I am working at Patan PHCC Baitadi since last 10 month as a medical officer. Before being selected by Public Service Commission, I was doing my MD residency in Anesthesiology and Critical Care for near about 6 months at Bir hospital Kathmandu. My inner interest to serve remote part of country drives me to quit residency and made my journey towards Baitadi, far western part of Nepal.2017/09/13 at 8:30 am, I was attending a program at DHO Baitadi during which heard the news of RTA (bus hit the back side of jeep) at Dehimandu, 10 km away from district hospital. Immediately rushed to emergency where injured cases were just arrived. Immediate management has been started. In the mean time I got information that one of the serious case was our ANM sister (Tika Dhakal) who was working on health post at Dehimandu and was on the way to DHO Baitadi for training.She got sustained injury over head and right arm and was unresponsive since she met accident. On examination her GCS was 7/15 (E1V3M3). Blood pressure, pulse respiratory rate, O2 saturation was within normal limit. Rt pupil was dilated (4mm) and left pupil was constricted (1mm) and both were reactive to light. B/L plantar was up going. 2 episodes of focal seizure at left leg was noticed during examination.Local examination of Rt arm shows swelling and deformity with intact DNVS suggesting fracture Rt humerus. She was kept in left lateral position with oxygen supplementation, iv NS drip was started, Foley’s catheterization was done. Inj. midazolam 2 mg iv stat and was repea...
