• Log InLog In
  • Register
Liquid`
Team Liquid Liquipedia
EDT 07:52
CEST 13:52
KST 20:52
  • Home
  • Forum
  • Calendar
  • Streams
  • Liquipedia
  • Features
  • Store
  • EPT
  • TL+
  • StarCraft 2
  • Brood War
  • Smash
  • Heroes
  • Counter-Strike
  • Overwatch
  • Liquibet
  • Fantasy StarCraft
  • TLPD
  • StarCraft 2
  • Brood War
  • Blogs
Forum Sidebar
Events/Features
News
Featured News
Serral wins EWC 202519Tournament Spotlight: FEL Cracow 20259Power Rank - Esports World Cup 202580RSL Season 1 - Final Week9[ASL19] Finals Recap: Standing Tall15
Community News
[BSL 2025] H2 - Team Wars, Weeklies & SB Ladder2EWC 2025 - Replay Pack2Google Play ASL (Season 20) Announced35BSL Team Wars - Bonyth, Dewalt, Hawk & Sziky teams10Weekly Cups (July 14-20): Final Check-up0
StarCraft 2
General
#1: Maru - Greatest Players of All Time Greatest Players of All Time: 2025 Update Serral wins EWC 2025 Power Rank - Esports World Cup 2025 EWC 2025 - Replay Pack
Tourneys
Sea Duckling Open (Global, Bronze-Diamond) TaeJa vs Creator Bo7 SC Evo Showmatch Sparkling Tuna Cup - Weekly Open Tournament FEL Cracov 2025 (July 27) - $10,000 live event Esports World Cup 2025
Strategy
How did i lose this ZvP, whats the proper response
Custom Maps
External Content
Mutation # 484 Magnetic Pull Mutation #239 Bad Weather Mutation # 483 Kill Bot Wars Mutation # 482 Wheel of Misfortune
Brood War
General
Google Play ASL (Season 20) Announced Which platform caters to men's fashion needs? Help: rep cant save Shield Battery Server New Patch [G] Progamer Settings
Tourneys
[BSL] Non-Korean Championship - Final weekend [Megathread] Daily Proleagues [BSL20] Non-Korean Championship 4x BSL + 4x China CSL Xiamen International Invitational
Strategy
Does 1 second matter in StarCraft? Simple Questions, Simple Answers Muta micro map competition [G] Mineral Boosting
Other Games
General Games
Nintendo Switch Thread Stormgate/Frost Giant Megathread Total Annihilation Server - TAForever [MMORPG] Tree of Savior (Successor of Ragnarok) Path of Exile
Dota 2
Official 'what is Dota anymore' discussion
League of Legends
Heroes of the Storm
Simple Questions, Simple Answers Heroes of the Storm 2.0
Hearthstone
Heroes of StarCraft mini-set
TL Mafia
TL Mafia Community Thread Vanilla Mini Mafia
Community
General
US Politics Mega-thread Things Aren’t Peaceful in Palestine UK Politics Mega-thread Russo-Ukrainian War Thread Stop Killing Games - European Citizens Initiative
Fan Clubs
INnoVation Fan Club SKT1 Classic Fan Club!
Media & Entertainment
Anime Discussion Thread [\m/] Heavy Metal Thread Movie Discussion! [Manga] One Piece Korean Music Discussion
Sports
2024 - 2025 Football Thread Formula 1 Discussion TeamLiquid Health and Fitness Initiative For 2023 NBA General Discussion
World Cup 2022
Tech Support
Gtx660 graphics card replacement Installation of Windows 10 suck at "just a moment" Computer Build, Upgrade & Buying Resource Thread
TL Community
TeamLiquid Team Shirt On Sale The Automated Ban List
Blogs
Ping To Win? Pings And Their…
TrAiDoS
momentary artworks from des…
tankgirl
from making sc maps to makin…
Husyelt
StarCraft improvement
iopq
Socialism Anyone?
GreenHorizons
Eight Anniversary as a TL…
Mizenhauer
Flash @ Namkraft Laddernet …
namkraft
Customize Sidebar...

Website Feedback

Closed Threads



Active: 602 users

A family's "happy" new year

Blogs > UmbraaeternuS
Post a Reply
1 2 Next All
UmbraaeternuS
Profile Blog Joined November 2010
Chile476 Posts
Last Edited: 2013-01-01 15:06:49
January 01 2013 14:41 GMT
#1
Hello everyone, a big hug from this long and narrow country in the southern side of the world, from this tall and thin doctor who has just left the ER after a 26 hours new year's eve shift; I've got nothing but the best wishes for everyone here, and I hope this new year kicks even more ass than the last one:D

As usual, I've got a story to tell.

