MYAIMS PUBLICATIONS
Publications in acute internal medicine.
Clinical reviews, case reflections and practical insights written by acute medicine specialists in Malaysia.
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Integrating frailty and acute illness severity scoring for risk stratification in acute geriatric care: Review and practical guide
Mae-Jane Khaw and Wei-Ven Chin review frailty-integrated risk assessment and propose a four-step triage algorithm combining baseline Clinical Frailty Scale with acute illness severity scores.
Integrating structured point-of-care ultrasound into dengue fever management: A mini review and comprehensive clinical guide
A mini review by Zhi-Yuan Lee and Wei-Ven Chin proposing a five-step POCUS assessment for dengue, integrating ultrasound, hematocrit and lactate to assess plasma leakage, fluid responsiveness and fluid intolerance.
The Emergence and Systemic Impact of Acute Internal Medicine in Malaysia: Transforming Acute Care Delivery Through Multisystem Disease Management and Integrated Healthcare Pathways
This article explores the development of AIM in Malaysia, its role in managing complex multisystem disease, its contribution to patient flow optimisation, and its broader impact on healthcare system performance.
The Heritage of Innovation: Working with Constraints as Medicine's Founding Tradition
Confronted with the modern mandate to "do more with less," this article argues that working within constraints is not a compromise on care, but medicine’s founding tradition. By examining how severe resource shortages historically drove breakthrough innovations—such as Florence Nightingale’s process improvements at Scutari (1854) and Dr. Bjørn Ibsen’s invention of the Intensive Care Unit (1952)—the author reframes LEAN methodology as an inherent clinical instinct. In the Malaysian public healthcare sector, these ad-hoc, constraint-driven efficiency gains are now being systematically institutionalized as official national policy under a new directive from the Director-General of Health.
The Emerging Role of Acute Internal Medicine in Acute Geriatric Care: Bridging Complexity, Frailty, and Hospital-Based Medicine
The global population is ageing rapidly, resulting in an increasing number of older adults presenting to hospitals with acute medical illnesses. Traditional disease-centered models of care are often inadequate for managing older patients who commonly present with frailty, multimorbidity, polypharmacy, cognitive impairment, and functional decline. Acute Internal Medicine (AIM), a specialty dedicated to the management of adults with urgent and emergency medical conditions, is uniquely positioned to address these challenges. This article explores the evolving role of AIM in acute geriatric care, highlighting the integration of comprehensive geriatric assessment, multidisciplinary care, frailty recognition, early discharge planning, and advance care planning. As healthcare systems face increasing pressures from ageing populations, collaboration between acute physicians and geriatricians represents a critical strategy for improving outcomes and delivering patient-centered care.
Healing the Whole Person: The Imperative of Spiritual Care in the Acute Clinical Setting
A holistic acute‑care article showing how spiritual needs, distress, and crisis impact patients, and how clinicians can heal through presence, empathy, and structured spiritual assessment.
Dengue in the Eyes of Acute Medicine - Dr. Saiful Safuan Md Sani
A clinical reflection on dengue from the perspective of Acute Medicine, based on a lecture delivered by Dr. Saiful Safuan Md Sani during the Hospital Shah Alam Dengue Update 2026 and NECCS 2026.
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Publications on this site are for education and professional discussion among healthcare practitioners. They do not replace clinical judgement, local protocols or individual patient assessment.