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Patient dies after staff forgot to turn on oxygen tank

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Madam Ramasamy Krishnama was warded in June last year at Tan Tock Seng Hospital (TTSH) following a heart attack she had had. About a month later, she was being transferred to Mount Elizabeth hospital when the staff accompanying her forgot to turn on the oxygen tank after putting her on a ventilator.
According to news reports of a coroner’s inquiry, Mdm Ramasamy “became unresponsive in the three to four minutes that passed before the oxygen was turned on.”
Her poor health and her critical condition at the time, plus the deprivation of oxygen to her brain “probably precipitated” her death, a coroner’s inquiry found.
Mdm Ramasamy, who was 83-years old, “had been alert and comfortable before being handed over to the receiving team” during the transfer, a police investigation report submitted to the court said. It added that her vital signs had been “stable” in the hours before the incident which led to her death.
According to the Straits Times, “[Shortly] after being transferred from her bed to a trolley and put on a portable ventilator on July 8 last year, Madam Ramasamy’s level of oxygen saturation was noted to be ‘unrecordable’, raising concerns that it was very low.”
The transfer team then checked their equipment to find out the cause.
“One of the nurses realised that a switch on the portable oxygen tank used to supply the portable ventilator had not been turned on,” the Straits Times reported.
Staff then turned on the oxygen supply with the ventilator turned up to “maximum setting”, to no avail, despite cardiopulmonary resuscitation being performed on her as well.
Mdm Ramsamy was pronounced dead shortly after.
A medical report submitted with the police report said Mdm Ramsamy’s heart “was the major problem.”
The report said that given her “poor health” and the lack of oxygen, together with her history of diabetes, high blood pressure and “excessive levels of fatty substances in the blood’, Mdm Ramsamy “would have expired in the very near future even with the best treatment.”
An internal review by Parkway Shenton, which is the parent company of Gleneagles Hospital which provided the transfer team, found that the team “had assumed that the switch was already turned on as staff had heard air gushing out when the ventilator was connected to the oxygen tank.”
They thus proceeded to check the other equipment, without knowing that the cause was the switch not being turned on.
Madam Ramasamy has six children and more than 10 grandchildren.
The coroner’s findings will be issued on 30 July.
The incident is the latest this year which involved negligence and deaths of patients.
In May, a pharmacist was fined S$6,000 for causing the death of a 78-year old women in 2010 by prescribing the woman ten times the amount of a diabetic drug she was to administer.
The woman developed brain damage as a result of the overdose and died.
pharma
In June, two doctors were fined S$26,000 and S$8,000 for the death of their patient on whom they had performed a liposuction operation.
They were found guilty of “not complying with the terms and conditions stipulated for conducting the procedure” in the 2009 death of their patient.
lipodeath
In 2011, Ms Lian Huizuan collapsed in Changi Women’s Prison and died shortly after.
A coroner’s inquiry found that she had been prescribed an excessive amount of medication.
She was found to have19 times the therapeutic range of the drug, amitriptyline, in her blood on the day she died.
Ms Lian’s father has taken legal action against the doctors from Raffles Medical Group (RMG) who were the service providers engaged by the Singapore Prisons Service then.
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In 2013, the Singapore Prison Service announced that Parkway Shenton, which provided the transfer team to transfer Mdm Ramsamy from TTSH to Mount Elizabeth, had taken over from RMG as its “medical service provider”.

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Indonesia

Miss Universe cuts ties with Indonesia chapter after harassment allegations

The Miss Universe Organization severs ties with Indonesia franchise due to harassment claims. Malaysia edition canceled.

Women allege body checks before pageant. Investigation launched. Safety prioritized.

Indonesia winner to compete in November finale. Height requirement controversy.

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WASHINGTON, UNITED STATES — The Miss Universe Organization has cut ties with its Indonesia franchise, it announced days after allegations of sexual harassment, and will cancel an upcoming Malaysia edition.

In the complaint, more than a half dozen women said all 30 finalists for Miss Universe Indonesia were unexpectedly asked to strip for a supposed body check for scars and cellulite two days before the pageant’s crowning ceremony in Jakarta.

Their lawyer said Tuesday that five of the women had their pictures taken.

“In light of what we have learned took place at Miss Universe Indonesia, it has become clear that this franchise has not lived up to our brand standards, ethics, or expectations,” the US-based Miss Universe Organization posted Saturday night on social media site X, formerly known as Twitter.

It said that it had “decided to terminate the relationship with its current franchise in Indonesia, PT Capella Swastika Karya, and its National Director, Poppy Capella.”

It thanked the contestants for their bravery in coming forward and added that “providing a safe place for women” was the organization’s priority.

Jakarta police spokesman Trunoyudo Wisnu Andiko said Tuesday that an investigation into the women’s complaint has been launched.

The Indonesia franchise also holds the license for Miss Universe Malaysia, where there will no longer be a competition this year, according to the New York-based parent organizer.

