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😇
.

▶️ 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

A young, thin gentleman came to ED with acute onset of SOB.

What's the diagnosis?

#quiz-HOmustknow

For new HOs- how to prioritize your ward work?

https://www.facebook.com/100000248545939/posts/5774652389219655/?sfnsn=mo

Lots of extra tips from excellent HOs & MOs at the comment section 👍

“Are you happy with your #sutures?”

“Yes! Dari tak tahu macam mana nak pegang surgical instrument to knowing how to make interrupted 1️⃣, continuous 2️⃣ & subcuticular sutures 3️⃣,

Yes I’m definitely #happy walaupun sutures tak cantik sangat macam surgeon 😆

Takpe sebab dapat suturing kit #free lepas ni boleh practice lagi dekat rumah💪🏻”

Sharing from one of Medicorp #Episiotomy & Suturing workshop ❤️

Must have #book/references for medical graduates & HOs

⚡️Ampang HO guide for all dept. Download for FREE here; https://t.me/nota_perubatan/164

⚡️state/hosp #O&G protocol. Download here & print for revision; https://t.me/driliana9/4156

⚡️Paeds 👶👦🏻
-malaysian paediatric protocol 4th edition
-Alia’s NNJ & TFI workbook
Can get the books here; https://www.medicorp.store/

⚡️JB manual of #surgery (awaiting new printing batch in soon)

⚡️ #medical;
-sarawak handbook
-CPG made easy for HOs (1st edition dah habis, 2nd edition will be available soon in end of Oct)

⚡️#Ortho; Melaka orthopaedic HO guide & Xray guide. Bolah order dua buku ni dekat https://t.me/themedicalbooksPS
.

I highly #recommend medical students (during your clinical years) to get these books too, especially those who graduated outside Malaysia 👍🏻

Pukul berapa nak kena #punch in as HO?

Macam mana nak #prioritize ward work?

👉🏻 The time of clock in varies as according to your confidence of finishing your job on time. If you can't perform your duties due to inadequate preparation, then you come earlier the next day to spend more time to prepare.

Prioritize your job. For starters, your usual daily ward work after the ward round should be prioritized as per the following order:
1. Emergencies
2. STAT blood investigations/Blood cultures
3. Referrals
4. Requests for services (eg. Early CT scans)
5. Discharge summaries
6. Documentation

The order above merely acts as a guide & you should always prioritize your work as per the circumstances with justification.

That includes but not exclusively limited to, A. work smart with your team (eg. Send the blood samples for your teammates too if you are taking it down to the lab)

B. Plan your work ahead (eg. If your CT suite is next to the lab and you have only one blood to take, might as well send the blood to the lab, then head to the CT suite to do your requests to save some travel distance)

C. Call for help if you need to.

D. Don't be too #calculative.

E. Aim to finish AM ward round work before PM rounds.

F. Be responsible. You are what you do.

Long story short, housemanship is just training you to be efficient.

I would advise not to aim to become anyone's asset. Your aim is to become a trustworthy MO who can be there for your patients.

If you have extra time, strengthen the basics👍🏻

#FAQ-HO

JB manual of Surgery (can be used all over Malaysia) - NOW ready stock at https://www.medicorp.store/ 👍🏻

Dengue CME tonight at 9.30pm!

Register here for FREE to join the #live session or get access to the #recording;

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

Feel free to share/fwd this to your colleagues & working group 👍🏻