FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2045500528> ?p ?o ?g. }

• W2045500528 endingPage "318" @default.
• W2045500528 startingPage "318" @default.
• W2045500528 abstract "The effects of sleep deprivation are well known. For junior hospital doctors, they are not only well known but frequently experienced, and crossing the divide between knowledge and experience can be an astonishing journey.The casualty department in the hospital where I was a young house physician many years ago had no casualty officer overnight and was covered by the house physicians and surgeons in rotation. The hospital served an area where flats and “bedsitters” accommodated large numbers of young people, many of whom were deeply unhappy and confused about life. On average three patients who had taken drug overdoses were seen in casualty each day, and we junior doctors were all too familiar with “the pump,” as the stomach washout apparatus was known.It was about 5 am on a Monday morning, and I had been on call since 9 am on the Saturday. I had had virtually no sleep on the Saturday night and none at all on the night in question, when I was covering the casualty department as well as the wards. I was exhausted to the point where I no longer felt tired. I no longer felt anything at all. All concentration took huge effort.The patient was a young woman, drowsy but able to tell me her name and that she had taken “lots” of unidentified tablets after a row with her boyfriend. The staff nurse was ready with the pump, and we set to work.We were half way through when I became aware that the patient's head had come off in my hands. I registered this fact quite calmly, feeling no alarm at all, no distress, not even any surprise. I struggled to think whether I had seen this happen before. I decided I hadn't. With great mental effort, I moved on to wondering if I had ever read about it. No, I thought, I hadn't done that either.It was when I realised the staff nurse was smiling that I returned briefly to reality. Looking down again, I saw that I was holding the patient's wig in my hands and that her head remained healthily attached to the rest of her body. The lack of alarm I had felt was now matched by lack of relief. I simply registered the fact and returned to my sleep deprived thinking: so, OK, her head was in place, it didn't matter for the moment if I didn't know how to re-attach a head. But at some stage I'd better find out, ask my registrar, read it up.The overall memory I have of this event is one of slow, painstaking, mechanical registering of fact, requiring great effort and lacking any consequent rational thinking. I was devoid of all emotion and of any sense of involvement. Merely an observer, I felt completely detached from what seemed to me to be the reality of the situation.Junior doctors' working conditions have improved; reasonable pay for long hours is to be welcomed, and there has been a reduction in the working week. But there is still some way to go, and exhaustion remains a problem. As doctors, we hope to learn from our memorable patients, but learning that one shouldn't be working when exhausted is only useful to those with some control over their working hours. No doubt I dealt with all sorts of other problems that sleepless night and throughout the next day, hopefully adequately, but if that was the case then it was due more to luck than to rational thinking and alertness of mind." @default.
• W2045500528 created "2016-06-24" @default.
• W2045500528 creator A5081813198 @default.
• W2045500528 date "2002-08-10" @default.
• W2045500528 modified "2023-09-25" @default.
• W2045500528 title "A memorable patient: Sleep deprivation" @default.
• W2045500528 doi "https://doi.org/10.1136/bmj.325.7359.318" @default.
• W2045500528 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/1123830" @default.
• W2045500528 hasPublicationYear "2002" @default.
• W2045500528 type Work @default.
• W2045500528 sameAs 2045500528 @default.
• W2045500528 citedByCount "0" @default.
• W2045500528 crossrefType "journal-article" @default.
• W2045500528 hasAuthorship W2045500528A5081813198 @default.
• W2045500528 hasConcept C111919701 @default.
• W2045500528 hasConcept C121446783 @default.
• W2045500528 hasConcept C134018914 @default.
• W2045500528 hasConcept C136764020 @default.
• W2045500528 hasConcept C2522767166 @default.
• W2045500528 hasConcept C2775841894 @default.
• W2045500528 hasConcept C2778329153 @default.
• W2045500528 hasConcept C41008148 @default.
• W2045500528 hasConcept C71924100 @default.
• W2045500528 hasConceptScore W2045500528C111919701 @default.
• W2045500528 hasConceptScore W2045500528C121446783 @default.
• W2045500528 hasConceptScore W2045500528C134018914 @default.
• W2045500528 hasConceptScore W2045500528C136764020 @default.
• W2045500528 hasConceptScore W2045500528C2522767166 @default.
• W2045500528 hasConceptScore W2045500528C2775841894 @default.
• W2045500528 hasConceptScore W2045500528C2778329153 @default.
• W2045500528 hasConceptScore W2045500528C41008148 @default.
• W2045500528 hasConceptScore W2045500528C71924100 @default.
• W2045500528 hasIssue "7359" @default.
• W2045500528 hasLocation W20455005281 @default.
• W2045500528 hasOpenAccess W2045500528 @default.
• W2045500528 hasPrimaryLocation W20455005281 @default.
• W2045500528 hasRelatedWork W2017310089 @default.
• W2045500528 hasRelatedWork W2075335062 @default.
• W2045500528 hasRelatedWork W2117374280 @default.
• W2045500528 hasRelatedWork W2134413282 @default.
• W2045500528 hasRelatedWork W2366391504 @default.
• W2045500528 hasRelatedWork W2748952813 @default.
• W2045500528 hasRelatedWork W2803147621 @default.
• W2045500528 hasRelatedWork W2893347841 @default.
• W2045500528 hasRelatedWork W2899084033 @default.
• W2045500528 hasRelatedWork W4300962230 @default.
• W2045500528 hasVolume "325" @default.
• W2045500528 isParatext "false" @default.
• W2045500528 isRetracted "false" @default.
• W2045500528 magId "2045500528" @default.
• W2045500528 workType "article" @default.