Professional Documents
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Hospital Director
Secretary
Emergency Physician
Supervisor Assistant
Medical Officer Medical Officer
Clerk Matron
Assistant Medical
Officer Staff Nurse
31
Emergency and Trauma
Department
Care of the
Semi-critically ill
Care of the
Non-critically ill
Observation medicine
Subspecialty Services
32
33
Hospital Level 2010 2015 2020
IV (300pt/day) 14 20 28
III (200pt/day) 9 14 18
II (150pt/day) 3 3 3
I - - -
34
Hospital Level Zone No. of case/day No. of No. of Medical No. of MO
case/shift Officer needed x 5
(taking into
consideration
MOs that are
on leave/nights
off)
Red (10 %) 30 10 2
Total 8x5 40
Red (10%) 20 7 1
Total 6x5 30
Red (10%) 15 5 1
II Yellow (40%) 60 20 2
150 cases/day
Green (50%) 75 25 1
Total 4x5 20
I 5
Total 5
35
36
37
38
Triage
Usual Presentation
Color Code Category Sub-Category
Exsanguinations hemorrhage
39
Triage
Usual Presentation
Color Code Category Sub-Category
Yellow High Risk Seen High Risk Situation Altered conscious level but not comatose
within 30 minutes Head injured: GCS>13
or GCS full but pupils
unequal
Confused/lethargy
/disorientated Fractures of long bones of lower limbs/pelvis
Active chest pain, suspicious for coronary syndrome, but does
or
not require an immediate life-saving intervention, stable.
Severe pain/Distress Chest pain visceral and not associated with other symptoms
Immunocompromised (on chemotherapy, SLE) with a fever.
or
A suicidal or homicidal patient
Unable to walk but Open fractures of upper limbs
airway is secure,
haemodynamically Spine injuries
stable and on trolleys Eye injuries with loss or impaired vision
Dislocations of major joints
Limb amputation: total or near-total
Burns 15-25% of BSA regardless of depth and/or 10-20% 3rd
degree burns with no compromise to airway and circulation
Vascular injuries
Uncontrollable major bleeding
Patients with acute abdomen
Chemical exposure involving eyes
40
Triage
Usual Presentation
Color Code Category Sub-Category
41
42
43
44
45
46
47
48
49
50
51
52
53
No. Generic Name Prescriber Notes
categories
6. ARB Oral A
9. B Complex Tablet C
54
No. Generic Name Prescriber Notes
categories
55
No. Generic Name Prescriber Notes
categories
56
No. Generic Name Prescriber Notes
categories
57
No. Generic Name Prescriber Notes
categories
5. Carminative Mixture C
Strength available:
8. Dexchlorpheniramine Maleate 2mg/5ml Syrup B 1mg/5ml
58
No. Generic Name Prescriber Notes
categories
1. Aqueous Cream C
4. Calamine Cream C
5. Glycerine C
6. Hydrocortisone 1% Cream B
7. Lignocaine 2% Jelly B
59
No. Generic Name Prescriber Notes
categories
2. Calamine Lotion C
3. Cetrimide 2% Lotion C
9. Thymol Gargle C
60
No. Generic Name Prescriber Notes
categories
Anusol Suppository
1. (Bismuth Subgallate & Benzyl Benzoate Suppository)
C
61
No. Generic Name Prescriber Notes
categories
For hospital with
1. Acetylcysteine 2g/10ml Inj (Parvolex) A* Emergency Physician only
14. B2 Agonist B
24. Diazepam/Midazolam B
62
No. Generic Name Prescriber Notes
categories
For hospital with
25. Dobutamine 250mg/20ml Inj A Emergency Physician only
