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Hospital Emergency Medicine
24-hour service for Triage and initial management of patients with life-threatining conditions, as well as medical care for all acuity levels.
24/7 ambulance coverage with two ambulance cars available.
All patients who come to the Hospital’s A&E are triaged, stabilized, treated, and either referred to the appropriate outpatient clinic during office hours, hospitalized, or transferred to another health care facility according to the individual patient’s condition and needs.
Access to our operating theaters and delivery suite is available 24/7. A dedicated team of Medical and Surgical Specialists are available 24/7 if needed.
Location
1st floor, main hospital building.
Core Functions
- Time efficient International Triage System (See Table 1).
- Each patient assessed according by an Emergency Doctor.
- Monitoring of essential vital parameters.
- Rapid assessment, intervention, and resuscitation of critical patients.
- Performance of minor procedures (i.e. sutures of lacerations, splints) under moderate sedation.
- Ambulance services to and from HFH.
Table 1:
| Immediately |
| Cardiopulmonary arrest, shock of any etiology (cardiac, septic, hemorrhagic, etc), respiratory failure with need for ventilation, airway symptoms after smoke inhalation or burn injury, epileptic state, need for airway protection and intubation, severe and symptomatic hypoglycemia (Gluc <1.5mmol/L), any condition with impaired consciousness (GCS <9), anaphylaxis, severe trauma. |
| < 10 minutes (very urgent) |
| Myocardial infarction (STEMI, NSTEMI with persistent pain), acute respiratory problems, hemoptysis, hematemesis, acute stroke within time frame for fibrinolytic therapy, intracranial hemorrhage, postictal state after epileptic seizure, high fever with chills, meningitis, severe sepsis, impaired consciousness, acute psychosis, substance intoxication, hypoglycemia, ketoacidosis. |
| < 30 minutes |
| Unstable angina, myocardial infarction without high severity (NSTEMI without pain), abdominal pain, stable hemorrhage, continuous vomiting, pulmonary embolism (stable), hypertensive crisis, presentation after syncope, heart failure (stable), febrile infection. |
| < 90 minutes |
| No real emergency situation, self-limiting infections (i.e. common cold), etc. |
| < 120 minutes |
Patient Population Served
All patients, irrespective of age, who come to the A&E are assessed, treated and referred to appropriate clinics, in-hospital units or other health care facilities, based on the individual patient’s needs.
Methods for Assessing and Meeting Patient Care Needs
Patient are initially triaged according their acuity level by the Triage Nurse.
Assessment and management by Emergency Medicine Doctor.
Assessment of patient includes but is not limited to past and present medical history and thorough physical examination and additional specialists’ consultations as needed.
Ancillary studies performed as required.
Initiation of clinical treatment pathways (i.e. Acute Coronary Syndrome, Acute Asthma in Pediatric Patient, etc.).
The complexity of the individual patient care needs will depend on the patient’s condition and will be tailored to each and every individual accordingly.
All activities and services are guided by established and approved policies and procedures by the A&E, relevant institutional and organizational policies of the Hospital
The department and the hospital ensure cohesion of care when patients have to be referred between subspecialties, thus ensuring the involvement of the appropriate medical team for each condition.