In a lengthy statement posted to Instagram, Indonesia franchise director Capella denied involvement in any body checks.

“I, as the National Director and as the owner of the Miss Universe Indonesia license, was not involved at all and have never known, ordered, requested or allowed anyone who played a role and participated in the process of organizing Miss Universe Indonesia 2023 to commit violence or sexual harassment through body checking,” she wrote.

She added that she is against “any form of violence or sexual harassment.”

The Jakarta competition was held from 29 July to 3 August to choose Indonesia’s representative to the 2023 Miss Universe contest, and was won by Fabienne Nicole Groeneveld.

Miss Universe said it would make arrangements for her to compete in the finale, scheduled for November in El Salvador.

This year’s Indonesia pageant also came under fire for announcing a “significant change in this (year’s) competition guidelines” with the elimination of its minimum height requirement after it had crowned a winner.

In its statement, the Miss Universe Organization said it wanted to “make it extremely clear that there are no measurements such as height, weight, or body dimensions required to join a Miss Universe pageant worldwide.”

— AFP

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Malaysia

A Perodua service centre in Kuantan, Malaysia went viral for its strict dress code, Perodua responds

A dress code for vehicle servicing? A Malaysian car brand’s service centre dress code signage has puzzled netizens, raising queries about the need for attire rules during a routine service.

The manufacturer responded with an official statement after a flurry of comments, seeking to clarify and apologize.

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MALAYSIA: A dress code signage positioned at a service centre belonging to a prominent Malaysian car brand has sparked bewilderment among Malaysian netizens, who question the necessity of adhering to attire guidelines for a simple vehicle servicing.

The signage explicitly delineates clothing items that are deemed unsuitable, including sleeveless tops, short skirts, abbreviated pants, and distressed jeans.

The car manufacturer swiftly found itself flooded with comments from both inquisitive and irked Malaysian netizens. This surge in online activity prompted the company to issue an official statement aimed at clarifying the situation and extending an apology.

In a post that gained significant traction on the social media platform, politician Quek Tai Seong of Pahang State, Malaysia, shared an image to Facebook on Monday (7 Aug).

The image showcased a dress code sign prominently displayed at a Perodua Service Centre in Kuantan. Within the post, Quek posed the question: “Is this dress code applicable nationwide, or is it specific to this branch?”

The signage reads, “All customers dealing with Perodua Service Kuantan 1, Semambu, are requested to dress modestly and appropriately.”

Adding visual clarity to these guidelines, the sign features illustrative graphics that explicitly outline clothing items deemed unacceptable, including sleeveless tops, short skirts, short pants, and ripped jeans.

Delineating the specifics of the dress code, the signage stipulates that male visitors are expected to don shirts accompanied by neckties, opt for long pants, and wear closed shoes.

Conversely, female visitors are advised to don long-sleeved shirts, full-length skirts, and closed-toe footwear.

Perodua’s dress code sparks online uproar

Following the rapid spread of the post, Perodua’s official Facebook page found itself inundated with comments from both intrigued and frustrated Malaysian netizens, all seeking clarifications about the newly surfaced dress code policy.

Amidst the flurry of comments, numerous incensed netizens posed pointed questions such as, “What is the rationale behind the introduction of such regulations by the management? We demand an explanation.”

Another netizen expressed their dissatisfaction, arguing against the necessity of the rule and urging Perodua to take inspiration from the practices of other 4S (Sales, Service, Spare Parts, and Survey) automotive dealerships.

A concerned Facebook user chimed in, advocating for a more lenient stance, asserting that attempting to dictate customers’ clothing choices might not be in the company’s best interest.

Someone also commented in an angry tone, “Oi what is this? Going there for car service, not interview or working, right.”

As the discourse unfolded, it became evident that while some inquiries carried genuine weight, others chose to inject humor into the situation, playfully remarking, “If I wanted to buy a Myvi, I should buy or rent a formal attire first.”

“I sell economy rice at a hawker centre, I have never worn a long sleeve shirt and a tie… I guess I will not buy a Perodua car then.”

“I guess they will not serve those who wear short pants.”

Perodua addresses dress code controversy

As reported by Chinese media outlet Sin Chew Daily News, the manager of Kuantan’s Perodua Service Centre had acknowledged that the images on the dress code signage were misleading.

In response, the manager divulged that discussions had transpired with the head office, leading to the prompt removal of the signage to prevent any further misconceptions.

The manager clarifies, “We do encourage visitors to adhere to the dress etiquette, but we won’t go to the extent of restricting their choice of attire.”

He also revealed that currently, no complaints have been directly received from the public.

However, feedback from certain customers was relayed through Perodua’s agents.

Perodua also released an official statement by chief operating officer JK Rozman Jaffar on Wednesday (9 Aug) regarding the dress code on their official Facebook page.

The statement stated the dress code etiquette is not aligned with their official guidelines and they are currently conducting an official investigation on the matter followed by corrective measures to avoid the same incident from happening.

Perodua also extends its apologies for any inconvenience caused.

 

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