🍄 Stabilize PROPERly the trachea when introducing the tracheostomy tube (Percutaneous Tracheostomy)
🍄 Traumatic brain injury, make sure check the scalp wound as it is difficult to hemostasis
🍄 Look for active bleeding if the HB didn't improve despite transfusion. Even though the HB is persistently 9.
🍄 If patient difficult to medically controlled for agitation, Rikers 7, suspect usage of recreational drugs and giver low regular morphine 2.5mg sc (not responding to chlorpromazine, risperidone, halo, propofol). Apply nicotine patch.
🍄 Brain death test 24 hours after off sedation
🍄 Got to be familiar with overview of diseases' treatment to avoid delay from others team
🍄 Get to know patient's family dynamic/ hx, make you more empathy during the clinical practice. They are also someone's family.
Got to jot these down so it won't easily slip out from my 🧠
Need to start doing this more often
