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Life battlegrounds in the emergency room.

The last day of field training as a 6th-year medical student at a provincial hospital...

No one thought that morning would become the deepest memory of their lives.

The red zone in the emergency room - an area where life and death stand face to face only a thin line.

Normally, if it's a community hospital, the beds in this zone may only have two beds, but there are eight here... and that day, every bed is full of groans, commanding noises, instrument sounds, like a battlefield.

When I was a sixth-year medical student, I had the opportunity to train in a provincial hospital and did not believe that the last day of the day would be an unforgettable memory anymore. The beds at the emergency room in the red zone were limited, with medical and nursing personnel, and also with limited supplies. If it was a small community hospital, the number of beds in this area would not exceed two beds. But on that day, there were eight beds in the provincial hospital with all eight beds stationed in the red zone.

Dividing the severity of the injury is necessary to make the patient more likely to survive. Symptoms are not just from the patient's telling, but from the information gathered from the injuries and vital signs detected. Red zone patients are patients who stand on a thin yarn separating life and death. If it is only a second late, death is definitely not far away. But if close care takes the patient's death away, it is like sitting on a plane to escape death.

The morning began with a teenage male patient who was driving down the wayside. The patient was stable, but the patient's malaise made the sixth-year medical student, also known as Eggen, very agitated to watch the patient cry. Not because the teacher or the nurse was unconcerned, but everyone was busy in the bed next to him with an acute myocardial infarction that had already been subjected to a round of chest compressions and had to do everything as quickly as possible.

This morning's war has begun. The snatch of life from death from someone who doesn't know - it's starting. Everyone wearing sneakers, semi-running, blood drawing, electrocardiography. An X-ray officer with a pair of big brother tools soon arrived. Chest X-ray photos were projected. Pain flooding in cardiac arrest patients who detect acute myocardial ischemia began to accelerate everyone to send their patients to the cardiac garden as fast as every human in that place can.

In the midst of the war of the heart, the young man's brain was swollen, and of course Mal was the first to observe, because we seemed to be the most unemployed and useless. Walking to tell the master of the doctor on duty that day was difficult but had to do. When he saw the symptoms of a young patient whose skull was bleeding over the cortex and under the thick cortex together with the missing outcry, seeping and sleeping, the bandage on his head began to loosen. With us, Ekten was free enough to rewrap the cloth alone, he began to wrap the cloth back in gently, but then he could not wrap it back again. Because the white Japanese tofu-like brain was coming out to his face. To the eyes, the clamor of the people who couldn't catch it, because they were shocked and stumped by the sight of the brain flowing through the skin relentlessly, with the blood starting to pour out of the wound. The sound that dragged the soul into the body again was "Doctor Neurology has come and put the patient in Oa." Helping to push the bed as hastily as possible. The boy's bed did not slide through the emergency room door until the end. The shouting and the groaning of the man of the day was so strong that the chaos was complete.

The belly with the branches and the intestines placed on the abdomen is not exaggerated. A military medical student would have this image just on the battlefield. Field training, we see it as a joke from a realistic fictional wound, but seeing the truth is much scarier. The light, the color, the sound is clear. It smells fishy, the blood is rattling. I know that our fear is overwhelming. I want to run away from the emergency room. But when that loud cry is gone, I come back with silence with the missing pulse of an able-bodied day man. My sanity suddenly returns. I jump into my chest and press hard.

Military training allows us to become conscious and do everything in the automatic way of wisdom. We train, train and train. Doctors run to prescribe medicine and initial treatment and then go back to the pale white drowning pediatric patient.

Death, near death, near salvation, where is the dividing point? Age is not a measure of the certainty of death that is exactly the time condition that will happen, but what is the condition of death and to live. The war of life starts every day, and goes around endlessly all the time.

It is not easy to keep the mind unconscious and not sink in losses. The body is weakened by the heavy use of emergency medicine doctors.

 

That day's experience tells ML that ML can't live with a rushed, urgent and stressful situation. ML is not ready not to feel anything about someone's loss or resurrection. The feeling of anguish, pain. It goes deeper and deeper. Pray that this is the last time on the battlefield, but being a doctor is not easy. The death of someone else will reflect us back to our value in life.

 

That day, Ml learned that -

Emergency medicine is not just the science of healing, it is the battle against death with every breath.

But for ml...

