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Speaker 1: I see red paint dripping down. And as we started walking,

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Speaker 1: I realized this is not paint, this is blood. The

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Speaker 2: gangs were roaming around the emergency department looking for their

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Speaker 2: enemies and they were still carrying their pars and their

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Speaker 2: knives and all that.

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Speaker 1: Hi, everyone. Welcome to the hot pot where we hop

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Speaker 1: into different parts of spaces. People find themselves in during

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Speaker 1: life transitions. I'm Joey. I'm Q, I'm Nick. And today

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Speaker 1: we have a very interesting episode. We are going to

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Speaker 1: be talking about medical emergencies and how to deal with

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Speaker 1: them because I think it's something that a lot of

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Speaker 1: us grown adults don't really know how to do and

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Speaker 1: assisting us with that. We have run here from the

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Speaker 1: CD F as well as Professor Marcus from SG

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Speaker 1: to share more with us today. Welcome. Welcome. Thank you.

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Speaker 1: Thank you for an invite. So, Professor Marcus, do you

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Speaker 1: want to give us a quick intro about yourselves before

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Speaker 1: we continue? Yeah. Hi, everyone. I'm here. So I'm a

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Speaker 1: fire officer and also a paramedic. So I kind of

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Speaker 1: do a train in CTF. Ok. So now I'm in

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Speaker 1: the headquarters doing a lot of innovation, projects ready to

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Speaker 1: spearhead all these type projects. To a man our guys

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Speaker 1: on the ground. Wow. Sounds very cheap. Yeah.

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Speaker 1: Yeah. So it sounds like he's doing like doing more

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Speaker 1: of the policy mastery level now. So prior to that,

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Speaker 1: it was more execution on operational. So I was in

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Speaker 1: the ambulance, the ambulance fire engine, you've seen things. Definitely

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Speaker 1: we're gonna,

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Speaker 2: let's get into that. I am Marcus, I'm an emergency

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Speaker 2: physician and also a clinician scientist. So basically, my training

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Speaker 2: is specialized in emergency medicine and I

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Speaker 2: spent 30 years treating patients at the accident. Emergency departments.

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Speaker 1: Can you just say, right, non essential, essential, essential, essential

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Speaker 1: because we're in media the most non essential. So you

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Speaker 1: have also seen things. So

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Speaker 2: we always say that in emergency medicine, it's a reflection

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Speaker 2: of the underside of society. So I see all the problems,

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Speaker 2: hidden issues that come through the front door of the hospital.

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Speaker 1: Today's topic is actually really important because as a grown

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Speaker 1: woman at 28 right, I honestly don't know what to do,

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Speaker 1: but if something happens to my family or friends, right?

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Speaker 1: Panic mode straight. So what are some common misconceptions that

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Speaker 1: people have about like emergency services in Singapore? Actually, the

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Speaker 1: first one is quite interesting. A lot of people seem

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Speaker 1: to think that the ambulance, ambulance comes from the hospitals

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Speaker 1: actually is not. So our ambulances come from all the

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Speaker 1: fire stations across Singapore. And the idea is to space

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Speaker 1: out all the

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Speaker 1: so that when there's an emergency happening at one point

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Speaker 1: in time, then we will actually send the ambulance, the

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Speaker 1: nearest ambulance to the location. How many fire stations do

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Speaker 1: we have? We have about 23 fire stations. Now, is

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Speaker 1: there a specific distance from one station to another? There?

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Speaker 1: Is there is. So what we do is, of course,

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Speaker 1: we try to map out as much coverage as possible.

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Speaker 1: So what we do is aside from a fire station,

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Speaker 1: we also pre deploy our forward, deploy our ambulances and

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Speaker 1: even a fire engines, we quite a bit at the HDB.

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Speaker 1: So we have a fire post right?

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Speaker 1: Then they will send you to the nearest hospital. Yes. Correct.

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Speaker 1: So I think the, the first myth is number one. Yes,

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Speaker 1: we send to the nearest appropriate hospital actually. So not

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Speaker 1: all cases we send to the nearest hospital. For example,

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Speaker 1: if you are pregnant, you're having a childbirth emergency, then

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Speaker 1: we send you to hospital or n because they have

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Speaker 1: a special is there to handle such emergencies, right? For example,

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Speaker 1: if you are a burn patient, then we send to

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Speaker 1: Fourth Mars Hospital sgh because that itself is a unit

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Speaker 1: on its own.

