{"id":49448,"date":"2026-05-03T15:40:37","date_gmt":"2026-05-03T07:40:37","guid":{"rendered":"https:\/\/sgbuzz.com\/?p=49448"},"modified":"2026-05-03T15:40:37","modified_gmt":"2026-05-03T07:40:37","slug":"like-an-f1-pit-crew-how-nuh-medical-staff-work-together-to-save-trauma-patients","status":"publish","type":"post","link":"https:\/\/sgbuzz.com\/?p=49448","title":{"rendered":"\u2018Like an F1 pit crew\u2019: How NUH medical staff work together to save trauma patients"},"content":{"rendered":"<p><br \/>\n<\/p>\n<div>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\">SINGAPORE &#8211; <!-- -->When a road accident victim arrives at the National University Hospital (NUH) emergency department, there can be up to 20 medical and nursing staff working furiously to save him.<\/p>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\">To save the life of <a href=\"https:\/\/www.straitstimes.com\/singapore\/i-wondered-when-itd-be-my-turn-jurong-traffic-accident-victim-who-heard-others-flatlining-in-icu?ref=inline-article\" rel=\"noopener\" class=\"gap-x-04 items-center inline text-primary-60 select-auto\" aria-label=\"link\" target=\"_blank\" data-testid=\"custom-link\"><span class=\"font-body-baseline-regular inline\" data-testid=\"paragraph-test-id\">a motorcyclist who was hit by a lorry in Jurong in 2017,<\/span><\/a> an orthopaedic surgeon, trauma surgeons, a radiologist, an anaesthetist and nurses were in the operating theatre.<\/p>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\">With so many people in the room, each had to be clear what his or her role was, to not get in one another\u2019s way.<\/p>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\">This is why one of them said they had to function like an F1 pit crew to quickly identify the patient\u2019s injuries, treat them, then stabilise him, because every second counts.<\/p>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\">On Sept 10, 2017, Mr Patrick Pereira, now 55, was riding his motorcycle home from a family dinner when he was hit by a lorry. <\/p>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\">He was rushed conscious to NUH, but his blood pressure was abnormally low, said Dr Zulkarnain Ab Hamid, who was on duty then.<\/p>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\">Medical staff at the emergency department examined Mr Pereira for haemorrhaging \u2013 bleeding that could potentially be fatal. At the same time, he was given a blood transfusion, which had to be done through his legs as both his arms were broken. <\/p>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\">Said Dr Zulkarnain, who is a senior consultant at NUH\u2019s emergency department: \u201cEvery minute counts. If we didn\u2019t do something to bring up his blood pressure, he might die prematurely from excessive bleeding.\u201d<\/p>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\">He described work in the emergency department as a stop-gap measure, adding: \u201cWe do all we can to help patients move to the next step, which is the operating table.\u201d <\/p>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\">For trauma cases, up to six medical staff can be involved in saving a patient\u2019s life. <\/p>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\">Realising that Mr Pereira\u2019s pelvis was broken, the emergency medical team applied a binder\u00a0to stabilise the fracture and reduce the bleeding<b>\u00a0<\/b>before he was brought into the operating theatre.\u00a0<\/p>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\"><a href=\"https:\/\/www.straitstimes.com\/singapore\/courts-crime\/road-traffic-fatalities-hit-10-year-high-in-2025-with-149-dead-elderly-deaths-more-than-double?ref=inline-article\" rel=\"noopener\" class=\"gap-x-04 items-center inline text-primary-60 select-auto\" aria-label=\"link\" target=\"_blank\" data-testid=\"custom-link\"><span class=\"font-body-baseline-regular inline\" data-testid=\"paragraph-test-id\">Traffic deaths hit a 10-year high in 2025, with 149 killed,<\/span><\/a>\u00a0compared with 141 in 2016. There were 142 deaths in 2024. The number of injured people also increased, from\u00a09,342\u00a0in 2024 to 9,955 in 2025.