DAY IN THE LIFE OF A DOCTOR: EMERGENCY INTUBATION (Intensive Care Unit)

DAY IN THE LIFE OF A DOCTOR: EMERGENCY INTUBATION (Intensive Care Unit)


Hey guys, I’m Siobhan a second-year medical resident. It’s 6:30 in the morning and I’m heading to the ICU So today I want to really show you things I’ve never shown you in the hospital before and give you a sense of how cool it is that we work in teams To save some of the sickest patients in the hospital when working in the ICU ok, just got to the hospital do you guys remember last year when I did a vlog with Carol? She’s my second year She’s my senior. Now, that’s my role. Although there are no other first-year residents. So I’m still kind of like the most junior doctor On the team so it doesn’t feel like too much has changed, but still I’m moving up in the ranks The day starts with an hour of formal teaching which is great because as residents were still Learners and unless teaching is prioritized. It can easily get forgotten when the day gets super busy It was febrile intraoperatively hypotensive in the operating room a right subclavian central venous line was inserted It’s now been removed in the recovery room Next we meet with the exhausted resident who was on call overnight to get handover Which means we hear about update and what happened overnight. Hey Sandra, how was the night? It was good. It was good night Yeah, yeah, we didn’t have much going on which was nice. We did have a couple of abnormalities so patient upstairs we’ve had an abnormal breathing pattern and a patient down here who had a bit of abnormal blood work and Looks like he might be bleeding a little bit. We don’t know exactly why so we’re gonna do some scans to figure that out So that’s organized for today. Okay, we’ll get the rest of handover when without the patient confidentiality bit Okay. So now we start rounding which means we literally go around the ICU as a team seeing each patient and making a plan for their care so when I say team I mean the doctors and medical students bedside nurse the pharmacist the respiratory therapist and dietitian and Depending on the patient situation. We may also be joined by a spiritual care provider or the physical therapist I can’t imagine how we would manage to take care of such sick patients without an amazing team like this So for each patient, we review all their medications lab work in imaging then we discuss the patient’s active issues so an issue might be weaning down a patient’s sedation so that they can wake up for treating an infection or Determining why their blood counts are low Then we write a progress note that explains the plan that we’ve come up with and write any doctor’s orders Which is basically a prescription that’s actually used in the hospital So rounds just gone interrupted. We have a new patient coming to ICU who needs to get intubated now At a time like this the team jumps to action getting ready to insert a breathing tube as soon as the patient arrives Preparation is key because every minute every second counts when it comes to an airway It’s a matter of life and death. This is what the intensive care unit is all about and Just like that. The emergency is under control and we can head back to rounds now that the patient is stable a Big part of rounding is hearing an update from the bedside nurse So when the team comes around to our patients room, we kind of discuss and go through our own head-to-toe assessment from the morning What we do is we discuss their neurological status their cardiac status Respiratory function all the way down to their toes And what we do is we discuss any outstanding issues that need to be addressed in the team Yeah, which is super helpful So actually I remember now that you need a an aural gastric tube Right that goes into the mouth and goes down to the stomach to give Medications through the mouth. So actually I should look let’s just do that now Okay, sounds good Okay, so let’s go find the og tube that we need to put in I Think it’s just down here Yeah, so This is the one that we thread down to their stomach Now I just let me grab the rest of the supplies It’s way more Pro to have all the supplies in the room before you start rather than asking a nurse to keep running in and out to get You things that you forgotten when you’re holding a tube in place? So it’s 12:45 just finished with rounds and now it’s time for some lunch I’m actually doing the keto diet right now Not as challenging as I thought it’s actually been pretty good So I brought some chicken to dip in mayonnaise and I got a salad as well So I want to keep that up and then meet the rest of the team Okay, I said it’s been easy on the Keo diet, but actually that’s I’m too weak since I’ve gotten used to it but honestly the reason I’m doing it is mainly because I think I’m like actually addicted to carbs and to sugar especially over naive alcohol and then the next day when you know I want a treat and I’m tired. So I’ve decided I just need to stop this cycle So it’s always tough when I’m going to a CAF mixing my favorite treats though alright, so we’re just heading back to the ICU had some lunch, which is really nice and Now, what do we do? Yeah mol kind of catch up Okay, so back in the ICU now during rounds I kind of make it to do list on my patient list about all the things I need to check up on in the afternoon. So Kind of divided and conquered you’ve got a big team and so we’re each checking up on different things And otherwise I kind of just wait to see what comes up in the afternoon if we gotta do procedures If we need to admit a new patient Put in lines any of that kind of stuff and then if nothing else is going on Then we actually get more teaching which is awesome So one patient has a white out of part of their lung meaning like one of their lungs looks totally white on x-ray So we’re trying to figure out what is causing this we’re gonna use ultrasound to go and do that now Ultrasound is really cool because we can use it to detect different things and you do on x-ray So in this case we can figure out if the patient’s lung is filled up with fluid Or if it’s collapsed and we can do that right at the bedside So that was great We were able to figure out that it’s a whole bunch of fluid looks like a big pneumonia and now we can treat it So super helpful So it’s 5 p.m the end of the day thank you to the team for letting me show what the actual team in IC was like by participating in this If you want to see a crazy video about me on call for 24 hours Check out this video if you want to see me like hooked up to an ECG scene and EEG machines will see my brain waves while I’m playing the violin and check out this video. Anyway, I’ll talk to guys next week. So bye for now