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Speaker 1: Have you guys ever encountered someone demanding for a different hospital?

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Speaker 1: Quite common. So I think the important thing is to

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Speaker 1: have the trust in the system because really if it's

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Speaker 1: an emergency, the most important thing is to get yourself stabilized.

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Speaker 1: First and the most appropriate hospital. And then after that,

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Speaker 1: if you want to transfer to your own specialist, because

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Speaker 1: some of them, they do see a specialist, a permanent

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Speaker 1: specialist in another hospital and they rather go over there.

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Speaker 1: But then again, number one, you are the time spent

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Speaker 1: for the ambulance to send you to the hospital is

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Speaker 1: even longer. And then you actually depriving the public from

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Speaker 1: another ambulance. I never thought about it that way. So

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Speaker 1: the people on the hotline would actually advise whether you

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Speaker 1: should wait for the ambulance or go to a hospital

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Speaker 2: yourself. Yeah, that's correct. So we would actually advise people

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Speaker 2: if you call 995

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Speaker 2: and the dispatchers actually trained to ask questions to be

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Speaker 2: able to triage and sort out what is a real

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Speaker 2: emergency and what is not.

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Speaker 1: So actually what is the most non emergency thing someone

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Speaker 1: has called in for like 4995 a lot? But you

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Speaker 1: asked me out of my head.

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Speaker 1: I had the case really is like, I think there

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Speaker 1: was some argument. So that's been slapped on the face

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Speaker 1: really just one small little no abrasion on the face

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Speaker 1: by the e to go to the hospital. I'm not

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Speaker 1: sure why. Maybe the intention is they want to just

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Speaker 1: follow actions is to scare the person that the slapper

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Speaker 1: I go hospital, you know, but then in that case,

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Speaker 1: like for one

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Speaker 1: triple seven, right? Confession, I did not know about one

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Speaker 1: triple seven, I think most Singaporeans. So for one triple seven,

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Speaker 1: what are the sort of non emergencies that people can

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Speaker 1: call for because I'm seeing here, right? People got headache

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Speaker 1: also can call one triple seven. If you can go

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Speaker 1: to the hospital yourself, then basically it means you can

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Speaker 1: call one triple seven or so. Right. So let's say

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Speaker 1: if you have a minor fever, you are weak but

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Speaker 1: you are not in, you're not big bound, for example,

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Speaker 1: right, you have some diarrhea,

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Speaker 2: typically an emergency, which would require a 995 ambulance will

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Speaker 2: be something that is life threatening. For example, a heart attack,

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Speaker 2: a stroke, a person is unconscious, a car crash where

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Speaker 2: you have an injury to the central part of your body,

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Speaker 2: hit the neck, the chest. So actually,

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Speaker 1: what's the difference between taking like a

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Speaker 1: private hire vehicle versus calling one triple seven? And what's

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Speaker 1: the sort of difference there? It's really if it's an

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Speaker 1: emergency ambulance like CDF, then we will really attempt to

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Speaker 1: reach you in 11 minutes. So the response time is

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Speaker 1: way faster. I see if your means is just to

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Speaker 1: go to the hospital as a transport, then maybe calling

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Speaker 1: one triple seven is a better option than 2995. So

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Speaker 1: talking about being on the road, right? I think one

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Speaker 1: of the misconceptions that people have is that ambulances can

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Speaker 1: run red lights. Is it true? Actually, it's quite true

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Speaker 1: So what happens is in the emergency and let's say

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Speaker 1: the patient is we call it the priority one plus

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Speaker 1: key means it can be a cardiac arrest stroke, right?

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Speaker 1: So what we do is if you are stuck in

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Speaker 1: a traffic jam and the situation allows we can actually

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Speaker 1: beat the traffic light to send you to the hospital

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Speaker 1: as fast as possible as a driver, right? Whenever I

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Speaker 1: see an ambulance, especially when the lights are on, right?

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Speaker 1: I always,

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Speaker 1: yeah, the Singaporean style is you see first, right? Then

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Speaker 1: you follow behind the ambulance because you can shortcut through

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Speaker 1: the traffic. I never thought about that.

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Speaker 2: So I must say that we still have a way

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Speaker 2: to go in terms of educating our local drivers and

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Speaker 2: road users how to give way to emergency vehicles. I

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Speaker 2: live and work in the US for two years and

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Speaker 2: once you hear an ambulance or siren at the back,

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Speaker 2: all the cars will actually clear a path for the

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Speaker 2: ambulance to go through no matter how bad the traffic

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Speaker 2: jam is. However, in Singapore, usually that is quite rare.