31. Frusemide B
63
No. Generic Name Prescriber Notes
categories
53. Opiods B
64
1. Primary Triage
V A B
1. Wheelchairs X X X X
2. Transport Trolleys X X X X
Triage Trauma
3. Immobilization Set X X X X
Shown Below
Bag-valve Mask,
5. X X X X
HFM & Tubing
65
1.1 Triage Trauma Immobilization Set
V A B
Upper Limb
1. X X X X
Immobilizers
Lower Limb
2. X X X X
Immobilizers
Cervical Collar
3. X X X X
(Various Sizes)
4. Arm slings X X X X
V A B
No: Bay
Bil. Subject Structure M D O U M D O U M D O U M D O U
Non Invasive
1. BP with SpO2 1:1 X X X X
Parameters
Thermometers
2. 1:1 X X X X
(Tympanic/Digital)
66
3. Registration Counter
V A B
2. Stationery X X X X
Electronic Call
4. X X X X
Numbering System
5. PA System X X X X
6. Cabinet X X X X
7. Computer (Desktop) X X X X
8. Telephones X X X X
67
4. Patient Waiting Area
V A B
1. Cushion Seats X X X X
Color Television
2. X X X X
Plasma Screen
Electronic call
3. X X X X
number system
4. Notice Boards X X X X
5. Information Center X X X X
Patient Education
material
6. X X X X
Video, Reading
Material etc
Air Conditioning
System and
7. X X X X
Air Change
Management
Closed Circuit TV
8. X X X X
System and Security
Children Playing
9. X X X X
Area
Breast Feeding
11. X X X X
Room/Area
Complaints
12. X X X X
Management Box
14. Toilets X X X X
68
V A B
Diagnostic Set
1. X X X X
Wall Mounted
2. Sphygmomanometer X X X X
3. Examination Couch X X X X
4. Weighing Machine X X X X
Doctors
5. X X X X
Stethoscope
Ergonomic Doctors
6. X X X X
Examination Table
Comfortable
7. (Ergonomically X X X X
Design) Chairs
Illuminated X-ray
8. X X X X
Viewer
9. Phone Lines X X X X
Electronic Call
11. X X X X
Numbering System
69
V A B
Diagnostic Set
1. X X X X
Wall Mounted
2. Sphygmomanometer X X X X
3. Examination Couch X X X X
4. Phone Lines X X X X
5. Resuscitation Trolley X X X X
Ergonomic Doctors
6. X X X X
Examination Table
Comfortable
7. (Ergonomically X X X X
Design) Chairs
Illuminated X-ray
8. X X X X
Viewer
Padded Wall or
9. X X X X
Equivalent
Electronic Call
11. X X X X
Numbering System
12. CCTV X X X X
Panic button
13. X X X X
/Alert System
70
V A B
Foreign Body
1. 1 X X X X
Removal Set
2. Dextrostix Set 2 X X X X
3. Pulse Oxymetry 1 X X X X
Airway Management
Set
BVM, HFM, Nasal
Prongs, Oro- &
4. 1 X X X X
Nasopharyngeal
Airways, ETTs,
Laryngoscopes,
Stylet
Emergency Cart
Consumables
(Drugs, Cannulas,
5. 1 X X X X
Syringes, Needles,
IVD tubing, IV
Solutions etc)
6. Manual Defibrillator 1 X X X X
Paediatric Weighing
9. 1 X X X X
Machine
Neonate Weighing
10. 1 X X X X
Machine
71
V A B
No:Bay
Bil. Subject Structure M D O U M D O U M D O U M D O U
Physiological
Monitor
1. 1:1 X X X X
Cardiac/ECG, BP,
SpO2 Monitoring
Wall Suction
3. Regulator & Suction 1:1 X X X X
Pump
Emergency Critical
4. 1:1 X X X X
Trolley
5. Stethoscope 1:1 X X X X
Procedure
6. 1:1 X X X X
/Examination Light
Oxygen Tubing,
7. 1:1 X X X X
HFM/Nasal Prongs
Foldable Plastic
8. Examination Screen 1:1 X X X X
or Equivalent
Light Examination
9. Ceiling Mounted 1:1 X X X X
/Wall Mounted
72
V A B
No:Bay
