Emergency Department-Group 3
Emergency Department-Group 3
Emergency Department-Group 3
Department
Hardeep Sam Balkees
EMERGENCY DEPARTMENT
● The function of the Emergency Unit is to receive, stabilise and manage patients.
● Many patients visit the ED first, and are oftentimes admitted as inpatients,especially
for those with non-acute illnesses.
- The entrance to the Emergency Unit must be at grade-level, well-marked, illuminated, and
covered. It shall provide direct access from public roads for ambulance and vehicle traffic, with
the entrance and driveway clearly marked. A ramp shall be provided for pedestrian and
wheelchair access. Temporary parking should be provided close to the entrance.
- The Reception / Triage and Staff Station shall be located where staff can observe and control
access to treatment areas, pedestrian and ambulance entrances, and public waiting areas. This
area requires a duress alarm. The Reception / Triage area should have clear a vision to the
Waiting Room, the children’s play area (if provided) and the ambulance entrance. The Reception
/ Triage Area may perform observations and provide first aid in relative privacy.
● PATIENT TREATMENT AREAS:
● Waiting Area
○ There must be facilities available such as adequate sitting accommodation, drinking
water, toilets, telephones, public address system to call relative of patient to inform about
patient’s condition etc.
○ Space for trolleys & Wheel Chairs
○ When the patient is brought to casualty by an ambulance, taxi, private car, stretcher, staff
at reception counter should quickly arrange for wheel chair or trolley depending on the
situation.
○ It is desirable to have one ‘intensive care trolley’ also known as ‘crash cart’.
○ Minimum floor area:The waiting area should measure at least 4.4 m2 / 1000 attendances
per annum.
● Resuscitation Area
○ This area is dedicated to the immediate care of patients and victims in cardiac arrest,
airway and breathing and circulation compromise.
○ The ‘Resus’ area consists of two or more resuscitation beds (sometimes upto 12) with
all resuscitative equipment (monitors, defibrillators, airway, intubation & surgical
equipment) available at an arm’s distance including pediatric resuscitation kits.
○ A patient may be shifted to the Resus area from outside or from an area within the
hospital or emergency department itself.
○ All priority I patients are managed here.
● Examination Room
○ In this room, two or three examination tables separated by curtains are available.
○ It should be possible to carry out life-saving first aid procedure like cardiopulmonary
resuscitation on this table before sending the patient to observation ward.
● Treatment Room
○ In this, Minor procedure like catheterization, suturing of small wounds, dressing, bandaging
etc. can be carried out.
● Observation Area
○ Depending on the patient load 4 to 8 beds may be placed in this area.
○ Those patients may be kept in observation ward who are waiting to be evaluated by a
particular speciality, waiting for emergency medical procedure etc.
● Storage Space
○ In this area, linen, consumable items like drugs, dressing material, equipments can be
stored.
○ Minimum floor area for storage:the minimum acceptable floor area for storage is
2.2meter sq. /1000 patient attendances per annum.
DISASTER MANAGEMENT AND TRIAGE
Any accident that damages systems or people often requires a multifunctional response and
recovery effort. Without an appropriate emergency planning, it is impossible to provide good care
during a critical event.
It is essential to categorize and to prioritize patients with the aim to provide the best care to as
many patients as possible with the available resources. Triage assesses the severity of patients to
give an order of medical visit.
Many patients visit the ED first, and are oftentimes admitted as inpatients. The ED can be the first impression of a hospital for
many patients.
The ED has access to the surgery and imaging departments to continue care for patients, and is a securable unit in the event
of a criminal event of major emergency.
We should identify the community that will access the facility, the average number of patients the hospital sees daily, the
hospital’s master plan and their goals for the future, and many other variables. The goal is to correctly size the department in
order to adequately serve the patient population.
Metropolitan Health
Hospital, Wyoming, Mich.,
HUM, Haiti