- Simulation-Based Education in Healthcare
- Disaster Response and Management
- Cardiac Arrest and Resuscitation
- Innovations in Medical Education
- Tracheal and airway disorders
- Emergency and Acute Care Studies
- Airway Management and Intubation Techniques
- Congenital Diaphragmatic Hernia Studies
- Clinical Reasoning and Diagnostic Skills
- COVID-19 and healthcare impacts
- COVID-19 and Mental Health
- Patient Safety and Medication Errors
- Trauma Management and Diagnosis
- COVID-19 Digital Contact Tracing
- Pharmacy and Medical Practices
- Hospital Admissions and Outcomes
- Restraint-Related Deaths
- Sepsis Diagnosis and Treatment
- Disaster Management and Resilience
- Pericarditis and Cardiac Tamponade
- Healthcare Policy and Management
- Patient Satisfaction in Healthcare
- Nosocomial Infections in ICU
- Ultrasound in Clinical Applications
- Cardiac Structural Anomalies and Repair
Universitas Syiah Kuala
2023
National University of Malaysia
2020-2023
University Kebangsaan Malaysia Medical Centre
2011-2022
University College London Hospitals NHS Foundation Trust
2020
University College London
2020
University of Edinburgh
2014
BackgroundSelf-instructional-video is an effective self-directed learning method of clinical procedural skills.MethodA single-blinded randomized controlled study comparing small-group-learning and individual-learning was conducted to evaluate knowledge skills retention manual defibrillation endotracheal intubation. Data were collected on knowledge, skill acquisition, confidence, at pretest, post-test 6 months postintervention.ResultsSmall-group-learning demonstrated better outcomes...
Background: Self-instruction video (SIV) has been widely explored as a teaching mode for cardiopulmonary resuscitation (CPR) and automated external defibrillation (AED), but not with other basic emergency skills.
Abstract COVIDTrach is a UK multidisciplinary collaborative project that aims to evaluate the outcomes of tracheostomy in COVID-19 patients. An invitation participate an online survey tool (REDCap) was disseminated all NHS departments involved mechanically ventilated Fifty-two percent (n=219/465) patients who had undergone and were still alive, been successfully weaned from mechanical ventilation at point completing survey. The cause in-hospital mortality following 12% (n=62/530), with 3%...
Introduction: This study aims to evaluate the knowledge and confidence of emergency healthcare workers (EHCW) in facing COVID-19 pandemic. Materials Methods: A cross-sectional online using a validated questionnaire was distributed doctors (MD), assistant medical officers (AMO), staff nurses (SN) at an urban tertiary Emergency Department. It comprised 40 10 confidence-level questions related resuscitation airway management steps. Results: total 135 from 167 eligible EHCW were enrolled. 68.9%...
We conduct a study to see the students confident and perceived understanding in management of major incident response. conducted cross sectional questionnaire-base on group 45 medical who underwent their Emergency Medicine posting UKMMC. They were given an hour lecture response followed with moulage exercise that consists scene response, in-hospital mock press conference. A 14 point questionnaire using 5-point Likert scale was developed used gauge level confidence among respondents 7...
During the 2 weeks emergency medicine posting at faculty of UKMMC, medical students were exposed to core elements such as principles hyperacute early resuscitation, pre-hospital care, disaster response and medicolegal issues pertaining practice. The Subject was delivered using simulation-based education (SBE) either with high-fidelity simulators or simulated patients scenario based learning (SBL). At end we conducted a cross sectional questionnaire-base study which 170 participated. A four...
Background: The notion of learning by doing has become less acceptable especially when invasive procedures are needed. Simulation provides learners the opportunity for deliberate practice. Universiti Kebangsaan Malaysia Medical Centre (UKMMC) is one promoter Simulation-based medical education (SBME), conducting regularly train trainer workshop aimed to increase efficiency learner. objective this paper provide an insight from learners perspective on a SBME workshop.Methods: It was pre...
