CONGRATULATION TRIAGE COURSE!!!!

yesssss!!!! we did it!!! our group are the second group to pass overall...... how it change the way i see triage nowadays. congratulation guysss group tani semua pass in the assessment. but however we still have some course; BLS, ACLS, BTLS, & MTLS (overseas)...please check kan ku lagi ah and do make a change if i am wrong here....

for me, its my first start on the way to success.....we all have the same feeling for this. i wana make our group for the year 2008 - diploma in accident and emergency nursing - rocksssss!!! we have to stay together, enjoy everything that we are learning....we do this, In the Name of Allah, we will get through!!!!

TRIAGE COURSE 26TH FEB - 28TH FEB 2008

ok... we started triage course for 3 days, first am a bit anxious about what and how triage course is handled. we gone through introduction and run almost all the emergency cases via the body systems. i really had no idea and i was not prepared what it would be like to be in the course. stress, tension, anxiety .. all presented during the first day what will happen in the next 2 days?! damn am not feeling good this week... i just want it done ASAP.

anyway, first review of day 1.... always remember what to ask during triaging patients in AnE or outpatient clinics, whether to be put in P1 or P2 or P3. we were taught the first is to ask the general condition of the patient. u have answers if u ask for more questions, though i thought some question that we ask sometimes are just not included in the assessment given by the instructor, so probably they just compromise or they would say 'it did not stated ...' know what i mean ?

from asking the GC of the pt, we move to a SOAPE - a procedure that lead us just like any other forms of procedures - writing assignment has it own system as well right? Subjective, Objective, Assessment, Plan and Evaluation which stands for the SOAPE.

its a very interesting day for the first since we usually and commonly do triage all the way during work time. but somehow we never use this approach. all of us were having hard times coping with the approach. its not easy as it may look. but to do this u have to love it!!! whatever its circumstances maybe.


well by now am loving it!!!! hmm what will happen next?

UPDATES ON HIGH BEAM ....

ok here it goes, i inquire the bank about the transaction and i was informed that the last two weeks of the registration was not been acknowledge. so what i did was, i re-register high beam and what u can see now is that u guys are able to access the site once again. so i guess i have to wait another one week and i have to call back the bank if my transaction is approved. hmmm am a bit anxious about these on-line thing... i used to pay-off on-line but these one doesnt seem very convincing...but i hope it will be alright ...

ST ELEVATION ...ECG...MANAGEMENT

ok another post here...showing ST elevation in leads II, III and aVF which it indicated the inferior part of the heart. Heart rate is about 83 beats per minute which is a normal sinus rhythm and of course with ST elevation. and i think there are ST depression in v5 and v6? care to argue with that ?? how about the RR progression? hmm there is RR progression but for me it seems like it not getting any higher though. Please refer to the calibration if u look in V5 and V6, no progress of the RR wave? Others include - the speed is 25 mm/sec, standard and chest leads has 10 mm/ mv, so there are no alteration or argument with that. Okay now the problem is...usually will the patient experience pain as of the presence of Myocardial infarction? or it has been treated earlier that what is shown could be an old MI?

please discuss this!! we need to know....managements of MI with elevated ST? what do u do ?

WHAT CAN U TELL FROM THIS ECG?

ok gangs!!! i posted an ecg sample though ia bagi tau its normal rhythm ok say its not there and remind u ..result can be deceiving sometimes right? always remember first step u see the P wave and i have calculated the heart beat from measuring the heart beat and what a surprise at least i made a discovery (hmmm like as if am the teacher now!) ah wateva!! am stilll learning and am crushing my brains out to learn this!!!! i think most of us here has difficulty to learn ecg i might say it is not easy and it takes time to learn although we encounter ecg almost everyday during our working time but mind u ...who takes a damn as long as u see there is a result right? abis saja buat ecg u show tarus the doctor....but yeah it might not happen most of the time but it does happen (u always show to the doctor)....as long as the patient is still alive!! haha wat the heck, am looking forward to achieve this in fact all of us right?

A trip to Paris?.. (Posted by Sofy)

So it was a typical day.. (Monday).. as usual, study, learning, eating, memalat-ing, etc etc.. The college had prepared a trip to UBD's library that pm. The whole point of us going there..well..just to hear 'taklimat' and took a tour I might say.. Heheh. Anyways, the UBD is damn huge! And they have this new upcoming buliding (sedang membuat lah).. Awu tebuat UBD ada budget aah.. Untuk college kitani inda tia ada budget! Buruk kali ah college kitani.. Aww c'mon guys, just admit it! It does look dull right? The size, the location, the colour! Mun budget cukup bah, alah UBD atu kali.. Haha I wish! No offence UBDians, its a compliment, and envy!

