eventful

I had a quite eventful night last night..had 8 urgents cases need to be reviewed in casualty while one patient stopped breathing in male ward and the other patient was hypotensive in female ward...
so when this kind of situation occured, u need to prioritized urself..which one should i go see first? and of course i was running like a headless chicken to male ward attended a patient who apparently stopped breathing...went there noted that cardiac monitor was already showing a straight line, BP unrecordable, SPO2 undetectable, pulse not palpable, pupils fixed and dilated..family strongly refused for any resuscitation...after pronounced it, we went to female ward attended a patient who was hypotensive...in between then, i need to make a decision for a patient in casualty...
He is a 43y.o malay gentleman, active smoker with hx of admission due to heart attack early this yr came with typical chest pain about 50minutes ago...ECG showed ST elevation MI at inferior leads with T inversion at anteroseptal leads...right sided ecg showed right sided involvement as well..the problem with that patient was i dont know whether he was already given streptokinase or not and if yes, when exactly?he didnt bring his pc book and he wasnt really a good historian (patient in severe pain)...somehow i was able to dig out that he was only admitted for 3 days during that admission..so unlikely myocardial infarction..therefore, unlikely strep given..so i did give him IV streptokinase...alhamdulillah it was the right decision..ECG post -STK showing no ST elevation at all!and his wife finally arrived showing me the PC book-hx of admission february this year for recent anteroseptal MI missed STK due to late presentation..
wohoo...
after attended the hypotensive patient in female ward, i went back to casualty reviewing all other cases...had total of 4 different unrelated patients came with infective diarrhoea whereby 2 of them had episodes of hypotension while the other 2 were haemodynamically stable but seems so dehydrated...then i had another patient post myocardial infarction referred from H Jeli arrived in A&E...
while was reviewing the MI patient, casualty MO informed me that there was another makcik with BP 80/40 and i was like OMG!the patient turned out to be a DKA patient precipitated by urinary tract infection..her urine ketones was 4+ and her VBG was metabolic acidosis..haiyaaa...