The on-call morning is likened to receiving your raya's angpow. The feeling of "You never know what u gonna get". You may end up with only one patient to look after or the whole 'full 10 beds' situation.
The passing over session is always d fun & crucial bit. Where the doc who was on-call the night b4 will go through all the cases in ICU with the one who is taking over that day.
i.e: "Mr James Bond is a 40y old Malay man who's admitted 8 hours ago for a gun-shot wound to the left upper chest causing left tension haemopneumothorax. GCS on arrival was 6/15. Intubated in ED with ETT 7.5mm @ 20cm under midazolam 3mg and suxa 100mg IV. Chest tube was inserted uneventfully in ED. The bullet was surgically removed 1 hour ago in OR. Blood loss 300cc. Haemodyamics stable bla bla.."
When reviewing patients, usually we break down the problems into systems i.e ventilation, haemodynamics, infection.. etc etc. That helps us to focus on specific problems or anticipate any future complications. Then we would go through the OT list -- cases need to be operated on.
Hmm.. I should start asking myself in Dirty Harry's style, every on-call morning...
"Ask yourself this. Do u feel lucky today ? Well do u punk??"
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