CLINICAL | pris-med-adventure

Clinical Sessions

Clinical session was first introduced in Semester 2, when we first started our system blocks. Hence, we had clinical sessions for Haematology and Immunology, and Cardiovascular System blocks. In clinical lab sessions, students are given the first taste on how the medical world would be. It is almost like a simulation of the wards and hospitals, where medical students can explore the clinical side of the medical course.

The lessons are carried out in both Clinical Skills Labs (CSS), where it is designed to look like wards in the hospital. We are always divided into three groups, and we take turns to enter the CSS lab. This is because the smaller the group, the easier for us to practise one-on-one physical examination. We are grateful to have Dr Narren as our Clinical Skills lecturer. He is very thorough and passionate about his work. He has inspired many of us to strive and be compassionate, professional and passionate doctors.

In both system blocks, we were taught how to perform general physical examination, specific physical examination, take past medical history, hand washing, gloving, CPR, measure blood pressure, indentify abnormal hear sounds etc. It is truly a wonderful experience and I personally enjoy and always look forward to CSS sessions.

Before we enter the CSS lab, we have to follow the required dress code and bring the neccassary equipments:

1. Lab coats

2. Long pants or skirts

3. Stethescope

4. Pen light

5. Measuring tape

6. Knee hammer

Cardiopulmonary Resuscitation (CPR)

Step 1 Check for danger. Make sure patient and I are in a safe place.	Step 2 Check for consciousness. Tap shoulders and yell "Are you okay?"	Step 3 Check for patient's response.
Step 4 Patient not responding. Call 999. Inform location, number of patients, bring a defibrillator and don't hang up until I get a response from the other side of the call.	Step 5 Check for pulse. Carotid pulse preferred.	Step 6 Remove clothing, trace right costal margin and place hands firmly on chest wall.
Step 7 Provide 30 compressions in constant speed. altogether 5 sets of 30:2 breaths in two minutes.	Step 8 Tilt head, and chin up. Remove foreign material in mouth. Provide 2 rescue breaths.

Measuring Blood Pressure (BP)

Picture showing me (on the Right) measuring my friend Mohamed's blood pressure.	A sphygmomanometer is used to measure blood pressure accurately. It measures in mmHG.	Stethoscope is needed to listen to pulse.

Intravenous Injection & Venipuncture

Intradermal Injection Intradermal injection is done using e needle and syringe at 45 degree angle towards the skin.	Intramuscular Injection Intramuscular injection (IM) is done using syringe and needle, at 90 degrees angle.	Venipuncture Venipuncture done by using needle and syringe, at 45 degrees. Picture showing me drawing blood from dummy patient's arm.

Paediatric Rescue

CPR for infants CPR for infants, place heel of palm on chest wall. Provide 15 compressions to 2 breaths for five cycles. Picture of me performing in CSS lab.	Choking rescue for infants Place infant on knee for maximum support, with palm of hand, give a forceful blow on the back. This will dislodge the material from airway. Picture of me performing in CSS lab.

Blood,Sweat

AND

Smiles

A MEDICAL JOURNEY

Clinical Sessions

Cardiopulmonary Resuscitation (CPR)

Step 1

Check for danger. Make sure patient and I are in a safe place.

Step 2

Check for consciousness. Tap shoulders and yell "Are you okay?"

Step 3

Check for patient's response.

Step 4

Patient not responding. Call 999. Inform location, number of patients, bring a defibrillator and don't hang up until I get a response from the other side of the call.

Step 5

Check for pulse. Carotid pulse preferred.

Step 6

Remove clothing, trace right costal margin and place hands firmly on chest wall.

Step 7

Provide 30 compressions in constant speed. altogether 5 sets of 30:2 breaths in two minutes.

Step 8

Tilt head, and chin up. Remove foreign material in mouth. Provide 2 rescue breaths.

Measuring Blood Pressure (BP)

Picture showing me (on the Right) measuring my friend Mohamed's blood pressure.

A sphygmomanometer is used to measure blood pressure accurately. It measures in mmHG.

Stethoscope is needed to listen to pulse.

Intravenous Injection & Venipuncture

Intradermal Injection

Intradermal injection is done using e needle and syringe at 45 degree angle towards the skin.

Intramuscular Injection

Intramuscular injection (IM) is done using syringe and needle, at 90 degrees angle.

Venipuncture

Venipuncture done by using needle and syringe, at 45 degrees. Picture showing me drawing blood from dummy patient's arm.

Paediatric Rescue

CPR for infants

CPR for infants, place heel of palm on chest wall. Provide 15 compressions to 2 breaths for five cycles. Picture of me performing in CSS lab.

Choking rescue for infants

Place infant on knee for maximum support, with palm of hand, give a forceful blow on the back. This will dislodge the material from airway. Picture of me performing in CSS lab.

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