of emergency medicine and dr ang
Sunday, April 22nd, 2007we were warned of a cardiac arrest patient approaching by ambulance. everyone was ready for her. consultant; check. junior doctor; check. specialist nurse; check. adrenaline, defib machine, ecg machine, oxygen; all checks. flushed faced students trembling with anticipation; check, check, check.
then she arrived.a brief history by paramedic kept us up to date of the situation; which remained grim. there remained no pulse to be felt. almost immediately she was transferred to the bed, chest compressions were resumed.
but unlike all the cardiac arrest scenes showned in er, house and even grey’s anatomy (when the surgeon and that self-centered meredith could tear themselves from each other and attend to the patient), the whole things commence calmly. no shoutings, no panick hesitations. quotig mr durham; ‘there was just no need for it’.
we all had our turns at chest compressions. it was so tiring, i was gasping for air by the first minute. but the main difference from the ones i did on that dummy resusci-anne was that i know for certain that each compression matters. that i can’t afford to not get it right. that if i let my eyes wander to the patient’s face, i could see how the lack of blood has left her skin white and cold, how the sound of breath was missing from her throat, how her eyes are now becoming more lifeless. and as futile as any of our efforts may be, there is still a tiny chance that we could reverse the situation, by bringing the heart to beat properly again, dispersing precious blood to the brain.
but not in her case. the prognosis was really bad to start with. she had pulseless electrical activity or pea for short, not ammendable to electric shock. (so we didn’t have that scene in house when dr chase quickly grab the two plastic things with handle as soon as the monitor bleeps and put them on the patients chest, and after saying clear the patient’s whole body shook, and after a few attempts the patient’s ecg showed traces again and all the doctors look at each other smugly as if saying to each other; another life saved by us again!) she wasn’t given any life support whatsoever until paramedics arrived on the scene. it would be a miracle for her to come out of it alive, let alone with a properly functioning brain.
being so engrossed in the whole experience, it only dawned on me that death has just happened when the doctor announced the time of death. me and my mates may remembered the day and talk animatedly of it amongst ourselves as the day we did real chest compression, as the day we gave adrenaline injection, the day we played with the oxygen bag, the day we encountered our first cardiac arrest. but for her relatives and friends, it would be a dark day, a day when a loved one lost her life. and despite how much training the doctors went through, despite how efficient the paramedics were, and despite how fully equipped the emergency department was, nobody could do anything about it.
so yeah, despite all the deaths, i have already decided that i like emergency medicine and my a&e firm.
this one is a bit out of the topic. i met dr ang swee chai the other day! yeah as in ‘from beirut to jerusalem’s dr ang. as in ohh she’s my role model i soo want to be like her dr ang. she gave us a very inspiring talk. i had goosebumps throught. she relieved her experiences during the sabra and shatila massacre, and the amazing works done by trustee of medical aid for palestinians which she founded.
i couldnt even start to describe how brilliant the talk was. here were some excerpts from her speech, and i quote,
‘peace can never come unless there is justice, but justice is beyond us’
‘we can ask question but we can’t always get the answers, because certain things in life is not up for us to know’
i trusted with that belief she was able to operate under the most extreme of circumstances, she cared for patients under the worst imaginable condition, she remained undeterred whislt she spent hours saving one life a dozen more were lost in a blink of an eye outside, and she still treated a soldier who got injured after shooting innocent civilians at point blank.
read from beirut to jerusalem. i’m sure after all the tears and sobbing, anyone will come to love her. and be reminded of our duty to our brothers and sisters in palestine. because ‘forgetfulness leads to exile, while remebrance is the secret of redemption..’