WEBVTT - Opening of the National University Centre for Trauma

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<v Speaker 1>Now, Health Matters with Daniel Martin.

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<v Speaker 1>Welcome to Health Matters right here on CN A 938.

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<v Speaker 1>I'm Daniel Martin. Thank you so much for joining me

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<v Speaker 1>on today's edition. We're finding out more about the idea

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<v Speaker 1>of a center for trauma. You see what's just happened

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<v Speaker 1>on this Thursday, July 4th in the morning. Uh We've

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<v Speaker 1>seen the opening of the National University Center for Trauma

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<v Speaker 1>and

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<v Speaker 1>I was fascinated to hear how n actually attends to

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<v Speaker 1>something like 1000 300 severe and critical trauma cases every year.

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<v Speaker 1>This includes industrial accidents, pediatric trauma cases, and more to

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<v Speaker 1>address this and of course, the specialty of trauma care

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<v Speaker 1>as well.

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<v Speaker 1>I was also intrigued to hear about how it's really

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<v Speaker 1>going to focus this, the center on three key groups

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<v Speaker 1>and that's Children, older adults and migrant workers as well.

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<v Speaker 1>I've got with me, the Center director of the National

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<v Speaker 1>University Center for Trauma, the National University Hospital, Dr Raj Mennen,

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<v Speaker 1>joining me on today's edition, Doctor Menon. Welcome to the show. Hello.

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<v Speaker 2>Thank you very much for having

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<v Speaker 2>me.

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<v Speaker 1>Congratulations on the opening of the center. Is this the

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<v Speaker 1>first of its kind in Singapore I'm curious,

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<v Speaker 2>I think there are many hospitals has managed trauma, but

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<v Speaker 2>I think that's the first time that we have kind

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<v Speaker 2>of centralized and regionalized trauma in such a way looking

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<v Speaker 2>at not just the acute management of trauma, but going

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<v Speaker 2>back all the way to preventing trauma and providing support

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<v Speaker 2>for the patients. Well, after the trauma is over as

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<v Speaker 2>well to kind of give a full spectrum of trauma

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<v Speaker 2>care

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<v Speaker 2>and the National University Health System. And n in particular

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<v Speaker 2>is one of the only full spectrum hospitals looking after

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<v Speaker 2>both adults, Children, obstetric patients, and all of those are

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<v Speaker 2>affected by trauma. So it covers a very wide spectrum

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<v Speaker 2>of patients who get injured daily in Singapore. And this

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<v Speaker 2>is something that we are striving to address,

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<v Speaker 2>not just by terms of treating the patients, but by

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<v Speaker 2>preventing injury in the first place and also for support

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<v Speaker 2>for these patients long after the initial injury is over

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<v Speaker 2>and until they are returned back to families home, the

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<v Speaker 2>community and go on to achieve their dreams.

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<v Speaker 1>That's

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<v Speaker 1>very interesting because I think to a lot of us,

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<v Speaker 1>we assume that trauma care is a very acute situation

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<v Speaker 1>that we're just dealing

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<v Speaker 1>with the trauma of the incident at that point in time.

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<v Speaker 1>But to hear that it can be a very long process,

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<v Speaker 1>I think is fascinating to us. I think a lot

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<v Speaker 1>of us didn't realize that.

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<v Speaker 2>Yes. Um we tend to think of trauma. It's just

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<v Speaker 2>that first one hour, 12 hours when they first brought in.

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<v Speaker 2>But the journey just starts. There is true. The first

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<v Speaker 2>hour is extremely critical. That's when we stop bleeding. We

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<v Speaker 2>save the patient's life, restore and repair as much as

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<v Speaker 2>we can.

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<v Speaker 2>But thereafter, the real journey starts the multiple surgeries that

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<v Speaker 2>they would have to undergo the rehabilitation, strong work by

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<v Speaker 2>our rehabil physicians of a physiotherapist, occupational therapists, social workers

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<v Speaker 2>and speech therapists in trying to bring them back to

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<v Speaker 2>where they should be and that they would want to be.

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<v Speaker 2>And this just goes about and that's just about the

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<v Speaker 2>one aspects about the physical health. You also have the

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<v Speaker 2>very significant psychological effect on patients, which can last for

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<v Speaker 2>years after that.