After we had dinner last night with the EMTs, nurses, ambulance drivers and the shift staff, we had an eventful night. Lots of drunk people, some stab wounds and a couple folks who had a little too much food, as expected of a new year's eve shift.
Thinks were looking up at around 5AM, when I went into the residency to have a seat.

Nothing happened from there on to 9AM. I end my shift at 10AM, when a colleague arrives and recieves it.

And suddenly, the words no physician ever wants to hear when attending the ER...

CALL A CODE!!!!!


[image loading]
Yeah. I actually said that.


I go into the trauma room in a hurry.
A patient has just entered the trauma room. 63 years old male. The Dynamap and vital signs monitors are being connected to the patient to assess his vitals. His daughter is with him.

Doctor, please help! He can't breathe! He has a kidney disease, he's waiting for dialysis, he was supposed to be starting next week!


I go beside the patient, put my stethoscope on and ask him "What is your name, Mr?"

Suddenly, his eyes go blank. He looks up, and collapses in the gurney. He's not breathing. My hand instinctivley goes to his neck, finding his carotid artery, although the monitors were beeping and showing me his heart rate was at around 60 beats per minute.

[image loading]
TL, DR; I did THIS.


A strong pulse.

Ambu bag, STAT. Connect the oxygen line to the Ambu bag, prep a 7.5 tracheal tube, 15 mg Midazolam and get an IV access!


I begin giving rescue breaths with the ambu bag for two minutes.
Pulse saturation was reaching 30%.

Pulse saturation is one of the vital signs measured in every patient going into the ER. It tells you how much oxygen is currently being carried on the bloodstream, and it depends on a number of factors, such as how well perfusion is (how tissues are recieving the blood that the heart pumps torwards them) and how well or poorly the patient is breathing to get oxygen in his lungs.

In this case, the patient was obviously breathing poorly.
Sat did not increase in the first two minutes.
Checked for a pulse again. Stong pulse.

We're going to intubate. Prep the laryngoscope with a number 4 MacIntosh blade and the 7.5 OT tube. Push the 15 mg IV Midazolam and knock him out.


[image loading]
An intubation. The act of putting a tube in a patients airway to deliver oxygen directly to the lungs and secure the airway.


His heart was also slowing down. It reached down to 15 beats per minute. Normal is between 60 and 90. I push an amp of IV Atropine and heartrate goes up again.
I intubate the patient on the first attempt. An EMT helps me connect the Ambu bag to the tube. I check if the tube is in the airway. It is, lungs expand properly.
And there is when I hear it.
Massive rales and stertors on both lung's bases.
He was under a massive pulmonary oedema. An accute pulmonary oedema.

Push an amp of IV Furosemide, and refrain from using any saline or other IV sollutions! He's under accute pulmonary oedema, no more volume for him!


[image loading]
Furosemide. A diuretic. That is, a medication that helps the forces the kidneys into overdrive, filtering more water out to form urine.


Basically, a pulmonary oedema is when liquid accumulates in the lungs, preventing oxygen to reach the blood from the alveolii in them. That results into hypoxia (low blood oxygenation) and that can lead to a cardiac arrest, and death.
In this patients particular case, since his kidneys were shutting down, they cannot filter the excess water in the bloodstream to produce urine; hence, that water then has to go somewhere, since it cannot stay in the bloodstream forever. The patient then gets liquid in the tissues between muscles and skin, causing swollen legs and calfs, it goes into the abdomen, causing what we call "ascites", and then into the lungs, causing pulmonary oedema.
This patient did not follow his nephrologyst's instructions to refrain from having more then 1.5lts of water every day. Yesterday, he drank almost 3 liters of water.

After the tube was set and secured, and we begun pumping air into his lungs properly, sat begun to rise, patient stabilized.

I call the advanced medicalized ambulance (AMA)from my high-complexity hospital, 50 miles away.
We keep the patient stable after the incident. EMTs and physician coming in the AMA take over the patient.
30 mins away, he was entering the trauma room there.
He's now under mechanical ventilation and undergoing emergency dialysis, and currently stable.

A family will have a "happy" new year. A father and husband kept on living today after he almost died.

