Posts tagged critical care

chocolate & peanut butter brownies

now as a complete contrast to my pretty healthy dinner of spinach and ricotta cannelloni, i made my favourite recipe for brownies taken from a copy of Good Taste magazine that i stole last year from a housemate i didn’t particularly like

these brownies are pretty easy to make but should be avoided completely if you are in any way limiting the sugar or fat content of your diet. however if you are looking to increase the deliciousness content i heartily recommend
i made double the mixture but this was slightly problematic as it would’ve worked better with 2 smaller tins, but i only had 1 large one available. this resulted in a very undercooked and thin batch of brownies. also i used self-raising flour simply because i didn’t have any plain and it was essentially fine (apart from a little over spillage from the pan in the oven…)

while i made these i listened to the fantastic album ‘Hideaway’ by The Weepies, definitely check them out if you enjoy sweet, folksy music with male and female vocals and harmonies. my favourite track from the album is ‘Wish I Could Forget’ which is a song to listen to in the sunshine

Chocolate & Peanut Butter Brownies (makes about 12)

ingredients

  • 150g/5oz dark chocolate, chopped (i used button melts)
  • 100g/3.5oz butter, chopped
  • 1 cup caster sugar
  • ½ cup plain flour
  • 2 tbsp cocoa powder
  • 2 eggs
  • 3 tbps peanut butter (crunchy or smooth)

method

  • preheat oven to 160˚C/320˚F
  • grease and line a small brownie pan, make sure you line it with baking paper otherwise you are never gonna get this sucka out

brownies1

  • put the chocolate and the butter in a heatproof bowl and sit in on a small saucepan half full of water, over a high heat on the stove

brownies2

  • keep stirring until it becomes lovely and smooth, then set the bowl aside (the original recipe stipulates using a metal spoon)

brownies3

  • in another large bowl, put in the sugar, flour and cocoa and stir to combine (i accidentally added the eggs at this stage, but it didn’t make a big difference)

brownies4

  • then pour in the melted chocolate mixture and the eggs and stir until just combined

brownies6

  • pour everything into your pan

brownies7

  • smooth it out all nice

brownies8

  • then put in teaspoon-sized blobs of peanut butter over the top of the mixture

brownies9

  • using a flat-bladed knife make swirls in the mixture

brownies10

  • pop this in the oven for 40min (the original recipe stated the brownies are done when crumbs cling to a skewer inserted into the middle of the brownies but this thing is so rich that you sort of have to play this by ear. this does harden up a little once it cools down)
  • when they’re done, take out and let the pan cool right down before attempting to take the brownies out

photo-112

  • don’t forget to clean up!

brownies11

yesterday i started my second day of hospital orientation at 8am, lined up some supernumary shifts next week in the places i want to work (ICU, kids ward & emergency) and then at 2:30pm was poached for an afternoon shift in ICU until 9:30pm

i have to say that ‘Intensive Care Unit’ is a bit of a misnomer, it is as intense as any HDU (High Dependency Unit) i have ever worked in. they can support a ventilated patient for 1-2 days but anyone who is actually sick needs to be flown out. last night i was looking after 2 ladies in with cardiac issues who were both exceptionally stable. it is a huge change for me to be working with adults again, i don’t have to worry about juggling multiple feed times and nappy change times, or worry about who is labouring in delivery suite. but i do have to remember that a heart rate of 140 in an adult is not okay.

today i dyed my hair a vague shade of ginger, wore a nice dress and washed my sheets

ps. gg Obama

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Surgery ICU Rounds

While I wait for the next 6 or so months to pass until I dive into my B.Med I’ve been doing extra reading to somewhat prepare me.

iTunes U was launched recently in Australia so I had a look what was available from both here and overseas and found Surgery ICU Rounds by Jeff Guy, an Associate Prof & Director of the Vanderbilt Regional Burn Centre in Tennessee.

The podcasts are great, particularly as I’m interested in critical care, and have a wide range of topics that are clearly explained. Guy is quite progressive in the way he looks at clinical procedures, questioning why we do things the way we do and putting forward ways to treat patients better.

In particular I really enjoyed his talks on Weaning (Liberating) from the Mechanical Ventilator and Antibiotic Considerations in the ICU, and the short talk on Intraosseous Vascular Access: Not Just for Kids Anymore is a great example of looking at existing equipment and procedures and applying them to new situations. I always assumed itraosseous access wasn’t used in adults simply because it didn’t work, but not only does it work, it works very well and very quickly so maybe this will be something we’ll see more of in adult emergency and critical care medicine.

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TED talks

TED

The Ted talks are fascinating short video talks & presentations about a wide range of topics, mostly science based, that are well worth a view.

A recent talk from Dr. Seyi Oyesola, an anaesthetics & ICU consultant originally from Nigeria but working in the UK, entitled ‘Rich Hospital, Poor Hospital’ was an interesting insight into the challenges and short-comings in your typical major African hospital in the acute care setting as opposed to primary care, the area that usually gets the most attention.
The innovations created for African countries that are featured at the end of the video are so simple and so clever.

Another two videos I highly recommend are ‘My Stroke of Insight’ by Jill Bolte Taylor, a neuroscientist who recounts the day she had a huge stroke.
Also ‘The Amazing Intelligence of Crows’ by Joshua Klein who created a ‘vending machine’ for crows, you will be amazed at how clever these birds are.

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