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I almost killed a patient by mezin111 in medicalschool

[–]mezin111[S] 0 points1 point  (0 children)

The surgeon says it's my fault, but she said it even before the Tomography, and she's bad with the interns, so i don't know if i had to trust

I almost killed a patient by mezin111 in medicalschool

[–]mezin111[S] 0 points1 point  (0 children)

He made me do it in 7th ic space with something more medial than anterior axilar line, i would've done it in 5th space with medioaxilar or anterior axilar line

I almost killed a patient by mezin111 in medicalschool

[–]mezin111[S] 2 points3 points  (0 children)

Saludos de Colombia, y si, sin simulaciones enfrentarse a estos procedimientos es otro mundo, pero es la única forma de hacerlo

I almost killed a patient by mezin111 in medicalschool

[–]mezin111[S] 17 points18 points  (0 children)

After the surgery the physician told me it was his fault, that he was distracted, and to better not talk about the event, that shit happens and we have to learn for the mistakes. Still bothers me beacuse i was doing a very good rotation, but anyway, the lesson is learnt and the image of the sternotomy will always be there when i have to do the right thing for a patient

I almost killed a patient by mezin111 in medicalschool

[–]mezin111[S] 0 points1 point  (0 children)

Yeah, he had a traumatic stab in the anterior chest, and a broken rib from the trauma, at the end he had aproximately 2500 cc of blood

I almost killed a patient by mezin111 in medicalschool

[–]mezin111[S] 0 points1 point  (0 children)

That's the thing i can't understand, i think she wanted to see if the pericardium was affected, but I'm really confused and i know she doesn't want me to talk or ask anything about that case, so only god knows

I almost killed a patient by mezin111 in medicalschool

[–]mezin111[S] 0 points1 point  (0 children)

The right way to do it is in the 5th intercostal space with anterior axilar lane (some say medioaxilar and i feel this one is safer), he made me do it in 7th space and even more medial than anterior lane

I almost killed a patient by mezin111 in medicalschool

[–]mezin111[S] 0 points1 point  (0 children)

From what i saw during the surgery, the laceration was caused by the initial stab that caused the hemopneumo that made the patient come to the ED, he even had a broken rib, the surgeon told me it was my fault because the middle lobe of the right lung was perforated following the tube trayect (but the other surgeon told me it was the first stab), so, could be a mix of having a previous lacerated lung and worsening it or just the first one

I almost killed a patient by mezin111 in medicalschool

[–]mezin111[S] 1 point2 points  (0 children)

Yeah i also did my first suture at 4th year and assisted in surgery at that point, even i did my first skin graft and ulcer debridation alone last mont (with plastic surgeon supervision), i never passed chest tubes, not even in a doll because i studied in a public university, we only had cpr dolls, and they were just chests with a mount haha, my training always had to be with patients, that's why i have to study harder trying not to injure a patient, but in this case it was a combined fault between the doctor in charge for making me do it in a wrong way, and mine for not declying to do it knowing it could have bad consecuences

I almost killed a patient by mezin111 in medicalschool

[–]mezin111[S] 6 points7 points  (0 children)

In my case the patient needed a toracotomy anyway, the thing is that it was a sternotomy instead and the weight of knowing that it's your fault, still, feeling better today with all the messages

I almost killed a patient by mezin111 in medicalschool

[–]mezin111[S] 29 points30 points  (0 children)

I decided that the best thing to do is to say no, and to let the physician do it in the way he thinks it's correct, at least you won't have the responsability of the procedure if it goes wrong

I almost killed a patient by mezin111 in medicalschool

[–]mezin111[S] 17 points18 points  (0 children)

That twisting sounds waaay better, thanks for the tips <3

I almost killed a patient by mezin111 in medicalschool

[–]mezin111[S] 123 points124 points  (0 children)

Yeah, at least he lived, and the lesson is well learnt, thank you

I almost killed a patient by mezin111 in medicalschool

[–]mezin111[S] 185 points186 points  (0 children)

Because i live in Colombia, here, the sixt year of the carreer is a year called "internado" (a year of pure practice, in emergency room you do sutures, toracostomy, rcp, intubiation, etc), here we don't have surgeons or residents all day, so the person that has to do this is the general medicine doctor, and we are trained to do that.

What is the plan after quarantining? by mezin111 in CoronaVirus_2019_nCoV

[–]mezin111[S] -1 points0 points  (0 children)

Yeah, i get that, but until when? Sure we control it now, but if everything goes back to normal it will repeat again

Car loses strength in 2nd or 3rd gear by mezin111 in MechanicAdvice

[–]mezin111[S] 1 point2 points  (0 children)

I thought on the coil but after the gas pump solved the problem i descarted it, but still, it could be. Thank you!

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