Good morning guys!
It's Thursday.
I sense a little trend here.
I find that every time I pick up the camera to vlog it's actually the day before my night
shift.
Today I have a night shift tonight at midnight.
I'm at a different hospital so the night shift starts at a slightly different time and I
just happen to wake up and I was like "Hmm..
I'm gonna vlog today."
I think it's because of the days of the night shift I have all day free and usually it's
a pretty good time for me to vlog and do everything that I need to do.
As usual, the night before my night shift, I try to get as much sleep as possible.
I tried to stay up last night but I only stayed up until 1-1:30am.
Even thought I tried to stay in bed as long as possible I was up by like 10am--which isn't
bad.
I think I'm gonna try to take a nap a little later so that I can stay up tonight from midnight
to 8am when I am done with my shift.
So I have two night shifts in a row, tonight which is Thursday night and Friday night and
then I have the whole weekend off which is awesome!
I'm just gonna vlog my day, talk about different things.
I wanted to kind of answer some of your more frequently asked questions about my rotations
and things like that so let's get started.
So the first thing I'm gonna talk about is: what's in my whitecoat.
I washed my whitecoat yesterday so I took everything out from the pocket.
So I have a bunch of stuff laid out here.
So I thought it would be a great time to show what I carry in emergency medicine.
Things that are in my pocket really vary from rotation to rotation because depending on
what you're doing, (hi Candy!) the things that are in your pocket just varies.
The first thing I have is my stethoscope.
In the emergency room you really just need any stethoscope.
It doesn't have to be a super fancy brand.
I have seen a lot of people use the disposable ones.
I have seen people use super fancy like Littman Cardiology and really everything in between.
The one I have is MDF.
Next I have all these pens.
I have had attendings ask me for pens and then you know, they forget and I don't get
them back so I try to have a lot of pens on me.
I have these two pens multipens which can be found in my store.
I have a black one and a cheap blue one.
Next to the pens I have a pen light.
Usually in the emergency room you end up using the otoscopes that are attached on the walls
to kind of look into eyes, ears and whatever sometimes the patients are in the hallway
and you just need to be able to check them regardless even if there is no otoscope.
So I carry my own pen light.
This thing I haven't really used.
I have been keeping them in my pocket.
I got it from Muji in Korea.
It's actually a---let me show you guys--it's actually scissors.
Pretty cool!
I haven't really used it because I always my sheers with me.
This is used to cut people's clothing off when a trauma comes in and you need to evaluate
everything on their body.
Hold on one second (Go Candy!)
It's also useful for cutting tape, cutting whatever you might be doing, maybe splinting
somebody, and you cut the stockinette, or if you need to cut some of the splinting materials.
So that's great.
I carry this with me all the time.
In terms of some of the other medical equipment, it's kinda like what ends up in my pocket.
And I end up not using.
They other day I helped with central line placement so I have my sterile gloves.
My size is six and a half.
And then the time before that, there was a guy getting chest tubes so the person who
was doing it needed a thicker thing to secure the tube.
So they needed a 2-0 of silk.
I had it in my pocket.
We ended up not using it cause I had more than one.
These are steri-strips which is good for kind of closing and keeping the wound closed once
you suture or don't suture depending on what the wound is so I have it in my pocket.
This is probably not good to use anymore but this is tetracaine you would use to--if someone
came in with something in their eyes and they felt like there is a foreign body in their
eye so we need to use fluorescein to look into their eyes.
It's basically a fluorescent dye that you put in their eye and you use a special lamp
to see if there is a foreign body.
Tetracaine is used like a numbing medicine on the eye.
So it's like drops.
It's always good to have some tape here.
This is just regular fabric tape.
Always very useful.
In terms of taking notes and taking patients histories, I used to use a notebook and I
think the notebook is called Perfect H&P or something like that and I've talked about
it before in my previous videos.
It's very useful when starting out and you don't wanna forget any history questions but
once you get used to asking all the questions and you kind of don't need to use a notebook
anymore, something that is simple to use is basically computer printer paper that I fold
like this.
And then I have all the information that I need here and then maybe here.
I've seen residents use like very tiny fonts and they'll have like four patients in one
side.
I'm not there yet so I tend to use the whole page for one patient.
I usually have 4 or 5 or 5 or 6 when I first start my shift and then I take my notes there.
This is something I just got the other day during a noon lecture.
It's all the medications and dosages that you need for intubation, post intubations
and if someone is coming with a seizure or someone is coming with anaphylaxis.
I thought this is something that is good to have on hand.
I should eventually memorize all of these but I don't have it memorized yet.
So I just have a piece of paper with me in my pocket.
Lastly, is the EMRA basics.
Basically this is divided into complaints that people come in with to the emergency
rooms.
So like headache, all the things that it can be, what physical examination to do and what
is the treatment for them.
So this is super handy especially if you're just starting out in emergency medicine.
Head injury, altered mental status, dizzy/lightheaded which is sometimes the most nebulous thing
that people just come in with and I have no idea what to do and this really helps me figure
out how to approach this complaint.
And lastly this pocket book emergency--the pocket emergency medicine book.
A lot of people use the purple one from internal medicine.
I think it's the purple one.
