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Department of Emergency Medicine 2025 Activities Lawatan Ybhg Dato’ Sri Ketua Pengarah Kesihatan Alhamdulillah, pada 16 Desember 2025 telah selesai dengan jayanya lawatan Ybhg Dato’ Sri Dr. Mahathar bin Abd Wahab, Ketua Pengarah Kesihatan ke Kampus Kesihatan khususnya Jabatan Kecemasan Pusat Pengajian Sains Perubatan dan Hospital Pakar Universiti Sains Malaysia atas kapasiti penasihat luar Program Sarjana Perubatan (Perubatan Kecemasan). Bermula dengan majlis makan malam bersama rakan-rakan JKNK semalam. Seterusnya lawatan ke Jabatan Perubatan Kecemasan pada hari ini. DS juga sempat meluangkan masa berkongsi cerita dan rasa kepada generasi muda di Jabatan Kecemasan tentang cabaran dan peluang. Banyak nasihat yg dikongsi DS terutama berkaitan “clinical governance”. Diakhiri dengan sesi dialog bersama pengurusan PPSP dan HPUSM. Terima kasih kepada semua yg terlibat menjayakan program terutama dari UPSQ, PPSP. -Artikel dipetik dari catatan Prof. Madya Dr. Mohd Hashairi Fauzi, Ketua Jabatan Perubatan Kecemasan-   Seminar One Stop Crisis Center (OSCC) 2025 Seminar One Stop Crisis Center (OSCC) 2025 telah berjaya dianjurkan oleh Jabatan Kecemasan, Hospital Pakar Universiti Sains Malaysia (HPUSM) pada 3 Disember 2025, bertempat di Auditorium Aras 4, Bangunan Trauma, Jabatan Kecemasan HPUSM. Program ini telah dirasmikan oleh Ketua Jabatan, Jabatan Kecemasan HPUSM, Profesor Madya Dr Mohd Hashairi Fauzi. Seminar ini telah dihadiri oleh 90 orang peserta yang terdiri terutamanya daripada warga staf HPUSM serta beberapa orang peserta dari Hospital Sultanah Zainal Abidin dan Hospital Bachok.   Sepanjang seminar ini, para peserta telah didedahkan kepada pelbagai topik menarik dan penting berkaitan One Stop Crisis Center (OSCC) yang merangkumi aspek perubatan, psikososial dan perundangan. Perkongsian ilmu ini telah disampaikan oleh barisan penceramah yang berpengalaman luas dan diiktiraf dalam bidang masing-masing.   Antara penceramah yang terlibat ialah: (1) Dr. Salmi Illyana Mohd Asari, Pakar Perubatan Kecemasan – Pengenalan One Stop Crisis Center (OSCC) (2) Dr. Normalinda Yaacob, Pensyarah Perubatan Kecemasan – Pengurusan Kes Rogol (3) Dr. Nik Rafiza Nik Muhamad Afendi, Pensyarah Perubatan Obstetrik & Ginekologi – Peranan Obstetrik & Ginekologi dalam OSCC (4) Dr. Fahisham Taib, Pensyarah Perubatan Pediatrik – Penderaan Kanak-kanak & Kecederaan Bukan Kemalangan (5) Dr. Syaheedatul Iman Dinsuhaimi, Pensyarah Perubatan Psikiatri – Keganasan Rumah Tangga (6) Prof. Madya Siti Hawa Ali, Penasihat OSCC HPUSM – Intervensi Berasaskan Trauma (7) Prof. Madya Dr. Mohd Shahrulsalam Mohd Shah, Pensyarah Perubatan Pembedahan Pediatrik – Pengurusan Kes Sodomi Kanak-kanak ( Encik Shamsul Amri Salehuddin, Ketua Unit Kerja Sosial Perubatan – Peranan Unit Kerja Sosial Perubatan dalam OSCC (9) Inspektor Noor Syafiqah Mat Jusoh, Jabatan Siasatan Jenayah Kelantan – Peranan PDRM dalam OSCC (10) Puan Norhazwati Md Nor, Penyelia Jururawat OSCC HPUSM – Pengurusan Kejururawatan OSCC (11) Puan Norehan Abdullah, Jururawat OSCC HPUSM – Pengendalian Spesimen OSCC   Seminar ini menekankan kepentingan pendekatan multidisiplin dalam pengurusan mangsa OSCC, khususnya di Jabatan Kecemasan, dengan memberi penekanan kepada aspek keselamatan mangsa, kerahsiaan, serta kesinambungan rawatan. Melalui perkongsian ilmu dan pengalaman daripada pelbagai disiplin dan agensi, seminar ini bertujuan memperkukuh kefahaman peserta terhadap peranan masing-masing dalam rantaian pengurusan OSCC, di samping meningkatkan kecekapan koordinasi antara jabatan dan agensi-agensi yang berkaitan. Pendekatan yang holistik dan bersepadu ini diharapkan dapat memastikan setiap mangsa OSCC menerima rawatan dan sokongan yang menyeluruh, beretika dan berempati.   Setinggi-tinggi penghargaan dan ucapan terima kasih diucapkan kepada semua penceramah jemputan atas perkongsian ilmu, pengalaman dan komitmen yang amat bermakna sepanjang seminar ini. Ucapan terima kasih juga dirakamkan kepada barisan urusetia serta semua peserta yang telah memberikan sokongan dan kerjasama penuh dalam menjayakan Seminar One Stop Crisis Center (OSCC) 2025. Semoga segala usaha dan sumbangan yang diberikan ini menjadi pemangkin kepada pengukuhan perkhidmatan OSCC yang lebih bersepadu, berkesan dan berteraskan empati demi kesejahteraan mangsa OSCC insyaAllah.         