00:00Emergency Department, Trauma Bay Time, 02115, AM Staff, Dr. Samir Khanna, Trauma Lead, Dr. Alina Roy, Emergency Physician, Nurse Priya Menon, Respiratory Therapist, Ravi Paramedics and Orderlies, Trauma Bay, Night Batman is brought in, on a stretcher, unconscious, visibly injured from a fall, Dr. Khanna,
00:28Secure Airway, Apply Cervical Collar, Trauma Protocol, Full Body Evaluation, Nurse Menon, BP 8560, HR 142, GCS 7, Administering 100% O2 via non-rebreather, Dr. Roy, Start IV Fluids, 2 Widebore Lines, Administer 1L, Normal Saline, Send Labs, CBC, CMP, PTPTT, Type and Cross, Dr. Khanna,
00:57Notify, Radiology, We Need a STAT MRI and CT Scan, Radiology, CT Scan, Room Time, 0240, AM Staff, Dr. Iqbal, Radiologist, CT Technologist, Suman Nurse, Priya, CT Room, Moments Later, CT Technologist, Non-Contrast Head and Contrast Enhanced, Spine and Chest CT Underway, Dr. Iqbal, Results,
01:26Spinal Trauma at L2-L3, No Intracranial Hemorrhage, Chest Clear, Dr. Khanna on Intercom,
01:36Forward Findings to Surgical Ortho Team, Prep for MRI, MRI Suite Time, 0305, AM Staff,
01:45MRI Technologist, Neha Dr. Rayman, Neuroradiologist, Nurse Priya, MRI, Room Technologist, Neha, Patients Sedated, Running T1, T2 and STIR sequences, Dr. Rayman, MRI Confirms Spinal Cord Edema and Herniated Disc at L2-L3, Compressing the Spinal Cord, Immediate Surgical Decompression Required,
02:15Pre-op, Alert Neurosurgery, Ultrasound, Room Time, 03.30, AM Staff, Dr. Alina Roy, Sonographer, Kamal Nurse Priya, Ultrasound Room, Fast Exam Performed, Dr. Roy,
02:31No Free Fluid in Abdomen or Pelvis, Abdominal Organs Intact, No Hemoperitoneum, Nurse Priya, Vital Stable Post-Resuscitation, Transferring to Operating Theater, Operating Theater,
02:46Spine Surgery, Time, 04.15, AM Staff, Dr. Vikram Deshmukh, Neurosurgeon, Lead, Dr. Sneha Verma, Assistant Surgeon, Scrub Nurse, Aditi Anesthesiologist, Dr. Sahil, OR, Technician OT,
03:05Surgical Procedure, Begins, Dr. Deshmukh, Performing Laminectomy and Spinal Decompression at L2-L3, Microsurgical Tools Ready, Dr. Sneha,
03:18No Dural Tear, Hemostasis, Achieved, Irrigate and Close in Layers, Dr. Sahil, Patient Stable under Anesthesia, Estimated Blood Loss, 400 Mekrel,
03:32Dr. Deshmukh, Surgery Successful, Shift to Recovery Room under Observation, Recovery Room Time, 06, AM Staff,
03:45Recovery Nurse, Tara, Dr. Sneha Verma, Recovery Room, Nurse Tara, Vital Stable, Extubated Successfully, Patient Regaining Consciousness,
03:56Dr. Sneha, Monitor Motor Response in Lower Limbs Hourly, Administer Analgesics and Start Antibiotics,
04:04Intensive Care, Unit, ICU, Time, 08.30, AM Staff, Dr. Khanna, ICU, Nurse Shaheen Physiotherapist at Manoj ICU.
04:15Later that morning, Patient Monitored on Telemetry, BP 11070, HR 86, SPO2, 98% RA, Physiotherapist Manoj.
04:25Begin Passive Lower Limbs Exercises, Monitor Neural Feedback, Dr. Khanna, Patient is showing excellent post-op signs,
04:34Shift to General Ward by Evening, Inpatient Ward Time, 19.30, Staff, Dr. Alina Roy Ward, Nurse Anita Batman,
04:44Now alert and seated on his bed, Ward Room, Night Nurse, Anita, How are you feeling sir?
04:51Batman, Smiling Slightly, Like I've Been Hit by a Truck, But Better, Dr. Alina Roy, Spine is Stable,
05:01No Neurological Deficit, Discharge Likely in 3 Days, Batman, Standing Carefully,
05:08You All Saved My Life, Thank You Everyone, Of You, Final Medical Report, Summary Diagnosis, Traumatic Spinal Cord Compression at L2-L3,
05:22With Disc Herneation Procedures, MRI, CT, Fast Ultrasound, Emergency Laminectomy, Post-Op Course, Uneventful, Stable Neurological Recovery, Outcome Full Recovery,
05:37Discharged Under Outpatient Physiotherapy, Case Closed, Recovery Successful, Patient Alias, Batman Hospital Record,
05:49BMH DC 2022-5, Before Leaving the Hospital, Batman Thanked the Team of Doctors and Then Went Away.
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