 good morning everyone welcome back to my channel thank you so much for watching so today i'm gonna take you guys with me on a 12-hour call yeah i'm not about that 24-hour call life anymore actually after my third daughter i stopped taking 24-hour calls and i do late calls so they can last anywhere between 10 11 to even 18 hours so let's see how the state goes and come along hey guys so i am heading in for my call today i know one of the comments left on one of my previous videos asked me to do a day in the life 24-hour trauma call a 24-hour call as an anesthesiologist so i'm gonna bring you guys along with me so basically when you're on call you just go in from case to case and take care of emergencies as they may arise you have to be ready you have to be on alert always and thinking of a plan as you're going towards seeing that patient because as soon as you get there you're gonna have to begin to action as far as like fixing any issues or treating the patient or getting them off to sleep quickly so i'm heading in to see the next patient they're already calling to tell me the patient's waiting for me so i gotta rush so i just got a text and a call that there's an emergency stroke coming in so i need to report to the interventional radiology suite to go and assess the patient and actually get the procedure started so the procedure that we're gonna do is called a thrombectomy and that's basically when you remove a clot that is causing the stroke usually the clot or some type of a plaque in the artery the arteries that supply the brain and so what they do is they use CT scans and look at that area use instruments to remove the clot calls at my hospital can get very busy like i didn't get a chance to eat lunch or i didn't get a chance to use the bathroom busy you have to try to make time for yourself even when you're running so i just finished a procedure and when you're on call you just go from one procedure to the next trying to finish all the cases before the overnight shift begins so i'm heading into our 12th of my call starting to slow down a little bit but coffee i'm gonna have some of that and keep it moving so now we have a surgery going on it's gonna be emergency removal of a form body that got trapped into someone's eye they were probably working on something and maybe a piece of like a shard of glass or a shrapnel from something that exploded usually ends up in the eye socket or in the globe and so it's emergency surgery you have to remove it and try to see if you can repair the eye as soon as possible so that requires general anesthesia and you have to work pretty quickly to get that done now i'm just going through to make sure the oyes ready for the patient in almost ready okay all right so wait a few minutes and come in then okay so it's all about coordinating and communicating and making sure everybody knows what's going on and making sure you're prepared for your case so now i'm heading in to do a case that is an emergency cranny so this is a cranny is a brain surgery and it's basically when you remove the skull to get rid of a tumor or mass or something that is causing extra pressure inside the skull so whenever we have crannies when i'm on call they usually done in a very stat or emergent fashion so we have to move pretty quickly get the patients into operating room as soon as possible get them positioned and get the procedure going as fast as we can so as anesthesiologists your role is really crucial you're the person that is pretty much limiting the start of lifesaving procedure so you need to do what you usually do at like a rapid speed so your intubation putting in IVs or even other monitoring lines as we done really quick so that's why building your skills up is important especially if you work in a trauma center and you'll be very comfortable doing these kinds of cases and they're actually very exciting and i'm happy it's finally the end of my call shift i'm gonna be leaving the hospital and going home for the night so happy to be going home i'm so exhausted i'm gonna go home and get some rest and then tomorrow luckily after a call shift um post call and get out early the next day so i'm excited about that i still find taking call pretty draining and exhausting especially knowing that even after i'm done with my 14 or 18 hour day i have to go home and do with my kids but it's part of being a good clinician and staying competent and strong