<\/p>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\">Given\u00a0the dire situation on the roads, The Straits Times has been running <a href=\"https:\/\/www.straitstimes.com\/singapore\/avoidable-deaths-silly-excuses-selfish-behaviour-why-singapores-road-culture-needs-to-change?ref=inline-article\" rel=\"noopener\" class=\"gap-x-04 items-center inline text-primary-60 select-auto\" aria-label=\"link\" target=\"_blank\" data-testid=\"custom-link\"><span class=\"font-body-baseline-regular inline\" data-testid=\"paragraph-test-id\">a series of stories<\/span><\/a> to call on\u00a0all road users\u00a0to be\u00a0more\u00a0careful.<\/p>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\">In 2025, NUH treated 28,487 trauma patients, making it the hospital that sees the largest volume of trauma patients in the country. This included 1,266 moderately to severely injured adults and children.<\/p>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\">In the operating theatre, a team of nearly 20 medical and nursing staff worked to stop the bleeding in Mr Pereira\u2019s abdomen.<\/p>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\">Given the complexity of Mr Pereira\u2019s injuries, the different surgeons had to decide who would operate first. <\/p>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\">Dr Lynette Loo, a trauma surgeon who was involved in treating Mr Pereira\u2019s injuries, said trauma surgery involves the concept of damage control, where doctors help the patient live to fight another day. <\/p>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\">She said the team cannot spend too long in the operating room, because they are racing against time.<\/p>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\">The longer they take, the more the patient\u2019s condition will deteriorate, and he might die, she said.<\/p>\n<figure class=\"portrait inline-media-wrapper\" style=\"--aspect-article-portrait:1140 \/ 1518\" data-testid=\"inline-media-test-id\">\n<div class=\"flex flex-col items-start relative w-fit\"><picture><source media=\"(max-width: 480px)\" srcset=\"https:\/\/cassette.sphdigital.com.sg\/image\/straitstimes\/1179bb27c09bf1440a604d3ba78fd36491a304c224d7a05f9ec22a180bc01bfa?w=480\"\/><source media=\"(min-width: 481px) and (max-width: 720px)\" srcset=\"https:\/\/cassette.sphdigital.com.sg\/image\/straitstimes\/1179bb27c09bf1440a604d3ba78fd36491a304c224d7a05f9ec22a180bc01bfa?w=720\"\/><source media=\"(min-width: 721px and max-width: 3999px)\" srcset=\"https:\/\/cassette.sphdigital.com.sg\/image\/straitstimes\/1179bb27c09bf1440a604d3ba78fd36491a304c224d7a05f9ec22a180bc01bfa?w=900\"\/><source media=\"(min-width: 4000px)\" srcset=\"https:\/\/cassette.sphdigital.com.sg\/image\/straitstimes\/1179bb27c09bf1440a604d3ba78fd36491a304c224d7a05f9ec22a180bc01bfa\"\/><img decoding=\"async\" src=\"https:\/\/cassette.sphdigital.com.sg\/image\/straitstimes\/1179bb27c09bf1440a604d3ba78fd36491a304c224d7a05f9ec22a180bc01bfa\" alt=\"\" class=\"aspect-portrait flex items-start shrink-0 portrait article-portrait object-contain mobile:w-auto tablet:w-auto\" data-testid=\"image-test-id\" loading=\"lazy\"\/><\/picture><\/div><figcaption class=\"mobile:mx-16 tablet:mx-00 flex flex-col gap-08 py-16 desktop:pb-24\">\n<p class=\"font-eyebrow-baseline-regular text-secondary\" data-testid=\"inline-media-caption-test-id\">Given the complexity of Mr Pereira\u2019s injuries, the different surgeons had to decide who would operate first.\u00a0<\/p>\n<p class=\"font-eyebrow-baseline-regular text-placeholder\" data-testid=\"inline-media-credit-test-id\">PHOTO:\u00a0COURTESY OF MR PATRICK PEREIRA<\/p>\n<\/figcaption><\/figure>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\">She added: \u201cWe decided that the trauma surgeon should go first, as we had to make a big cut in his abdomen to see where the bleeding was coming from.<\/p>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\">\u201cIt\u2019s like an F1 pit crew \u2013 everybody knows their role. We do what we need to do to (save the patient).