Hospital Management of Trauma Patients
For General Public and Scouts
Fakhir Raza
Imamia Medics International
What is a Hospital
• Hospital is a place where integrated care is provided to patients suffering from ailments which can not be managed out side.
Departments of a Hospital
• Emergency room
• Radiology
• Laboratory and blood bank
• Operation Theatre
• Intensive Care Unit
• Medical and Surgical Ward
• Pharmacy
• Accounts and other management and maintenance departments
Types of Hospital
• There are three different types of Hospital
• Primary care
• Secondary Care
• Tertiary care
What hospital to choose in case of trauma
• We should choose a hospital where high level care can be provided
– Experience in dealing with trauma
– All the facilities and experts are available
Where to go in a hospital incase of Trauma
• We should take the patient to Emergency room in case of Trauma
• We should understand the basic structure of Emergency room
Emergency Room
• There are further departments in emergency room.
Triage
• This is the first place where patient is received.
• Doctor decide wheather the patient need admission or not
• If admission is needed then in which part of hospital
• The Life saving care is provided in this part
Emergency Theatre
• C.O.T or emergency theatre is a place where those patients who require life saving procedures proceed.
• These patients should be salvageable. This mean should be able to survive after procedure
Emergency Radiology and Lab
• This could be the main X Ray department or a separate one in the ER
• Many patients require CT scan and X rays
Time require
• Time required in Triage minutes to hours
• A CT scan typically require around half hour to one hour
• Blood grouping and cross matching IF BLOOD IS AVAILABLE IN LAB is 1 to 2 hours
• If patient require operation it can be delayed for upto 24 hours to stabilize the patient. But typically around 4 to 6 hours
What is our responsibility
• Our Responsibility is to Bring the patient to higher level of care.
• Follow the policy of seniors.
• Direct the Ambulance service to take patient to right place
• Do not harm the patient before he reaches the hospital.
• Do not delay in shifting patient to hospital
What to do when patient is in the ER
• Control the mob
• Give correct information to attendents
• Collect data and make lists
• Protect doctors and staff
• Protect the hospital property
• Look for the suspicious people and bags in the vicinity of ER as a second blast can be near ER
What to do when patient is in the ER
• Inform the family of victims
• Wait for the doctor to know about the condition of patient
What to expect
• You may be requested to bring different injections, dressings, etc
• You may be asked to arrange blood for your patient
• You may be requested to bring your patient to some other hospital
• Do you have any choice but to follow the advice of the doctors
At Blood Bank
• There may be a lot of people
• The blood group required may not be available and you may be requested to bring blood from outside
• blood donation may take from 7 minutes to two hours
• Blood require grouping, cross matching and Screening for different diseases
Near Operation Theatre
• This is not possible to go inside the operation theatre
• You should wait for the doctor before you know about the patient
• This is the most critical part of the hospital
• The operation may take from one hour to 12 hours
ICU or Intensive care unit
• You will not be allowed to enter into the intensive care unit or ICU freely
• You may be allowed for few minutes at specific times
If the victim dies
• What to do if the trauma victim dies
– Give body to the family immediately
– Let the family decide where they want to take the body
– Control the mob
– Protect doctors, staff and hospital equipment
Questions
Thank you and Iltemas e Dua