On Tuesday I was shown how to insert a urethral catheter into a man's penis then was allowed to perform the same procedure myself! That is my very first patient! Apparently the hospital have many men come in with enlarge prostates who have catheters which get blocked; as their bladders get distended this is considered an emergency so they get seen quickly in ER.
On the Wednesday there was a young boy who came in as a transfer from the University of the West Indies Hospital (UWIH). The boy had been knocked of his bike at midnight the day before but because he didn't have health insurance he had to be transferred to KPH. When he arrived the boy was in a bad state; unconscious but still able to breathe on his own, he had a compressed cranial fracture and there was blood putting pressure on his brain. The consultants or senior residents from general surgery and neurology came down to see the boy and his injuries, however while they were down there the boy went into cardiac failure. CPR was started and an air bag was put over the boys mouth so that his breathing could be controlled by one of the doctors or nurses. After two shots of adrenaline and seven minutes of CPR the boy's heart started to beat again and he began to breathe. The boy was later taken to the surgery ward so that the pressure could be relieved from his brain and his broken leg set.
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