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#intubation — Public Fediverse posts

Live and recent posts from across the Fediverse tagged #intubation, aggregated by home.social.

  1. Bei der notfallmäßigen #Intubation kommt es oft zum Kreislaufkollaps. Eine neue Arbeit fast Ursachen und Behandlungsoptionen zusammen.

    Via Notfallguru.

    #Medizin #Notfallmedizin #Intensivmedizin

    link.springer.com/article/10.1

  2. 2026 – The Beginning

    Related Posts:

    First of all, Happy New Year! I hope you have had a great start to this year and if you have any New Year’s Resolutions planned, I hope that you will be able to stick throughout the year.

    I did not have any New Year’s Resolutions planned as I usually did the previous years. Mainly because I have just moved to a new place, settling in with things still pending in Kuching, trying to adapt to my working environment as well as picking up on new skills.

    Thus, New Year’s Resolution? It’ll come as the year progresses.

    My New Year’s Eve was spent at work and mainly in the ambulance with a dear friend as well as work colleague, however, that is a separate post for another time.

    As usual, since I’ve started working as a doctor in 2023, I’ve always made it a point to work on New Year’s Day, a habit which I’ve adapted from my dad ever since he has started working at the age of 18.

    However, New Year’s Day is a public holiday here in Sarawak. Thus, I was allocated as the oncall medical officer on the 1st of January as well as on the 2nd of January. Per oncall shift is from 8am on that day till 8am the following day (which means, mine ended at 8am on the 3rd of January).

    My first case began with a case of wound breakdown over the right wrist, which the patient chose not to seek hospital treatment followed by another case of upper gastrointestinal bleed which was sent to hospital. This was then followed by another case of possible acute appendicitis which the patient and family decided to “discharge against medical advice” because they wanted to seek treatment in their hometown considering they were travelling and happened to be in the same area.

    Upon returning home, I was called back for a case of breakthrough seizure likely secondary to under-dosage of medications. The patient had three episodes of seizure that day followed by a regular 1-2 monthly episodes. Hence, referred and sent to hospital.

    Finally, I can return home. Time to get some rest since I would be working the next day. Shortly after, I was called back, a patient sustained laceration wound over the medial aspect of his antecubital fossa. Mechanism of injury? Unknown and he was in an extremely drunken state.

    Otherwise, he was stable. Sadly, my medical assistant at that time could not be contacted to escort the patient to hospital and the family members did not have their own transportation.

    If only, he was fully awake, I would have triaged him to green zone. However, transportation issues… Thankfully, the patient’s family has an uncle who was willing to send. The only thing was he needed some time to arrive due to the heavy rain and slippery roads.

    I didn’t feel good leaving the patient behind although he was stable. Thus, I stayed till 4am until his uncle came and the patient himself had woken up.

    After that, I went back home and straight away gotten ready for work since it’s a working day and I am still oncall.

    The following day on the 2nd of January, went by smoothly during office hours with referrals here and there but it was manageable.

    In the afternoon, another patient came in for symptomatic anaemia secondary to abnormal uterine bleeding with newly diagnosed cervical carcinoma. Her haemoglobin level was 5, who again, refused hospital referral claiming she visited the clinic for fever and not for her anaemic symptoms. After much convincing and discussion with my specialist, the patient still opted to “discharge against medical advice”.

    Which makes me wonder… Why in the world?…

    This was followed by dinner with my friend. I remembered thinking to myself that evening that maybe… just maybe… I would have a cold night. Enough of referrals.

    However, at 11:30pm on the 2nd of January 2026, I received a call from my medical assistant that a patient presented to the clinic breathless with an SpO2 of 50% under room air, started on high flow mask and at best, it is only 90%.

    Sounds like an impending intubation and CPR case.

    I called up my friend immediately as I rushed to the car as she lives closer to the clinic. I needed all the help I could get for this patient. The roads were slippery and it was a rainy night. Yet, I sped. Thankfully, my friend had already arrived before me.

    The patient?