Bil. Subject Structure M D O U M D O U M D O U M D O U
Portable Ventilator
1. 1:4 X X X X
with PEEP
2. Defibrillator 1:2 X X X X
Airway Management
Set
BVM, Oro- &
3. Nasopharyngeal 1:2 X X X X
Airways, ETTs,
Laryngoscopes,
Stylet etc
Emergency
Resuscitation Cart/
Trolley or Equivalent
Consumables
4. 1:2 X X X X
(Drugs, Cannulas,
Syringes, Needles,
IVD Tubing, IV
Solutions etc)
73
V A B
No:Katil
Bil. Subject Structure M D O U M D O U M D O U M D O U
Illuminated Xray
6. 1:4 X X X X
Viewer
Portable Ultrasound
8. 1 Unit X X X X
Machine
Trauma
12. Immobilization Set 1:4 X X X X
shown below
Entonox with
14. 1:4 X X X X
Delivery Device
74
V A B
No:Katil
Bil. Subject Structure M D O U M D O U M D O U M D O U
Foldable Rigid
18. Partitions or All Cubicles X X X X
Equivalent
75
V A B
Arterial Blood
1. X X X X
Gaseous Machine
3. FBC machine X X X X
4. UFEME Machine X X X X
Cardiac Enzymes
(Troponins/CKMB/ X
5. X X X
FABP) with Cardiac
Enzymes Reader
6. Coagulation Profile X X X X
7. D-Dimmer X X X X
8. BNP X X X X
9. PT/APTT X X X X
76
V A B
1. Transport Trolley X X X X
4. Scoop Stretcher X X X X
5. Pole Stretcher X X X X
6. Basket Stretcher X X X X
7. Extrication Device X X X X
Automated External
8. X X X X
Defibrillator
Portable
9. X X X X
Resuscitator
Portable Transport
10. X X X X
Ventilator (+PEEP)
Portable Cardiac
11. X X X X
Monitor
Portable Suction
12. X X X X
Pump
Two Way
13. X X X X
Communication Set
Portable Handheld
14. X X X X
SpO2 monitor
Oxygen Cylinder at
15. X X X X
Least Size D
77
V A B
Upper Limb
1. X X X X
Immobilizers
Lower Limb
2. X X X X
Immobilizers
3. Traction Splints X X X X
Cervical Collar
4. X X X X
(Various Sizes)
Pelvic clamp
5. X X X X
/Immobilizer
6. Head Immobilizer X X X X
78
V A B
No:Bay
Bil. Subject Structure M D O U M D O U M D O U M D O U
X-ray
Portable or
4. 1 Set X X X X
Equivalent Facility
on Site
Image Intensifier*
(To be Located
5. 1:1 X X X X
on OT/Angiogram
Suite)
Foldable Rigid
6. Partition or All Cubicles X X X X
Equivalent
Portable Ultrasound
7. 1 Unit X X X X
/Echocardiography
Point of Care
8. Testing (Stat Lab) 1 Set X X X X
as above
Fluid warming
9. 1 X X X X
cabinet
79
V A B
Trauma
1. Resuscitation Bay X X X X
shown below
Medical
2. Resuscitation Bay X X X X
shown below
Pediatric
3. Resuscitation Bay X X X X
shown below
Isolation/
Identified
Decontamination
4. Emergency X X X
Resuscitation Bay
Dept ONLY
shown below
80
V A B
Structure
Bil. Subject No: Bay M D O U M D O U M D O U M D O U
Vacuum 1 Source
for Each Arm
Medical gases 1
Source for Each Arm
Physiological Monitor
ECG, BP, HR, RR,
2. 1:1 X X X X
SpO2, ETCO2 and
IABP (Optional)
Emergency
Critical Trolley
7. 1:1 X X X X
with X-ray Casing
(Resuscitation Bed)
Airway Management
set BVM, HFM,
Nasal Prongs, Oro- &
8. 1:1 X X X X
Nasopharyngeal
Airways, ETTs,
Laryngoscopes, Stylet
81
V A B
Structure
Bil. Subject No: Bay M D O U M D O U M D O U M D O U
9. Stethoscope 1:1 X X X X
Procedure Light
10. /Examination Light 1:1 X X X X
- Ceiling Mounted
Trauma
11. Immobilization Set 1:1 X X X X
shown below
Emergency Trolley
Consumables
(Drugs, Cannulas,
12. 1:1 X X X X
