Dr Zaliha Mustafa attributed the MOH’s inability to meet its KPI to staffing shortages and a lack of ambulances, with the ministry having procured only 590 units despite needing 1,100 for optimal service.
Deputy Health Minister Lukanisman tells Ipoh Timor MP Howard Lee, who asked if MOH has a policy allowing CPR to be withheld if the ambulance arrives more than 15 minutes from an emergency call, that MOH is improving the CPR SOP to avoid a repeat of "past incidents".
Ampang Hospital ETD head Dr Ridzuan Mohd Isa is chairing the independent inquiry into Raja Permaisuri Bainun Hospital's ambulance response in Kumar’s case, with committee members including forensic experts and cardiologists from hospitals outside HRPB.
DRSABCD of basic life support: Danger (ensure safe to help), Responsiveness (check for response), Shout for help, Airway (cover the airway), Breathing (assess for normal breathing), Compression (CPR), & Defibrillation (assess need to shock).
Public emergency specialists say paramedics, based on international guidelines, may withhold CPR from cardiac arrest victims if their body is cold and stiff and if bystanders did not perform CPR earlier, exceeding the survival window.
Raja Permaisuri Bainun Hospital claims its paramedic followed the Academy of Medicine of Malaysia’s guidelines, even though the guidelines do not list algor mortis (body turns cold) as a situation when CPR can be withheld from a cardiac arrest victim.