    I remembered seeing this patient on the 23rd of December 2025. At that time, his lungs already had crepitations with reduced air entry over the right side and yet he chose to “discharge against medical advice”. I remembered telling him that he would collapse if he didn’t go and true enough, here he was… sitting up, gasping for air.

    His vitals? Blood pressure was sky high, lungs filled with crepitations but no pedal oedema, lines were set, no ECG done but we didn’t have time to waste…

    I called up the Emergency Physician in the nearest hospital (which is an hour away), presented shortly and informed that we had to proceed with intubation because he was too tachypnoeic.

    We prepared for intubation, informed the family members as well as explained the risk of CPR and death. The family understood and agreed.

    Intubation… This was a difficult intubation for the guy was a very large guy with hardly any neck visible.

    But before we could start, his GCS dropped and so did his heart rate, I started CPR while my friend attempted to crash intubate. We attempted to crash intubate and both times, it failed… I called up the Emergency Physician again and told her that we were 30 minutes into the CPR, she told me to call off after the current cycle.

    My first death at a new workplace and on the third day of the year at 0027H, 3rd of January 2026.

    Then, I proceeded to complete my notes for the family members to bring to the police station to lodge a police report and broke the news to the family. I was calm and so were the patients’ family. After that, I called up the Emergency Physician to thank her and then, I broke down.

    I broke down because had he gone on the 23rd itself, he wouldn’t have to gone through this.. He lives alone and his so-called family members aren’t even his biological family members but neighbours and friends… I broke down because I also felt defeated… We tried our best with such limited resources and manpower…

    Yet, I couldn’t save him…

    If you have YET to come up with a New Year’s Resolution… At least consider this, adhere to your regular check-ups if you have any… Stay compliant to your medications, diet restrictions or any fluid restrictions if you do have…

    And if something is off or not right, please RUSH to the nearest clinic or better, the hospital… Because there is only so much that we can do with such limited resources in a community clinic.

    Otherwise, I wish that you have a Blessed 2026 filled with love, beautiful memories and wonderful opportunities.

    Remember to have fun and do enjoy it but please do so, responsibly.

    Related Posts:

    YouTube | Instagram | Pinterest | Facebook | Spotify

    About Me | Privacy Policy | Contact Me

    #Articles #bintulu #Blog #blogging #communityClinic #cpr #dailyprompt #dailyprompt1804 #dailyprompt1812 #dailyprompt1829 #dailyprompt1933 #dailyprompt1940 #dailyprompt1941 #dailyprompt1944 #dailyprompt1945 #dailyprompt1946 #dailyprompt1947 #dailyprompt1949 #dailyprompt1952 #dailyprompt1963 #dailyprompt1968 #doctor #doctorLife #emergency #emergencyDepartment #familyHealth #familyMedicine #housemanship #intubation #klinikKesihatan #Malaysia #medical #medicalOfficer #Medicine #newYear #sarawak #tatau #writing

  3. 2026 – The Beginning

    Related Posts:

    First of all, Happy New Year! I hope you have had a great start to this year and if you have any New Year’s Resolutions planned, I hope that you will be able to stick throughout the year.

    I did not have any New Year’s Resolutions planned as I usually did the previous years. Mainly because I have just moved to a new place, settling in with things still pending in Kuching, trying to adapt to my working environment as well as picking up on new skills.

    Thus, New Year’s Resolution? It’ll come as the year progresses.

    My New Year’s Eve was spent at work and mainly in the ambulance with a dear friend as well as work colleague, however, that is a separate post for another time.

    As usual, since I’ve started working as a doctor in 2023, I’ve always made it a point to work on New Year’s Day, a habit which I’ve adapted from my dad ever since he has started working at the age of 18.

    However, New Year’s Day is a public holiday here in Sarawak. Thus, I was allocated as the oncall medical officer on the 1st of January as well as on the 2nd of January. Per oncall shift is from 8am on that day till 8am the following day (which means, mine ended at 8am on the 3rd of January).