\u201d <\/p>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\">The doctors discovered that Mr Pereira\u2019s spleen and several blood vessels leading to his liver were torn. The trauma surgeons rushed to stop the bleeding, which allowed the orthopaedic surgeon to place a metal plate to hold his broken pelvis together. <\/p>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\">Mr Pereira\u2019s spleen and gallbladder were removed as they were badly damaged.<\/p>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\">Said Dr Loo: \u201cBecause of how urgent the situation was, we couldn\u2019t stitch up his abdomen. We had to give him a temporary dressing so we could bring him back (to the operating theatre) the next day.\u201d <\/p>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\">Mr Pereira\u2019s second surgery involved liver surgeons, who mended his broken blood vessels.<\/p>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\">He underwent more operations to treat his broken arms and a nerve graft to replace a contused nerve in his left arm, which prevented him from extending his elbow, wrist and thumb. <\/p>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\">Adjunct Assistant Professor Sandeep Jacob Sebastin Muttath, who operated on Mr Pereira\u2019s hand, said the procedure involved taking a 40cm nerve from his left leg to replace the injured nerve. <\/p>\n<figure class=\"landscape inline-media-wrapper\" data-testid=\"inline-media-test-id\">\n<div class=\"flex flex-col items-start relative w-fit\"><picture><source media=\"(max-width: 480px)\" srcset=\"https:\/\/cassette.sphdigital.com.sg\/image\/straitstimes\/0e40a52051ec164713d1f63435f7c97b99e1c4488c6199d423cabc7eb296a56f?w=480\"\/><source media=\"(min-width: 481px) and (max-width: 720px)\" srcset=\"https:\/\/cassette.sphdigital.com.sg\/image\/straitstimes\/0e40a52051ec164713d1f63435f7c97b99e1c4488c6199d423cabc7eb296a56f?w=720\"\/><source media=\"(min-width: 721px and max-width: 3999px)\" srcset=\"https:\/\/cassette.sphdigital.com.sg\/image\/straitstimes\/0e40a52051ec164713d1f63435f7c97b99e1c4488c6199d423cabc7eb296a56f?w=900\"\/><source media=\"(min-width: 4000px)\" srcset=\"https:\/\/cassette.sphdigital.com.sg\/image\/straitstimes\/0e40a52051ec164713d1f63435f7c97b99e1c4488c6199d423cabc7eb296a56f\"\/><img decoding=\"async\" src=\"https:\/\/cassette.sphdigital.com.sg\/image\/straitstimes\/0e40a52051ec164713d1f63435f7c97b99e1c4488c6199d423cabc7eb296a56f\" alt=\"\" class=\"aspect-landscape flex items-start shrink-0 object-cover landscape article-landscape mobile:w-auto tablet:w-auto\" data-testid=\"image-test-id\" loading=\"lazy\"\/><\/picture><\/div><figcaption class=\"mobile:mx-16 tablet:mx-00 flex flex-col gap-08 py-16 desktop:pb-24\">\n<p class=\"font-eyebrow-baseline-regular text-secondary\" data-testid=\"inline-media-caption-test-id\">Mr Patrick Pereira was riding his motorcycle home when he was hit by a lorry in 2017, and he suffered an open book fracture on his pelvis after his accident.<\/p>\n<p class=\"font-eyebrow-baseline-regular text-placeholder\" data-testid=\"inline-media-credit-test-id\">PHOTO: COURTESY OF MR PATRICK PEREIRA<\/p>\n<\/figcaption><\/figure>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\">After undergoing multiple operations, a physiotherapist was brought in to help with Mr Pereira\u2019s recovery. <\/p>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\">Senior physiotherapist Karilyn Koh said: \u201cOnce Mr Pereira was out of the woods, our first aim was for him to get out of bed.\u201d <\/p>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\">She said the pelvis is the main bone structure that supports body weight when sitting, so an injury there can make sitting especially painful due to direct pressure on the area.<\/p>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\">She said:\u00a0\u201cPelvic injuries can be challenging to rehabilitate because pain, weight-bearing restrictions and reduced trunk stability may limit sitting tolerance, balance and the ability to perform transfers early in recovery.