Syringes, Needles,
IVD Tubing, IV
Solutions etc)
Entonox with
13. 1:2 X X X X
Delivery Device
Ceiling-mounted
14. 1:1 X X X X
X-ray
Volumetric
16. 1:1 X X X X
/Infusion Pump
Adult Interosseous
19. 2:1 X X X X
Device
82
V A B
Upper Limb
1. X X X X
Immobilizers
Lower Limb
2. X X X X
Immobilizers
3. Traction Splints X X X X
Cervical Collar
4. X X X X
(Various Sizes)
Pelvic Clamp
5. X X X X
/Immobilizer
6. Head Immobilizer X X X X
83
V A B
No: Bay
Bil. Subject Structure M D O U M D O U M D O U M D O U
Medical Pendant
with 2 Arm
1. (Power, Gases, 1:1 X X X X
I/V, Monitoring,
Equipment)
Physiological Monitor
2. - ETCO2, ECG, RR, BP, 1:1 X X X X
HR, SpO2
Portable ventilator
3. 1:1 X X X X
with inbuilt CPAP/PEEP
Manual Defibrillator
4. 1:1 X X X X
+ TCP
Oxygen Source
6. & regulator with 1:1 X X X X
Mark 4 (>/=2)
Emergency
Critical Trolley
7. 1:1 X X X X
with X-ray Casing
(Resuscitation Bed)
Airway Management
Set
BVM, HFM, Nasal
8. Prongs, Oro- & 1:1 X X X X
Nasopharyngeal
Airways, ETTs,
Laryngoscopes, Stylet
9. Stethoscope 1:1 X X X X
Procedure
10. 1:1 X X X X
/Examination Light
Emergency Trolley
Consumables
(Drugs, Cannulas,
12. 1:1 X X X X
Syringes, Needles,
IVD Tubing, IV
Solutions etc)
84
V A B
Pediatric Monitor
2. Cardiac/ECG, BP, 1:1 X X X X
HR, SpO2 ETCO2
Manual Defibrillator
4. with Pediatrics 1:1 X X X X
Paddles/Pads
Oxygen Source
6. & Regulator with 1:1 X X X X
Mark 4 (>/=2)
Pediatric Resuscitation
7. 1:1 X X X X
Bed/Bay & Warmer
Pediatric Airway
Management Set
BVM, HFM, nasal
8. Prongs, Oro- & 1:1 X X X X
Nasopharyngeal
Airways, ETTs,
Laryngoscopes, Stylet
Pediatrics
9. 1:1 X X X X
Stethoscope
Emergency Trolley
Consumables
(Drugs, Cannulas,
11. Syringes, Needles, 1:1 X X X X
IVD Tubing, IV
Solutions etc,
Interosseous Needle
85
V A B
Pediatric Monitor
2. Cardiac/ECG, BP, HR, 1:1 X X X X
SpO2 ETCO2
Manual Defibrillator
4. with Pediatrics 1:1 X X X X
Paddles/Pads
Neonate
Resuscitation
7. 1:1 X X X X
(Open Care) Bed
/Bay & Warmer
Pediatric/Neonate
Airway Management
Set
BVM, HFM, Nasal
8. 1:1 X X X X
Prongs, Oro- &
Nasopharyngeal
Airways, ETTs,
Laryngoscopes, Stylet
Pediatrics
9. 1:1 X X X X
Stethoscope
86
V A B
Emergency Trolley
Consumables (Drugs,
Cannulas, Syringes,
12. 1:1 X X X X
Needles, IVD Tubing,
IV Solutions etc,
Interosseous Needle
Umbilical Vein
13. 1:1 X X X X
Catheter
87
V A B
Monitor
2. Cardiac/ECG, BP, 1:1 X X X X
HR, SpO2
Portable Ventilator
3. with Inbuilt 1:1 X X X X
CPAP/PEEP
Oxygen Source
6. & Regulator with 1:1 X X X X
Mark 4 (>/=2)
Emergency
Critical Trolley
7. 1:1 X X X X
with X-ray Casing
(Resuscitation Bed)
Airway Management
Set BVM, HFM,
nasal Prongs, Oro- & X X
8. 1:1 X X
Nasopharyngeal
Airways, ETTs,
Laryngoscopes, Stylet
9. Stethoscope 1:1 X X X X
88
V A B
Emergency Trolley
Consumables
(Drugs, Cannulas, X
11. 1:1 X X X
Syringes, Needles,
IVD Tubing, IV
Solutions etc)
X X
Personal Protective
12. X X
Equipment
Negative Pressure
13. X X X X
Re-breathing Circuit
Decontamination
14. 1:1 X X X X
Shower
16. PAPR 4 X X X X
89
V A B
No:Bay
Bil. Subject Structure M D O U M D O U M D O U M D O U
Illuminated Xray
6. 1:2 X X X X