    My first case began with a case of wound breakdown over the right wrist, which the patient chose not to seek hospital treatment followed by another case of upper gastrointestinal bleed which was sent to hospital. This was then followed by another case of possible acute appendicitis which the patient and family decided to “discharge against medical advice” because they wanted to seek treatment in their hometown considering they were travelling and happened to be in the same area.

    Upon returning home, I was called back for a case of breakthrough seizure likely secondary to under-dosage of medications. The patient had three episodes of seizure that day followed by a regular 1-2 monthly episodes. Hence, referred and sent to hospital.

    Finally, I can return home. Time to get some rest since I would be working the next day. Shortly after, I was called back, a patient sustained laceration wound over the medial aspect of his antecubital fossa. Mechanism of injury? Unknown and he was in an extremely drunken state.

    Otherwise, he was stable. Sadly, my medical assistant at that time could not be contacted to escort the patient to hospital and the family members did not have their own transportation.

    If only, he was fully awake, I would have triaged him to green zone. However, transportation issues… Thankfully, the patient’s family has an uncle who was willing to send. The only thing was he needed some time to arrive due to the heavy rain and slippery roads.

    I didn’t feel good leaving the patient behind although he was stable. Thus, I stayed till 4am until his uncle came and the patient himself had woken up.

    After that, I went back home and straight away gotten ready for work since it’s a working day and I am still oncall.

    The following day on the 2nd of January, went by smoothly during office hours with referrals here and there but it was manageable.

    In the afternoon, another patient came in for symptomatic anaemia secondary to abnormal uterine bleeding with newly diagnosed cervical carcinoma. Her haemoglobin level was 5, who again, refused hospital referral claiming she visited the clinic for fever and not for her anaemic symptoms. After much convincing and discussion with my specialist, the patient still opted to “discharge against medical advice”.

    Which makes me wonder… Why in the world?…

    This was followed by dinner with my friend. I remembered thinking to myself that evening that maybe… just maybe… I would have a cold night. Enough of referrals.

    However, at 11:30pm on the 2nd of January 2026, I received a call from my medical assistant that a patient presented to the clinic breathless with an SpO2 of 50% under room air, started on high flow mask and at best, it is only 90%.

    Sounds like an impending intubation and CPR case.

    I called up my friend immediately as I rushed to the car as she lives closer to the clinic. I needed all the help I could get for this patient. The roads were slippery and it was a rainy night. Yet, I sped. Thankfully, my friend had already arrived before me.

    The patient?

    I remembered seeing this patient on the 23rd of December 2025. At that time, his lungs already had crepitations with reduced air entry over the right side and yet he chose to “discharge against medical advice”. I remembered telling him that he would collapse if he didn’t go and true enough, here he was… sitting up, gasping for air.

    His vitals? Blood pressure was sky high, lungs filled with crepitations but no pedal oedema, lines were set, no ECG done but we didn’t have time to waste…

    I called up the Emergency Physician in the nearest hospital (which is an hour away), presented shortly and informed that we had to proceed with intubation because he was too tachypnoeic.

    We prepared for intubation, informed the family members as well as explained the risk of CPR and death. The family understood and agreed.

    Intubation… This was a difficult intubation for the guy was a very large guy with hardly any neck visible.

    But before we could start, his GCS dropped and so did his heart rate, I started CPR while my friend attempted to crash intubate. We attempted to crash intubate and both times, it failed… I called up the Emergency Physician again and told her that we were 30 minutes into the CPR, she told me to call off after the current cycle.

    My first death at a new workplace and on the third day of the year at 0027H, 3rd of January 2026.

    Then, I proceeded to complete my notes for the family members to bring to the police station to lodge a police report and broke the news to the family. I was calm and so were the patients’ family. After that, I called up the Emergency Physician to thank her and then, I broke down.

    I broke down because had he gone on the 23rd itself, he wouldn’t have to gone through this.. He lives alone and his so-called family members aren’t even his biological family members but neighbours and friends… I broke down because I also felt defeated… We tried our best with such limited resources and manpower…

    Yet, I couldn’t save him…

    If you have YET to come up with a New Year’s Resolution… At least consider this, adhere to your regular check-ups if you have any… Stay compliant to your medications, diet restrictions or any fluid restrictions if you do have…

    And if something is off or not right, please RUSH to the nearest clinic or better, the hospital… Because there is only so much that we can do with such limited resources in a community clinic.

