Good, pretty full on day yesterday.

Started the morning in Minors picking up some seemingly straight forward complaints that had interesting twists. Needless to say I learnt quite alot about autism and Christmas disease (haemophilia b). The afternoon slot was pretty epic in Majors and resus. I managed to select a patient with an array of differential diagnoses that finally was diagnosed as pneumonia, after an initial presentation of central chest and abdo pain. Required a thorough assessment as well as bloods, cultures, chest X-rays, urinalysis, ECG and aggressive pain management. Great consultant support too.

Then went on to manipulate an open ankle fracture dislocation as the boss administered ketomone. Was pretty chugged as they really had to look hard for the fracture on X-ray as the relocation was so successful. Boosted my confidence after the shift the day before endedwith a simple head lac that turned out to be a 15 cm full thickness scalp lac with arterial bleeding! Again good support from some of the senior docs. Learnt an excellent way to make a head pressure dressing with bandages!

Lessons:

Ask for help early if things look bigger than expected
Give antibiotics in first 2 hours if they are required