Mr. Patrick Pereira recounted his experience of recovering from a traffic accident in Jurong that occurred in 2017 [1]. He sustained broken arms and a fractured pelvis during the collision involving a lorry [1].

This account provides insight into the psychological trauma associated with critical care recovery, highlighting the environment of an intensive care unit (ICU) where patients often face life-threatening conditions.

During his time in the ICU, Mr. Pereira said he heard other patients flatline. This auditory experience of nearby deaths occurred while he was fighting for his own recovery from the severe physical injuries he sustained [1].

Mr. Pereira described the stress of the environment, noting that the proximity to death was a constant presence. He said, ‘I wondered when it‘ be my turn’ [1].

While the specific cause of the accident in 2017 [1] was not detailed in the reports, the focus of the account remains on the survival and the mental burden of the recovery process. The physical trauma of broken arms and a fractured pelvis is significant, but the mental impact of witnessing the death of other patients in a critical care setting is an additional layer of trauma [1].

Medical professionals often emphasize the importance of mental health support for ICU survivors. The environment of the ICU is designed for stability and medical intervention, but for conscious patients, the same environment can become a source of anxiety and distress [1].

Mr. Pereira's experience serves as a reminder that physical recovery from a severe accident is not the same as psychological recovery. The process of healing from a fractured pelvis and broken arms requires time, medical intervention, and and often physical therapy, but hearing the sound of others flatlining is a psychological wound that remains long after the physical wounds have healed [1].

I wondered when it‘ be my turn

This account underscores the intersection of physical trauma and psychological distress in critical care. While medical interventions prioritize the stabilization of the physical body, the sensory experiences of an ICU patient—such as hearing the alarms and death of nearby patients—can lead to long-term mental health challenges, including post-traumatic stress disorder (PTSD), which requires specialized psychiatric care alongside physical rehabilitation.