    Otherwise, I wish that you have a Blessed 2026 filled with love, beautiful memories and wonderful opportunities.

    Remember to have fun and do enjoy it but please do so, responsibly.

    Related Posts:

    YouTube | Instagram | Pinterest | Facebook | Spotify

    About Me | Privacy Policy | Contact Me

    #Articles #bintulu #Blog #blogging #communityClinic #cpr #dailyprompt #dailyprompt1804 #dailyprompt1812 #dailyprompt1829 #dailyprompt1933 #dailyprompt1940 #dailyprompt1941 #dailyprompt1944 #dailyprompt1945 #dailyprompt1946 #dailyprompt1947 #dailyprompt1949 #dailyprompt1952 #dailyprompt1963 #dailyprompt1968 #doctor #doctorLife #emergency #emergencyDepartment #familyHealth #familyMedicine #housemanship #intubation #klinikKesihatan #Malaysia #medical #medicalOfficer #Medicine #newYear #sarawak #tatau #writing

  4. 2026 – The Beginning

    Related Posts:

    First of all, Happy New Year! I hope you have had a great start to this year and if you have any New Year’s Resolutions planned, I hope that you will be able to stick throughout the year.

    I did not have any New Year’s Resolutions planned as I usually did the previous years. Mainly because I have just moved to a new place, settling in with things still pending in Kuching, trying to adapt to my working environment as well as picking up on new skills.

    Thus, New Year’s Resolution? It’ll come as the year progresses.

    My New Year’s Eve was spent at work and mainly in the ambulance with a dear friend as well as work colleague, however, that is a separate post for another time.

    As usual, since I’ve started working as a doctor in 2023, I’ve always made it a point to work on New Year’s Day, a habit which I’ve adapted from my dad ever since he has started working at the age of 18.

    However, New Year’s Day is a public holiday here in Sarawak. Thus, I was allocated as the oncall medical officer on the 1st of January as well as on the 2nd of January. Per oncall shift is from 8am on that day till 8am the following day (which means, mine ended at 8am on the 3rd of January).

    My first case began with a case of wound breakdown over the right wrist, which the patient chose not to seek hospital treatment followed by another case of upper gastrointestinal bleed which was sent to hospital. This was then followed by another case of possible acute appendicitis which the patient and family decided to “discharge against medical advice” because they wanted to seek treatment in their hometown considering they were travelling and happened to be in the same area.

    Upon returning home, I was called back for a case of breakthrough seizure likely secondary to under-dosage of medications. The patient had three episodes of seizure that day followed by a regular 1-2 monthly episodes. Hence, referred and sent to hospital.

    Finally, I can return home. Time to get some rest since I would be working the next day. Shortly after, I was called back, a patient sustained laceration wound over the medial aspect of his antecubital fossa. Mechanism of injury? Unknown and he was in an extremely drunken state.

    Otherwise, he was stable. Sadly, my medical assistant at that time could not be contacted to escort the patient to hospital and the family members did not have their own transportation.

    If only, he was fully awake, I would have triaged him to green zone. However, transportation issues… Thankfully, the patient’s family has an uncle who was willing to send. The only thing was he needed some time to arrive due to the heavy rain and slippery roads.

    I didn’t feel good leaving the patient behind although he was stable. Thus, I stayed till 4am until his uncle came and the patient himself had woken up.

    After that, I went back home and straight away gotten ready for work since it’s a working day and I am still oncall.

    The following day on the 2nd of January, went by smoothly during office hours with referrals here and there but it was manageable.

    In the afternoon, another patient came in for symptomatic anaemia secondary to abnormal uterine bleeding with newly diagnosed cervical carcinoma. Her haemoglobin level was 5, who again, refused hospital referral claiming she visited the clinic for fever and not for her anaemic symptoms. After much convincing and discussion with my specialist, the patient still opted to “discharge against medical advice”.

