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Tuesday, April 29, 2008Y
another practical and theory test down!!!

this morning we took our Medical ALS theory and practical test... haiz... actually i am suppose to study for it over the weekend...all hubbie's fault!!! he made me so distracted!!! hahahaha... erm...actually its me 心甘情愿 to let him distract me nahz... lol... think if ur man do a strip tease in front of u, then u still have the mood to study mehz!!! hahahaha...but even though hubbie didnt do a strip tease (of course he didnt!! he would say, "over my dead body!!!"... hahaha...) but still i juz simply cannot concentrate... lol....
but nevertheless, i managed to do some reading juz the night before the test, like @ 11 pm... obviously not much things went in... lol...

but i have to say that the paper was kinda tough...(maybe bcoz i didnt study nahz...but the whole class said it was difficult lehz..so not only me nahz!! lol...) i juz simply hope i will pass...

as for my practical, i hiong hiong go for the first round oki!!! bcoz i juz wanna get over and done with it!! so sick of waiting outside the room...the more i wait, the more tense up i would be!! then in the end - mental block!!! wats the point!!! i hiong oso wanna do ah!!

and i feel that my case scenario was kinda difficult and tricky..its about trauma...a 35 yrs old Indian man fell from height and arrived at my ED via lorry...then i am the Staff nurse @ triage, and when i went to see him, he was unresponsive!!

in the end, i was tested on PEA (Pulseless Electrical Activity) and Pulseless VT(Ventricular tachycardia)...

trauma + Cardiac Arrhythmia!! not so straight forward lohz..still have to talk abt maintaining the c-spine... intubation with in-line stabilisation...etc... and the lecturer keep drilling me on the possible causes of the PEA!! luckily last time in CE's core program mock code, i am already exposed to this kinda case... so 小case nahz!!! before she even asked me, i already told her i will assess for the possible cause of the PEA... of course i talk abt the 5H and 5T nahz... then especially this one is trauma case.. high chance of Tension pneumothorax, Cardiac Temponade and Intra-Abdominal hemorrhage... but thats not all the lecturer wants... then she asked me abt the clinical manifestation of these condition... haiz... also 小case nahz... lol...after my BTLS training...i can juz blah out everything to her!! hahaha... but nebertheless, i am still bery anxious!! and i almost forget to check the patients pulse after the shock..and then she actually change the rhythm but i keep doing my CPR!! kaoz!! luckily she didnt fail me on that!! hahahaha...but she also said that i am bery systematic...lol... which was good nahz!! kaoz!! so in the end, i passed!! yeahz!!!

juz another test down before my final management paper and medical emergency paper...haiz...thats like 2 more weeks to go.. or i should say i am left with less than 2 weeks... haiz...stress...

ends at 10:26 PM