Laporan disediakan oleh,   Dr. Salmi Illyana Mohd Asari Pakar Perubatan Kecemasan, Hospital Pakar Universiti Sains Malaysia. POCUS One-World Workshop 2025 On 10 November 2025, the Emergency Department of Hospital Pakar Universiti Sains Malaysia successfully organised the POCUS One-World Workshop (POW) 2025 in conjunction with the 19th WINFOCUS World Congress, which is scheduled to take place from 4 to 7 December 2025. The workshop brought together six (6) facilitators and twenty-seven (27) participants, comprising Specialists and Medical Officers from the disciplines of Emergency Medicine, Family Medicine, General Practice, Anaesthesiology, and Critical Care. Participants represented a wide range of institutions, including Hospital Pakar Universiti Sains Malaysia, Hospital Raja Perempuan Zainab II, Hospital Kuala Lipis, Hospital Dungun, Hospital Kemaman, Hospital Sultan Abdul Aziz Shah Universiti Putra Malaysia, Hospital Tawau, Klinik Kesihatan Gunung Rapat, Klinik Kesihatan Simpang Durian, Hospital Sultanah Nur Zahirah, Sultan Ahmad Shah Medical Centre, International Islamic University Malaysia, and Bach Mai Hospital. The programme featured academic discussions on Advanced Focused Cardiac Ultrasound, complemented by hands-on practical training sessions. The event was honoured by the presence of Professor Dr Kamarul Aryffin Baharuddin, Dean of the School of Medical Sciences, Health Campus, Universiti Sains Malaysia, who officiated the Graduation Ceremony for medical specialists who had successfully completed the Clinical Fellowship Attachment in Emergency & Critical Care Ultrasound in May 2025. IPOCUS 2025 1 IPOCUS 2025 3 IPOCUS 4 IPOCUS 2025 2 2025 MotoGP World Championship Medical Standby, International Sepang Circuit, Sepang, Selangor In a high-risk, high-speed motorsport like MotoGP, medical standby and emergency response are critical components of event safety. The 2025 season in Sepang Circuit, Sepang, Selangor from 18-27 October 2025 continued to emphasize these elements: from pre-race planning, circuit-side medical infrastructure, air evacuation readiness, to the regulatory oversight by Fédération Internationale de Motocyclisme (FIM) and Dorna Sports.   Many hospitals around Malaysia were involved in this medical standby including Hospital Pakar Universiti Sains Malaysia. We sent 10 of our medical personnel in Emergency Department of Hospital Universiti Sains Malaysia including 6 doctors and 4 paramedics. Multiple intense training drills were done prior to the event to make sure that the event went smoothly. Moto GP 2025 1 Moto GP 2025 2 Moto GP 2025 3 Moto GP 2025 PROGRAMME HIGHLIGHTS Day 1: 18th October 2025 (training day) Participants arrival and registration at Medical Centre, Sepang International Circuit. Lecture sessions: Welcoming noted by Secretariat/ DCMO Assignment Into Trackside Units by DCMO/ Secretariat/ Logistic Race Control Visit by Dr Liu (EP Hospital Seberang Jaya) Introduction to MOTOGP Medical Cover by Dr Sharifah (EP, H. Ampang) Trackside Incident Management by Dr Saravanan (CMO) Race Flags WADA Anti- Doping regulations Medical Inspection Procedure Day 2: 19th October 2025 Skill Stations: Track and Service Road Familiarization by Dr Liu Radio Procedure by Dr Saravanan Trackside CPR Helmet Removal and Spinal immobilization Airway Management Trackside evacuation and Transport Procedure   Day 3: 20th October 2025   Official opening for Medical Centre of SIC Skill Stations: Track site training Communication training Trackside CPR Helmet removal and spinal immobilization Equipment set up at Resus Room of Medical Centre of SIC   Day 4: 21st October 2025 Skill Stations: Track site training Communication training Trackside CPR Helmet removal and spinal immobilization More intense training for the track group     Day 5: 22nd October 2025   Skill Stations: Track site training Communication training Trackside CPR Helmet removal and spinal immobilization More intense training for the track group and medical centre group   Day 6: 23rd October 2025   Official visit from Fédération Internationale de Motocyclisme (FIM) or final checkup prior to the event Skill Stations: Track site training Communication training Trackside CPR Helmet removal and spinal immobilization More intense training for the track group and medical centre group Check up for medical checkup rider prior to the event   Day 7: 24th October 2025 (Day 1 of race)  Track deployment Medical Pre-inspection Lap FIM Medical Inspection MOTOGP warm up and exercise (for rider) Medical checkup for rider   Day 8: 25th October 2025 (Day 2 of race)    Track deployment Medical Pre-inspection Lap FIM Medical Inspection MOTOGP warm up and exercise (for rider) Medical checkup for rider     Day 9: 26th October 2025 (Day 3 of race)    Track deployment Medical Pre-inspection Lap FIM Medical Inspection MOTOGP warm up and exercise (for rider) Medical checkup for rider   Day 9: 26th October 2025 (Day 3 of race)    Track deployment Medical Pre-inspection Lap FIM Medical Inspection Opening Ceremony Medical checkup for rider MOTOGP race End of the event   Day 10: 27th October 2025   Debriefing post event Equipment packing and ambulance check up Closing of the medical standby of MOTOGP 2025 Moto GP 2025 4 Moto GP 2025 5 Moto GP 2025 6 The 2025 MotoGP season showed a strong emphasis on medical standby readiness: from rigorous regulations to real-world preparations. The combination of qualified personnel, ambulances, air evacuation, training and oversight forms the backbone of rider safety. Continuous improvement and consistent global standards would be the key to maintaining and elevating safety levels in this demanding sport.  