Reflective Writting

Title: Reflection on an incident that have changed me


The purpose of reflection is to learn and improvise methods through experience. The Oxford dictionary (2014) defines reflection as ‘a thing that is a consequence of or arises from something else’ and of ‘serious thought or consideration’. According to Finlay (2008), Gibbs reflective cycle has been adopted in nursing and other professional education as a form of reflection. Reflection is structured and challenging it also plays an important part of learning process. The aim of this paper is to reflect on an ambulance case that I attended by using Gibbs Reflective Cycle.


I was a Singapore Civil Defence Force (SCDF) Paramedic Trainee (PMT) when the incident happened. It was in 2004 during one of my night shifts at around 2300hrs when my ambulance crew and I were dispatched to a case of chest pain. My ambulance crew consisted of an ambulance driver, a medic, my paramedic mentor and me. Upon arriving at the patient's side, patient complained of left-sided chest pain accompanied with neck and left shoulder aching pain and was diaphoretic. In my mind, I thought patient was having an acute myocardial infarction (AMI). However, looking at the lead two electrocardiogram (ECG) there was no ST segment elevation. I spent the next few minute deliberating if I should give medication like aspirin and sublingual glyceryl trinitrate (S/L GTN). At this point of time the patient who was talking to me suddenly turned unresponsive. Stunned, I started shouting out unclear orders to my ambulance crew to start resuscitation.

Upon seeing that I was panicking, my mentor took over the situation. He was calm, quickly checked the patient and noted patient had no pulse and was not breathing. He started giving clear instructions and Cardiopulmonary Resuscitation (CPR) was initiated by the ambulance driver and medic. I was instructed to give patient intravenous adrenaline while my mentor used the...