Working with medical students can initiate some ideas what to teach them or educate them, because some time we do not know what should be the first lesson of the day. Getting some good questions from what they have observed during their friend was practicing can be a good start of the day, yeah indeed, some questions are good to talk about and pay more time on it, it really depends on the consultant whether they can catch this teachable moment or not.
For example: the Lesson of pre-emptive analgesia
Med Student : Why the surgeon has to infiltrate the local anaesthetics before her incision? we have put our patient in to general anaesthetics, haven't we?
501: Indeed, we induced our patient to deep GA. What do you think about the benefits of LA in this patient?
MS : It helps prevent blood loss.
501 : Really, it creates vasodilatation, doesn't it?
MS : But, it was mixed with adrenaline.
501: Oh, I see. Any more benefits and how it works?, you can use and search via your smart-phone.
MS : It inhibits the Na channels.
501 : So, this is physiology and pharmacology, remember that I told you before that nothing new has been discussed here. Although you have administered GA to your patient, but you have to realise that the nerve ending and nerve conduction pathways are still intact, so that the pain induced from the surgical procedure can be transmitted to the brain. Have you recalled anything about nerve conduction pathway, the spino-thalamic tract?
MS : yes.
501 : This will be emphasised again in pain lecture. If you inject the LA in pre-incisional time, the result is much better than post-incisional period. Prevent is better than Cure!
.... Some discussion were on and on, Stay Tuned
For example: the Lesson of pre-emptive analgesia
Med Student : Why the surgeon has to infiltrate the local anaesthetics before her incision? we have put our patient in to general anaesthetics, haven't we?
501: Indeed, we induced our patient to deep GA. What do you think about the benefits of LA in this patient?
MS : It helps prevent blood loss.
501 : Really, it creates vasodilatation, doesn't it?
MS : But, it was mixed with adrenaline.
501: Oh, I see. Any more benefits and how it works?, you can use and search via your smart-phone.
MS : It inhibits the Na channels.
501 : So, this is physiology and pharmacology, remember that I told you before that nothing new has been discussed here. Although you have administered GA to your patient, but you have to realise that the nerve ending and nerve conduction pathways are still intact, so that the pain induced from the surgical procedure can be transmitted to the brain. Have you recalled anything about nerve conduction pathway, the spino-thalamic tract?
MS : yes.
501 : This will be emphasised again in pain lecture. If you inject the LA in pre-incisional time, the result is much better than post-incisional period. Prevent is better than Cure!
.... Some discussion were on and on, Stay Tuned
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