Prepared by: Nur Fatimah Zahraq Mohd Khairuddin DISASTER RESPONSE EXERCISE (DiREX) 2025 The Department of Emergency Medicine, Universiti Sains Malaysia, has successfully conducted the DiREX 2025 Programme at Lata Kolam Air Deru Ecopark, jerteh, Terengganu from 16th to 18th October 2025. This programme convened medical personnel and Emergency Physicians with the goal of strengthening their knowledge, preparedness, and practical skills in performing their respective roles and responsibilities during disaster response operations. Di REX 2025 Group Photo PROGRAMME HIGHLIGHTS Day 1: 16th October 2025 Participants arrival and registration at Lata Deru Ecopark campsite. Lecture sessions: Overview of Disaster Management; by Faiz. On-Scene Disaster Management; by Dr Najib. Roles and Responsibilities in Disaster; by Zulhilmi Communication and Coordination in Disaster; by Dr. Faried Skills Stations: Communication Field triage Documentation and transportation Day 2: 17th October 2025 Skill Stations: Immobilization Extrication and Transfer Primary Survey Medic Base Table Top Exercise Disaster Drills Dinner & Barbeque Closing Ceremony   Day 3: 18th October 2025 Water rescue by Balai Bomba & Penyelamat Pengkalan Chepa Di REX 2025 First Aid Di REX 2025 Medic Base Di REX 2025 Extrication And Transfer Di REX 2025 Drill Landslide Di REX 2025 Transfer The DiREX 2025 Programme has successfully achieved its objectives of enhancing participant’s knowledge and skills in disaster management. The integration of lectures, practical sessions and simulation drills provided a holistic and experiential learning platform for all participants. The Department of Emergency Medicine, Universiti Sains Malaysia, would like to extend its sincere appreciation to all speakers, facilitators, and participants for their dedication, commitment, and invaluable contributions toward making this programme a resounding success. Di REX 2025 Water Rescue By Pasukan Bomba Penyelamat Pengkalan Chepa Di REX 2025 Water Rescue Di REX 2025 Dinner And Closing Ceremony Di REX 2025 Dinner And Closing Ceremony 2 Di REX 2025 Cooking Team Di REX 2025 Participants Campsite Di REX 2025 Rollcall Prepared By, Dr Nur Afifah Binti Abdull Rashid, Secretary DiREX 2025. Wilderness Medicine 2025, “Think Like a Medic, Adapt Like a Survivor” The Department of Emergency Medicine, Universiti Sains Malaysia successfully conducted the Wilderness Medicine 2025 programme at Taman Negara Pahang from 25th to 28th September 2025. The programme brought together medical professionals, outdoor educators, and survival experts with the aim of equipping participants with essential knowledge and hands-on skills for providing medical care in wilderness and austere environments. EDWM 2025 Participants PROGRAMME HIGHLIGHTS Day 1: 25th September 2025 Arrival and check-in at Tekoma Resort. Lecture sessions: o Introduction to Wilderness Medicine & WAMS; by Dr. Muhammad Izzat. o Big Jack Assessment; by Mr. Brandon Chee Hon Loong (MIBSA).o Expedition Preparation & Wilderness First Aid Kit; by Dr. Amirin. Day 2: 26th September 2025 Lecture & Practical sessions:o Prolonged Field Care; by Lt. Col. (Dr) Muzammil.o Knots, Maps & Topography; by Mr. Brandon Chee Hon Loong. Night Jungle Walk. Day 3: 27th September 2025 Lecture & Practical sessions:o Unstable MSK Injuries: Fracture & Spine Care; by Dr. Azimin. o Packaging, Transport & Evacuation, by Dr. Faqhroll. Afternoon activities: Rapid Shooting and a visit to the Orang Asli settlement. Dinner and BBQ with participants to enhance camaraderie. Day 4: 28th September 2025 Breakfast and Closing Ceremony, followed by programme conclusion and participant check-out. EDWM 2025 Bukit Terasek EDWM 2025 Transport Evacuation Practical Session EDWM 2025 Visit Orang Asal Settlement The Wilderness Medicine 2025 programme achieved its objectives of enhancing knowledge and skills in wilderness and austere environment care. The combination of lectures, practical session, and cultural exposure created a holistic learning experience