When a person slumps, it is a cardiac arrest, and brain damage starts to happen within 5 minutes, and death can occur within 10 minutes.
I remember when I used to work in a hospital in VI, a young man came in the middle of the night, around 2:00 am, June 2013, or so. He just told me that he felt tired and sweaty with a little chest pain that started while he was watching TV before he went to bed. There was no sign of a stroke. His speech was clear, his face was normal, and he had no weakness on either side of his body. I just knew he was having a heart attack.
I did not panic. I called the nurses and ordered an ECG, samples for cardiac markers, E, U, Cr, RBS, and sublingual nitroglycerin. The ECG showed a classical STEMI. I reviewed the ECG with our Chief of Cardiology, our Cardiology mummy. There is no time you call her that she would not answer, but you have to be on point, or else you would spend the rest of the month thinking of your life choices.
I called another hospital on Idowu Martins, gave them the necessary information, and told them he needed to be in the Cath lab as fast as possible. I went back to the guy, shook his hand, and wished him good luck. There was zero panic. My hospital was on Idejo, and the ambulance transit time was roughly 3 minutes.
At Idowu Martins, he had his procedure and he survived. He went to the UK later for further checks. He came back to my hospital after about 6 months in the UK, but I had left the facility. They gave him my number, and he called me, and we talked and laughed on the phone. I am sure he is somewhere today enjoying his life.
A heart attack can be salvaged; a cardiac arrest is most times irreversible, especially in this part of the world. Even when reversed, it usually leaves the person in a vegetative state with severe brain damage.
The signs of a heart attack can be subtle. The person can be fine, go to bed, and not wake up. Check your blood pressure, have your annual health check, and don't ignore warning signs.
One week in stroke and the organisation from thrombolysis / thromboectomy blows my mind!
Patient would get fast symptoms and call ambulance who would blue light them for stroke assessment! Patient education is key
See ehn Nigeria needs to get it right with its stroke services
Omo!
Yesterday, Minister Toluwanisings was at Bidemi Olaoba’s *In His Presence*. Today, he is gone. 💔
He came to honour Minister Bidemi, not even intending to sing. But Bidemi asked that they find him to come and minister a little...👇
As an Emergency Medicine doctor, if you are concerned about a patient and request admission under a specialty, but they advise over the phone that the patient should be discharged, it would be worth politely asking them to come and assess the patient themselves and make that decision.
This is particularly important during night shifts, when the advice given over the phone can sometimes underestimate the gravity of a situation. Their opinion may change when they examine the patient firsthand.
This protects you, protects them and, most importantly, protects the patient.
Sometimes, that specialist may not fully appreciate the extent of your concerns, or you may not have communicated them in a way that conveys the clinical picture adequately.
The same applies when other healthcare professionals discuss cases with us. Our initial impression can change significantly when we examine the patient ourselves.
When there is genuine clinical concern, a telephone conversation should not substitute for a face-to-face assessment when one is needed.
I have learned over time that it is more important to thank and appreciate the people who show up for you than to worry or complain about those who don't. It is a better use of your energy and time, and it rewards and nurtures those relationships.