An emergency department (ED) is a front door for hospital where huge number of patients visit the to seek immediate treatment. This has led ED overcrowding. A cross sectional study was conducted determine pattern attending in public teaching Malaysia. 2013 daily census data contained 66,603 were used. In this study, 62.1% attendances are non-critical case. They commonly utilized early morning, during weekends, and part week. conclusion, seen be most frequent users. present at with minor...
Abstract Purpose COVIDTrach is a UK multi-centre prospective cohort study project evaluating the outcomes of tracheostomy in patients with COVID-19 receiving mechanical ventilation. It also examines incidence SARS-CoV-2 infection among healthcare workers involved procedure. Method An invitation to participate was sent all NHS departments patients. Data entered prospectively and clinical updated via an online database (REDCap). Clinical variables were compared using multivariable regression...
The emergence of COVID-19 pandemic has caused difficulty to emergency-HCW (EHCW) in resuscitating high-risk patients. We set out explore EHCW’s perception after undergoing COVID-ACLS resuscitation training and address their anxiety working this pandemic. A qualitative case study using focused group discussion was conducted among EHCW who have undergone training. Five semi-structured questions exploring respondent’s confidence level, factors, areas improvement for if is sufficient. Inductive...
Simulation-based medical education consistently finds debriefing to be the most important element in providing effective learning. Yet, there are limited studies that demonstrate outcomes of on simulation-based resuscitation learning non-medical community. This mixed-method study examined effects methods (DIAMOND vs Customary) 2 simulation experiences 130 cabin crews' knowledge, technical & non-technical skills. The quality was assessed using a survey followed by analysis through face...
Background: The aim of this study was to compare the effectiveness self-instructional-video (SIV) and classroom training method (CTM) in learning Focus-Assessment with Sonography-in-Trauma (FAST) among house officers (HO). Method: A randomized controlled involving working university hospital Malaysia conducted where participants were into SIV group (intervention) CTM (control). Each had undergo a 4 h hands-on training. intervention has undergone self-training using video material without any...
To improve public awareness and the rate of bystander cardiopulmonary resuscitation (CPR), a novel exciting approach called fit-CPR that incorporates mass CPR with high-intensity physical activity into beat locally favoured music was proposed. This study conducted to measure effectiveness compared standard classroom method (CCM).Between 30th August 29th November 2018, 129 participants from Syiah Kuala University, Banda Aceh, Indonesia, were randomized learn CPR, either through or CCM...
There is global support for the teaching of cardiopulmonary resuscitation (CPR) in schools, and teachers are expected to play a leading role medical emergency.Effective retention CPR knowledge, after training, paramount.This study aims assess knowledge among student at varios stages training; namely pre-, post-immediate, 8th-, 14th-week post-training.A quasiexperimental using non-probability convenience sampling was conducted select 41 respondents from Department Physical Health Education,...
Background: Implementation of lockdown was identified as a factor that affects the utilization Emergency Department (ED) globally during COVID-19 pandemic.Objective: To compare ED rate based on different triage acuity movement control order (MCO) pandemic at teaching university hospital in capital Malaysia, Kuala Lumpur.Methods: This retrospective study included patients presented to MCO i.e. March 18 June 9 2020) and similar period pre-pandemic for comparison. Patients were randomized...
Subcutaneous emphysema, a known complication of tracheobronchial injury (TBI), is usually self-limiting condition, but occasionally, massive one can become life-threatening. We present patient with TBI who developed subcutaneous emphysema bilateral pneumothorax causing hemodynamic instability. Upon arrival to the hospital, required emergent intubation for impending respiratory collapse. Bilateral thoracostomy tubes were inserted, resulting in improvement. Emergent CT thorax showed...
Objective: ST-elevations in electrocardiogram (ECG) secondary to an acute myocarditis may mimic ST-elevation myocardial infarction (STEMI). It is vital distinguish between the two entities avoid inappropriate clinical management and complications. Case Presentation: A previously well 19-year-old male presented with episodes of central chest pain which were resolved spontaneously. His presentation was preceded by multiple vomiting, diarrhoea abdominal pain. Physical examination unremarkable...