Elective Posting At Sarawak General Hospital : Second Week

During the second week, I was attached to Accident and Trauma department. On the first day, Sister Then brought us around the department. Basically, there are 3 zones in the department. Green, Yellow and Red zones (least severe case to most severe case).


There is also an isolation room for H1N1 cases.


The patients in the isolation room for H1N1 cases will communicate with the doctors through a phone.


Patients with H1N1 who are stable will stay in this room


Patients with H1N1 who are critically ill will stay in this room which is part of the Red zone

Other than that, there is a room for resuscitation, a room for X ray, two rooms for dressings and a room for operation. There are two teams for ambulance call. When the buzzer rings three times, first team will go out and when the buzzer rings two times, the second team will go out. If the buzzer rings once only, it means a patient has been transferred from yellow zone to red zone. There are two Accident and Trauma physicians in the department. Every day, there are many different cases. Road traffic accident is one of the most common cases every day there. Every Wednesday and Thursday, the doctors will have discussions among themselves. During my week there, they had a discussion on non traumatic acute abdomen. The diagnosis includes history, physical examination and imaging such as computed tomography scan, abdominal X ray and ultrasound. As for the management, it includes resuscitation (Airway, Breathing and Circulation), surgical intervention and close monitoring. Sometimes, my friends and I would follow the patients to be scanned.


Discussions among doctors


Drugs to use in the department


With the permission to take pictures from the patient, we took this picture which is the clubbing of the toes


X ray


Different types of scans available in the Radiology department


Computed Tomography scan with 46 slices.


Mammogram to check for breast cancer