Viewer
Portable Ventilator
7. 1:4 X X X X
(with BiPAP/CPAP)
Difficult Airway
10. Management set 1:4 X X X X
shown below
Dextrostic Set
12. 1:4 X X X X
(CBS Testing)
90
V A B
No:Bay
Bil. Subject Structure M D O U M D O U M D O U M D O U
WARMING
18. Blanket Air Driven 1:4 X X X X
or Equivalent
Microwave Oven
19. for Rapid Warming 1:8 X X X X
/Warming Cabinet
91
V A B
Laryngeal Scope
1. 1 Set X X X X
Fibre Optic
Laryngeal Scope
2. with Flap Lip 1 Set X X X X
Fibre Optic
Oxygen Resuscitator
3. 1 Set X X X X
Kit
Supraglottic Airways
4. (LMA) 1 Set X X X X
/LTS Different Sizes
7. Bougie 1 Set X X X X
Esophageal Balloon
8. 1 Set X X X X
Detector
Retrograde
9. 1 Set X X X X
Intubations Set
Emergency
10. 1 Set X X X X
Cricothyrotomy Set
Percutaneous
12. 1 Set X X X X
Tracheotomy Set
Mc Coy
13. Laryngoscopic 2 Sets X X X X
Blade
Magill
Laryngoscopic
14. 2 Sets X X X X
Blade (Fibre Optic)
Different Sizes
92
V A B
Coloric Capnometer
15. 1 X X X X
+ Capnograph
Laryngoscope with
16. Video Capability 1 Set X X X X
(Video Larygnscope)
Bronchoscope
17. /Flexible Intubation 1 Set X X X X
Scope
93
V A B
1. Transport Trolley X X X X
4. Scoop Stretcher X X X X
5. Pole Stretcher X X X X
6. Basket Stretcher X X X X
7. Extrication Device X X X X
Automated External
8. Defibrillator with X X X X
Monitor
9. Portable Resuscitator X X X X
Portable Transport
10. X X X X
Ventilator (+PEEP)
Portable Cardiac
11. X X X X
Monitor
Two Way
13. X X X X
Communication Set
Oxygen Cylinder at
14. X X X X
Least Size D
Transport Monitors
15. with HR, RR, ECG and X X X X
SpO2 Parameters
Portable Handheld
16. X X X X
ETCO2 Monitor
Airway Management
17. X X X X
Kit
94
V A B
No:Bay
Bil. Subject Structure M D O U M D O U M D O U M D O U
Nebulizer Machine
1. 1:2 X X X X
Electricity Driven
Oxygen Regulator
3. 1:1 X X X X
with Connector
Ergonomic Chairs
9. 1:1 X X X X
/Seats
Ergonomic Doctors
10. 1 X X X X
Examination Table
Emergency
13. 1 X X X X
Resuscitation Cart
95
V A B
OSCC Examination
1. Chair 1 X X X X
Complete Set
2. Diagnostic Set 1 X X X X
3. Weighing Machine 1 X X X X
Sphygmomanometer
4. 1 X X X X
/NIBP Set
Cupboard for
5. 1 Set X X X X
Equipment
Digital Camera
7. 1 X X X X
/Instant Camera
Specimen handling
8. 1 X X X X
Area
9. Wash Basin 1 X X X X
Video Colposcopy
13. X X X X
Unit
96
V A B
2 POP Shredder 2 X X X X
3 POP Splitter 2 X X X X
4. POP Scissor 2 X X X X
Entonox with
6. 1 X X X X
Delivery Device
Image Intensifier
7. 1 X X X X
with Fluoroscopy
15 Ring Cutter 2 X X X X
97
V A B
Adult Choking
3. As Required X X X X
Manikin
Infant Choking
5. As Required X X X X
Manikin
Algorithm Manikin
6. As Required X X X X
(ACLS)
Adult Airway
Management
8. Manikin & As Required X X X X
Cricothyrodotomy
Trainer
Pediatric Airway
9. Management As Required X X X X
Manikin
Chest Drain
11. Simulator As Required X X X X
/Intervention
98
V A B
Computer with
15. As Required X X X X
Printer
Intra-osseous
19. As Required X X X X
Mannequin
Multiple Modality
24. Simulator As Required X X X X
(e.g. Sim Man)
Central Venous X
25. As Required X X X
Catheter Simulator
Suprapubic Catheter
