Professional Documents
Culture Documents
to Emergency Medicine
Circulation
Black
Not follow command
Mentation Yellow
follow command
In-Hospital
Triage
categories
(UKMMC)
Triage Priority Categories Sample Target
Time
1 Immediate Resuscitation Collapse
Polytrauma 0 MIN
Unconscious
2A Emergency Unstable vitals Acute M I
Danger signs + Severe Asthma < 3 min
Major trauma
2B Urgent Stable vitals Mod. Trauma
Danger signs +/- High grade fever < 30 min
need urgent attention Dengue HF
M.C.!
Principles
in
Emergency
Medicine
Ini*al
evalua*on
Triage
Primary
&
Secondary
Survey
Diagnosis
Working
Diagnosis
Treatment
Resuscita*on
&
stabiliza*on
Disposi*on
Home,
ward,
mortuary
Administra*ve
du*es
Human
resource,
equipments,
system
,
infrastructures,
nance
Evalua*on:
Primary
and
Secondary
surveys
Bedside Ix &
Assessment
POCT
findings
-ECG
Diagnosis
-USG
-Glucometer
-POCT options
Lab Ix
Principles
in
Emergency
Medicine
Ini*al
evalua*on
Triage
Primary
&
Secondary
Survey
Diagnosis
Working
Diagnosis
Treatment
Resuscita*on
&
stabiliza*on
Treatment
Disposi*on
Home,
ward,
mortuary
Administra*ve
du*es
in
healthcare
delivery
system
Human
resource,
Equipments,
System
,
Infrastructures,
Finance,
Prehospital
care,
2.
Resuscita*on
&
stabiliza*on
Immediate
threat
to
Airway
(A),
Breathing(B),
Circula*on
(C),
neurologic
Disability
(D)
Aim:
To
stabilize
the
pts
A,B,C,D
Basic
resuscita*on
vs
Advance
resuscita*on
(emergency
cri*cal
care)
Immediate
life
saving
procedures
Need
immediate
decision
and
ac*on
Trauma
and
Non-trauma
resuscita*on
Resuscita*on
Team
Leader
Resuscita*on
&
Stabiliza*on
Intuba*on
CPR/Debrilla*on
Ven*latory
process-
NIV,
IPPV
Hemorrhage
stabiliza*on
FAST
&
E-FAST
Thoracocentesis
Thrombolisa*on
Emergency
Surgical
procedures
etc
Treatment
of
non-resuscita*on
case
Treat
pa*ent
acute
problem
or
presen*ng
problems
Other
associated
problem
are
treated
accordingly
or
refer
for
further
treatment.
Pain
allevia*on
is
the
most
common
treatment
Oxygena*on,
ven*la*on
and
nebuliza*on
Decompression
of
symptoms
Reduc*on
of
fracture
or
disloca*on
Principles
in
Emergency
Medicine
Ini*al
evalua*on
Triage
Primary
&
Secondary
Survey
Diagnosis
Working
Diagnosis
Treatment
Resuscita*on
&
stabiliza*on
Disposi*on
Home,
ward,
mortuary
Administra*ve
du*es
in
healthcare
delivery
system
Human
resource,
Equipments,
System
,
Infrastructures,
Finance,
Prehospital
care,
Disposi*on
A
process
of
discharging
or
sending
the
pa*ent
to
another
place
from
ED
Crucial
to
have
proper
and
correct
disposi*on
Wrong
disposi*on
can
lead
to
fatal
error.
Disposi*on
to:
Admission:
Ward,
OT,
Cri*cal
Care,
Home,
Mortuary
Disposi*on
transfer
process
Before
disposi*on
transfer
we
should
ensure
pa*ent
are
adequately
stabilized.
During
disposi*on
transfer
we
must
ensure
that
the
pa*ent
are
op*mally
monitored.
Proper
hand-over
to
the
appropriate
personally
also
equally
important
to
ensure
pa*ent
received
op*mal
con*nues
care.
Important
ques*ons
to
be
ask
Why
do
this
pa*ent
come
to
ED
today?
Is
there
any
life-threatening
problems?
Is
there
any
serious
problems?
Have
I
seele
this
pa*ent
acute
problems?
Can
this
pa*ent
be
safely
discharge
home?
Does
this
pa*ent
need
to
be
seen
again?
Principles
in
Emergency
Medicine
Ini*al
evalua*on
Triage
Primary
&
Secondary
Survey
Diagnosis
Working
Diagnosis
Treatment
Resuscita*on
&
stabiliza*on
Disposi*on
Home,
ward,
mortuary
Administra*ve
du*es
in
healthcare
delivery
system
Human
resource,
Equipments,
System
,
Infrastructures,
Finance,
Prehospital
care,
Emergency
Medicine
The
EPs
also
provide
valuable
clinical
and
administra*ve
services
to
the
ED
and
other
sectors
of
the
health
care
delivery
system.
These
may
include
and
are
not
limited
to:
1. Pre-hospital
emergency
medical
response
2. Out-of-hospital
medical
control
3. Community
disaster
preparedness
4. ED
leadership
and
medical
direc*on
5. Organized
ED
pa*ent
intake
process
6. Plan
&
approve
of
ED
equipment
and
physical
layout
Easy Access
Easy Egress
Security
Coordination patient care among multiple
providers and healthcare facilities
Department policies and procedures
Department policies and procedures
Asthma area
Con*nuing
sta
educa*on