100 thoughts on “DAY IN THE LIFE OF A DOCTOR: EMERGENCY INTUBATION (Intensive Care Unit)

  1. How did go about getting permission to film your days in the hospital? I’m genuinely curious because I know privacy is huge in Canada anyways. But I’d love to be able to document my day.
    I love your videos and that you are able to do that.

  2. Hey!!! Someone has probably asked you these things before but I was wondering how your colleagues have reacted to your blog, the vlog itself but also how do they react when you film?in sure you probably had to get permission from someone to be filming so much… Do the RNs, other colleagues and superiors have issues with you filming? Do they ever react badly or treat it as an annoyance? Do they ever act or say that you shouldnt be doing it or like its unprofessional or a disruption ? In asking out of curiosity, and not because I think any of those things myself. I actually love this, but I keep wondering how others act while youre filming and if you ever have any issues with people due to the filming? I think this is an awesome idea.

  3. Were you putting in the NG tube? 😱 that's so different for me lol Nurses do everything here. MDs basically just put in orders or give us orders over the phone. We don't even do rounds with the doctors unless one wants to personally talk to us about something.

  4. Im a CNA in training, im doing my clinicals on saturdays at a nursing home, I was wondering what helps with c-diff smells? 😂i almost puked

  5. i feel like you're doing your job so friggn well, and when i think about how bad our hospitals are… uff germany is fucked up

  6. I suggest that Siobhan and other folks watching this check out this episode of the food phych podcast. The guest is a doctor talking about how other doctors cause harm by perpetuating diet culture in health care.

    https://christyharrison.com/foodpsych/6/healthcare-without-diet-culture-with-jennifer-gaudiani

    Unfortunately, I’ve seen Siobhan and other youtube-drs do this. Although the intent is not to cause harm, the impact is that weight stigma and diet culture in health care directly results in poorer outcomes for patients.

    If you don’t know what I’m talking about, or if you disagree, I suggest you listen to the experts discuss it in the podcast I linked.

  7. well this gives me flash backs to when my ex was in the ICU when he first got diagnosed with failing kidneys and I found out about dialysis

  8. I would love a story about how you got to where you are and about the student life before you became a doctor❤️❤️bUt I love your video keep up the good work!

  9. The tubing that she got from the cabinet at 4:30 is a Salem sump tube used for gastric drainage. Other supplies that she got also was a BD 60-ml catheter tip syringe, lubricating jelly, and adhesive tape (to secure the tube).

  10. Can you discuss the keto diet? Why do you feel you need to eat no carbs? Why wouldn't low carb diet be healthier. Bones RN.

  11. I was in the hospital last year around May. I had to be sent down to the ICU because it was already my four Code R. I had to be intubated for 5 day for a lung disease that was killing me little by little. My lungs kept on getting worse by the hours my oxygen levels would dropped as low as 75% and my heart rate would go up to 140 just by being asleep. I have no words to thank all of the nurses that took care of me and the doctors that helped me. I was there for a whole month and all I can say is that I admire your work and thanks for helping people like us to get and feel better. God bless you

  12. I have a bit of a funny story, when I was 3 I was in and out of the Hospital for some reason and I started to get scared of doctors (Not anymore) and my family went to a restaurant and the waiter had a white jacket like my doctor and I started crying and I wouldn't calm down so we had to leave. XD

  13. When your on the Keto Diet you kinda get an idea of what it’s like for a Type 1 Diabetic. I have Type One Diabetes and whenever I hear that someone does this challenge I find it interesting.

