Thursday 5 July 2007

Day four - calm before the storm

Well I definately know that the word quiet is a jinx in A&E. We had another student there today, and she said at about 9am "boy its so quiet", we all just looked at her and said "don't say the 'Q' word down here". Low and behold 30mins later we had two emergency come in, both little kids 3 and 4 in respiratory distress. Both of the kids required intensive care and constant monitoring and there was no where near enough staff!

The first to come in was a little girl who was 4 and was having her first ever asthma attack as she wasn't previously known to be asthmatic. And well things weren't great for her, we put her on nebulizers to help her breath but it wasn't helping at all. Things got so bad, she was getting so tired and looked like it was getting harder and harder for her to breath. We had to call for a retreval team to come and get her and in the mean time while waiting for them, get her a bed in the high dependency unit in the hospital. When I last heard she still wasn't improving.

The second was a little 3 yr old boy, who was actually in respiratory distress from suscepted RSV and asthma. This boy was also an epileptic and has a history of bleeding PR. He wasn't good and got so bad they had to call theatre and get the anaestist to look at him. When he got there he took one look and said, "he needs to go to theatre for intubation NOW". On the way the theatre he stoped breathing, it was one big race to get tube in, so we could get him breathing again. We did get tube in and he stabilized sort of, we then found out from blood tests that he is aneamic, with a haemoglobin level 1/3 of what it should be. We called the women's and children's hosptial for immediate retrival. Things are not looking good for this little guy. I guess I will have to wait and hear whats happened to him, last I saw was him getting on a plane to go to Adelaide.

While I was in theatre there were two more emergency's another asthmatic and another little kid, with really high temperature who had collaspsed. But I don't know whats happened to them as it was way past the end of my shift and well I was buggered and needed to go home and rest.

Hopefully tomorrow no one will say its quiet!

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