On call again! I got 8 hours of sleep last night! I feel like a new person. 🙂 Call was busy today, and I can’t even remember a lot of the cases that came in. But I know the medevac teams were out all day with 4 medevacs—the same guys I went with yesterday, went out on three medevacs today. I hope they get some sleep!
The most important learning part of my day was right at the end of my shift, a medevac came in from a village with an ATV rollover accident (ATVs are the vehicle of choice in all the villages), and I got to stay and watch the very experienced doctor, who has been in the military, do the trauma exam/work up. I learned about all this in the ATLS (Advanced Trauma Life Support) course, and a little in residency (not enough!) but most of it is theoretical knowledge that I haven’t yet put to use. It was really great to have the opportunity to see his routine. Luckily we have a CT and could diagnose a fracture of his cervical spine that needed to be sent to Anchorage. I stayed later for this experience, which is so worth it for the education. Then the ED got super busy. It’s a pretty full moon (not that I’m superstitious or anything) and the month that the PFD (Permanent Fund Dividend) gets distributed, so lots of people do lots of crazy things with their extra money, often under the influence of alcohol. It breaks my heart to see how much it affects peoples lives here.
Since it was busy, I stayed to see another patient and offered to stay and see more patients. But the doctor who was so calm and took everything in stride, and didn’t need help. He is excellent at triaging patients and getting patients in and out quickly. I hope I get to that level of doctoring some day. 🙂
Amazingly, I didn’t have any admissions–so I’m excited to sleep in on my Saturday off! (providing no medevacs or deliveries). Here’s to not setting an alarm clock!