan pastinya akan bersedih..

AKU HANYA HAMBA ALLAH,
Bennysj

AL-Fatihah

Selfish? Leadership? Personal Glory? that pulled them down..




As for the match itself, if Chelsea had won after 90 minutes there couldn't have been any complaints, such was the strength of their second-half performance. They should have gone in three-nil down at half-time but rode their luck and will be very disappointed they didn't finish it in normal time.

But it went the distance, and in the end Drogba's stupidity proved decisive as it meant Terry got involved in the shoot-out. As much as you feel sorry for Terry, you have to wonder what he was doing taking a penalty. The only centre-half I have ever known that was any good at them is Steve Bruce.

It may be that the Chelsea skipper was after a little bit of personal glory or felt that he had a responsibility to take one, but a true leader also knows when to step back and let his team-mates have their turn.

It was reminiscent of David Batty in 1998 or Gareth Southgate at Euro '96. It's all very well having the bottle to step up, but if you aren't good enough technically then it's not enough.

BennySJ

Monday, May 19, 2008

Calling for volunteers


Cyclone from Google Image..

University Malaya Medical Center, under Emergency Department will be sending people to Myanmar for rescue and treatment the victims of cyclone disaster..

anyone who love to help em' can give ur details like email address and hp numb.
ur details will be use for this purpose only..

would love to hear from you guys.. as I have to decline the offer due to my study ;(
the team will be there at least 2 weeks ;)

Good day
Benny SJ

Dr. M moves really sink the unity?



what do you think guys?
Is it a good move?

He is the 1 who appoint Pak Lah, later.. he turn him down?
continuing the legacy?

please vote to shout out people ;)

Tuesday, May 6, 2008

EPL & UCL will share the same winner












I strongly believe Man Utd will win all the cups and left Chelsea empty handed!

another disappointment year for Chelsea, only for league cup ;(
The striker should train harder because most of the Chelsea's goal comes from their midfielder.

what do you think guys?

AF 6 ( random prediction)

This year, my prediction for akedemi Fantasia 6 winner would be :
1. Riz
2. Stacie
3. Nadia

full stop! hehhe