Simulation Class Atmosphere on Christmas day :(

Learning atmosphere on simulation class in cardiovascular and respiratory crisis in perioperative patients for 5th year medical students.

We began with short introduction about the way we would proceed, how the learners should perform, and we told them we can let go the patient death because it was a simulated event, it would not the real world. So, we ended up just one patient survived, one with complications from the medical treatment, and unfortunately all the remaining four were discharged with mortality.

Finally, the learners' feedback about what they have to acquire for more knowledge and more reading, that is the most important ideas for the day.

Medical schoold director addressed his closing remark

Professor Prasit Watanapa, the Medical School Director, made a closing remark to the consultants of the Faculty of Medicine Siriraj Hospital on the workshop of Curriculum Change.

Unfortunately, the language of the video is not English, however, if you would like to get the atmosphere, please click the link below.

New curriculum

Excuse me, does he....?

A kind good looking surgeon was surprised, and reluctantly quietly asked his anaesthetist counterpart whether or not the patient needs any kind of airway intervention.

Then he was questioned by his anaesthetist what went wrong, everything was fine and business is usual.

So, have you found whether or not there is something Right!!!

A short vid Clip

For an airway control, we have many choices/ airway alternatives, we can just use a mask and bag as a non-invasive airway control, or we can intubate him/her with many airway adjuncts, or a classical way of endotracheal tube placement.

Have a look at our homemade video, the consultant who performed it was so smart.

Enjoy your time here,

Homemade Video

Feedback from MD graduates 1

What did new MD graduates, Class 2007 tell us? 1. The thing that we won't change...

1. The size of MS5 per group, 3-4 MS5 a group is too big, better to have MS5 : Consultant at 1:1
2. Handouts of lecture, no standard, not harmonised across the academic year
3. Practice more in Paediatrics and Emergency patients
4. Would love to experience the Surgical ICU and Pain Clinic

Response: 

Dear our Med Students, Imagine or Ideas sometimes is not practical in real life, working 1:1 with consultant doesn't mean education, it usually means training (depends on what you 'd like to have Brain's or Hands' skills). You can apply for elective period for extern, we now have SICU, Pain management and the newest "Clinical Anaesthesia" elective. Please don't even think of practising anaesthesia in children or emergent patients, if there is anything bad happening, you will never ever forget that event, dear.

Your chain link, don't miss any link

Basic Sciences are All Around U

Working with medical student again, however, this time it is for elective one. Telling her that "if you don't have your background knowledge in basic sciences, you are wasting time working with us in the operating theatre."

Anatomy : Pointing a C-arm intraoperative fluoroscope for the procedure, you can plan or anticipate what bad situation may happen from the operative field, patient position, important nearby structures, ...

Physiology : That continuous vital sign monitoring machine is always an ingredient of the OR, can you explain why your patient had hypoxaemia throughout the procedure,...

Pharmacology : from oxygen to a muscle relaxant reversal, have you ever counted how many drugs you have administered to your patient?? drug interaction, allergy, CYP450, ...

Wrong Number??

Cardiac Care Unit or Intensive Care Unit

In the middle of the night, a call from recovery room nurse asking you for help was made, you told them that you will go to have a look of the previously healthy young guy who was anaesthetised by another consultant. You reviewed the history and learned that his HR was 150+, BP 100/60, RR 28-32 with dyspnoea, urine for 3 hours in RR was only 70 ml and you were thinking of severe sepsis from his necrotising fasciitis, so you asked the RR nurse to measure the temperature, and it was 37.8 via axillary route. Although you had given 2 units of blood (OR EBL was 800 ml), and crystalloids, but it seemed that he was fluid non-responsive. Finally you decided to call the ICU nurse to get the ICU bed access.

On the phone, you told ICU nurse that your patient was tachycardic, and the HR was now at 155/min.
On the Reply "Why don't you call for the CCU admission?? he is tachycardic, isn't he?".

How would you explain the ICU nurse to get the booking??