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Speaker 2: But don't

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Speaker 1: you know that if you don't give way to an ambulance,

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Speaker 1: you can actually offense, right? So all camera. So actually

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Speaker 1: what's the statistic in a day? How many ambulances do

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Speaker 1: you dispatch or how many calls do you get? So

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Speaker 1: if I give you a over stats or 2021 period, right?

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Speaker 1: We had about 210,000 calls a year, 210,000. So if

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Speaker 1: you divide by 12 months, actually, in a month, you

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Speaker 1: get about close to even the day you get about

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Speaker 1: 600 cases. So it is quite significant.

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Speaker 1: Ok? And then during COVID, of course, we had a

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Speaker 1: huge search, about 15 to 20% search in ambulance cost.

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Speaker 1: And then that led up to about 250,000 costs. I

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Speaker 1: would think that doing COVID is exceptionally tiring for them

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Speaker 1: because after each patient, they need to sanitize. I mean, anyway,

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Speaker 1: sanitize but you need to change your PP Yes, but

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Speaker 1: this a lot. So it was very retiring, very draining.

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Speaker 1: Imagine the hot, humid weather in Singapore and to wear

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Speaker 1: full gown masks

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Speaker 1: at the start, even aprons and stuff like this. So

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Speaker 1: it's really very hot. But I think the mission is

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Speaker 1: quite clear. We want to go and help the members

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Speaker 1: of public go into us back and forth. People complain

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Speaker 1: about how we have it be in Singapore, right? Actually,

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Speaker 1: our health care system like every other mall or block

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Speaker 1: I walk. Right is another clinic. Clinics are everywhere. So

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Speaker 1: you never have to worry about GP. Then the AED.

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Speaker 1: So like recently I did my CPR A training. You got,

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Speaker 1: I check that for you

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Speaker 1: during the course right. Then I found out that like

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Speaker 1: we have A E everywhere, like all the HDB blocks

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Speaker 1: the void or they have AED and then there's an app,

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Speaker 1: my responder app. I have not saved anyone yet. But

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Speaker 1: apparently like this app will let you see if there's

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Speaker 1: a medical emergency happening. Then if you are CPI A certified, right?

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Speaker 1: You can go and respond to like these emergencies because

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Speaker 1: sometimes you are nearer to, to like the

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Speaker 1: then then like waiting for an ambulance and things like that.

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Speaker 1: So you help to stabilize whoever is having an emergency

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Speaker 1: while like paramedics and all that on their way. So

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Speaker 1: then they'll tell you like, ok, yeah, there's an emergency

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Speaker 1: happening here and then like your closest AED is like

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Speaker 1: 10 m away.

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Speaker 1: So I was I was super. So actually pro like

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Speaker 1: for my responder app, right? Is there what are we

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Speaker 1: currently doing in terms of like educating youths and Singaporeans

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Speaker 1: on like being more involved in educating themselves on like,

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Speaker 1: you know, CPR

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Speaker 2: training, we are talking about the most severe emergency that occurs,

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Speaker 2: which is card arrest. So in a card arrest, a

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Speaker 2: person's heart suddenly stops beating.

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Speaker 2: And if nothing is done every minute that there's no

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Speaker 2: blood flowing to the brain, your chance of survival actually

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Speaker 2: decreases by 10%. So basically within 10 minutes, your chance

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Speaker 2: of Survivor is almost zero. And the fastest ambulance in

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Speaker 2: the world, you can only get there maybe 68, 10

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Speaker 2: minutes time. And so this is where volunteers like yourself

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Speaker 2: come in.

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Speaker 2: So we have now 100 and 50,000 volunteers. Island White

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Speaker 2: on the my on the app. Basically, if there is

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Speaker 2: a cut arrest or suspected cut arrest within 400 m,

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Speaker 2: we will actually activate that volunteer to go grab the

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Speaker 2: nearest AED help start CPR and give the first shock

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Speaker 2: before the ambulance arrives. A few

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Speaker 1: years ago, I was having breakfast with my aunt at

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Speaker 1: the coffee shop. This only halfway through the break breakfast.

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Speaker 1: She

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Speaker 1: look at her phone and she's like, I need to go.

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Speaker 1: Then I was like eating the fish bone noodle halfway.