26. As Required X X X X
Simulator
99
12. Disaster Management
V A B
2. Generator X X X X
3. Portable Fan X X X X
4. Scope Stretcher X X X X
5 Pole Stretcher X X X X
6. Basket Stretcher X X X X
Medical Equipment
7. X X X X
Chest Box
Trauma Equipment
8. X X X X
Chest Box
9. Extrication Device X X X X
Personal Protective
16. X X X X
Equipment
Decontamination
17. X X X X
Tent (Portable)
Radiation Meter
19. X X X X
(Selected Hospital ONLY)
100
V A B
Fire Retardant
29. X X X X
Jump Suit
Protective Jacket
30. X X X X
Waterproof
Protective Shoes
31. X X X X
with Steel Toe Tip
Detachable IV Pole
34. X X X X
for Pole Stretcher
Disaster Trolley
36. X X X X
(Field)
101
V A B
2. TV X X X X
3. Prayer Area X X X X
4. Bathroom/Toilet X X X X
Patient Information
5. X X X X
Reading Material
6. Lighting System X X X X
102
V A B
Personal Protective
1. X X X X
Equipment
Negative Pressure
2. X X X X
Re-breathing Circuit
4. Resuscitation Bed X X X X
5. Intercoms X X X X
6. Phone Lines X X X X
103
V A B
Call Centre
1. Communication As Required X X X X
System
Automated External
5. As Required X X X X
Defibrillator
Portable Ventilator
8. As Required X X X X
with PEEP
Portable Suction
12. As Required X X X X
Machine
Fire Retardant
15. As Required X X X X
Jump Suit
Protective Jacket
16. As Required X X X X
Waterproof
104
V A B
IV set Including
19. Adult and Pediatric As Required X X X X
Interosseous Needle
Foldable Wheel
22. As Required X X X X
Chair
Dead Body
23. As Required X X X X
Management Kit
Motorcycle
24. As Required X X X X
Ambulance
Emergency Doctors
25. As Required X X X X
Response Car
Patient Transport
26. As Required X X X X
Service Vehicle
Mobile Command
28. & Communication 1 X X X X
Vehicle
105
V A B
Anesthetic Machine
with Attached X X
1. X X
Ventilator Gases
Equipment
Monitoring
2. Equipment ECG, X X X X
BP, PR, SpO2, ETCO2
Emergency Trolley
Consumables
(Drugs, Cannulas,
3. X X X X
Syringes, Needles,
IVD Tubing, IV
Solutions etc)
Airway Management
Set BVM, HFM,
Nasal Prongs, Oro-
4. & nasopharyngeal X X X X
Airways, ETTs,
Laryngoscopes,
Stylet
5. Manual Defibrillator X X X X
Transvenous
6. X X X X
Pacemaker
Image Intensifier
7. X X X X
Limb & Fluoroscopy
8. Bronchoscope X X X X
9. OGDS X X X X
OT Table,
10. Radiolucent Allow X X X X
For Image Intensifier
106
V A B
Wall Vacuum
13. X X X X
with Regulator
107
V C B
1. Drying Cabinet X X X X
2. Portable Autoclave X X X X
3. Sterad X X X X
Deep Stainless
4. X X X X
Steel Sink
Big Containers
5. X X X X
/Tub for Soaking
7. Drying Rack X X X X
8. Exhaust Fan X X X X
V C B
1. CCTV X X X X
2. Security Guards X X X X
Electronic Security
3. X X X X
Door Locks
Emergency Alert
5. X X X X
System
108
V C B
Hyperbaric Chamber
(Selected Hospitals
1.
Only)
Portable Hyperbaric
Chambers
2.
(Selected Hospitals
Only)
Portable Negative
Pressure Tent
3. (Selected Hospitals
Only)
ENT Examination
4. X X X X
Table
5. Dental Chair X X X X
6. Slit Lamp X X X X
109
110
111
112
Services Average For Busiest Shift Number Ambulance Required
Medical Standby/Day 2 2
Total - 8
+ 30% - 2
113
114
115
116
119
120
123
124
125
126
127
128