I've been very busy this week, but I've had a great time at the Children's, attached to the General Paediatric Team. They deal with the 'District General' cases presenting to the hospital, ie they're secondary care, nor tertiary care. I was on-call in A&E (Accident and Emergency Department, the NHS's ER) on Tuesday night, and had a very busy and interesting evening.
The most frightening case I saw was a 4 year old boy with respiratory arrest and prolonged fitting possibly due to lignocaince OD (not given in hospital!). He continued fitting on rectal Diazepam and 2 lots of IV Lorazepam, end intubated and on a infusion of Midazolam. I really thought that he was screwed – but 24 hours later he was causing havoc on the ward, running around in a hospital gown, flashing all and sundry! Thank God for the resilience of kids!
I’ve also been cuddling lots of babies this week, practicing my developmental exams. I love babies, especially the way their skin feels – so soft and delicate. It’s all new and perfect, with no age or sun damage. Like the inside of a new sweatshirt, but time and washing machines spoil that. Not that I’m suggesting you put your baby in a washing machine. Baths only for them please.