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Speaker 1: She suddenly disappeared for like one hour. So she came

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Speaker 1: back and then she said that like she went to

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Speaker 1: like she got a notification on my responded app. Then

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Speaker 1: she went to go and save the person. She can

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Speaker 1: save a life of. So she just like went like

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Speaker 1: two block, she like run like two blocks away. Then

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Speaker 1: I save the person. Then she came and then she finish.

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Speaker 1: And then after that the following week, right? And she

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Speaker 1: come on this paper because like she go to the

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Speaker 1: CC and they give her like a medal

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Speaker 1: that could be, you could be, you wait everything. So

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Speaker 1: I feel like a stress. So like if I really

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Speaker 1: get like so much you can run towards the area

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Speaker 1: at the same time, I got you first because you

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Speaker 1: have more than one person because one person will need

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Speaker 1: to start CPR the other person will need to go

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Speaker 1: and get a and then call the call.

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Speaker 2: Absolutely. It is a team work. And you know, if

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Speaker 2: there are more people actually to take turns to do CPR,

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Speaker 2: that helps a lot because if you have ever done

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Speaker 2: a CPR class, it is super tiring.

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Speaker 2: Yeah. And what is encouraging is when I started doing

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Speaker 2: research on card arrest 20 years ago, our survival was

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Speaker 2: very low, less than 2%. But through efforts like my

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Speaker 2: responder training more people in CPR putting a in public places,

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Speaker 2: we have now a survival rate of more than 25%.

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Speaker 2: And in fact, every year we do a ceremony that

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Speaker 2: we call the Survivor Awards where we will actually bring

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Speaker 2: the survivors to meet their good Samaritan, the rescuer like

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Speaker 2: your

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Speaker 1: a

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Speaker 1: then you cry. Who cry? Oh my God. That's amazing.

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Speaker 1: This is the best feeling to save a life.

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Speaker 2: So I think knowing what to do in emergency and

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Speaker 2: getting some training and being willing to help makes a

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Speaker 2: lot of difference. I

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Speaker 1: have a story to share. So 2018, I was on

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Speaker 1: a hike with my husband walking, walking a lot of

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Speaker 1: people and I see red paint dripping down, but it

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Speaker 1: was a lot dripping a lot. And as we started walking,

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Speaker 1: I realized this is not paint. This is blood

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Speaker 1: question.

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Speaker 1: OK, guys, today's question, Paul is going to be a

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Speaker 1: bit different. Our experts here are going to quiz us

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Speaker 1: based on what we've learned today to see if Nick

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Speaker 1: was listening, I'm gonna crush it obviously in like spoil

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Speaker 1: or good crush. We get what we get your next

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Speaker 1: hospital stay, upgrade, free, upgrade to class A one you

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Speaker 1: can have it. You can have

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Speaker 1: a joke to you gonna ask it. Now, what's the

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Speaker 1: difference between emergency and non emergency cases? The question I,

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Speaker 1: you know you ok, emergency is life threatening. And then

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Speaker 1: some examples would be things like

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Speaker 1: cardiac arrest, major trauma. If you slice off your finger

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Speaker 1: limb trauma and then non emergency will be, your life

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Speaker 1: is not immediately threatened. So tooth ache, diarrhea, the question

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Speaker 1: on you.

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Speaker 1: No bonus points, answer the questions are getting more challenging. Ok.

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Speaker 1: So what are the alternatives beside calling SCDF Emergency ambulance

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Speaker 1: if you have non emergency medical conditions? Ok.

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Speaker 2: For my name,

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Speaker 1: call police defense for you wrong, right. GP. Go to GP. Yeah,

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Speaker 1: don't

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Speaker 2: go and don't forget nowadays we have telehealth options as

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Speaker 2: well where you can actually get a doctor online or

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Speaker 2: even get some medical tele consultation.

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Speaker 1: That's the favorite thing for millennials this year that we

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Speaker 1: don't go downstairs.

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Speaker 2: What does operational medical networks? Informatics? Integrator, also known as

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Speaker 2: Omni Do. What does it do?

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Speaker 1: Data and analytic storage.

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Speaker 1: It stores all our

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Speaker 2: information. So actually, omni is the electronic medical informatics system

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Speaker 2: that we have on our ambulances and even before the

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Speaker 2: ambulance arrives at the scene, we can tell if the

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Speaker 2: patient is having some underlying medical problem. And also the

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Speaker 2: information is shared with the hospital so that the emergency

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Speaker 2: department can be alerted before arrival.