Okay back to the story.. We almost got lost there searching for the library... And people say Brunei is a small country.. *yeah* tell me about it! Tapi last2 tejumpa jua lah, urg Brunei kali aah heheh.

Sudah sampai sana tepaksa lah menunggu troops lain, baru buleh masuk. So while waiting for the rest, we took some pictures!

The AE students.. plus 1 CCN student *wink*

Students from CCN and MHN

Hmmm.. Something looks weird here.. Haha lui eh ko ani..

Naahhh ani lagi lului dari laki2 di atas aah.. ~Di hati mu~

Hahaha siuk eh meliat durang ani.. Ada2 saja bah.. Sapa na boring, cuba tah.. There's some more funny incidents happened jua sana. I'm not gonna tell the story.. But all I can say is it involved me (Dr Sofy), Reza (Dr Reza), Dametz (audience), and Ayang (Tumpah) hahaha jangan marah aahh.. I'm not gonna publish the story so DON'T WORRY!

Otay, so there were...I don't know, 3 or 4 floors? I'm not sure jua, lalai mengetawakan si Tumpah ah.. *chuckles* We were brought to this room called 'Viewing Room' and yeah they were some viewers... and viewees. Hehe mun teacher Shirley meliat, fail kali ih English ku.. Bah awu awu, we used that room for the briefing of the library.. Here's a picture of it..

This is the viewing room.. Kami liat TV tarus surfing jua sana.. Wait, let me break it down.. Kami liat TV, the lecturer surfed the net. He was just showing some of the sites that can be accessed for articles and journals. But honestly, I still don't get it pasal I wasn't concentrating.. Falui wah si Dametz ah, ada2 saja bunyi dibuatnya.. Mcm bunyi kucing baru bangun tidur!

Wow macam panjang sudah.. Bah I'll stop now, I hope you enjoy reading this.. And also the pictures.. Sangal sudah jariku menaip.. Ukan p*** menaip ahh.. I repeat.. JARI! Hehe otay thats all folks! Ciao~

Sofy xxoo

AE's Anatomy! (Posted by Sofy)

Yup, this picture was taken just now before noon.. Masing-masing kelaparan so begambar pun berabut..

So this is a replica of Grey's Anatomy..



Here's another pose.. Cawwwiiiirrrrr~




Wanna see the most scariest picture of all??? I took it lively in front of me!

That is one scary dude slash old lady! Wakakaka~ "INSERVICE DARI MYANMAR"

Bah don't forget to leave comments once you see this! Adios chickano!

Sofy xxoo

GUYSSSS!!!! GUNAKAN TIA BLOG AH!!! (NIZAM)

OMG where the hell are you ppl? ngalih ku menaip....hahahaha anyway, thanx for the attendance for the election of president and vice-president of the student council...nasib kamu sign semua attendance tadi ah. ok anyhow, use the highbeam.com .... i myself having trouble finding my own topic jua so...sama2 susah sama2 menangis ah ...... i decide not to change my topic for EP, well is just hat am interested in the topic that i have selected. so with the use of highbeam.com, pubmed.com...etc, hope u can find your related articles.

Sofy in da house!

Eh Jam, panjang2 bah buat blog atu.. We hafta entertain the people here! Yo AE students of 2008, jgn lupa pakai baju ECG tani on Saturday otay?.. Bergambar tani nie.. Jam, is it possible ka if tani begambar tarus ke studio? White background laa.. Baru ada watak Grey's yo! Haha. Think about it and then let me know yea.. Pictures..pictures..pictures.. God! We need pictures ahh.. Inda apalah, untuk sementara ani we use this picture saja, at least our blog doesn't look plain riiight?



Atu rugged!! Ngalahkan Grey's Anatomy tani ani aah.. We'd make a big hit.. Haha i wish! Bah atu saja kali dulu.. Nanti2 lagi mempost (Rojak Language)..


People! PLEASE visit us more often!! Jgn sekali dua, inda membari-bari tu!

Sofy xxoo

ok sal highbeam!!!!

bah aku register dah rah highbeam!!!!! mana kamu ??? alum kamu online kah???? pls do something about this blog!!!!!!!!

hahahahahaha!!!!

ok guys its me nizam...i have set up this website for our usage...post all important events, documents (not ur assignments!!) or anything...we have to start active!!!!