Wounded patients were brought to the hospital in trucks, where I was a medical student. There had been a series of bomb blasts across the city where I lived. Some had already passed away before arriving while others were badly wounded & in critical condition. All medical students and professionals were instructed to immediately go to the ER . There were patients across the room and hallways – some bodies had limbs missing, while some limbs had bodies missing. It was hard to tell which patient the limb belonged to. Many had glass and wood shrapnel pierce their entire bodies. Between the panic, chaos, screaming, cries and blood, I tried hard to maintain my composure as I along with other students triaged the wounded ; followed instructions to provide palliative care and assist the senior surgeons & specialists. We worked tirelessly as a team for the next few days – everyone participated closely, doing no matter what was needed to take care of medical needs of the wounded and also to calm the petrified families of the injured. Neither me nor any other medical students or personnel present then will ever forget the incident. I am the first born to my parents. My father, as all fathers are, had already picked out my future profession telling me I would become a doctor. So as a child when someone asked me what I wanted to be when I grow up , I would say “ Doctor”. Back then I was merely playing the part. As I got older, I still maintained the same opinion. I had observed that
I never faced a situation like that before. I really did not know how I could help this man. The staff and the doctor at this point were relying on my help as a chaplain. At that moment for the first time I realized how important my role as a chaplain was.
DOI: 04/23/2015. Patient is a 33-year-old male detailer who sustained injury when he hopped over a barrier and strained his leg. Patient is diagnosed with septic arthritis of the right femoral head and acetabulum. He is status post right hip resection, irrigation and debridement, and placement of antibiotic spacer in 04/16/2016. Per medical report dated 03/08/16 by Dr. Disiere, the patient’s current medications include tramadol and cyclobenzaprine. Based on the progress report dated 07/06/16 by Dr. Disiere, the patient presents prior to leaving for his hip surgical procedure on 07/08/16. Patient has had aspiration of the infected area. On examination, the patient is now able to bear some partial weight and use assistive crutches. He continues
The nurses scattered. They feverishly worked to prepare the room, gather the equipment, and call the necessary staff members. Just a few minutes later, I saw flashing red lights as an ambulance pulled up. The stretcher was rolled in with a paramedic straddled across the patient, pumping on the man’s chest. I often saw broken bones, stomach pains, infections; however, nothing like this. Doctors, nurses, and x-ray technicians rushed into the patient’s room. The man was surrounded by a team of thirty health professionals; however, the situation seemed everything other than chaotic. Each person knew exactly their duties and stayed out of each other’s way. Each second was crucial to the survival of this man, and nurses were frantically on the phone attempting to notify his
DOI: 1/25/2016. Patient is a 59-year-old female sales representative who sustained injury when she bent over and strained her neck. Per OMNI entry, he was initially diagnosed with neck strain. Patient has completed 20 PT sessions.
My work at Queen Anne Manor has taught me how to handle stressful situations. One morning, my patient was having trouble with her speech. As I assessed the situation further, I noticed the droopiness in the left side of her face and tested if she was able to raise both arms (she could not). My heart completely sank. She was having a stroke! I tried my best to remain calm, and immediately called 911 and the nurse on duty. As the patient was passing through stages of stroke, I knelt at her bedside and held her hands; explaining what was happening and reassuring her that the paramedics were on their way. Situations like these have helped me to function productively under and be readily adaptable to stressful situations. As an aspiring nurse, I have become more confident in my ability to remain calm in times of stress, and effectively work with other healthcare professionals to ensure the health and safety of
The nature of combat injuries is such that bacterial contamination is frequently present in traumatic wounds.One of the natural purposes of free and unimpeded bleeding from wounds is to flush out potentially contaminating microorganisms that may have gained entry to the wound from the environment. The question then arises if a hemostatic bandage is successfully used to control potentially life-threatening bleeding, will it increase the chances of infection developing in the wound? The polycationic nature of chitosan is such that the substance possesses natural antimicrobial properties. The broad spectrum antimicrobial activity of N-carboxybutyl chitosan suggested it could be used as a wound dressing.
