{"id":24,"date":"2023-11-01T08:50:00","date_gmt":"2023-11-01T08:50:00","guid":{"rendered":"https:\/\/openbook.ums.edu.my\/shaipointofcareultrasoundforundergraduates\/front-matter\/introduction-2\/"},"modified":"2024-09-19T03:03:29","modified_gmt":"2024-09-19T03:03:29","slug":"introduction-2","status":"publish","type":"front-matter","link":"https:\/\/openbook.ums.edu.my\/pointofcareultrasoundforundergraduates\/front-matter\/introduction-2\/","title":{"raw":"Introduction","rendered":"Introduction"},"content":{"raw":"<p style=\"text-align: justify;\">Imagine this case scenario. You are a junior medical officer who has just finished housemanship at a tertiary hospital. You are then assigned to a district hospital in Sabah which is at least 2 hour driving from the nearest tertiary hospital with specialist.<\/p>\r\n<p style=\"text-align: justify;\">It's your first month at work at the district hospital and you are oncall at the Emergency Department at 2am in the morning.<\/p>\r\n<p style=\"text-align: justify;\">The triage bell rings and the Medical Assistant pushed in a young man who is clutching his chest, appear breathless and started to become cyanosed.<\/p>\r\n<p style=\"text-align: justify;\">Short history from his friend ; he was riding a motorcycle alone without wearing helmet, tried to avoid a cow which was sitting at the middle of the road, skidded and fell forwards.<\/p>\r\n<p style=\"text-align: justify;\">His vital signs n arrival was Blood Pressure 80\/45mmHg, Pulse Rate 140beats per minute, Saturation 80% on room air.<\/p>\r\n<p style=\"text-align: justify;\">You noticed that he has bruises on right side of his chest and his right flank.<\/p>\r\n<p style=\"text-align: justify;\">Now you might need to think that this patient needs CT Scan As soon as possible in order to come to a diagnosis. But you know the limitations of working in a district hospital, and the patient needs stabilisation before it is safe enough to refer and transfer him to the district hospital<\/p>\r\n<p style=\"text-align: justify;\">What if we tell you that with one tool, you can at least come to a preliminary diagnosis and you can identify and treat his life threatening injuries.<\/p>\r\n<p style=\"text-align: justify;\">That tool is the bedside ultrasound, a tool invented not so long ago, but has been a wonderful helping hand to Emergency Department doctors across the world. Delicate but helpful, it is so useful that some places has a unique pet name for the ultrasound machine.<\/p>\r\n<p style=\"text-align: justify;\">This book is for you, medical undergraduates, junior House Officers and Medical Officers, in the hope that it will become an assistance in your daily job as a junior doctor, and those inspire to become an Emergency Physician.<\/p>\r\n<p style=\"text-align: justify;\">Plus, this book is free, in the hope that life saving knowledge and skills will no longer be reserved for those with money, as patients now not their doctor,\u00a0 but a doctor must know their patient.<\/p>\r\n<p style=\"text-align: justify;\">We hope you will enjoy this start of ultrasound journey with us...<\/p>\r\n<p style=\"text-align: justify;\"><\/p>","rendered":"<p style=\"text-align: justify;\">Imagine this case scenario. You are a junior medical officer who has just finished housemanship at a tertiary hospital. You are then assigned to a district hospital in Sabah which is at least 2 hour driving from the nearest tertiary hospital with specialist.<\/p>\n<p style=\"text-align: justify;\">It&#8217;s your first month at work at the district hospital and you are oncall at the Emergency Department at 2am in the morning.<\/p>\n<p style=\"text-align: justify;\">The triage bell rings and the Medical Assistant pushed in a young man who is clutching his chest, appear breathless and started to become cyanosed.<\/p>\n<p style=\"text-align: justify;\">Short history from his friend ; he was riding a motorcycle alone without wearing helmet, tried to avoid a cow which was sitting at the middle of the road, skidded and fell forwards.