Wednesday, March 17, 2010

Accident & emergency department...

Alhamdulillah, i have completed my 5th posting of which was surgery and now..i have just started my last posting as an Houseman...the elusive Accident & emergency department.
I am currently into my 2nd week as tagging houseman in the which we are to be posted in the triage counter.

But before we go further into the department..why not we start off with an introductory bit regarding the dept..

The Emergency Department (ED), sometimes termed Accident & Emergency (A&E), Emergency Room (ER), Emergency Ward (EW), or Casualty Department is a hospital or primary care department that provides initial treatment to patients with a broad spectrum of illnesses and injuries, some of which may be life-threatening and require immediate attention.

The first specialized trauma care center in the world was opened in 1911 in the United States at the University of Louisville Hospital in Louisville, Kentucky, and was developed by surgeon Arnold Griswold during the 1930s. Griswold also equipped police and fire vehicles with medical supplies and trained officers to give emergency care while en route to the hospital.

Department layout
A typical emergency department has several different areas, each specialized for patients with particular severities or types of illness.
In the triage area, patients are seen by the medical assistant or LPN, who completes a preliminary evaluation, before they are transferred to another area of the ED or a different department in the hospital

WHat it triage, by the way?

Triage (pronounced /ˈtriːɑːʒ/) is a process of prioritizing patients based on the severity of their condition. This rations patient treatment efficiently when resources are insufficient for all to be treated immediately. The term comes from the French verb trier, meaning to separate, sort, sift or select. Two types of triage exist: simple and advanced.The outcome may result in determining the order and priority of emergency treatment, the order and priority of emergency transport, or the transport destination for the patient, based upon the special needs of the patient or the balancing of patient distribution in a mass-casualty setting.

How does the A&E operate? --> please review the flowchart

So far, it has been quite an experience..and all I can say that it's only the beginning and there will be much more to come...


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