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Speaker 2: We can pull in the vital signs from the monitors

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Speaker 2: on the ambulance or take pictures or even stream videos

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Speaker 2: and alert the hospital that for example, a major trauma

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Speaker 2: case is coming or heart attack is coming. So important

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Speaker 1: is when you call 995, our operators after dispatching the ambulance,

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Speaker 1: they will actually ask for N I. So don't be

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Speaker 1: too surprised because the purpose of them asking NIC to

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Speaker 1: allow our paramedics to access.

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Speaker 2: So who on all fail?

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Speaker 2: OK. True or false. SCDF paramedics can assess and decide

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Speaker 2: not to convey you to hospital if it's a non emergency. True.

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Speaker 2: Absolutely true. So there may be situations where we would

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Speaker 2: advise you that it's more suitable for you to actually

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Speaker 2: consult the GP or you can actually

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Speaker 2: self medicate and we'll give you some other options rather

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Speaker 2: than going to the hospital. So take the

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Speaker 1: advice from our call centers, don't argue with them because

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Speaker 1: we kind of know what's best for you actually.

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Speaker 2: All right, true or false. You will receive immediate treatment

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Speaker 2: if you get conveyed by ambulance to the emergency department.

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Speaker 1: Yes,

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Speaker 1: you must wait, you must wait. F

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Speaker 2: is right. So we actually have a triage system both

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Speaker 2: at 995 in the ambulance by the paramedics and on

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Speaker 2: arrival at the emergency department. And in Singapore, we use

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Speaker 2: a four level triage. Priority 123 or four depending on

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Speaker 2: how life threatening your situation is, right? So of course,

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Speaker 2: priority one, the most life threatening, the most urgent will

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Speaker 2: be seen immediately.

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Speaker 2: But if you actually are stable and you have a

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Speaker 2: non life threatening condition like A P two P three

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Speaker 2: or even P four, you have to be prepared to

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Speaker 2: wait at the emergency department as there may be other

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Speaker 2: more serious patients that are in front of you. That's

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Speaker 2: the last question

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Speaker 1: I

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Speaker 1: there was a man sitting on the side of a walkway.

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Speaker 1: This man was bleeding so much, right? That his white

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Speaker 1: T shirt is red. Everyone was just walking past him.

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Speaker 1: They were looking at him going like this and they

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Speaker 1: were away. So I asked him, I said, do you

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Speaker 1: have any family members with you? And he said, yes,

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Speaker 1: my wife and my kids are there. So I said,

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Speaker 1: pass me a phone and I called his wife and

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Speaker 1: then we call ambulance. I'm telling you right? When the

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Speaker 1: kids came, they went into panic mode, like really panicking

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Speaker 1: the help,

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Speaker 1: the panicking, all of them were crying and even though

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Speaker 1: I'm panicking, I know that we cannot panic, right? You

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Speaker 1: cannot show panic. So we just stay with them. But

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Speaker 1: when the ambulance came finally, right, the wife just started

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Speaker 1: like urinating herself and she passed out. Yeah. So she

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Speaker 1: just started and high stress. It is really the most

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Speaker 1: high stress moment in my life. Long story short when

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Speaker 1: the paramedics came, then the wife went with the

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Speaker 1: ambulance. I told her like, this is my number. I

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Speaker 1: have your Children later when you're done, you just call me.

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Speaker 1: So the Children with you the whole year try and

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Speaker 1: calm them down. I talk to them. I mean, the

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Speaker 1: main thing is to stay calm, stay and then like

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Speaker 1: just do what you can to help and try to

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Speaker 1: be a good Samaritan rather than just like, oh I

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Speaker 1: do too but I scared that kind of thing. My

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Speaker 1: cousin right there was once where she was cooking, then

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Speaker 1: she sliced off the tip of her finger. It was

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Speaker 1: quite a big chunk then like she kept

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Speaker 1: bleeding and then my uncle, he's the type that like

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Speaker 1: no need to go hospital kind of thing. But she

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Speaker 1: was just like bleeding nonstop. So after that, then they decided, ok, go,

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Speaker 1: go see doctor, go to the GP GP first. So

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Speaker 1: even though I really like going to pass, my cousin

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Speaker 1: was already waiting at the door like holding her finger

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Speaker 1: with like a whole tower and all that, right? My

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Speaker 1: uncle still go and take a phone call. Then my

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Speaker 1: cousin was there like like really going to. So after that,

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Speaker 1: you eventually go to the GP GP said like you

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Speaker 1: cannot too serious. You need to go to a hospital.

