Doctor Loops Hospital Sounds To Make Music (Complete & Kick-arse)
24
August

By Adem Lewis / in , , , , , , , , , , , , , , , , , , , /


I present to you, a man whose criminal record screening card possibly took a little bit longer to process than the rest of us. [laughter] Dr Jimmy James White [defibrillator charging sounds] Hello, my name is James and I am a doctor. That’s a fact that still surprises me I’ve been a doctor for one day now and so far so good [applause] So we’ve spent a lot of time in hospitals and I’ve had a time to think, time to listen,
done a lot of listening we don’t think of hospitals as particularly
noisy places, but but there are a lot of sounds that go on,
sounds of patients, sounds of machines, sounds of procedures for example,
one you might be familiar with is this one [ECG beep] That is a heart rate monitor and the note – the pitch of that will actually
go up or down depending on the oxygen saturation so if you’re at 100% it will be like this [high pitched beep] 96
[beep] 88
[lower beeps] and your anaesthetist probably isn’t paying attention at that point [laughter] so that will go between 60 beats per minute and 100 beats per minute, any faster than that, and the alarms go off so you’ve got
[alarm] that’s your yellow alarm and that’s your red alarm all of these sounds I recorded when I should have been studying [laughter] I went around the hospital and with the help of many nurses and patients and doctors who didn’t know what I was doing
I recorded many… [hospital sounds] so there’s a lot of different sounds going on here, but I’ll just talk you through two
of my favourites one of them is the morning handover meeting when the intern comes in and they place their pager on the table, everyone is silent looking at the X-ray, the pager goes [buzz] [buzz] and the intern grabs the pager and runs out of the room That’s always exciting. I like that one, and the other one I like is when the Reg turns to you and says, “Can you go and take some blood?” and you go and poke the patient a few times and you get the blood and you take the blood vials and you put the blood vials in the plastic bag and the plastic bag in the pneumatic tube canister and you walk over to the back room and you put it in the machine and you look at the machine and think Ooh where’s that going? Pathology Zero Seven Hash And it moves, it goes [machine whirring] And then you wait And you wait, and you wait some more [pneumatic tube sound] and away it goes up into the ascension into the heavens It’s amazing That’s my favourite sound of all of them. [applause] Anyway, here I was minding my own business and the consultant comes in and goes, “You, medical student” I said, “Who me?” He said, “Yes, what’s your name?” I said, “Nick Watson” [laughter] He said, “I’d like you to go and place an ECG on this patient with a history of heart palpitations and COPD” I thought, I can do that. Notre Dame has prepared me well And I hooked up the leads and turned on the monitor This is what I heard [ECG beeps] And I thought, yeah that’s pretty good Nice even rate and rhythm axis and p waves…. I’ll go over to the printer and print that off [printer sound] And while that was printing off I listened out and I could hear the oxygen saturations dropping [lowering ECG beep] and I thought, oh no, what do I do? And so I looked around the room for any bedside clues and I found an asthma puffer and I thought, oh this’ll be good I’ll give him a few shots of Ventolin [Ventolin inhaler] Excellent, that’ll work and I didn’t have the guidelines on me but I thought you know, a hundred puffs sound good so I gave him a hundred puffs and then I remembered one of the side-effects of Ventolin… is a fast and irregular heartbeat At that point I didn’t know what was going on so I went to leave the room, but as I left the room I crashed into the trolley [tendon hammer on sharps bin]
[forceps on metal kidney dish] and then the alarm went off firstly the yellow alarm and then the red alarm Nurse: Doctor, Doctor Nurse: Your patient, they need suction [suction] Nurse: Doctor, Doctor Nurse: Doctor, Doctor, your patient is crashing Oh no, the patient is crashing Do we have a response? Nurse, could I get you up the top of the bed? Can we get head tilt, chin lift, some oxygen? Can you give me a report on the patient’s breathing? Do they have equal air entry? Nurse: The patient has lost their airway Nurse: We need to intubate this patient OK, intubate. We’ve got an endotracheal tube here. Do we have a pulse? Nurse: There’s no pulse Are you sure? Nurse: There’s no pulse Ok We’re going to have to start chest compressions. 30 chest compressions Endotracheal tube ready. We’ll intubate, here we go. Also, can we get the sound of the ECG pumped through… through the endotracheal tube into the patient? that would be great Work it Do it Do it Makes us Come on, chest compressions Harder Better Faster Stronger Deeper Work it harder Do it better Do it Faster Makes us stronger More than ever Hour after Our work is never over [urinalysis strips as shaker] Alright, do we have the defib pads attached? [flatline] Do we have the defib pads attached? Defibrillator Voice: Connect electrodes Defibrillator Voice: Push analyse Defibrillator Voice: Stand clear Defibrillator Voice: Analysing now Defibrillator Voice: No shock advised Defibrillator Voice: Push Clear Stand Clear Defibrillator Voice: Push Push Push Push Hey Intern, whose pager is this? You’ve left your pager on the table Oh, now it’s buzzing [buzz] Your pager is buzzing, can you come and pick it up? Defibrillator Voice: Push Clear [tendon hammer on sharps bin] [tendon hammer on plastic kidney dish] [tendon hammer on metal kidney dish] OK, are we ready to shock? Now come on, you know young doctors…. If your patient’s heart is flatlining, if it’s in asystole, it’s a non-shockable rhythm, ok. You know that, I know that, Professor Courtney, I want you to know that I know that, ok? But, this isn’t that kind of resuscitation. This is a medical drama emergency. So what we’re going to do is we’re going to shock the patient We’re going to shock, shock, shock, keep shocking the patient We’re going to build the suspense a little bit We’re going to shock Hopefully, the patient is going to come back to life They’re going to get their pulse back Everyone is going to cheer, It’s going to be amazing Alright? Ready? Let’s go! [shock delivered] Defibrillator voice: Check for pulse Nurse: We have a pulse. He’s going to make it [applause] [tendon hammer on speculum] [stethoscope whirl] Propofol party [double Ventolin inhalers] [machine whirring] [pneumatic tube sound] thank you, I love you guys so much [applause] I’m going to miss you to bits next year, you know


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