    Which makes me wonder… Why in the world?…

    This was followed by dinner with my friend. I remembered thinking to myself that evening that maybe… just maybe… I would have a cold night. Enough of referrals.

    However, at 11:30pm on the 2nd of January 2026, I received a call from my medical assistant that a patient presented to the clinic breathless with an SpO2 of 50% under room air, started on high flow mask and at best, it is only 90%.

    Sounds like an impending intubation and CPR case.

    I called up my friend immediately as I rushed to the car as she lives closer to the clinic. I needed all the help I could get for this patient. The roads were slippery and it was a rainy night. Yet, I sped. Thankfully, my friend had already arrived before me.

    The patient?

    I remembered seeing this patient on the 23rd of December 2025. At that time, his lungs already had crepitations with reduced air entry over the right side and yet he chose to “discharge against medical advice”. I remembered telling him that he would collapse if he didn’t go and true enough, here he was… sitting up, gasping for air.

    His vitals? Blood pressure was sky high, lungs filled with crepitations but no pedal oedema, lines were set, no ECG done but we didn’t have time to waste…

    I called up the Emergency Physician in the nearest hospital (which is an hour away), presented shortly and informed that we had to proceed with intubation because he was too tachypnoeic.

    We prepared for intubation, informed the family members as well as explained the risk of CPR and death. The family understood and agreed.

    Intubation… This was a difficult intubation for the guy was a very large guy with hardly any neck visible.

    But before we could start, his GCS dropped and so did his heart rate, I started CPR while my friend attempted to crash intubate. We attempted to crash intubate and both times, it failed… I called up the Emergency Physician again and told her that we were 30 minutes into the CPR, she told me to call off after the current cycle.

    My first death at a new workplace and on the third day of the year at 0027H, 3rd of January 2026.

    Then, I proceeded to complete my notes for the family members to bring to the police station to lodge a police report and broke the news to the family. I was calm and so were the patients’ family. After that, I called up the Emergency Physician to thank her and then, I broke down.

    I broke down because had he gone on the 23rd itself, he wouldn’t have to gone through this.. He lives alone and his so-called family members aren’t even his biological family members but neighbours and friends… I broke down because I also felt defeated… We tried our best with such limited resources and manpower…

    Yet, I couldn’t save him…

    If you have YET to come up with a New Year’s Resolution… At least consider this, adhere to your regular check-ups if you have any… Stay compliant to your medications, diet restrictions or any fluid restrictions if you do have…

    And if something is off or not right, please RUSH to the nearest clinic or better, the hospital… Because there is only so much that we can do with such limited resources in a community clinic.

    Otherwise, I wish that you have a Blessed 2026 filled with love, beautiful memories and wonderful opportunities.

    Remember to have fun and do enjoy it but please do so, responsibly.

    Related Posts:

    YouTube | Instagram | Pinterest | Facebook | Spotify

    About Me | Privacy Policy | Contact Me

    #Articles #bintulu #Blog #blogging #communityClinic #cpr #dailyprompt #dailyprompt1804 #dailyprompt1812 #dailyprompt1829 #dailyprompt1933 #dailyprompt1940 #dailyprompt1941 #dailyprompt1944 #dailyprompt1945 #dailyprompt1946 #dailyprompt1947 #dailyprompt1949 #dailyprompt1952 #dailyprompt1963 #dailyprompt1968 #doctor #doctorLife #emergency #emergencyDepartment #familyHealth #familyMedicine #housemanship #intubation #klinikKesihatan #Malaysia #medical #medicalOfficer #Medicine #newYear #sarawak #tatau #writing

  5. 2026 – The Beginning

    Related Posts:

    First of all, Happy New Year! I hope you have had a great start to this year and if you have any New Year’s Resolutions planned, I hope that you will be able to stick throughout the year.

    I did not have any New Year’s Resolutions planned as I usually did the previous years. Mainly because I have just moved to a new place, settling in with things still pending in Kuching, trying to adapt to my working environment as well as picking up on new skills.