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<v Speaker 2>And when we talk about trauma, it's not just to

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<v Speaker 2>a person is usually to the whole community, their families.

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<v Speaker 2>And especially because trauma affects the young. You can imagine

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<v Speaker 2>breadwinners being affected in the prime of their lives and

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<v Speaker 2>a whole life ahead of them being threatened. And I

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<v Speaker 2>think this, this, this is what motivates us really to

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<v Speaker 2>do whatever we can to get them to where they

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<v Speaker 2>should be and where they want to be after a trauma.

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<v Speaker 2>So the journey goes on for years, many some of

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<v Speaker 2>our patients do and keep on, we keep them on

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<v Speaker 2>our follow

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<v Speaker 2>for a longer term to until we are quite sure

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<v Speaker 2>that they have really overcome all these effects of trauma and,

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<v Speaker 2>and they can go on to achieve their dreams and

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<v Speaker 2>their full potential, the

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<v Speaker 2>rest of their lives

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<v Speaker 1>with such a wide scope that you've just painted out

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<v Speaker 1>for us. It means you really need a very multidisciplinary

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<v Speaker 1>team for their social workers, doctors, everybody.

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<v Speaker 2>Absolutely. In fact, I would say it goes well beyond

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<v Speaker 2>the hospital, one of our key partners is, is the

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<v Speaker 2>Singapore Civil Defense Force and they re engage with them

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<v Speaker 2>regularly to talk discuss about cases, find ways of doing

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<v Speaker 2>things better because that initial period is so important. But

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<v Speaker 2>if I if I did

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<v Speaker 2>you back even further, the best accident is one which

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<v Speaker 2>does not happen, which means that trying to prevent injury

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<v Speaker 2>is probably the key thing here. And that's where a

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<v Speaker 2>data driven approach where we look at our data. And

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<v Speaker 2>we have identified these three groups mentioned geriatric trauma, which

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<v Speaker 2>is our

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<v Speaker 2>largest growing group of trauma, especially with our aging population,

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<v Speaker 2>pediatric trauma, simply because it affects such a vulnerable group

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<v Speaker 2>and in the west because we are very near the

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<v Speaker 2>industrial Heartland of Singapore, the migrant workers and our work

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<v Speaker 2>related accidents, which has granted a lot of media attention recently.

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<v Speaker 2>But certainly that's one these are the key groups we

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<v Speaker 2>are trying to address, which means one of the functions

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<v Speaker 2>of the center is actually reaching out to the community

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<v Speaker 2>by going to active aging centers, preschools,

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<v Speaker 2>primary schools, we just finished a session at one of

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<v Speaker 2>the dormitories in to us where we went and spoke

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<v Speaker 2>to 60 workers and we explained to them what happens

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<v Speaker 2>during a trauma. How do you protect yourself? How do

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<v Speaker 2>you protect your friends who are injured and what will

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<v Speaker 2>happen to you and how Singapore will look after you

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<v Speaker 2>if you are injured to allay some of their fears

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<v Speaker 2>because many of them sold breadwinners for their families back home.

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<v Speaker 2>And suddenly this is an area of great concern for them.

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<v Speaker 2>So I think it all starts there

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<v Speaker 2>on the other spectrum. As you quite rightly said, even

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<v Speaker 2>after the trauma is over, we have a huge role

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<v Speaker 2>to play there after looking at mental and physical health.

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<v Speaker 2>And this is where one of the pillars of our

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<v Speaker 2>new center is a survivorship program, which we started last

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<v Speaker 2>year and that's the nation's first trauma Survivor program.

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<v Speaker 2>And we have 14 of our patients who have recovered

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<v Speaker 2>and they have volunteered to join this program to help

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<v Speaker 2>others who have been injured, to provide support for them

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<v Speaker 2>and their families as well. And really this is when

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<v Speaker 2>we look, we look at trauma, we no longer see

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<v Speaker 2>victims of trauma, but rather we see heroes emerge from

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<v Speaker 2>trauma itself and they sacrifice their journeys they have gone

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<v Speaker 2>through

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<v Speaker 2>is so heartening and inspiring. And it is a real

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<v Speaker 2>testament to how much courage they have exhibited during this

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<v Speaker 2>period of time. And

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<v Speaker 1>so you think the Center

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<v Speaker 1>will shine a spotlight on

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<v Speaker 1>that.

