Spo2 40

- bismillah -

This evening, i was walking back to ward from clinic when upon entering the ward, i saw my staffnurses were busy running around here and there fetching things. They saw me and quickly informed: dr, spo2 40%!

Hah? I rushed to the patient. What could possibly happened???

I attended the patient, he was a young boy with humerus fracture, day 1 post humeral plating. He was tachypneic, and i think he looked like he's gonna collapse at any time. But when i asked him questions, he spoke in full sentences.

The vitals were bad, spo2 was really 40%.

His lungs got unequal air entry. With pleuritic chest pain.

Shit.

Luckily no calfs tenderness. And he is young. That is the most important factor.

I saw that blood transfusion going on, but has already been stopped by my staffnurses.

Phew.

His spo2 picked up after i put him on hfo2 15L/min. Hahaha. Initially i put him on fmo2 but the spo2 only 82%.

When he regained 100% spo2, i called to inform my mo.

His question was only this:
What has been done?

Bla bla bla

And alhamdulillah, the patient became stable after that. His ecg was normal, blood normal, portable cxray also normal.

We suspected that he may got transfusion reaction just now.

Phew.

To think again, i always had cases of transfusion reaction (jonahness), but this one is my 1st encounter with "spo2 40" complain. Sampaikan sekarang blood bank dah tak bagi transfuse malam2 sbb pt i selalu jadi reaction malam2 😂.

Anyway,
Alhamdulillah.

The patient survived. The mother thanked me. I dont know what will happen to him if he was left unattended with that spo2 level.

It was not because of me, but the patient's rezeki to stay alive...

To think how Allah made me walk fast from the clinic to ward while other friends were still in clinic... Rupanya Allah aturkan utk attend the patient...

Alhamdulillah... Segala puji hanya bagi Allah