Thread by @morefluids

#Hamilton a theatre production

Anaesthetic senior reg on call reporting for duty #Hamilton

I am ready for this on call shift

There are 13 cases booked on the CEPOD list it’s gonna be a long day

General surgeon arrives. My laparotomy first please NELA score is 45%. My case is more important than yours

Ortho arrives. We just need a quick GA for a fracture dislocation. Let us quickly do our case while you optimise your patient

Vascular arrives there’s a ruptured AAA in resus. We’re coming straight to theatre

Theatre coordinator has had enough. The list is going to pot . Let’s just get one case started. AAA it is then

Anaesthetic Reg is going to do this under local supervision. With the junior reg.

Consultant anaesthetist knows they’ll be watching outside the room anyway. But crack on. You can do it

Junior reg nails art line. CVC is in

Life saved. Theatre team did it!

Now. What about my laparotomy?

Oh yes. ODP has to set up for that. It’s only a few hours in

Ortho managed to relocate using a bit of sedation & brute force

Medical students arrive from morning teaching. It’s their last day on theatre placement & they need airway, setting up IV infusions & cannulation signed off

It’s all getting a bit stressful

Theatre sign in begins for the laparotomy

Introductions of course

Anaesthetic Reg asks med students to look up treatment of hyponatraemia

Case is going well. Surgical SHO gets to close - watched in awe by med students who can’t believe this is actually happening

Trauma call! Anaesthetic Reg must dash

Sneaking a quick break as the Stryker Rep has brought an M&S lunch and some new kit to try

Theatre sister puts a quick stop to that. Now get back to the list

General surgeon proudly announces that the 5 abscesses who waited for the emergency cases still need to be done!

Enough! Someone fed 4 of them breakfast anyway. They’ll be on tomorrows list now

Shift miraculously nearly done. Ortho trauma return. ‘Soz mate. It’s dislocated again!’ We need that GA after all.

Okay. Tell me more. Well they are starved 👍🏽 there’s something about an ejection fraction of 25% 5 years ago. Allergic to some sort of anaesthetics apparently

Night Reg arrives