for all participants. The Department of Emergency Medicine, Universiti Sains Malaysia, expresses sincere appreciation to all speakers, facilitators, and participants for their contributions and commitment in making this programme a success. Prepared by, Dr Siti Nur Izzati Bt Mhd Bakhir, Secretary Wilderness Medicine 2025. Basic Trauma Life Support (BTLS) Course The BTLS course, organized by the Emergency Department in collaboration with the Clinical Unit of HPUSM, was successfully conducted on 25th June 2025. This annual course serves as a refresher for participants in trauma management, both in the field and in hospital settings. The course targeted Medical Assistant (PPP) representatives from various departments. Our heartfelt thanks to: Speakers: Dr. Fazdli, Dr. Azwan, Dr. Athirah, Dr. Asza Facilitators: PPP Solleh, PPP Zaim, PPP Affiz, PPP Ridzuan & PPP Farkhan We hope the knowledge gained from this course will be fully utilized to enhance the quality of trauma care services at HPUSM.   -Dr Muhammad Izzat Abdul Hadi- BTLS 2 BTLS 3 BTLS 1 Basic Critical Care and Emergency Medicine Course The Basic Critical Care and Emergency Medicine Course was successfully conducted at the Emergency Department of HPUSM on Sunday, 22nd June 2025. A total of 18 participants among Emergency Department staffs, as well as from THDU/TICU, took part in the course.   Congratulations to the course secretariat for their excellent work in organizing the event. Special thanks to our Emergency Physician Dr. Mohamad Zikri Ahmad, for officiating the course, and heartfelt appreciation to our distinguished speakers and Emergency Physicians – Dr. Wan Syafinee Wan Ghazali, Dr. Salmi Illyana Mohd Asari; medical officers – Dr. Mohammed Hilmi Mohammed, Dr. Aiman Hassin, Dr. Azwan Hamdi Sepian; and Head Nurse – Kjr Mohd Syaifullah Abdu Aziz for their valuable contributions. We have successfully completed the course, which was structured into two key components: theory sessions and clinical stations. Throughout the program, participants explored and engaged with a range of critical care topics, including: 1. Assessment of the Seriously Ill Patient & Hemodynamic Monitoring 2. Principles of Inotropes and Vasopressors 3. Basic Mechanical Ventilation 4. Nursing Care for Ventilated Patients 5. QAP Presentation: Reducing the Incidence of VAP in the ED TICU 6. Transporting Critically Ill Patients Clinical Station Focus Areas: 1. Ventilator Care & Settings 2. Oxygen Therapy 3. Arterial Blood Gas (ABG) Interpretation & Airway Gadgets 4. VAP Care Bundle (in collaboration with UKJEH team) 5. Arterial Line Insertion & Hemodynamic Monitoring   This course not only enhanced participants’ theoretical knowledge, but also strengthened practical skills in managing critically ill patients across various emergency and intensive care settings. A big thank you to all facilitators, participants, and the organizing team for making this a successful and impactful learning experience. Looking forward to the next training session to elevate clinical excellence.   - Report prepared by Dr Wan Syafinee Wan Ghazali. Basic ICU 1 Basic ICU 2 Basic ICU 3 Mass CPR program in USM Main Campus, Penang Our sincere thanks to PPP Fadhlan, PPP Sollehudin, and PPP Zahidah for their contributions to the success of the Mass CPR Program held at the Main Campus in Penang on 22/06/25. Aquatic Life Support 2025 Aquatic Life Support 2025: Aquatic Emergency Care Seminar in Emergency Department HPUSM (20th June 2025) & Perhentian Island Resort (21-23rd June 2025). Malaysian Emergency Neurology Life Support (MYENeLS) course We are proud to host the 1st series of the Malaysian Emergency Neurology Life Support (MYENeLS) course on 18-19th June 2025 - a national initiative pioneered by the NeuroEM Special Interest Group (SIG). This course brought together experts from Emergency Medicine, Neurosurgery, and Neuromedicine, aiming to combat neurophobia and empower frontline doctors with essential neuro-emergency knowledge and skills. Our department was honored to be represented by Professor Dr Kamarul Aryffin Baharuddin and Dr Wan Syahmi Wan Mohamad. The event was further graced by Professor Dr Shaik Farid Abdull Wahab, NeuroEM SIG Advisor from the Department of Emergency & Trauma, Hospital Sultan Zainal Abidin. A big thank you to all speakers, participants, and collaborators who made this event a success! Enels 1 Enels 2 Enels 3 Enels 4 Kelantan Disaster Exercise (KDEX) 2025 – State-Level Course by JKNKDate: 16–17 June 2025 The Kelantan Disaster Exercise (KDEX) 2025, organized by the Kelantan State Health Department (JKNK), was successfully held on 16–17 June 2025. The event brought together participants and