\u201d<\/p>\n<figure class=\"landscape inline-media-wrapper\" data-testid=\"inline-media-test-id\">\n<div class=\"flex flex-col items-start relative w-fit\"><picture><source media=\"(max-width: 480px)\" srcset=\"https:\/\/cassette.sphdigital.com.sg\/image\/straitstimes\/34f03b5d477cba325cb83cdf4db3d247838b23add798c86e596c8c83666bc355?w=480\"\/><source media=\"(min-width: 481px) and (max-width: 720px)\" srcset=\"https:\/\/cassette.sphdigital.com.sg\/image\/straitstimes\/34f03b5d477cba325cb83cdf4db3d247838b23add798c86e596c8c83666bc355?w=720\"\/><source media=\"(min-width: 721px and max-width: 3999px)\" srcset=\"https:\/\/cassette.sphdigital.com.sg\/image\/straitstimes\/34f03b5d477cba325cb83cdf4db3d247838b23add798c86e596c8c83666bc355?w=900\"\/><source media=\"(min-width: 4000px)\" srcset=\"https:\/\/cassette.sphdigital.com.sg\/image\/straitstimes\/34f03b5d477cba325cb83cdf4db3d247838b23add798c86e596c8c83666bc355\"\/><img decoding=\"async\" src=\"https:\/\/cassette.sphdigital.com.sg\/image\/straitstimes\/34f03b5d477cba325cb83cdf4db3d247838b23add798c86e596c8c83666bc355\" alt=\"\" class=\"aspect-landscape flex items-start shrink-0 object-cover landscape article-landscape mobile:w-auto tablet:w-auto\" data-testid=\"image-test-id\" loading=\"lazy\"\/><\/picture><\/div><figcaption class=\"mobile:mx-16 tablet:mx-00 flex flex-col gap-08 py-16 desktop:pb-24\">\n<p class=\"font-eyebrow-baseline-regular text-secondary\" data-testid=\"inline-media-caption-test-id\">Mr Pereira can now walk on his own and use both hands.\u00a0<\/p>\n<p class=\"font-eyebrow-baseline-regular text-placeholder\" data-testid=\"inline-media-credit-test-id\">ST PHOTO: JASON QUAH<\/p>\n<\/figcaption><\/figure>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\">Mr Pereira can now walk on his own and use both hands. <\/p>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\">Said Ms Koh: \u201cI think Patrick is a miracle (patient), because not everyone can get that far. It takes a lot of perseverance and mental strength to continue the rehabilitation journey.\u201d <\/p>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\">Mr Pereira said he is thankful to NUH\u2019s team of medical staff and volunteers. <\/p>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\">He said: \u201cI was given a second chance at life \u2013 one I owe to the extraordinary team at NUH. I carry the scars, but also my deepest gratitude. Because of you, I am here.\u201d<\/p>\n<\/div>\n<p><br \/>\n<br \/><a href=\"https:\/\/www.straitstimes.com\/singapore\/courts-crime\/like-an-f1-pit-crew-how-nuh-medical-staff-work-together-to-save-trauma-patients\" target=\"_blank\" rel=\"noopener\">Read Full Article At Source <\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>SINGAPORE &#8211; When a road accident victim arrives at the National University Hospital (NUH) emergency department, there can be up to 20 medical and nursing&#8230;<\/p>\n","protected":false},"author":1,"featured_media":49449,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"fifu_image_url":"","fifu_image_alt":"","footnotes":""},"categories":[2611],"tags":[],"class_list":["post-49448","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-buzz-headlines","wpcat-2611-id"],"_links":{"self":[{"href":"https:\/\/sgbuzz.com\/index.php?rest_route=\/wp\/v2\/posts\/49448","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/sgbuzz.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/sgbuzz.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/sgbuzz.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/sgbuzz.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=49448"}],"version-history":[{"count":0,"href":"https:\/\/sgbuzz.com\/index.php?rest_route=\/wp\/v2\/posts\/49448\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/sgbuzz.com\/index.php?rest_route=\/wp\/v2\/media\/49449"}],"wp:attachment":[{"href":"https:\/\/sgbuzz.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=49448"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/sgbuzz.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=49448"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/sgbuzz.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=49448"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}