START OF THE CRITICAL CARE MEDICAL TEAM IN PNG.
Then we redesigned the system, the team stabilizes the patient in Emergency Department, and admits to the Intensive Care Unit for continuous monitoring and reassessment.
This is where the core business of Critical Care Medicine takes place.
So, we ended up giving the name Monitoring and Reassessment Unit rather than Intensive Care Unit.
Because we didn’t do too much Intensive Care stuff (which we could; ventilation and peritoneal dialysis). All we did was just basic monitoring of observations and acts to help the body restore homeostasis with only oxygen and saline.
This is the beginning of Critical Care Medicine in action in Nonga.
The impact was so powerful, the community was scared of admission to the Intensive Care Unit. Anticipating death, they witnessed miracles, those patients admitted to ICU were now recovering quickly and being discharged home.
The good news spread like wild fire. Everyone that came to Emergency Department now demanded to be admitted to the Intensive Care Unit with no longer a fear of death.
When my family and I transferred to Alotau on March 06th 2006, it was a sober day, for the years that I had spent developing Nonga Base General Hospital Critical Care Medicine had come to an end.
Even today the legacy of Critical Care Medicine under my leadership lingers on into the horizon.
We had to fight hard again to establish Critical Care Medicine in Alotau Provincial Hospital from 2006 to today.
Watch this blog for the next part of the journey of Critical Care Medicine in Papua New Gunea, from Port Moresby General Hospital to Kundiawa Provincial Hospital.
The journey continues…..
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