  14. You mentioned Tim's in one of your other day in the life vlogs…. 🇨🇦🇨🇦🇨🇦🎉🎉🎉 Curious what province you're in.

  15. I learned intubation when I was 11 years old. The first time I got it, I got right main stem. I’m 12 now. I did it on a dummy head.

  16. I've recently applied to nursing school and I've been watching your channel for a few months now. I hope that I have the privilege to work with doctors that have the outlook that you do.

  17. you should try eating a whole food, plant based vegan diet! Its healthier, less restrictive then keto and way better for the environment and the animals!

  18. So glad you mentioned the pharmacist on rounds! When available, do pharmacists also attend codes and intubations at your hospital? I’m a pharmacy student on my critical care rotation (first rotation ever!) and I’ve attended several with my preceptor! Many people aren’t aware of the pharmacist role on the health care team!

  19. Why is this being filmed? You have an emergent intubation, shouldn't you be jumping in and helping instead of filming?Also I'm worried some of this footage is coming close to breaking HIPPA laws. If you zoom in you can see details of paperwork.

  20. <3 Love that you include dietitians in your care team! Oftentimes, dietitians are ignored in the hospital care team, and I am an aspiring dietitian. 🙁

  21. So I very recently found your Channel and right now I have watched about 4 to 5 videos consecutively of yours, I clicked the home youtube button because I thought I had seen enough at least for now and then another one of your videos pops up in the home screen and I clicked it and here I am again, for some reason I can't stop watching your videos they are super interesting!

  22. I can’t get over how bright and happy you are! No matter the situation. I wish you could subscribe more than once because I definitely would! ❤️ Your a great youtuber, a life saver, AND a violinist! Incredible! It’s really cool to see behind the scenes, and all the little extras to being a doctor. This is a great learning experience too! YOU ARE AMAZING! (And the person reading this)❤️

    (Btw I’m only 10)

  23. Your an amazing doctor I’m very inspired by you and i also want to be a bed side nurse or a person that gets a patient ready for a sergery I’m 11 so please let me know what you think

  24. hi you should make a video explaining med school/college/rankings as a resident and more from all your experiences

  25. Hi there. I really like your Vlog!!!
    Since I am working in the medical field since 1995, I also enjoy to see similarities and differences between the countries we are working.
    I am wondering … you had to insert a gastric tube – is that standard in your country (which is it actually?) that an MD has to do that? In Switzerland, where I live, nurses are doing it. Only special gastric tubes like tubes that reaches the duodenum are done by specialists. An answer would be very nice! Bye. Roger.

  26. can you do a vlog of a doctor off duty. what you do during the day before work or a day that you have off. 🙂

  27. you have the best hospital / doctor vlog ever on youtube , i was wondering which hospital do u work for ?

  28. Thanks a lot for your experience, I am a general physician in Colombia and I work in emergency department in a critical region of the city so it's frequently to assess critical patient and it's really excited the critical care but I want to ask you how much time spend in academic activities in your ICU rotation?

  29. You are so positive and happy to watch. I was just in for day surgery yesterday and I can tell you: It makes a HUGE difference when the medical team is positive! Thank you for sharing your joy and hope with the world. I'm also a musician 🙂

  30. Hii! I read Medpage and thats what lead me to yoour vids. Cool vlogs and supportive mates.. 😊 You got a lotta energy there filming 😉 must be from the Carbs. 😀 go go go! tc

  31. You and your team seem WAY more competent than most doctors of any age at the local hospitals in my city…. where do you hail from??? I love your videos

  32. Just found your channel recently and have been binge watching them! They are really informative as a layperson who is interested in medicine. I am going to go through for a Central Processing Tech and knowing the other roles in the hospital is super interesting and helpful. You have the best channel and videos! <3

  33. it’s cool that you learned about a lung ultrasound in the morning, then have to do the procedure later.

  34. As an old anesthetist, I cannot but wonder where did all the young, motivated, clear-eyed colleagues disappear?
    Even the one in the mirror is gone!

  35. One of your videos popped up in my recommendations yesterday and I'd never seen them before. I'm So glad it did. I've watched quite a few videos already and you've gained another sub. Brill videos. August 2019 😊

  36. You should do videos where you teach about certain medical problems with patients, I’m a nursing student and you little animations when you explain something makes so much sense to me!

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