    Thus, New Year’s Resolution? It’ll come as the year progresses.

    My New Year’s Eve was spent at work and mainly in the ambulance with a dear friend as well as work colleague, however, that is a separate post for another time.

    As usual, since I’ve started working as a doctor in 2023, I’ve always made it a point to work on New Year’s Day, a habit which I’ve adapted from my dad ever since he has started working at the age of 18.

    However, New Year’s Day is a public holiday here in Sarawak. Thus, I was allocated as the oncall medical officer on the 1st of January as well as on the 2nd of January. Per oncall shift is from 8am on that day till 8am the following day (which means, mine ended at 8am on the 3rd of January).

    My first case began with a case of wound breakdown over the right wrist, which the patient chose not to seek hospital treatment followed by another case of upper gastrointestinal bleed which was sent to hospital. This was then followed by another case of possible acute appendicitis which the patient and family decided to “discharge against medical advice” because they wanted to seek treatment in their hometown considering they were travelling and happened to be in the same area.

    Upon returning home, I was called back for a case of breakthrough seizure likely secondary to under-dosage of medications. The patient had three episodes of seizure that day followed by a regular 1-2 monthly episodes. Hence, referred and sent to hospital.

    Finally, I can return home. Time to get some rest since I would be working the next day. Shortly after, I was called back, a patient sustained laceration wound over the medial aspect of his antecubital fossa. Mechanism of injury? Unknown and he was in an extremely drunken state.

    Otherwise, he was stable. Sadly, my medical assistant at that time could not be contacted to escort the patient to hospital and the family members did not have their own transportation.

    If only, he was fully awake, I would have triaged him to green zone. However, transportation issues… Thankfully, the patient’s family has an uncle who was willing to send. The only thing was he needed some time to arrive due to the heavy rain and slippery roads.

    I didn’t feel good leaving the patient behind although he was stable. Thus, I stayed till 4am until his uncle came and the patient himself had woken up.

    After that, I went back home and straight away gotten ready for work since it’s a working day and I am still oncall.

    The following day on the 2nd of January, went by smoothly during office hours with referrals here and there but it was manageable.

    In the afternoon, another patient came in for symptomatic anaemia secondary to abnormal uterine bleeding with newly diagnosed cervical carcinoma. Her haemoglobin level was 5, who again, refused hospital referral claiming she visited the clinic for fever and not for her anaemic symptoms. After much convincing and discussion with my specialist, the patient still opted to “discharge against medical advice”.

    Which makes me wonder… Why in the world?…

    This was followed by dinner with my friend. I remembered thinking to myself that evening that maybe… just maybe… I would have a cold night. Enough of referrals.

    However, at 11:30pm on the 2nd of January 2026, I received a call from my medical assistant that a patient presented to the clinic breathless with an SpO2 of 50% under room air, started on high flow mask and at best, it is only 90%.

    Sounds like an impending intubation and CPR case.

    I called up my friend immediately as I rushed to the car as she lives closer to the clinic. I needed all the help I could get for this patient. The roads were slippery and it was a rainy night. Yet, I sped. Thankfully, my friend had already arrived before me.

    The patient?

    I remembered seeing this patient on the 23rd of December 2025. At that time, his lungs already had crepitations with reduced air entry over the right side and yet he chose to “discharge against medical advice”. I remembered telling him that he would collapse if he didn’t go and true enough, here he was… sitting up, gasping for air.

    His vitals? Blood pressure was sky high, lungs filled with crepitations but no pedal oedema, lines were set, no ECG done but we didn’t have time to waste…

    I called up the Emergency Physician in the nearest hospital (which is an hour away), presented shortly and informed that we had to proceed with intubation because he was too tachypnoeic.

    We prepared for intubation, informed the family members as well as explained the risk of CPR and death. The family understood and agreed.

    Intubation… This was a difficult intubation for the guy was a very large guy with hardly any neck visible.

    But before we could start, his GCS dropped and so did his heart rate, I started CPR while my friend attempted to crash intubate. We attempted to crash intubate and both times, it failed… I called up the Emergency Physician again and told her that we were 30 minutes into the CPR, she told me to call off after the current cycle.

