Dengue chart. Task - Do AM rounds for this dengue patient;

✅ What to ask during review

✅ What signs to look for during P/E?

✅ What what investigation to trace & review?

✅ How to manage this patients from now on?

Updated slides for AM session Flash HO just now, in case anyone need to #revise later

Slides for PM ⚡ Flash HO induction just now.
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Tq for those who joined the session just now ☺️,

Please kindly share your #to-do-list pic at the comment section✅

1. How many days of hospital #orientation and when we’ll know put posting ya? (We gonna start 24/2 btw)

2. ⁠are we allowed to #choose our postings?

3. Any recommendations on books or anytime for us to head start before tanging? And do you have advice and notes before and after offtag?

4. ⁠what are the things like other than micropore, stets, nametag pen, should we have on ourselves always?

5. ⁠do you know if we can rent a room in the hospital hostel itself?

6. ⁠if you have guidelines and common topics in each postings what cases and etc.

7. ⁠may i know if you have pretag & offtag assessment notes that help us and how is during off tag assessment?

8. ⁠may I know if UM uses computerized or writing system?

9. ⁠any recommendations for books, references or apps for us?

10. ⁠can you tell us briefly for the assessment structure, how are the deadlines and common reasons for extensions?

11. ⁠can I know the dress code which can we use our own scrubs or the hospital ones only?

1. Usually 1 week. You’ll get to know your posting during the orientation

2. Not for the first posting. But subsequent posting yes ✅

3. Depends if you want to read. But during housemanship all you need is skills for bloodtaking/ iv cannulation/ take arterial blood gas/ blood culture/ insert catheter

4. You need stets, pen, stamp/chop

5. Not sure. Last time my colleagues rented a hostel in the hospital

6. You need to read BLS/ ACLS - if patient collapse. Otherwise each posting has different specialist / Consultants which have different preferences/ sets of plans. Just follow what they want

7. Yes we have off tag #assessment. Usually by MO / Specialist. Some posting you can auto offtag 🫠

8. Computerized. Its called iPesakit / EMR
9. Books? During housemanship.. hmm… O&G can read Dutta/ Ten Teachers. ED can read Shirley Ooi

10. Depends each posting. Medical got CBD/ Mini CEX - with consultants/ specialist. Surgical viva with consultant. O&G with MOs. Paeds with 2 specialists. ED with Specialist and moulage / Viva. Ortho Viva with specialist

11. Scrub is okay. Kemeja / blouse also ok. Just wear anything appropriate

Hope this helps ✅

What kind of #suture 🪡 we need to know as HO?

1 👉🏻 simple interrupted suture (skin closure for most #wound)


2 👉🏻 simple continuous suture (for fascia, subcutaneous tissue, & more importantly; 1st & 2nd layer of #episiotomy wound repair)


3 👉🏻 subcuticular ie the #invisible sutures (skin closure for episiotomy & LSCS wound);

▶️ this final one is actually MO level, but actually not that difficult for HO to learn as well 😇

Let's learn & practice all these 3 sutures @ Medicorp's Episiotomy Repair & Suturing #workshop,

next Wednesday (5th February);

https://medicorp.onpay.my/order/form/clinicalskillsuturing_workshop
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FREE suturing kit 🪡 ✂️ worth RM 129 for every participant,

so you can practice more at home after the workshop 💪🏻

Blood C&S (culture & sensitivity) or blood taking in aseptic ie #sterile technique.

This in 1 out of 10 general compulsory procedures for HOs ‼️

Let's practice Blood C&S, and 16 more procedures at Medicorp's Clinical Skills #workshop;

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

We have open up new session on Friday, 14th Feb for those who wish to practice before PTM soon 😇,

as all other sessions are fully booked already ‼️👇👇👇

Nota Perubatan
What is the optimum position of tIp of Endotracheal Tube (ETT) post intubation from chest X ray?

🔹Adults: 5 cm ± 2 cm above carina (with neck in neutral position)

🔹Children: 1.5 cm above carina

🔹If carina cannot be visualised, the tip of ETT should be at T2 - T4 (with the neck in neutral position)

Source: https://radiopaedia.org/articles/evaluation-of-endotracheal-tube-position

#ED
@nota_perubatan
https://t.me/nota_perubatan/1505