Faculty

Ammar Che Sobry

Dr Ammar Che Sobry is an Emergency Physician working in the Emergency and Trauma Department in Hospital Sungai Buloh.

He graduated from Monash University in 2007, worked in Australia before coming back to complete housemanship in HTAR Klang.

Worked in the as a Medical Officer in the Emergency Department in Hospital Klang and then Hospital Alor Setar.

He entered into Emergency Medicine Masters Program in University Malaya in 2013, and upon completion is stationed in Hospital Sungai Buloh until now.

Has interest in Critical Care and is currently going to enter into Adult Intensive Care Subspecialty training next year.

DIL, DNAR and Palliate Covid-19 patients in ED Emergency Physician’s Perspective

Decision for direction of care during COVID-19 Pandemic was a significant dilemma for Emergency Physicians. It created a significant moral, ethical and clinical dilemma as well as goes againts the usual emergency way of resuscitating and trying the best for the patient. Utilisation of resources in a prudent and efficient way in the pandemic meant sometimes having to make difficult decisions early for the direction of care in order to maximise the number of life saved. Death In Line (DIL), DNAR (Do Not Active Resuscitate) and Palliation were among the terminology used during this period for care of patients.

Ceiling of Therapy, Deescalation of Care, were considerations that needed to be made along the progress of patient care. How it was made, the tools that aided decision making, issues that needed to be considered, and how we palliated patients is discussed in this talk, from the perspective of ED Hospital Sungai Buloh.

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