I certainly do. My team and I saved a life. And that's a pretty fucking happy new year.
(Z)Day[9] said "There's nothing more cool than being proud of the things that you love". I'm so proud of my staff, and so grateful for the job I get to do. And I'm proud of saving this man's life.

Thank you for reading.

****
therealwinters - Skype / @DrUmbra - Twitter // "There is nothing more cool than being proud of the things that you love" - Sean "Day[9]" Plott <3
Teoita
Profile Blog Joined January 2011
Italy12246 Posts
January 01 2013 15:04 GMT
#2
Your blogs are so awesome, thanks for posting
ModeratorProtoss all-ins are like a wok. You can throw whatever you want in there and it will turn out alright.
Names
Profile Blog Joined December 2010
Canada328 Posts
January 01 2013 15:41 GMT
#3
Brought tears to my eyes.
Weird thing is it also made me think of Trauma center: Second Opinion. lol. Good read nonetheless!
radscorpion9
Profile Blog Joined March 2011
Canada2252 Posts
Last Edited: 2013-01-01 15:57:55
January 01 2013 15:57 GMT
#4
Man, I love how we have a doctor posting fun interesting blogs on TL. I love your pictures in every post!!
DusTerr
Profile Blog Joined January 2011
2520 Posts
January 01 2013 18:26 GMT
#5
Thank you for what you do.
Deleted User 135096
Profile Blog Joined December 2010
3624 Posts
January 01 2013 18:43 GMT
#6
Keep up with these, they are quite interesting reads!
Administrator
nunez
Profile Blog Joined February 2011
Norway4003 Posts
January 01 2013 19:32 GMT
#7
ah, nice read. this is our dr. house.
conspired against by a confederacy of dunces.
yellu
Profile Joined October 2010
Austria33 Posts
January 01 2013 19:41 GMT
#8
As a med-student myself, your blog-posts are really inspiring and touching! They are always a treat to read.
Thanks for the time you spent writing these, and thanks for the time rescuing people!
Shady Sands
Profile Blog Joined June 2012
United States4021 Posts
January 01 2013 20:13 GMT
#9
Now I know which country to recommend for my parents when they're old and decrepit

Great job.
Что?
sevia
Profile Joined May 2010
United States954 Posts
January 01 2013 21:27 GMT
#10
Nothing but respect for doctors such as yourself. Sounds like a lot of sacrifice and a lot of stress. I hope you find it rewarding.
최지성 Bomber || 김동환 viOLet || 고병재 GuMiho
Aerisky
Profile Blog Joined May 2012
United States12129 Posts
January 01 2013 22:12 GMT
#11
Beautiful. Thank you for being awesome, and God bless.
Jim while Johnny had had had had had had had; had had had had the better effect on the teacher.
Eufouria
Profile Blog Joined March 2011
United Kingdom4425 Posts
January 01 2013 23:26 GMT
#12
Awesome blog as always.