But they have one for emergency medicine.
It's kinda similar to this small booklet where everything is kind of complaint based and
it tells you how to examine and what the etiology is, what the pathophysiology is and how to
treat it.
So this I kinda read like a book.
There is like too much information for me to just look things up really quickly.
I use this for that mostly.
But I have this on hand so if I have any down time I can just read through it and learn
more about different things.
Thats all the things that I have in my pocket.
It gets pretty heavy but they all come in pretty handy so Iike having them on me.
I'll put all the information in the description box below.
So I'm gonna eat something cause I'm pretty hungry.
Probably breakfast food.
You guys didn't see this but I had to film that three times because Candy kept on getting
on top of the table and just like getting on top of all the stuff that I have laid out.
So I'm gonna feed Miss Candy cause I think she's hungry too.
I'm gonna have some cereal.
I like to have two types of cereal on hand at all times.
This is just personal preference.
(Here move Candy) I like to have Gronola-y nutty cereal and I like to have something
a little sweet.
This one is called love grown chocolate power Os.
And these are actually made with beans.
It's different types of beans but they end up actually still end up being cholate-y and
doesn't taste bean-y at all.
I like this one and I like this one from Post which is the banana nut crunch flavor.
I'm gonna have one of these.
So I just made a bunch of these strawberries and blueberries bowls.
The small one is great for bringing them with you to the hospital.
This big one I'm gonna keep at home and eat from it at home.
So yeah, WholeFoods or any kind of groceries stores they already make this pre-made strawberries
and blueberries packages but they tend to be a lot more expensive so I just like to
buy them separately and just make them myself.
They're super easy and fast and it's a great way to get some fruit in your diet when you're
out and about.
So these are my little fruit bowls.
So next I'm gonna make some curried cauliflowers so I'm just gonna wash it, cut them into little
pieces and mix them with curry powder and olive oil and I'm gonna air fry them for a
little bit and they turn out to be really delicious.
SO these are the ingredients that I'm gonna be adding: extra virgin olive oil, kosher
salt, madras curry powder and some black pepper.
So I have the mixed cauliflower here and I'm just gonna dump it into my air-fryer.
Give it a good shake.
I'm just gonna fudge the time and the temperature cause I don't really know but I'm gonna put
it fifteen minutes at the highest setting and I'll check back in 7 minutes or so and
see how it's doing.
Alright that looks really really good.
It smells really good too!
Look at that!
So I have my cauliflower here and I have a little project to work on.
So now that I'm in rotations like away rotations, I don't necessary have homework but I have
projects that I have to do and some readings to stay on top of so that's what I'm gonna
do now for the next couple hours.
So I've decided to go on a fun little outing today.
Bumper to bumper.
I can't really see what happened though.
That guy is wearing scrubs and I think he has to go to the hospital and now he's just
gonna walk.
No excuses!
Gotta get to work!
It's super bright.
I had to get out of the car cause we were stuck in that traffic for so long that my
boyfriend had to go so I'm just going by myself to lower east side.
I'm gonna get something to eat and get a drink and then head back home.
Hey guys I'm back!
It is now almost 8 o'clock.
I took a little detour and got a pedicure as well.
Hashtag treat yo-self.
So I have about 4 hours before I have to leave for my shift.
So I think I might just take a quick nap if I can and then head out to my shift.
Hey guys so it is 11:15pm I'm gonna head out now.
I'm gonna come back tomorrow morning and try to vlog before I go to sleep and tell you
guys some of the things that I see so I will close the vlog then
So I will head out for my shift and I will see you guys in about 8-9 hours.
Good morning everyone!
It's actually not morning at all.
It's actually 2pm right now.
I meant to finish my vlog or close my vlog yesterday-- or earlier this morning when I
got home but I was just so exhausted that by the time I thought of it I was already
in bed and I was so comfortable so I didn't wanna get up and vlog.
So I'll just tell you guys a little bit about my shift before I close this vlog.
So my shift was from midnight to 8am.
It's actually a pretty slow night which was good.
I had a couple different type of patients.
I had a patient who came in, she was like a post surgery patient.
She had surgery a couple days ago and she was having some reaction to morphine that
she was taking.
She ended up being ok.
Had another patient who was pregnant and she, I think she was like 16 weeks pregnant and
she had an synchopal episode so that's obviously concerning.
So on that patient I did an ultrasound on my own and I saw the baby and I saw the baby's
heart moving and the patient actually started to cry when she saw the baby on the ultrasound
machine.
So it was a very nice, touching moment to know that the baby was ok.
We had a patient who got hit by a car while he was biking.
Fortunately, it wasn't a major trauma.
He just had some abrasion on his arm, his torso.
I also did fast exam on him.
That's the ultrasound exam that you do to make sure there is no internal bleeding.
So I think those are the patients that I was directly responsible for and there were a
few other patients that I just kind of like watched from the side.
Sorry I couldn't bring you guys in the hospital.
You guys understand there is like a patient privacy HIPAA thing.
I can't really film in the hospital and I know some of you guys have asked me why I
can't film.
That's why.
But hopefully, me telling you guys about it is interesting enough.
Thank you guys so much for watching this vlog.
I will see you guys in the next video!
Byeee!