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<v Speaker 2>That's right. So we organize activities every couple of months

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<v Speaker 2>with them, bringing them together and it's so dynamic that,

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<v Speaker 2>you know, when you first brought them together, it's all

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<v Speaker 2>about sharing the experiences. But now that the community has

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<v Speaker 2>been built up, they are looking to, they, they are

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<v Speaker 2>interacting with themselves,

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<v Speaker 2>they are organizing activities for each other and their families

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<v Speaker 2>and more critically, they are also offering support for our

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<v Speaker 2>newly injured patients as well. So some to lend a

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<v Speaker 2>helping hand and a kind of a guide as, as a,

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<v Speaker 2>as a light house for these patients that there is

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<v Speaker 2>hope at the end of the day with work, we

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<v Speaker 2>have faith in the system, faith in yourself and the

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<v Speaker 2>family that you know, there is a brighter day ahead

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<v Speaker 2>and that's what we want, that's what we want our

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<v Speaker 2>patients to feel and so important in their recovery journey

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<v Speaker 2>for them to feel. That

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<v Speaker 1>sounds like a support group in a way,

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<v Speaker 2>in a way. It is a support group. But we're

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<v Speaker 2>hoping to do is not just about mutual support for

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<v Speaker 2>those in the group, but extending beyond to active patients

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<v Speaker 2>who are getting, getting injured and supporting themselves and their families.

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<v Speaker 1>I was also I'm very happy to see that this

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<v Speaker 1>is coalescing in the form of the center and that

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<v Speaker 1>we have this long term mindset about it and shining

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<v Speaker 1>the spotlight on the heroes that emerge and giving back

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<v Speaker 1>and supporting each other in that way as well. But

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<v Speaker 1>the definition of what would qualify as a trauma event

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<v Speaker 1>is so wide, the spectrum can be so absolutely wide.

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<v Speaker 1>I mean, I think most of us, we assume that

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<v Speaker 1>we think of an industrial accident or an accident on

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<v Speaker 1>the road,

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<v Speaker 1>what we saw happen at the junction tragically at Tampines or?

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<v Speaker 1>But would it also include things on a different scale

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<v Speaker 1>like the emergency landing of SQ 312 and the people

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<v Speaker 1>on board and things like that. What is the scope?

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<v Speaker 2>Absolutely. You're quite right. Trauma has a very wide scope.

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<v Speaker 2>I mean, it can go from the most minor of

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<v Speaker 2>injuries to really devastating injuries and it covers the whole

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<v Speaker 2>body head to toe, which is why it's a whole

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<v Speaker 2>team effort. Yeah. So

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<v Speaker 2>I'm a general surgeon and I I handle trauma cases

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<v Speaker 2>and we deal principally with stopping bleeding, controlling injuries in

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<v Speaker 2>the chest and the abdominal area. But I work closely

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<v Speaker 2>with our emergency physicians to stabilize the patients neurosurgeons to

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<v Speaker 2>help with significant brain injuries. Our orthopedic and hand and

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<v Speaker 2>reconstructive surgeons to deal with injuries to the limbs.

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<v Speaker 2>Our alo facial surgeons, our plastic surgeons and our ear,

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<v Speaker 2>nose and throat surgeons and our plastic surgeons to deal

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<v Speaker 2>with injuries in the face and then the whole team

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<v Speaker 2>which comes in, you'll be surprised that when you, when

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<v Speaker 2>we activate a cold trauma, which is a hyper acute

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<v Speaker 2>response for the most critically sick patients in the hospital.

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<v Speaker 2>There are easily about 30 odd people convert

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<v Speaker 2>on a patient. But regardless of the timing of the day,

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<v Speaker 2>it could be at 2 a.m. And when the call

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<v Speaker 2>goes out, we have so many people converging and this

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<v Speaker 2>ranges again, not just the doctors but the nurses, patients,

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<v Speaker 2>patient service associates, our quarters, all of them kind of

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<v Speaker 2>jumping in because the initial period is so so crucial

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<v Speaker 2>and we got to kind of organize

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<v Speaker 2>to make sure that the correct surgeries get done in sequence,

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<v Speaker 2>that the key ones get done first. And it's kind

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<v Speaker 2>of kind of managing and it's like being managing an

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<v Speaker 2>orchestra and conducting this whole process to make sure that

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<v Speaker 2>we deal with injuries that need to be dealt with

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<v Speaker 2>early and the rest we stage it out looking after

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<v Speaker 2>both the body as well as its physiology as well.