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Speaker 1: So then she went to the hospital, right? The doctor

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Speaker 1: asked like, where's the tip? Then she lost it. So

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Speaker 1: my uncle was like, why you need the tip? Say

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Speaker 1: we can pull back because it was really like, I

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Speaker 1: think two cm long, two cm is, it was a lot.

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Speaker 1: So in the end he went back home and then

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Speaker 1: he had to go and find the tip and the

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Speaker 1: tip was still because she was chopping corn like she

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00:19:08,790 --> 00:19:10,948
Speaker 1: was trying to chop the corn. Yeah. So she had

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Speaker 1: to go and

380
00:19:11,540 --> 00:19:15,869
Speaker 1: the, but thankfully they still could, they still could reattach

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Speaker 1: the tip. But I think because it wasn't on ice,

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00:19:18,180 --> 00:19:20,869
Speaker 1: then there's like nerve, nerve damage and things like that.

383
00:19:20,880 --> 00:19:24,409
Speaker 1: The tip is there aesthetically is fine. But I cannot

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Speaker 1: feel anything at the t I think your uncle need

385
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Speaker 1: to learn to planning a bit. Actually, it's quite interesting.

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Speaker 1: I find that Singaporeans are divided into two camps. You

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Speaker 1: have the everything, every small thing also

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Speaker 1: and see doctor or go to hospital and then the

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00:19:37,810 --> 00:19:43,729
Speaker 1: other camp like my uncle that is like emergency, it's ok. Plaster.

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00:19:44,449 --> 00:19:47,000
Speaker 1: But I think the interesting bit also is that aside

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Speaker 1: from CPR and a, there's also now basic first aid course,

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Speaker 1: which we are encouraging a lot of Singaporeans to go for.

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Speaker 1: So I think that's a good life skill to have. Ok,

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00:19:57,329 --> 00:19:57,939
Speaker 2: asking for a

395
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Speaker 1: friend

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Speaker 1: who you are. How often do you get prank calls.

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00:20:01,949 --> 00:20:05,560
Speaker 1: So not, not calls that like not emergency but people

398
00:20:05,569 --> 00:20:08,680
Speaker 1: call like call like maybe like hello police are then

399
00:20:08,689 --> 00:20:10,979
Speaker 1: hang up once in a while. There are two spectrum.

400
00:20:11,069 --> 00:20:13,530
Speaker 1: One would be really call the innocent ones who have

401
00:20:13,540 --> 00:20:16,219
Speaker 1: young kids. They just call 995 and then they put down.

402
00:20:16,489 --> 00:20:19,219
Speaker 1: But there are those that are really praying the way

403
00:20:19,229 --> 00:20:21,979
Speaker 1: they use a public phone number to call, right? They

404
00:20:21,989 --> 00:20:23,510
Speaker 1: will tell you the address to tell you is a

405
00:20:23,520 --> 00:20:25,819
Speaker 1: very bad accident happening there and

406
00:20:25,925 --> 00:20:28,805
Speaker 1: you arrive, actually nothing happened, right? Then you call back,

407
00:20:28,824 --> 00:20:30,594
Speaker 1: either they don't pick up or they pick up and

408
00:20:30,604 --> 00:20:32,685
Speaker 1: put it down, right? So we call them ghost calls.

409
00:20:32,994 --> 00:20:36,305
Speaker 1: Is this a crime? Like do, can we get fine? Yes,

410
00:20:36,314 --> 00:20:38,755
Speaker 1: we do, we do. So what happens is we have

411
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Speaker 1: a black box in our 995 operation center. So all

412
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Speaker 1: calls are recorded and the numbers are take down also.

413
00:20:44,415 --> 00:20:47,504
Speaker 1: So if there's a trend, sometimes this guy keeps calling

414
00:20:47,515 --> 00:20:49,194
Speaker 1: all the time and then it's always returned as a

415
00:20:49,204 --> 00:20:52,064
Speaker 1: false call. No sign of case. We refer this case

416
00:20:52,074 --> 00:20:52,514
Speaker 1: to the police to.

417
00:20:53,300 --> 00:20:55,109
Speaker 1: In fact, there are a few cases with which the

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Speaker 1: police actually charge them to court, right? So actually right

419
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Speaker 1: in your for both of your many, many years of service, right?

