Day in the Life of a DOCTOR: HEART ATTACK!

Day in the Life of a DOCTOR: HEART ATTACK!


Because I just got paged about a patient he’s got heart rate about 30 and They’ve got ST elevation. So it looks like they’re having a heart attack right now Hey guys, I’m Siobhan, a first-year medical resident. It’s now just after 5:00 p.m I finished a day of oncology clinics, so cancer clinics of different kinds and Now, I’m just heading over to start my night on call an internal medicine So let me you bring you along for the night and see what happens and then next week I’ll tell you more about being on a cancer service So I just dropped my stuff off in my call room And I’m heading down to the emergency department to do my first consult of the night Just done with that first consult and heading back to my call room now So um that first consult was a patient who was incredibly short of breath to the point that They were waking up actually gasping for air had to be sitting upright. They had lots of swelling in their legs So this is really a classic case of what we call heart failure. So giving this patient some IV diuretics So basically a water pill through the IV making them pee off lot of this extra fluid that they’re accumulating Now maybe I should actually grab some food at this point. It’s probably gonna get to be a little bit busy later All right, so it’s 8:30 now. I’m just heading to the cafeteria to grab some food before the cafeteria closes All right, so got myself some soup and Actually got a treat for the team This yummy popcorn chips for later tonight But of course before I can eat I’ve got to answer this page Hi, this is Siobhan, I’m from team D turning a page Okay, um, what’s her blood pressure like? Okay and her heart right now Okay, that’s pretty fast yeah, has she been like that for a while What kind of fluids is she running Okay, so let’s give her another 500 milliliter bolus now of the ringers lactate And then I’m gonna come down and see her to see how she’s doing. Yeah Okay, perfect. Yep. Thanks very much Oh! Again Hi, this is Siobhan from Team D returning a page And, um what are her sugars normally like? Mm-hmm Okay, and what lantus dose is she getting tonight? Oh Sure. Okay. Yeah, let’s decrease it from 15 down to 10 and you just put to reassess that tomorrow as well Great Thanks Okay, finally those pages are done Now
you just have a little bit of soup and I figure I can just catch you guys up a little bit because I was just on vacation I had two weeks off, which was amazing. I went to Greece Santorini for five days makes me wonder why everyone doesn’t just live there because it’s incredible and then hiked around Mount Olympus and then flew off to Norway to one of my best friend’s weddings, which was absolutely beautiful and It was really acclaimed to be one of her bridesmaids and really keep that friendship going So anyway, it was a fantastic time So it’s just ten o’clock now, so I am gonna take a nap and try to get some rest before my next consult No, not already! Alright, heading down to the emergency department for my second consult of the night. We’ll see what it brings Right, so just done with that second consult and so it was a patient who has end-stage Liver disease so basically their liver is failing and coming in with complications of that. So treating them for a lot of edema Some confusion and bringing him them into hospital for that reason It was I just got paged about a patient who’s got a heartbeat about 30 and They’ve got ST elevation. So it looks like they’re having a heart attack right now when I assess the patient, he was complaining of chest pain and This was as ECG clear signs a heart attack Because his heart rate was so slow. I called a team to bring in pacer pads to the bedside These are pads that actually get stuck on to a patient’s chest and can deliver electricity Directly to the heart so that we can control the heart rate I then called my senior medical resident for backup and we started something called triple therapy So three different types of blood thinners to treat the heart attack Then we called a cardiologist and arranged for an ambulance to actually transfer the patient to a different hospital where the cath lab is located Because the patient was so unstable an ICU nurse and myself went with the patient in the ambulance between the hospitals. I sat there watching the monitors with epinephrine in my hand ready to act in case his heart actually stopped Luckily that didn’t happen and he arrived safely to the cath lab The cardiologist then incredibly threaded a wire up into his heart and managed to open up the blockage in the artery Saving his life So my work was done and I was able to hop back in a cab and go back to the other hospital So just getting back in from the General Hospital How’s a crazy trip? Let me tell you a little bit about it in just a second But I mean, I’ve just got to go to handover and handover to the team Wow, what a crazy experience I’m super awake and excited about it because if that person had been at home when this happened He may not have actually made it. So, um Wow! It was it was phenomenal to actually see them go in Open up that artery save that person’s heart and their life. So very very cool. Um just to be clear So most times when people have a heart attack They’re at home and then they get brought to the emergency department for that heart attack So it’s really unusual that once someone’s already had been admitted for a different reason that they have an acute heart attack like that anyway Okay, feel the adrenaline Kind of wearing off now Thank you so much for watching guys. It’s so awesome seeing your comments. I’m looking forward to them Don’t forget to subscribe if you haven’t already and if you want to be in one of these videos Check out the description below for your opportunity to be part of it So I’ll see you guys next week and I’ll be telling you all about my oncology or cancer rotation. So bye for now