facilitators from various hospitals across the state, including: Hospital Raja Perempuan Zainab II, Kota Bharu (HRPZ II) Hospital Sultan Ismail Petra, Kuala Krai (HSIP) Hospital Tanah Merah Hospital Gua Musang Hospital Pasir Mas Hospital Tumpat Hospital Tengku Anis Hospital Machang Hospital Jeli Hospital Bachok Hospital Universiti Sains Malaysia (HPUSM) A heartfelt thank you to the organizers for inviting the HPUSM team to participate as both facilitators and course attendees. Congratulations to the representatives from the Emergency Department, HPUSM, for being awarded Best Group at the Kelantan State-Level Disaster Course 2025! Course Participants from HPUSM: Dr. Hilmi PPP Affiz PPP Farkhan PPP Solehuddin MN Farid Facilitators from HPUSM: Dr. Faiz PPP Mirza PPP Faris PPP Ridzuan Well done, everyone! KDEX 1 KDEX 2 KDEX 3 KDEX 4 KDEX 5 KDEX 6 HBOT Introduction & Visit Program Draws Interest from the Medical Community The Introduction and Special Visit Program for Hyperbaric Oxygen Therapy (HBOT) on 15/06/25, organized by the Hyperbaric Medicine Unit of Hospital Universiti Sains Malaysia (HPUSM), successfully attracted attention from medical professionals—particularly from the Department of Emergency and Trauma, Sultan Ahmad Shah Medical Centre @ International Islamic University Malaysia (IIUM). Read more on the USM Health Campus website:🔗 https://news.kk.usm.my/.../program-pengenalan-dan-lawatan... MEDIA & PUBLIC RELATIONS CENTRE (MPRC), USM HEALTH CAMPUS 📱 Follow, Like, Comment & Share our social media platforms:🔗 https://linktr.ee/USMKampusKesihatan HBOT Visit 1 HBOT Visit 2 HBOT Visit 3 HBOT Visit 4 HBOT Visit 5 HPUSM Committed To Enhancing Customer Experience Through Effective Communication Campaign 15/06/25 - Hospital Universiti Sains Malaysia (HPUSM) has taken a proactive step to improve the quality of customer service through the launch of its Effective Communication Campaign, which kicked off today with its first stop at the Emergency Department. Read more on the USM Health Campus website:🔗 https://news.kk.usm.my/.../hpusm-komited-tingkatkan... MEDIA & PUBLIC RELATIONS CENTRE (MPRC), USM HEALTH CAMPUS 📱 Follow, Like, Comment & Share our social media platforms:🔗 https://linktr.ee/USMKampusKesihatan Komunikasi 1 Komunikasi 2 Komunikasi 3 Komunikasi 4 Komunikasi 5 Participation in Professional Diving Medical Officers Course at the Royal Malaysian Navy Base in Lumut From 19–30 May 2025, our physicians Dr. Masykurin and Dr. Syahmi, alongside our medical officer, Dr. Rasyidi were honored to join the Professional Diving Medical Officers Course at the Royal Malaysian Navy Base in Lumut. The course, organized by the Institute of Underwater and Hyperbaric Medicine (96 HAT Lumut), brought together participants from the Malaysian Armed Forces Health Services, VAT69, PASKAL, and PDRM Special Forces. Over two intensive weeks, our team immersed themselves in both theoretical and hands-on training in diving and hyperbaric medicine including live dives, chamber operations, flooded ship survival, and firefighting drills. The course concluded with rigorous theory and practical exams, certifying them as Professional Diving Medical Officers. Beyond the skills gained, our team forged meaningful networks with both medical and military professionals and experienced firsthand the Navy’s exemplary culture of discipline, excellence, and respect. As the only public university hospital in Malaysia with an operational hyperbaric unit outside the military, we handle both commercial and recreational diving emergencies. With this training, we aim to elevate our role, not just in treatment but also in diver health assessments, especially for the oil & gas sector. This milestone marks another step towards service excellence and sustainable income generation for our institution.   HBOT Lumut 1 HBOT Lumut 11 HBOT Lumut 111 HBOT Lumut 2 HBOT Lumut 4 HBOT Lumut 3 HBOT Lumut 5 HBOT Lumut 6 Primary Care, Emergency & Critical Care Ultrasound Masterclass and SUCCES Certification Examination Successfully Held in Collaboration with HoSZA On 29–30 April 2025, the Emergency Department of Universiti Sains Malaysia Specialist Hospital (HPUSM), in collaboration with the Emergency and Trauma Department of Hospital Sultan Zainal Abidin (HoSZA), successfully organized the Primary Care, Emergency & Critical Care Ultrasound Masterclass, along with the SUCCES Provider Certification Examination. A total of 20 participants took part in the programme, comprising specialists in Family Medicine, Emergency Medicine, and Anesthesiology. They represented four university hospitals, seven Ministry of Health hospitals, and two district health offices (PKD). The event was also