Yesterday,  I was attending a non-responsive man at ward 1B.

CPR is commenced by my HOs and what i see is a 60+ man who just vomiting out large amount of coffee ground vomitus and subsequent aspirated by his own vomitus.

I make attempt to intubate this man but to my horror, the coffee ground vomitus just continue to come out from his stomach, suction after suction and finally after the third attempt which was some 20 minutes later that I managed to put a tube in.

By then, it is already too late for the patient.

Such a gruesome scene remind me of a drama which I watch just few days back in the House MD on the episode “the tyrant”. I guess the TV show do show a similar real life scenario.