FINAL CALL for Advance HO Induction tomorrow!

This is the last session of the year,
join #early after graduation & you can join again & again the live session to practice HO task;

👉🏻 clerk & review patients
👉🏻 formulate plan of managemen
👉🏻 referral & request scan
👉🏻 preparing discharge summary

Register here; https://medicorp.onpay.my

Apa beza LITE Advance HO Induction (RM 126) versus FULL Advance HO Induction (RM 249)?

FULL advance participants will get 2 year access to ECG & Medical Emergencies pre-record modules 👍

Enthusiastic participants from Clinical Skills #Workshop today!

Patutnya program habis pukul 8pm, tapi semua semangat nak practice banyak kali sebab masing-masing dah dapat hospital placement.

All the best for HOship soon 👍

Apa beza GSH vs GXM?

GSH if you anticipate bleeding, but you do not need blood product for transfusion yet. So you just send a blood sample.

GXM if you need the blood product for transfusion now (ie patient is bleeding, or during ongoing surgery).
.

You can convert GSH to GXM if patient is bleeding & get the blood product faster.

For this particular hosp, the GSH is keep available for 24 hours. Some hosp keep it available (for conversion to GXM) for a longer period of 2-3 days; you can ask your blood bank about this 👍🏻

Further reading on this;
https://t.me/nota_perubatan/764

Tak pasti nak start #study topic apa lepas grad untuk prepare for HOship?

Macam banyak je list of compulsory topics dalam logbook HO ni 😅, nak fokus yang mana dulu? 🤔

👇👇👇👇

Shortlist of common disease & emergencies you need to as HO;

👉🏻 All posting (esp medicine, surgical & ortho)

- hypertensive urgency & emergency
- hyper & hypoglycaemia
- hyper & hypokalaemia
- fluid resuscitation in unstable/patient with shock

👉🏻 medicine; AEBA (asthma), COPD, dengue, ACS

👉🏻 surgery; acute abdomen (appendicitis, choledocholithiasis, PGU), sepsis, UGIB, LGIB

👉🏻 ortho; open fracture, DFU, fat embolism, compartment sindrom

👉🏻 O&G; intarpartum management & complications (1st, 2nd & 3rd phase of labour), GDM, PIH

👉🏻 gen paeds; AEBA, dengue, AGE, febrile fit

👉🏻 neonatology; NNJ, neonatal sepsis, IDM & hypoglycaemia, respiratory distress in newborn

Reference; any book you already have, yang penting baca 😂
.

Kalau rasa2 nervous sgt tak masuk dah kalau baca buku, atau nak input baru,

bolehla tengok online course Medicorp ❤️, insyaAllah lebih mudah faham & ingat sebab MO/ specialist yg explain & ada case discussion sekali.

Semua video team dah edit pendek2, jadi mudah nak tengok trus specific topic 👍
.

Alhamdulillah ramai senior HOs bagi feedback online course ni membantu mereka utk prepare & pass both off offtag & end of posting assessment 👍🏻


Boleh tengok more info here; https://medicorp.onpay.my/order/form/3in1combo

Senang kan boleh study tanpa buka buku 😆, lebih mudah faham & ingat sebab tengok video + slides yg MO & specialist explain 👍🏻

How to intubate patients?

https://m.facebook.com/story.php?story_fbid=3439008259450758&id=100000248545939&sfnsn=mo

One of the most important traits for any clinician, esp new HOs - is resilience.

Let’s learn from the expert tomorrow night!

https://academy.locumnet.com.my/resilience-live-webinar-by-dr-rostam

Nota Perubatan
After some time I've been working with HOs, I realized few of them were not able to complete the offtag assessment because they are still lacking of some basic knowledge. Hence, the specialist gave them another date for re-assessment.

Some of the important questions / basic knowledge (especially for internal medicine):
1. ECG: inferior MI, anterior MI, lateral MI, anterolateral MI, reciprocal changes of ECG in MI

2. ACS
- Medications for ACS (including doses)
- How to classify ACS?

3. DKA
- Criteria (must know the exact value / cutoff point for each)
- Principle of management - what to start

4. Hypo & hyperkalaemia
- ECG changes for each
- Definition for each
- Treatment for each
- Formula for calculation of potassium deficit (during assessment, you can only use a simple calculator 😂)

5. Hypoglycaemia
- Definition
- Treatment

6. Dengue
- Warning signs
- Features of compensated shock VS decompensated shock
- How to monitor dengue? (haemodynamic and what blood parameters?)

7. Tension pneumothorax
- Clinical finding (chest examination)
- CXR of tension pneumothorax
- Treatment

Others
- If you are HO in the ward, patient complaining of chest pain / SOB, what would you do?

#GIM
@nota_perubatan
https://t.me/nota_perubatan/774

Spot diagnosis. What is this?

What you should do as HO when you encounter this?

#quiz-HOmustknow

Semalam, saya sempat follow up HOs yg baru start tagging last week (intake Bil 5/2022).

Jom tengok apa feedback diaorang lepas start #tagging beberapa hari;

👇👇👇👇

1st day as taggers dah kena buat ward work, procedures semua💉

So tagging bukan masa utk #shadow senior HOs atau tengok2 saja ya. Jadi sebelum start HO, dah kena ambil tahu & practice macam mana nak buat semua ward work & procedures ni semua 💪🏼

More sessions available this #Thursday & #Sunday ❤️

For those starting HOship soon (esp intake Bil 6/22), this is your final chance to prepare yourself before #tagging soon 💪🏻


To those who has joined the session before, you can come again for FREE as facilitators to practice again 😉 so yg baru grad, saya recommended untuk join awal supaya boleh practice lagi sebelum start HO nanti😇
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▶️ Clinical #Skills Workshop;

29th Sept (Thursday)
2nd Oct (Sunday)

▶️ #Episiotomy Workshop;
2nd Oct (Sunday night)

Find more details on each session here;

https://medicorp.onpay.my/order/form/clinicalskill_suturingworkshop