Katie Roberts and Molly brought me in with them to look at a dog that had a lump on its neck. The owner had brought her in because this unknown lump had ruptured around three times. Since they didn’t we know what it was they had to do an x-ray on it to see more in depth. Before we could do that we had to rush out of the room when we heard one of the ladies at the front desk screaming emergency. A dog was rushed in on a stretcher because it had been constantly having seizures that afternoon. They put him on one of their tables and started giving him oxygen to try and calm him down. He wouldn’t stop moving his legs and he kept breathing really weird. They took some blood and then gave him multiple shots of propofol to help with the pain and relax him a little bit. Half an hour or so later and around five shots of propofol he was still moving his legs and breathing/acting strange. At this point Dr. Katie Roberts and the other Veterinary Technicians realized that there was nothing more they could do. They went and got the owners who wanted to put him out of his misery and give him euthasol to help him pass away. It was hard not to cry but I kept it together and acted professional yet empathetic towards their situation. Once the dog had passed and the family was done saying goodbye they had to sign some forms saying what they wanted to do with the body. They chose to cremate him. After that they left to go back to their home and the
After attaining my Eagle Scout award I was asked to be the assistant scout master in my troop. During one scout camp, one of the scouts cut open his leg very badly while playing capture the flag in a field of four feet tall grass, logs, and covered sharp rocks. Another scout ran over to the scout leader and I who were watching them play. We didn’t realize that a scout got injured because of the tall grass. The scout leader and I hopped up, and the scout leader ran over without grabbing the First Aid kit, so I grabbed the First Aid kit and ran over to the injured scout. My First Aid training kicked in and I patched up the scout while we sent two scouts down to the First Aid station. The scout was loaded into the truck and taken to the hospital where he received stitches. My training and fast response helped save a young scout that I have known for most of my life.
I remember one patient in particular who was at the hospital for over a month. He was in and out of our unit quite frequently. Over the years of working at the hospital, I have gotten to know him quite well. This patient had experienced trauma early in his life. As a result, he had cognitive deficits and difficulty communicating. On this occasion, he was suffering from hallucinations, which was unusual for him. The patient was clearly distressed and angry. Near the end of the shift, I entered the patient’s room to find him crying and panicking due to a hallucination. Even though I was busy, I knew that at that particular moment my priority was to stay and comfort the patient.
the transformative nature of my experience on the ICU was witnessing the displays of compassion by the staff that left me in awe. They
I remember when I was younger; my parents wanted me to become a doctor, without knowing anything about being a doctor other then they help people get better. As, my teachers or anything would ask me, what do I want to be when I grow up? I use to tell them I want to be a doctor. Three years ago I went back home to Pakistan, My cousin who is an adolescent, finished high school and he was going to go to college, I asked him, what are you going to major? He replied “I don’t know, my dad did not tell me yet”. I thought it was funny, not realizing I was in his position not too long ago.
As I lay on the frozen, solid ground, my heart galloped and my stomach plummeted. I glanced down and examined my leg. Blood flowed from the shrapnel penetrated flesh. Unfortunately, the excruciating pain remained the only thought I could comprehend. The surgeon glanced my leg over and assigned me to his colleague. Did this imply I stand as a lost cause? His assistant stood lanky and gaunt with a reassuring smile. I encountered him before and trusted his work. Blood covered his tunic and his hands. He began to scrutinize and analyze the wound examining for infection. The adjunct analyzed his thoughts out loud, and he worked in a voluble manner. "What is your pain level?" he asked. "A 13 on a scale of 10" I replied. He worked diligently and
When I was younger, I wanted to be a pediatrician because I liked helping children my age. I wanted to do something in the medical field because I admired my mother being a nurse anesthetist because she seemed to have so much passion for helping others. I wanted to be just like her, but I thought doctors made more money. Being an only child, I was very interested helping children in my age group because they were the only ones I interacted with at school.
As a little kid when people would ask me what I wanted to be when I grow up, I honestly didn’t know but somehow the words “doctor” or “lawyer” would come out of my mouth. I knew early on that I wanted to help people and when we would have the career fair at school, the doctors or the lawyers were the ones who said they helped other individuals. In those early years of life I wasn’t exposed to many things but I was always eager to learn. As time passed and people asked me what I wanted to be when I got older, I simply said that I wanted to help people.
As most college students would tell you, each day during a semester starts to become a routine. We wake up, get ready, go to class, spend a few hours studying at the library, and take a break occasionally to keep up with our social lives. To me this was the norm for most days, except for the Fridays that I volunteered at the Trauma Emergency Room. On one gloomy day in February, most of the research staff was out sick. As a result, I was given the responsibility of going up to the Trauma Room alone in order to screen patients for the various clinical studies that we were conducting. As I walked up the steps, I told myself “You can do this, you’ve been volunteering here for a few months now and you know the eligibility criteria like you know the back of your hand.” Pushing the heavy doors open I walked in and took in the few minutes of calm and silence before the patient came in. As I stood there observing, my pager buzzed repeatedly. Within in the next 20 minutes, 12 different victims of a 4 car MVC, ranging from young innocent 3 year olds to older women, were brought in along with their worried loved ones by their side. As the doctors and nurses rushed to check the injuries of each patient I stood there listening to the various medical terms called out some that I recognized and others that I noted to check on later I felt completely helpless since as research students we weren’t allowed to touch patients. As an observer of the situation I yearned to be able to do something