420
00:21:01,500 --> 00:21:04,459
Speaker 1: What is the worst experience you've had with a patient

421
00:21:05,140 --> 00:21:08,020
Speaker 1: situations are quite common. It's part of the job, but

422
00:21:08,030 --> 00:21:11,469
Speaker 1: it's more of when you understand the line underlying story.

423
00:21:11,479 --> 00:21:14,030
Speaker 1: Sometimes you get to know, you hear the story of

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Speaker 1: the patient, that's where you get a bit emotionally attached

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Speaker 2: as you know, SGH is downtown near

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Speaker 2: in the town. And I remember many years ago we

427
00:21:21,964 --> 00:21:25,025
Speaker 2: had a case of multiple step wounds. So two gangs

428
00:21:25,035 --> 00:21:28,114
Speaker 2: had actually had a confrontation and they were members of

429
00:21:28,125 --> 00:21:31,385
Speaker 2: both gangs that were stabbed, of course, ambulance was dispatched

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Speaker 2: and brought them to the nearest trauma hospital, which is,

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00:21:33,805 --> 00:21:36,334
Speaker 2: which is SG. And so we were dealing with two

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Speaker 2: or three step wound victims who were actually in quite

433
00:21:39,285 --> 00:21:43,234
Speaker 2: a serious condition. However, when the ambulance brings the victim

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00:21:43,244 --> 00:21:46,274
Speaker 2: to the hospital, their friends will also come along.

435
00:21:46,670 --> 00:21:50,180
Speaker 2: And so we had gang a following victim number one

436
00:21:50,199 --> 00:21:53,479
Speaker 2: turn up at emergency department. But gang b also following

437
00:21:53,489 --> 00:21:56,260
Speaker 2: their friend with victim number two and then the two

438
00:21:56,270 --> 00:21:59,959
Speaker 2: gangs met in the lobby of the emergency department and

439
00:21:59,969 --> 00:22:02,630
Speaker 2: they were still carrying their pas and their knives and

440
00:22:02,640 --> 00:22:05,359
Speaker 2: all that. So we actually had a few frantic minutes

441
00:22:05,369 --> 00:22:08,719
Speaker 2: where the gangs were roaming around the emergency department looking

442
00:22:08,729 --> 00:22:11,859
Speaker 2: for their enemies and wanting to settle scores with them.

443
00:22:12,199 --> 00:22:14,010
Speaker 2: And we had, we had to call the police to

444
00:22:14,020 --> 00:22:16,290
Speaker 2: come and assist and it took a while before they

445
00:22:16,300 --> 00:22:19,109
Speaker 2: actually cleared off. And meanwhile, we're still trying to save

446
00:22:19,119 --> 00:22:22,739
Speaker 2: their friends who are bleeding and having severe step wound injuries.

447
00:22:22,750 --> 00:22:23,199
Speaker 2: Did they come

448
00:22:23,209 --> 00:22:24,270
Speaker 1: in the same ambulance.

449
00:22:24,280 --> 00:22:26,300
Speaker 2: No, they came in their own car following. I don't

450
00:22:26,349 --> 00:22:27,060
Speaker 2: think they want to

451
00:22:27,160 --> 00:22:30,919
Speaker 1: be the same to come. Yes. So actually being in

452
00:22:30,930 --> 00:22:33,389
Speaker 1: this line of work isn't easy. You work long hours,

453
00:22:33,400 --> 00:22:35,589
Speaker 1: you deal with life and death situations every day and

454
00:22:35,599 --> 00:22:38,270
Speaker 1: then sometimes difficult members of the public also. So,

455
00:22:38,869 --> 00:22:41,189
Speaker 1: in your own words, right. For both of you, what

456
00:22:41,199 --> 00:22:42,660
Speaker 1: do you think makes the job worth

457
00:22:42,670 --> 00:22:42,859
Speaker 2: it?

458
00:22:43,229 --> 00:22:46,359
Speaker 2: My patients that motivated me to do research into card

459
00:22:46,430 --> 00:22:50,400
Speaker 2: arrest was only 20 years old when she actually collapsed.