supported by six dedicated facilitators. Throughout the two-day programme, participants engaged in in-depth discussions and hands-on sessions on a range of advanced topics, including: Advanced Knobology Cardiomyopathy VEXUS Protocol Transcranial Doppler Ultrasound-guided Pericardiocentesis POCUS in Breast POCUS in Abdomen POCUS in Cardiac Arrest POCUS in Carotid Artery Obstetrics & Gynecology Ultrasound In addition to the academic sessions, all participants and facilitators were given the opportunity to tour the facilities, observe the working culture, and experience the services provided by the Emergency and Trauma Department at HoSZA. Associate Professor Dr Nik Ariff Nik Mohamed, Head of Department, warmly welcomed the delegation and delivered a speech during the programme. Pocus 2025 7 Pocus 2025 3 Pocus 2025 4 Pocus 2025 5 On the second day, nine participants successfully completed the SUCCES Provider Certification Examination, passing the MCQ, unmanned OSCE, and practical assessments with flying colours. We would like to express our sincere appreciation to all facilitators and participants who contributed to the success of this event. A heartfelt congratulations to the organizing team and committee members for their dedication and hard work in making the programme a reality. Special thanks also go to our two main sponsors — Insan Bakti and Infinity Medical — for their invaluable support. -Dr Muhammad Izzat Abdul Hadi- Pocus 2025 8 Pocus 2025 1 Pocus 2025 6 2025 Nurses Day Celebration Celebrating Nurses Day at the Emergency Department, Hospital Pakar Universiti Sains Malaysia – 12 May 2025. Nurses Day 2 Nurses Day 2025 Nurses Day 3 With deepest gratitude for the unwavering dedication and exceptional care of our amazing nurses. You are the heart of healing! Universiti Sains Malaysia Hosts the April/May 2025 Professional Examination II in Master of Medicine (Emergency Medicine) Universiti Sains Malaysia (USM) had the honour of hosting the Conjoint Professional Examination II for Master of Medicine (Emergency Medicine) April/May 2025 session, this year. The Clinical Examination was held from 9–11 May 2025, at the Student Learning and Resource Block (BPSP) and Level 4 of the Trauma Building, USM Specialist Hospital. A total of 16 candidates from USM, University of Malaya (UM), and Universiti Kebangsaan Malaysia (UKM) took part in this session. This important academic event brought together 35 Emergency Medicine Specialists from the Ministry of Health Malaysia, along with academic faculty from six universities across the country, who served as examiners and observers. Phase 2 Exam 1 Phase 2 Exam 2 Phase 2 Exam 3 Phase 2 Exam 4 Over the first two days (9–10 May), candidates underwent assessments at 10 clinical stations, while the final day featured viva sessions to complete the examination. Phase 2 Exam 5 Phase 2 Exam 6 Phase 2 Exam 7 Phase 2 Exam 8 Phase 2 Exam 9 In conjunction with the event, a special dinner was held to appreciate the contributions of all examiners, and to honour Dr Razak Daud, the Head of Emergency Services for the State of Kelantan, who will be retiring mid-year. The gathering marked a moment of gratitude and celebration for his dedicated service. We extend our heartfelt congratulations to all candidates who achieved outstanding results, and for those who were not successful this time, we wish you continued strength and resilience in your pursuit of excellence. A sincere thank you to all staff of the Emergency Department and everyone involved in making this examination session a success through their unwavering support and cooperation. -Dr Muhammad Izzat Abdul Hadi- CRMC DELEGATION WARMLY WELCOMED AT USM The Department of Emergency Medicine of Universiti Sains Malaysia was honored to receive a visit from five delegates from Cotabato Regional & Medical Center (CRMC) on Tuesday, April 15, 2025. The USM Health Campus in Kubang Kerian was one of the main destinations on CRMC’s official visit agenda to Malaysia, alongside Sultan Zainal Abidin Hospital (HoSZA) and Kuala Lumpur Hospital. The CRMC delegation comprised: Dr. Halima Mokamad Romancap – Head of Trauma Center, CRMC Dr. Precious Somairha Gio – Emergency Physician, CRMC Ma’am Anida Abubakar – Head Nurse, Emergency Department, CRMC Attorney Sittie Rayhana Santuring – Head of Legal Office, CRMC Engineer Benedick Juliano – Head of Engineering Department, CRMC The delegation arrived at Sultan Ismail Petra Airport, Kota Bharu on April 14, and was warmly welcomed by the Head of Department, Associate Professor Dr. Mohd Hashairi Fauzi along with the secretariat team, before being escorted to their accommodation and a welcome dinner. On April 15, 2025, at