My Life...sekitar kursus Offshore...

Minggu ni sedikit memenatkan...kena incharge banyak perkara. Mula2 terdetik dalam hati mampu kah aku handle semua ini...namun memikirkan orang lain lagi sibuk, boleh berjaya dalam kehidupan mereka dunia & akhirat, aku tekadkan azam dan terus bertawakkal kepadaNYa. Bermula dengan kursus advanced first aid course untuk offshore bermula dari hari ahad di hotel renaissance,KB dan berakhir hari ni....bersambung di husm pula utk attachment till saturday. Minggu ni jugak incharge undergraduate final year attachment kat a&e, memang tak sempat jenguk langsung mereka di a&e minggu ni sebab berada di hotel renaissance. Hari ni pulak hadiri 15th National Conference on Medical & Health Science di Grandriver view for oral presentation..alhamdulillah settle. Oncall lagi malamnya...kesian adik2 2nd year medic kena buat PBL malam pulak sbb mlm je free minggu ni...tapi mereka nampak happi je...yang penting murabbi kena berhati2 dalam mengajar kerana pelajar membacanya dengan hati...Namun terima kasih tak terhingga kepada Farid, kak Wani, Yo & Registrar a&e yang banyak membantu....Ya Allah permudahkanlah segala urusan kami dunia & akhirat...

Airway station....


Disaster drill dengan St John...

Khusyuk mendengar ceramah ...





Aduh sakit kaki hamba....


Bersama Yo..ore kuat kursus

Syncope: Emergency Department Evaluation and Disposition: The San Francisco Syncope Rule

San Francisco Syncope Rule

C ongestive heart failure history

H ematocrit <>

E CG abnormal (non-sinus rhythm, or new changes compared with old ECG)

S hortness of breath

S ystolic blood pressure <90

These criteria are easily recalled by using the mnemonic "CHESS".The criteria demonstrated 96% sensitivity (95% confidence interval [CI], 92% to 100%) and 62% specificity (95% CI, 58% to 66%) for serious outcomes at 7 days. It is useful tool to assess patient in ED. Either one criteria present during assesment it reflect the serious outcomes. Age is an important consideration. Some have argued that this study's result should not be applied to those over 65. If age >75 was added sensitivity increases to close to 100% but sensitivity drops to 44%.

Serious Outcomes as Defined by the San Francisco Syncope Rule

Death

Myocardial infarction

Arrhythmia (on monitor and tied to the syncopal event)

Pulmonary embolism

Stroke

Subarachnoid hemorrhage

Significant hemorrhage (tied to syncope and requiring transfusion)

Any condition causing return to the ED and hospitalization for related event