    My first death at a new workplace and on the third day of the year at 0027H, 3rd of January 2026.

    Then, I proceeded to complete my notes for the family members to bring to the police station to lodge a police report and broke the news to the family. I was calm and so were the patients’ family. After that, I called up the Emergency Physician to thank her and then, I broke down.

    I broke down because had he gone on the 23rd itself, he wouldn’t have to gone through this.. He lives alone and his so-called family members aren’t even his biological family members but neighbours and friends… I broke down because I also felt defeated… We tried our best with such limited resources and manpower…

    Yet, I couldn’t save him…

    If you have YET to come up with a New Year’s Resolution… At least consider this, adhere to your regular check-ups if you have any… Stay compliant to your medications, diet restrictions or any fluid restrictions if you do have…

    And if something is off or not right, please RUSH to the nearest clinic or better, the hospital… Because there is only so much that we can do with such limited resources in a community clinic.

    Otherwise, I wish that you have a Blessed 2026 filled with love, beautiful memories and wonderful opportunities.

    Remember to have fun and do enjoy it but please do so, responsibly.

    Related Posts:

    YouTube | Instagram | Pinterest | Facebook | Spotify

    About Me | Privacy Policy | Contact Me

    #Articles #bintulu #Blog #blogging #communityClinic #cpr #dailyprompt #dailyprompt1804 #dailyprompt1812 #dailyprompt1829 #dailyprompt1933 #dailyprompt1940 #dailyprompt1941 #dailyprompt1944 #dailyprompt1945 #dailyprompt1946 #dailyprompt1947 #dailyprompt1949 #dailyprompt1952 #dailyprompt1963 #dailyprompt1968 #doctor #doctorLife #emergency #emergencyDepartment #familyHealth #familyMedicine #housemanship #intubation #klinikKesihatan #Malaysia #medical #medicalOfficer #Medicine #newYear #sarawak #tatau #writing

  6. @CellySally @steveroyle

    you two like to play games.
    I Want To Play A Game.

    #music #quiz #intubation

    (Came to my mind after binge watching "the pitt" ^^)

    Got myself intubated,
    Down past my vocal cords
    Suffocation, no breathing
    Don't give a fuck if my airway's seizing
    Down past my vocal cords

    Do you even care if I stop breathing?
    Would it be wrong, would it be right?
    If I crashed and died tonight? Chances are that I might
    saturation out of sight
    Now I’m intubated, losing the fight

    'Cause I’m hypoxic tonight, with a blocked windpipe
    Wish somebody would clear my airway in time
    Hypoxic tonight, with a blocked windpipe
    Wish somebody would clear my airway in time

    Didn’t know I was circling down
    'Til I woke up with alarms all around
    Struggling, drowning, code blue inbound
    Pressure's falling—I'm ICU bound
    Felt it hit when my lungs gave in
    No strength to cough, can't pull air in
    Nurses yelling, meds rushin' in
    All I feel now is numbness within

    Nothing's alright, nothing is clear
    I'm fading and I’m full of fear
    I’m crashing, I’m crashing, I’m crashing
    I’m crashing—
    Can’t go on suffocating this way

    Got myself intubated
    Down past my vocal cords
    Suffocation, no breathing
    Don't give a fuck if my airway's seizing
    Would it be wrong, would it be right
    If I lost my breath tonight?
    saturation out of sight
    Now I’m intubated, losing the fight

  7. Still exploring illustrations of #intubation #geometry. These pictures show how, in the tight space of a pharynx, a smaller tube is disproportionately beneficial.

  8. Microdosing candy-linked illnesses double; possible recall in “discussions” - Enlarge (credit: Diamond Shruumz)

    Cases of illnesses linked to... - arstechnica.com/?p=2032595 #diamondshruumz #microdosing #psychedelic #intubation #chocolate #outbreak #seizures #science #gummies #recall #cones #cdc #fda

  9. [Correspondence] #Death from #diphtheria thelancet.com/journals/lancet/

    This terrible #disease is completely preventable with the diphtheria toxoid #vaccine. But for those unfortunate #children with pharyngeal diphtheria who did not receive this vaccine, their chances of #survival can be increased substantially by early protection of the #airway with #intubation or tracheostomy and prompt administration of #antitoxin.