The delicate heart is not ready to be indifferent, not ready to pretend to feel nothing of loss.

The deep-seeped pain told me -

Ml can't stay on a battlefield like this forever.

But what is given is that the value of life and humanity is more obvious than ever.

 

 

P.S. The image is not related to the incident.

The events above are real events that happened 12 years ago.

# Medical emergency # Medical students # drmollymoon # Emergency room

2025/8/16 Edited to

... Read moreในวงการแพทย์ฉุกเฉิน โซนสีแดงถือเป็นพื้นที่ที่แสดงถึงความเร่งด่วนและความซับซ้อนของการรักษาผู้ป่วยวิกฤต โดยจำแนกผู้ป่วยตามระดับความรุนแรงของอาการตั้งแต่โซนสีแดงสำหรับผู้ที่อยู่ในอันตรายถึงชีวิต โซนเหลืองและเขียวสำหรับผู้ป่วยที่อาการไม่รุนแรงมาก ผู้ทำงานในพื้นที่นี้จำเป็นต้องมีทักษะ การตัดสินใจอย่างรวดเร็ว และความอดทนต่อความกดดันสูง เพื่อเพิ่มโอกาสรอดชีวิตให้กับผู้ป่วย จากประสบการณ์ฝึกภาคสนามของนักศึกษาแพทย์ปี 6 เห็นได้ชัดว่าเทคนิคและความรอบคอบในการแบ่งโซนและประเมินอาการผู้ป่วยนั้นส่งผลโดยตรงต่อผลลัพธ์ชีวิตผู้ป่วย ทั้งในกรณีของผู้ป่วยที่มีอาการกล้ามเนื้อหัวใจขาดเลือดเฉียบพลัน ที่ต้องกู้ชีพและเร่งส่งต่อไปยังห้องสวนหัวใจ เพื่อให้ได้รับการรักษาอย่างทันท่วงที รวมถึงผู้ป่วยที่มีอาการบาดเจ็บสมองรุนแรง ที่ต้องระมัดระวังและประสานงานกับทีมแพทย์เฉพาะทางอย่างนิวโรศัลย์ การทำงานในห้องฉุกเฉินไม่เพียงแต่เป็นการรักษาด้านร่างกายเท่านั้น แต่ยังต้องรับกับผลกระทบทางอารมณ์ของบุคลากรทางการแพทย์ ที่จะต้องเจอกับความสูญเสียและการฟื้นคืนชีพที่รวดเร็ว ซึ่งส่งผลต่อจิตใจและแรงจูงใจในการทำงานของแพทย์และพยาบาลอย่างมาก ในแวดวงนี้มีการฝึกฝนอย่างหนักทั้งด้านทักษะทางการแพทย์และการบริหารจัดการเวลาภายใต้ความกดดันสูง รวมถึงการฝึกทหารที่ช่วยฝึกสติและการตอบสนองอย่างมีประสิทธิภาพต่อสถานการณ์ฉุกเฉิน นอกจากนี้ การดูแลสุขภาพจิตของบุคลากรทางการแพทย์ในห้องฉุกเฉินยังเป็นเรื่องสำคัญ เพื่อป้องกันภาวะหมดไฟและรักษาคุณภาพการให้บริการต่อไปได้ ความเป็นหมอฉุกเฉินจึงเป็นทั้งศาสตร์และศิลป์แห่งการต่อสู้กับความตายในทุกลมหายใจ และการเข้าใจคุณค่าของชีวิตอย่างลึกซึ้งเป็นสิ่งที่แพทย์ต้องถ่ายทอดจากประสบการณ์ตรง เพื่อเตรียมพร้อมรับมือกับสมรภูมิชีวิตในห้องฉุกเฉินอย่างแท้จริง

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1.) Battlegrounds🔫- A first person shooter, 8v8 player classed-based fighting game. 2.) World Random Play Dance🪩- Listen to tons of songs, while having to guess the name of the song and dance with your friends. 3.) Bake da baby🍼- Become a baby and try not to get baked by the evil chefs, or be
Emz W☁️rld

Emz W☁️rld

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Emergency Room
Today I’m grateful for emergency rooms! If/when we need one, we are so grateful that they exist. I am also grateful for every single day that I don’t need one! #gratitude #todayiamgrateful #gratitudejournal #gratitudepractice #thankfulfor
David the Grateful Guy

David the Grateful Guy

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