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<v Speaker 1>But does that mean that all traffic accidents will fall

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<v Speaker 1>under the trauma care

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<v Speaker 1>center?

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<v Speaker 2>It would, I would say that the majority of injuries

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<v Speaker 2>in Singapore tend to be what we call blunt injuries

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<v Speaker 2>as compared and compared to penetrating injuries, which are usually

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<v Speaker 2>due to stabs or gunshots, which thankfully we don't have

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<v Speaker 2>in Singapore, but we have a large amount of a

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<v Speaker 2>large volume of blunt trauma, principally from faults as which

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<v Speaker 2>can be from any level all road traffic collisions, as

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<v Speaker 2>you rightly said.

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<v Speaker 2>Um and the impact of these injuries can be minor

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<v Speaker 2>or it can go all the way to very severe.

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<v Speaker 2>If you, if you look at the hospitals in the West,

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<v Speaker 2>we look after 50,000 injured patients a year as a

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<v Speaker 2>whole for the whole spectrum of injuries and of which

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<v Speaker 2>about 500 of them are the hyper acute ones a year,

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<v Speaker 2>which these are the ones which are, you know, it's really,

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<v Speaker 2>if you come to the hospital a bit later, your

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<v Speaker 2>life is really going to be threatened. And that's why

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<v Speaker 2>these responses are so important

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<v Speaker 2>to try to bring our patients to the operating theater

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<v Speaker 2>as quickly as possible. Stop the bleeding, stabilize the patient.

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<v Speaker 2>And then we begin the work of reconstructing and repairing

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<v Speaker 2>and restoring the rest of your body and health in

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<v Speaker 2>the coming in the coming days and weeks ahead. So

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<v Speaker 2>it is really a marathon. It is a really long,

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<v Speaker 2>it's a long journey and it doesn't stop on the

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<v Speaker 2>charge from the hospitals, you bring them to our rehabilitation centers,

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<v Speaker 2>you go back to the homes. Community support is very important.

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<v Speaker 2>And um it's uh it's which is why it's such

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<v Speaker 2>a long and important journey. We often don't think about

0:11:28.729 --> 0:11:30.569
<v Speaker 2>all these aspects of trauma. I think of it as

0:11:30.580 --> 0:11:33.719
<v Speaker 2>just the first one hour. But actually it can, it

0:11:33.729 --> 0:11:36.119
<v Speaker 2>can last for months as well in the after effects.

0:11:36.130 --> 0:11:38.598
<v Speaker 2>And that's why having the survivorship program is so important

0:11:38.609 --> 0:11:39.679
<v Speaker 2>to help patients

0:11:39.770 --> 0:11:42.489
<v Speaker 2>peace with this and to give them a the tunnel

0:11:42.500 --> 0:11:44.500
<v Speaker 2>is long, but there is a light at the end

0:11:44.510 --> 0:11:46.780
<v Speaker 2>of the tunnel and we will help you get

0:11:46.789 --> 0:11:47.109
<v Speaker 2>there.

0:11:47.299 --> 0:11:50.400
<v Speaker 1>It's been fascinating learning about the role that this will

0:11:50.409 --> 0:11:53.108
<v Speaker 1>play in the health landscape in Singapore. Congratulations. Once again,

0:11:53.179 --> 0:11:54.858
<v Speaker 1>Doctor Men on the opening of the center. And thank

0:11:54.869 --> 0:11:56.510
<v Speaker 1>you for speaking to my listeners all about it.

0:11:57.450 --> 0:11:59.719
<v Speaker 1>My guest on the program Center, Director of the National

0:11:59.729 --> 0:12:02.159
<v Speaker 1>University Center for Trauma at the National University Hospital. Dr

0:12:02.229 --> 0:12:05.650
<v Speaker 1>Raj Men. Joining us on today's edition of Health Matters.

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<v Speaker 1>Before making any decisions based on the information in our program,

0:12:14.349 --> 0:12:16.340
<v Speaker 1>please consult a medical professional.