| 今朝post call八點幾收到個medial consultation,話有個patient之前slipped and fell搞到有個scalp laceration同SAH,個scalp wound縫左,day 7拆線,今日day 11,突然full length gape wound,actively bleed到tachy,連call我兩次落搞個wound 去到之後見到阿叔成頭都係血,阿sir一縮手唔㩒住個wound就bleed到唔停,個阿叔仲話流血流到見頭暈 我即刻快手快腳prep and drape左個wound,然後打左幾ml 2% lignocaine w/ adrenaline(個ward無現成,要自己溝 =P),已經bleed慢左好多,起碼見得返個wound edges,然後用大彎針大啖大啖mattress咁縫,close左wound之後即刻無bleed,等左幾分鐘都唔見積返個haematoma,叫阿sir做個pressure dressing之後就功成身退~~ 雖然只係一個minor既bedside suture,但係一落手就解決左個問題,surgery真係好爽~~  |
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| 做功課做到十二點幾...... 我需要houseman...... |
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| 俾人PRO  我應該都係08班第一人喇~~  |
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