the PPSP Conference Room, a Letter of Intent (LOI) signing ceremony was officiated by Professor Dr. Irfan Mohamad, representing the Dean of the School of Medical Sciences (PPSP), USM; alongside Attorney Sittie Rayhana Santuring, representing the Director of CRMC Hospital. CRMC 1 CRMC 2 CRMC 3 The CRMC delegates were also invited to visit SPICES (Space for Interactive Medical Studies) or Interactive Gallery for Medical Sciences which is showcasing the science and arts of medicine together with ED HPUSM team. CRMC S Pices 4 CRMC Spices 5 CRMC Spices 1 CRMC Spices 3 CRMC Spices 2 The delegation then toured the facilities at HPUSM’s Emergency Department, including the Hyperbaric Therapy Room, the clinical treatment areas, office space, and learning facilities on Level 4 of the Trauma Building. CRMC ED 1 CRMC ED 3 CRMC ED 2 During the visit, the CRMC delegation enjoyed a luncheon, participated in a friendly dialogue and Q&A session, and exchanged ideas with Emergency Medicine specialists and department representatives before departing for HoSZA later that day. It is hoped that CRMC’s visit to USM this year will pave the way for stronger collaboration and the sharing of expertise for the benefit of the community in the fields of training and healthcare. "Majlis Solat Hajat Sempena Peperiksaan" On Friday, 11 April 2025, a Solat Hajat (special prayer gathering) was held at the surau of the Administrative Building, Hospital Pakar Universiti Sains Malaysia (HPUSM). The event ran from 7:00 PM to 9:00 PM and was organized as a form of spiritual preparation for Year 1 and Year 4 students from the Master of Medicine (Emergency Medicine) program, who will be sitting for their exams this April and May. Joining the session was Associate Professor Dr. Mohd Hashairi Fauzi, Head of the Department of Emergency Medicine, who shared some motivational words and reminded everyone of the importance of perseverance and the pursuit of knowledge. Let’s all keep the students in our prayers and hope that everything goes smoothly for them during the exams. Wishing them all the best and may success be with them—InsyaAllah -Dr Muhammad Izzat Abdul Hadi- Solat Hajat 3 Pic Solat Hajat 2 Pic Solat Hajat 4 Pic Solat Hajat 1 Pic Weekly Grand Ward Round Our weekly Grand Ward Round (GWR) today, April 7, 2025, was chaired by the Head of the Emergency Department, Associate Professor Dr. Mohd Hashairi Fauzi. We received the participation of Emergency Medicine specialists, Mmed students, medical officers, houseman officers, nurses, assistant medical officers, medical laboratory technologist, and USM medical students. Several interesting topics that were discussed include: (1) Transfusion-associated circulatory overload (TACO) & Transfusion-related acute lung injury (TRALI) - appropriate steps before blood transfusion, including consent, verification of blood product and recipient - close monitoring in acute bed throughout the transfusion procedure - observe for immediate & delayed complications of blood transfusion - life saving management of TACO/TRALI (2) Diving related injuries (delivered by Dr Masykurin Mafauzy) - introduction to dive tables & dive profile - important component in history taking about risk factors for decompression sickness (DCS): old age, alcohol intake, structural heart abnormality, diving frequency, deepest depth of dive, safety stop, water visibility, & buoyancy - Boyle's law & Henry's law principles - First aid for DCS: oxygen, IV drips, medivac - contraindications to hyperbaric therapy: pneumo-mediastinum, pneumothorax - indication for hyperbaric therapy: depth more than 2ATA (3) sample rejection in ED (by Puan Irma) . -Dr Muhammad Izzat Abdul Hadi- GWR 1 Pic GWR 2 Pic GWR 4 Pic GWR 3 Pic 2nd Leadership & Governance in Emergency Medicine Conference 2025 (LeGoEM25) on 18th-19th February 2025 at Shah Alam Convention Centre (SACC), Selangor. Leadership & Governance are paramount in Emergency Medicine, ensuring effective response to crises and optimal patient outcomes. A strong leader inspires confidence, promotes teamwork, and guides critical decision-making, all of which are essential in fast-paced and high-stress emergency situations. Whereas governance complements leadership by establishing clear policies, protocols, and standards that uphold patient safety, ethical practices, and operational efficiency. It provides the framework for accountability, quality assurance, and continuous improvement within Emergency Departments. Thus, The Malaysian College of Emergency Physicians (CEP) together with the Department of Emergency Medicine of Universiti Sains Malaysia organised the 2nd Leadership & Governance in Emergency Medicine Conference 