night 2, very peaceful...

only 8 patients to babysit tonight. discharged 2 back to the ward to make space available for general icu overspill. as usual, general icu were full and were in a panic, looking for another bed, in case of another new admission. my boss agreed to letting them use one of ours overnight. as it turned out, they found one for us. grr...

78 yearold lady presented to the ed with back/bilateral loin pain, worse over the course of the day, 7cm aaa* on palpation, confirmed on ct scan, maintaining a systolic around 100. went straight to theatre to be repaired with a graft, then to us after. came off the table on just a bit of adrenaline, not much else required. for the rest of the night, made a remarkable recovery, even if i do say so myself...

from a -17 base excess out of theatre, i handed her over to the daytime crew with her base excess at -5. good or what! plus she was actually peeing around 30 an hour too! *proud*

other than that, all the others were quite stable. managed to watch both shows that i had planned for around 4am, an episode of "off centre" and an episode of "jack & jill". both were repeats that id seen before, and it wasnt my fav episode with the chau project (1.15 "faking the band"), but hey, i love these shows, so...

food of the night:

pork and veg dumplings, dozen, crisps, 2 packs, banana

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* aaa = abdominal aortic aneurysm

posted by Chas at 11:53
go ahead, roll the donut!