Does all of this come instinctively to you or do you have to think about the symptoms and then work out what is wrong and think about what the next step is?
Nos-
Profile Blog Joined February 2011
Canada12016 Posts
January 02 2013 06:40 GMT
#13
Your job sounds harrowing as all hell but I'll be damned if you don't do good work. Fantastic blog and I'd love to read more.
Bronze player stuck in platinum
InfusedTT.DaZe
Profile Joined August 2010
Romania693 Posts
January 02 2013 07:08 GMT
#14
you sir are awesome!
"Echoes of past events nudge the tiller on my present course, I await its reflection in the future"
AmericanUmlaut
Profile Blog Joined November 2010
Germany2577 Posts
January 02 2013 09:04 GMT
#15
Thanks for the great story, as always. I'm always thrilled when I see you've made a new post.
The frumious Bandersnatch
Slardar
Profile Joined April 2010
Canada7593 Posts
January 02 2013 17:14 GMT
#16
Good job UmbraaeternuS , have a Happy New Years and thanks for the blog.
Superiorwolf
Profile Blog Joined March 2007
United States5509 Posts
January 02 2013 17:55 GMT
#17
Haha awesome blog. Love how you describe a lot of the things you're doing, my brother is in medical school and was actually recently talking to my mom about intubations so it was pretty cool to see it come up here
Check out my stream at www.teamliquid.net/forum/viewmessage.php?topic_id=315053 and follow me on Twitter @EGSuppy! :)
FatChunk
Profile Joined August 2010
Canada93 Posts
January 02 2013 18:07 GMT
#18
Was so psyched to see that you posted another blog. Happy new year and please keep the blogs coming!
snively
Profile Blog Joined August 2011
United States1159 Posts
January 02 2013 20:33 GMT
#19
i didnt know water could be so dangerous
My religion is Starcraft
jcroisdale
Profile Blog Joined October 2010
United States1543 Posts
January 03 2013 00:19 GMT
#20
Good on you.
"I think bringing a toddler to a movie theater is a terrible idea. They are too young to understand what is happening it would be like giving your toddler acid. Bad idea." - Sinensis
1 2 Next All
Please log in or register to reply.
Live Events Refresh
Next event in 38m
[ Submit Event ]
Live Streams
Refresh
StarCraft 2
Harstem 382
StarCraft: Brood War
Britney 32025
Horang2 3742
Flash 1680
Jaedong 1020
Bisu 885
Barracks 711
Hyun 700
EffOrt 408
actioN 299
Mini 288
[ Show more ]
Larva 251
Killer 238
Soulkey 204
Last 158
Zeus 125
JYJ120
GuemChi 118
ToSsGirL 112
Snow 111
ZerO 96
Leta 89
Rush 61
sorry 35
Backho 32
Sharp 31
zelot 28
Movie 28
Sacsri 26
sas.Sziky 25
sSak 24
yabsab 23
Icarus 15
Hm[arnc] 14
Noble 13
Shinee 12
ajuk12(nOOB) 10
Aegong 4
[sc1f]eonzerg 1
Dota 2
Gorgc2096
XcaliburYe298
BananaSlamJamma286
Counter-Strike
olofmeister1854
x6flipin616
edward108
Other Games
singsing2008
B2W.Neo694
Fuzer 315
DeMusliM296
Happy250
SortOf81
ToD19
ZerO(Twitch)16
Organizations
StarCraft 2
Blizzard YouTube
StarCraft: Brood War
BSLTrovo
sctven
[ Show 14 non-featured ]
StarCraft 2
• StrangeGG 70
• davetesta54
• AfreecaTV YouTube
• intothetv
• Kozan
• IndyKCrew
• LaughNgamezSOOP
• Migwel
• sooper7s
StarCraft: Brood War
• BSLYoutube
• STPLYoutube
• ZZZeroYoutube
League of Legends
• Jankos699
Other Games
• WagamamaTV244
Upcoming Events
OSC
38m
uThermal 2v2 Circuit
4h 8m
The PondCast
22h 8m
Online Event
1d 4h
Korean StarCraft League
2 days
CranKy Ducklings
2 days
BSL20 Non-Korean Champi…
3 days
Mihu vs QiaoGege
Zhanhun vs Dewalt
Fengzi vs TBD
Online Event
3 days
Sparkling Tuna Cup
3 days
BSL20 Non-Korean Champi…
4 days
Bonyth vs TBD
[ Show More ]
OSC
5 days
Liquipedia Results

Completed

BSL 20 Non-Korean Championship
FEL Cracow 2025
Underdog Cup #2

Ongoing

Copa Latinoamericana 4
Jiahua Invitational
BSL 20 Team Wars
CC Div. A S7
IEM Cologne 2025
FISSURE Playground #1
BLAST.tv Austin Major 2025
ESL Impact League Season 7
IEM Dallas 2025
PGL Astana 2025

Upcoming

BSL 21 Qualifiers
ASL Season 20: Qualifier #1
ASL Season 20: Qualifier #2
ASL Season 20
CSLPRO Chat StarLAN 3
BSL Season 21
RSL Revival: Season 2
Maestros of the Game
SEL Season 2 Championship
WardiTV Summer 2025
uThermal 2v2 Main Event
HCC Europe
Yuqilin POB S2
ESL Pro League S22
StarSeries Fall 2025
FISSURE Playground #2
BLAST Open Fall 2025
BLAST Open Fall Qual
Esports World Cup 2025
BLAST Bounty Fall 2025
BLAST Bounty Fall Qual
TLPD

1. ByuN
2. TY
3. Dark
4. Solar
5. Stats
6. Nerchio
7. sOs
8. soO
9. INnoVation
10. Elazer
1. Rain
2. Flash
3. EffOrt
4. Last
5. Bisu
6. Soulkey
7. Mini
8. Sharp
Sidebar Settings...

Advertising | Privacy Policy | Terms Of Use | Contact Us

Original banner artwork: Jim Warren
The contents of this webpage are copyright © 2025 TLnet. All Rights Reserved.