<\/p>\n<p style=\"text-align: justify;\">His vital signs n arrival was Blood Pressure 80\/45mmHg, Pulse Rate 140beats per minute, Saturation 80% on room air.<\/p>\n<p style=\"text-align: justify;\">You noticed that he has bruises on right side of his chest and his right flank.<\/p>\n<p style=\"text-align: justify;\">Now you might need to think that this patient needs CT Scan As soon as possible in order to come to a diagnosis. But you know the limitations of working in a district hospital, and the patient needs stabilisation before it is safe enough to refer and transfer him to the district hospital<\/p>\n<p style=\"text-align: justify;\">What if we tell you that with one tool, you can at least come to a preliminary diagnosis and you can identify and treat his life threatening injuries.<\/p>\n<p style=\"text-align: justify;\">That tool is the bedside ultrasound, a tool invented not so long ago, but has been a wonderful helping hand to Emergency Department doctors across the world. Delicate but helpful, it is so useful that some places has a unique pet name for the ultrasound machine.<\/p>\n<p style=\"text-align: justify;\">This book is for you, medical undergraduates, junior House Officers and Medical Officers, in the hope that it will become an assistance in your daily job as a junior doctor, and those inspire to become an Emergency Physician.<\/p>\n<p style=\"text-align: justify;\">Plus, this book is free, in the hope that life saving knowledge and skills will no longer be reserved for those with money, as patients now not their doctor,\u00a0 but a doctor must know their patient.<\/p>\n<p style=\"text-align: justify;\">We hope you will enjoy this start of ultrasound journey with us&#8230;<\/p>\n<p style=\"text-align: justify;\">\n","protected":false},"author":7,"menu_order":2,"template":"","meta":{"pb_show_title":"on","pb_short_title":"","pb_subtitle":"","pb_authors":["mohammad-firdaus-bolong"],"pb_section_license":""},"front-matter-type":[12],"contributor":[61],"license":[54],"class_list":["post-24","front-matter","type-front-matter","status-publish","hentry","front-matter-type-introduction","contributor-mohammad-firdaus-bolong","license-cc-by-sa"],"_links":{"self":[{"href":"https:\/\/openbook.ums.edu.my\/pointofcareultrasoundforundergraduates\/wp-json\/pressbooks\/v2\/front-matter\/24","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/openbook.ums.edu.my\/pointofcareultrasoundforundergraduates\/wp-json\/pressbooks\/v2\/front-matter"}],"about":[{"href":"https:\/\/openbook.ums.edu.my\/pointofcareultrasoundforundergraduates\/wp-json\/wp\/v2\/types\/front-matter"}],"author":[{"embeddable":true,"href":"https:\/\/openbook.ums.edu.my\/pointofcareultrasoundforundergraduates\/wp-json\/wp\/v2\/users\/7"}],"version-history":[{"count":2,"href":"https:\/\/openbook.ums.edu.my\/pointofcareultrasoundforundergraduates\/wp-json\/pressbooks\/v2\/front-matter\/24\/revisions"}],"predecessor-version":[{"id":154,"href":"https:\/\/openbook.ums.edu.my\/pointofcareultrasoundforundergraduates\/wp-json\/pressbooks\/v2\/front-matter\/24\/revisions\/154"}],"metadata":[{"href":"https:\/\/openbook.ums.edu.my\/pointofcareultrasoundforundergraduates\/wp-json\/pressbooks\/v2\/front-matter\/24\/metadata\/"}],"wp:attachment":[{"href":"https:\/\/openbook.ums.edu.my\/pointofcareultrasoundforundergraduates\/wp-json\/wp\/v2\/media?parent=24"}],"wp:term":[{"taxonomy":"front-matter-type","embeddable":true,"href":"https:\/\/openbook.ums.edu.my\/pointofcareultrasoundforundergraduates\/wp-json\/pressbooks\/v2\/front-matter-type?post=24"},{"taxonomy":"contributor","embeddable":true,"href":"https:\/\/openbook.ums.edu.my\/pointofcareultrasoundforundergraduates\/wp-json\/wp\/v2\/contributor?post=24"},{"taxonomy":"license","embeddable":true,"href":"https:\/\/openbook.ums.edu.my\/pointofcareultrasoundforundergraduates\/wp-json\/wp\/v2\/license?post=24"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}