2025 (LeGoEM25) on 18th-19th February 2025 at Shah Alam Convention Centre (SACC), Selangor. It brings together leaders and practitioners in the Emergency Medicine field to discuss pressing issues, share knowledge, and enhance governance practices within the sector. The conference also received warm 104 participations from specialists, master students, medical officers, and administrator staff from all fraternities; government, and private sectors. The conference also featured diverse line-up experts as notable speakers, including consultants from the Ministry of Health, Universities, private sectors, and NGOs, as well as respected leaders who successfully drove leadership. The beauty of this conference is that it is fully conducted by MMed and former MMed of Emergency Medicine of USM, which has been shown to strengthen relationships between batches and promote USM's identity throughout Malaysia. With the tagline “Leadership fosters excellence, good governance ensures stability”, LeGoEM hopes to come out more in the upcoming 3rd Leadership & Governance in Emergency Medicine Conference. . Prepared by, Dr. Syafiqah Adnan, Secretary 1, 2nd Leadership & Governance in Emergency Medicine Conference 2025 (LeGoEM25). LEGOEM 5 LEGOEM 4 LEGOEM 7 LEGOEM 1 Department of Emergency Medicine Activities (2024) Majlis Syarahan Umum Pelantikan Profesor Congratulations Professor Dr Kamarul Aryffin Baharuddin and thank you for the insightful talk on "Kecemasan Otak: Cabaran, Mitos dan Fakta".    Academia Fiesta@USM, Penang on 28th October 2024 Congratulations Dr Junainah Nor, Dr Ariff Arithra and Dr Mohd Faiz from EM on Outstanding Award for having more than 10,000 participants on Open Learning MOOC platform for Basic ECG Course. ED Kayak Day Rebranding ceremony of PHC Emergency Department 2024 at Hospital USM level 4th March 2024 Rebranding our Pre-hospital Care: A New Mandate to Strengthen the PPP Profession at USM Hospital Pre-Hospital Care (PHC) is the initial treatment provided to patients outside of hospital settings during emergencies, aiming to reduce morbidity and mortality before the patient reaches a medical facility. The Medical Assistant (PPP) has been entrusted with the mandate and responsibility to lead PHC, as PPPs are a trained and professional workforce skilled in delivering initial care. According to the Director of USM Hospital, Dato' Professor Dr. Nik Hisamuddin Nik Ab. Rahman, PPPs are among the frontline teams that play a crucial role in the field of medicine and healthcare. "This is evident through their involvement in pre-hospital care and ambulance services, in addition to their collective efforts in leading and coordinating these services by acting as the 'first responders'." Read more on the USM Health Campus website. https://www.kk.usm.my/index.php/aktiviti/berita/pre-hospital-care-mandat-baharu-perkukuh-profesion-ppp-hospital-usm   2024 Emergency Department Bowling Tournament – A Stronger Bond We successfully organized the 2024 Emergency Department Head’s Bowling Cup Tournament, which took place at Lite Superbowl JB7, Mydin Tunjong, Kota Bharu, on February 24. This year's tournament was met with an overwhelming response, with 16 teams consisting of 48 staff members from the Emergency Department competing for the championship title and the rotating trophy. Dr. Mohammad Zikri Ahmad, the Acting Head of the Emergency Department, also graced the event, not just as the guest of honor but also actively participating by rolling up his sleeves and challenging the other teams for some fierce competition. The Championship, the Rotating Trophy, and the Best Player award were claimed by the team Code Bowl. The runner-up position went to the Tanjak team, while The Outlaner managed to secure third place with a very narrow margin. The winners received trophies, medals, and hampers as prizes. Consolation prizes were also given by Dr. Mohammad Zikri Ahmad to all participating teams. Overall, the event received positive feedback, and many expressed hope for a similar tournament to be held again next year. The tournament was seen as a great success in strengthening the bond among the Emergency Department staff and in promoting sportsmanship, responsibility, teamwork, and cooperation. Congratulations to all the teams that participated and supported this year’s bowling tournament. A heartfelt thank you to the Head of Department, Associate Professor Dr. Shaik Farid Abdull Wahab, and the ED Club for kindly sponsoring the trophies and prizes. Special thanks also go to the organizing committee for their hard work and dedication in ensuring the smooth running of this event. -Dr Izzat      Pre-hospital Care Course 2024 (17-18/1/24)