Death-in-line..DIL

Mggu ni aku oncall. Kat klinik ni..oncall office hour je. Bukan sampai malam. Ade certain KK, especially yg jauh dari hospital & penempatan staff mencukupi ada MO passive call (Yg ni dpt la elaun oncall).
Okess..rini dh pulak tepat2 kol 8am aku sampai klinik..baru tgk 3 org pt, MA dah call.
MA Nizam: Dr Shikin ade patient AEBA. ( Rase x sedap hati..baru 3/52 lepas aku hantar pt AEBA check-in ICU).
Masuk Bilik 9 a.k.a Treatment Room/Bilik Rawatan.
Allamak..
79/Malay/lady..U/LB.Asthma...gasping..
MA Nizam is giving her nebulizer.
MA Nizam: Dr nak bagi hydrocort?
Family members around - : Dr, nenek saye ni mmg asma. Tapi, dh lame x kene. Kene serangan asma ni pukul 5pagi tadi. Dr. boleh cpt2 htr die ke hospital?
Aku: Ok..bg IV Hydrocort 200mg.
(WTH skrg dh pukul 10pg baru ko nk bawak pt?) Ehh..nak cepat2 pulak.. Nape bawak pt lambat sgt. Ni dh tahap kene masuk ICU tau! (Terus senyap.. Tau pon tutup mulut. Kot ye pon tggulah aku check dulu. Die igt doktor spital tu nak terima kes sesuke hati tanpa full history & examination & management at our primary centre? U igt i nak hntr nenek u check-in hotel kerrr?)
Pt ni mmg mcm nak collapse je..tp, still alert.
BP:199/118, PR: 146, RR 42/min. Reflo 25.4 (hoh ni macam undiagnosed DM...kes tak penah check health status kt klinik ler ni..)
JVP not raised.
Lungs : generalised ronchi, reduced A/E both side.
CVS: S1 S2 No murmur. ECG - SR, no ischaemic changes.
No pedal oedema.
Aku nak admit pt dh mase tu. Tp, mcm2 dugaan terjadi...
Pt suddenly collapse..GCS3/15..kene intubate.
Aku kol Medical MO oncall HPD, MO ED HPD...dorg x dpt trime pt coz ICU full.
Then, aku kol MO Medical HTJS, MO Anaest HTJS....xde ventilator jugak. (But actually HPD kene accept case..stabilize pt...then decide further. HTJS pon same. Ade ker suruh doktor KK yg cari outsource? Kadang2 kitorang kat KK ni rase mcm kitorang pulak yg keje spital. Sampai bile pulak kite nk ambubagging pt?). At last, aku lari tgkt atas cari FMS..tak kirelah die tgh meeting ke hape. Die tgk patient..and kate mmg kene htr HPD jugak. Apalagi..aku terpaksa gune org atas..Aku kol bos besar, Specialist Medical HPD...die kate mmg HPD patut terima kes becoz we had managed pt at our best in our primary centre. Thereafter, hospital yg kene decide & find the outsource. Baik betol boss..die kate akan kol Anaest..)
Aku accompany pt ke ED HPD..MO ED tanye....dh inform DIL kat family members?
Aku : Ohh..belum. (Aku mmg dh x cukup nafas berlari ke sana/i...caling2 sume pon dok tolak case. Ape kate ko jelah inform DIL).