For nearly a year, Chinese volunteer doctor Yuan Yuan has taken on one of the most critical roles in Samoa’s healthcare system — overseeing the country’s only Intensive Care Unit (ICU).

"The ICU is truly the last line of defence for the most vulnerable patients but the reality is, the ICU department in Samoa is under immense pressure," said Yuan. 

A lack of ultrasound machines, X-rays, and essential medicines makes diagnosis and treatment extremely challenging. “Every day, we make life-and-death decisions, often with fewer resources than we're used to in larger hospitals,” Yuan admitted. “That’s why the ICU department is always under pressure.”

With not enough equipment, no dedicated ICU specialists, and a shortage of staff, the ICU operates under immense pressure. 

“This is the only ICU in Samoa,” Yuan shared. "There are not enough beds and there's a lot of patients with critical diseases. We do what we can, but it's very busy and very difficult.”

"I've seen first-hand how critical intensive care is for saving lives - especially in emergencies like severe trauma, respiratory failure, or critical infections," she said.

In collaboration with local staff, Yuan has been managing serious cases ranging from septic shock to cardiac arrest and organ failure. What is the most frequent condition she has encountered? 

“Septic shock — often caused by untreated infections in diabetic patients,” they said. “People come in too late.”

Despite these difficulties, Yuan remains committed to raising awareness. "We need more support: more equipment, more training, and more recognition of how vital ICU care is in Samoa's healthcare system."

Yuan, an associate professor in China, came to Samoa as part of a volunteer aid mission. 

“Our promise is to help Samoa,” she said. With just two months remaining in her placement, she continues to balance life-saving duties with knowledge-sharing among local staff. “We discuss cases, share experiences, and try to do our part.”

Even with the heavy workload, she has managed to enjoy moments of the Samoan island life. “The sea view is perfect,” she said. “And the food — I love the oka and breadfruit," said Yuan.