460
00:22:50,410 --> 00:22:52,680
Speaker 2: Good thing was that at that time, we had just

461
00:22:52,689 --> 00:22:55,899
Speaker 2: started our telephone CPR protocol, which means that when the

462
00:22:55,910 --> 00:22:58,560
Speaker 2: husband called 995, we were able to give instructions over

463
00:22:58,569 --> 00:23:01,629
Speaker 2: the phone for the husband to start chest compressions. We

464
00:23:01,640 --> 00:23:04,400
Speaker 2: discover actually there's a very strong family history of sudden

465
00:23:04,619 --> 00:23:06,780
Speaker 2: death in our family, but we were able to save

466
00:23:06,790 --> 00:23:09,079
Speaker 2: her and the reason we were able to save her

467
00:23:09,089 --> 00:23:10,319
Speaker 2: was improve

468
00:23:10,640 --> 00:23:14,399
Speaker 2: that we had made in the system over time. Telephone

469
00:23:14,410 --> 00:23:17,880
Speaker 2: CPR having public EDS and she walked out of the hospital,

470
00:23:17,890 --> 00:23:20,219
Speaker 2: went back to her job, got married and has a

471
00:23:20,229 --> 00:23:24,030
Speaker 2: family now. And this patient probably would have died 20

472
00:23:24,040 --> 00:23:26,649
Speaker 2: years ago if our system had not improved. So to

473
00:23:26,660 --> 00:23:27,409
Speaker 2: wrap it up, what would

474
00:23:27,420 --> 00:23:30,089
Speaker 1: you like the public to know about your job? Well,

475
00:23:30,189 --> 00:23:32,379
Speaker 1: our job is not easy, but really we come in

476
00:23:32,390 --> 00:23:34,750
Speaker 1: with a huge sense of purpose is really to be

477
00:23:34,760 --> 00:23:37,459
Speaker 1: there for you when you need us, your times of need.

478
00:23:37,780 --> 00:23:40,060
Speaker 1: So always trust us, trust the system

479
00:23:40,319 --> 00:23:43,290
Speaker 1: and then of course, help us cooper with us. And

480
00:23:43,300 --> 00:23:46,219
Speaker 1: at the same time, important thing is to call 995.

481
00:23:46,229 --> 00:23:47,390
Speaker 1: If it's an emergency,

482
00:23:47,400 --> 00:23:51,179
Speaker 2: I would add on that. It is a partnership. Every

483
00:23:51,189 --> 00:23:55,389
Speaker 2: life is precious. We can't do it alone. We need

484
00:23:55,400 --> 00:23:56,060
Speaker 2: help from

485
00:23:56,155 --> 00:23:58,824
Speaker 2: each one of you, right? So, I mean, it is

486
00:23:58,834 --> 00:24:03,834
Speaker 2: about educating yourself. It takes basically the whole community to

487
00:24:03,844 --> 00:24:07,004
Speaker 2: take care of one individual. The health care system cannot

488
00:24:07,015 --> 00:24:09,625
Speaker 2: do it alone, the government cannot do it alone. You

489
00:24:09,635 --> 00:24:11,895
Speaker 2: can't do it alone, right? We all need to work together.

490
00:24:13,400 --> 00:24:15,239
Speaker 1: Thank you for joining us on the hot pot. You

491
00:24:15,250 --> 00:24:18,750
Speaker 1: can also listen to us on Spotify Apple podcast and me, listen.

492
00:24:18,800 --> 00:24:21,219
Speaker 1: And if you haven't already do, subscribe to our channel

493
00:24:21,229 --> 00:24:23,569
Speaker 1: as well. And of course, thank you to our special guest,

494
00:24:23,579 --> 00:24:25,739
Speaker 1: Prof Markers and R for being here today. Thank you

495
00:24:25,800 --> 00:24:27,879
Speaker 1: for having us. And if you want to find out

496
00:24:27,890 --> 00:24:30,739
Speaker 1: more about what the CDF does do, keep a lookout

497
00:24:30,750 --> 00:24:33,800
Speaker 1: for a special feature coming out on CN A Insider

498
00:24:33,810 --> 00:24:37,770
Speaker 1: in February. I'm AC N A Insider Insider. Wow. And

499
00:24:37,839 --> 00:24:40,800
Speaker 1: we will see you on the next episode. Bye bye.

500
00:24:43,060 --> 00:24:47,910
Speaker 1: No context have to. OK. So now let's hop back

501
00:24:47,920 --> 00:24:55,689
Speaker 1: to the episode again again. OK. So now let's hop

502
00:24:55,699 --> 00:24:57,010
Speaker 1: back to the episode