  10. Scientists are developing mucin-based materials for #medicalapplications, e.g. #intubation tubes and #woundhealing plasters. Read more about what mucins can do in medicine: go.tum.de/702483

    📷A.Heddergott

  11. Scientists are developing mucin-based materials for #medicalapplications, e.g. #intubation tubes and #woundhealing plasters. Read more about what mucins can do in medicine: go.tum.de/702483

    📷A.Heddergott

  12. Scientists are developing mucin-based materials for #medicalapplications, e.g. #intubation tubes and #woundhealing plasters. Read more about what mucins can do in medicine: go.tum.de/702483

    📷A.Heddergott

  13. Scientists are developing mucin-based materials for #medicalapplications, e.g. #intubation tubes and #woundhealing plasters. Read more about what mucins can do in medicine: go.tum.de/702483

    📷A.Heddergott

  14. How long will my throat feel like crap post #intubation?

    Aka at what point do I whine at spouse to take me to urgent care to see if I picked up a secondary infection (I don't THINK so but I've been wrong before) or if they oopsed my hyoid or something (hashtag #hypermobile worries)? The alternative is I just heal slowly from that shit and wahhh.

    (Tomorrow will be 1 week #postop, if that helps at all.)

    #hysterectomypostop #hysterectomyrecovery

  15. How long will my throat feel like crap post #intubation?

    Aka at what point do I whine at spouse to take me to urgent care to see if I picked up a secondary infection (I don't THINK so but I've been wrong before) or if they oopsed my hyoid or something (hashtag #hypermobile worries)? The alternative is I just heal slowly from that shit and wahhh.

    (Tomorrow will be 1 week #postop, if that helps at all.)

    #hysterectomypostop #hysterectomyrecovery

  16. How long will my throat feel like crap post #intubation?

    Aka at what point do I whine at spouse to take me to urgent care to see if I picked up a secondary infection (I don't THINK so but I've been wrong before) or if they oopsed my hyoid or something (hashtag #hypermobile worries)? The alternative is I just heal slowly from that shit and wahhh.

    (Tomorrow will be 1 week #postop, if that helps at all.)

    #hysterectomypostop #hysterectomyrecovery

  17. For anyone interested in #intubation and #criticalcare... I'm playing around with a modern computer game library (#babylonjs) to work up a bit of a play ground for exploring the intubation of geometry.

  18. With or without VL, intubation should be performed with a head elevation with a pillow of 7 cm and no neck extension.

    Effect of head and neck positions on tracheal intubation using a McGRATH MAC video laryngoscope: A randomised, prospective study

    pubmed.ncbi.nlm.nih.gov/370520

    #Intubation #airway #eja #anesthesiology #CriticalCare

  19. #intubation geometry. I posted this on the bird site two years ago. This needs more attention. Maxillary arch and #laryngoscope in grey. Different tube locations in colours. Key thing is the anterior displacement at the level of the #glottis.

    I'm pretty sure that swinging the tube into the pink position by sliding down beside the molars and having the tube upright is one of differences between experienced intubators and novices.

    As far as I know this has not been previously described. Please share and tag in #CriticalCare and #anaesthesia specialists.

  20. Shall we read another @hauschildt story together?

    Consider Mr Todd, 77-year-old Black retired autoworker, who came to the #ICU multiple times and was a high-risk #intubation, and was full code

    Source: journals.sagepub.com/doi/10.11

  21. Pop resus quiz :

    You've resuscitated a patient from a spontaneous VF arrest. The patient remains unresponsive 1 minute after restoration of a palpable peripheral pulse.

    How long do you wait to see if the patient will "wake up" before intubating them?

    #medtwitter #resuscitation #intubation #FOAMed #medmastodon