|Head of Department||Dr.Mahathar bin Abd.Wahab|
To save patient's life by providing early aggressive and effective emergency treatment, using interventional procedures to stabilize the patient before further management like surgery or definitive treatment.
Our objective is to provide full satisfaction to our customers in process of being the top emergency center in Malaysia. We will achieve this by:-
1. Providing continuous health education for our patients, their family and the community
2. Promoting personal and professional growth of Emergency Medical Care personnel by providing inservice and continuing eductaional programmes.
3. Initiating and supporting research projects in Emergency Medicine in relation patients care
4. Providing an excellent work culture through suitable working conditions
1. Emergency services are provided 24 hours especially for the serious and critical patients.
2. To provide a comprehensive service which includes 'pre-hospital' resuscitation', stabilization and definitive care.
3. Service also includes Disaster Management, Domestic Violence, Sports Medicine and Emergency Medicine.
4. Our services are provided with a humanistic outlook and sensitive towards the economical and cultural aspects of our patient.
5. To provide fast and effective patient friendly services.
1. To provide an effective, accurate and caring service.
2. Cases will be treated according to their severity.
3. Stable cases will be treated in 30 minutes to 60 minutes.
4. Complicated cases will be discussed with respective specialists.
Services are divided into 3:-
1. Acute Emergency Medical Care.
2. Support Services.
3. Administrative and Medico-Legal Services.
The treatment of patients are divided into 3 categories:-
1. Non Critical Zone (Green Zone).
2. Semi Critical Zone (Yellow Zone).
3. Critical Zone (Red Zone).
Comprehensive medical care includes:-
1. Asthma Bay
It is for asthmatics who have a light attack of asthma.
2. One Stop Crisis Centre (O.S.C.C)
Cases of rape, battered women, battered children are seen in this special room. Patients are also advised or counseled by social workers and N.G.O (Non Governmental Organization).
3. Pre Hospital Services
4. Disaster Management
The department is fully equipped for any disaster. An operation room is opened during any disaster. Emergency Department is mobilized to receive the victims as well as coordinate 'search and rescue' and 'medical base station'.
5. Follow-up Clinic
Patients with uncomplicated fracture are being followed up here. Clinic is opened daily except Saturday, Sunday and Public Holidays.
6. Operation Theater
Used for emergency as well as elective operations.
7. Out Patient Clinic
Run by out patient department doctors for patients after office hours.
8. Call Centre
Centre for telemedicine, telecommunication, inter hospital referral cases to Kuala Lumpur Hospital as well as Red Crescent Society, St. John's Ambulance and JPA 3.
1. Pharmacy Counter: 24 hours pharmacy services for patients.
2. X-ray Room
3. CT Scan Room
4. Plaster Of Paris Room(P.O.P)
There are 3 wards consists of:-
1. Observation Ward
2. Intermediate Care
3. Resuscitation Ward
Other services are:-
2. Medico-Legal and Medical Records
INFRASTRUCTURE OF EMERGENCY DEPARTMENT
The department is divided into different zones, according to patient's condition:-
1. Provides counter & public relation service to the public and patients.
2. Receive and classify cases based on patients condition; giving priority to critical cases.
3. Constant monitoring on patients condition while they are waiting to be examined. Basic treatment like wound dressing, stopping bleeding is also given. The patients who need to be warded, are sent immediately.
4. Provides ambulance services:-
- Sending patients to respective wards from emergency department,
- Collecting patients from wards for CT Scan.
5. Completing the report and statistics of each shift and checking the inventory of trolley, wheel cahir and others.
Secondary Triage Activities:
1. Collecting trauma cards from the Primary Triage.
2. Calling patients one by one for primary view and giving priority to critical cases.
3. Recording vital signs and history of patients.
4. Treatment of injured area.
5. Wound dressing, splinting and etc.
6. Giving Anti Tetanus to patients.
7. Providing wheels chair for patients who are in need.
8. Instructing patients to wait for their turns; while attending to the more critical cases.
9. Recording patients particulars.
Intermediate Care Activities
1. To check all emergency equipments for daily use.
2. To give basic treatment like splinting, IV infusion, ECG, glucostix.
3. Keeping defribillator, ventilator and pulse oximeter in tip top condition.
4. Sending patients to X Ray room and to ensure swiff and efficient treatment.
5. Monitoring vital signs such as pulses, temperature, blood pressure and oxygen saturation.
Protocol for Critical Treatment at Resuscitation
1. Management of severe shortness of breath like 'Acute Exacerbation of Bronchial Asthma'.
2. Severe haemorrhage or severe blood loss.
3. Severe abdominal and pelvic injuries.
4. Severe electrical shock.
5. Severe burns especially involving the respiratory tract.
6. Cases of medical emergencies.
7. Acute Myocardial Infact.
8. Epileptic fits.
9. Newborn babies.
10. Drowning cases.
This department have 3 wards:-
1. Observation Ward
2. Intermediate Care Ward
3. Resuscitation Ward
For patients with light head injury. Patients will usually remain in the ward for 6 hours before being discharge or will be referred to neurosurgical department if their condition deteriote. It aslo acts as a holding bay for patients intended for operation. This service is provided for 24 hours only, after that they will be sent to the respective wards.
Intermediate Care Ward
For stable patients who need treatment from specialised units like orthopedics, ENT, dental and can be discharge after treatment.
For patients who are in seriuos condition, unstable and requires intensive care.
Formed initially for SUKOM '98 for coordination of activities like mobile medical team and transportation band on telemedicine.
It is also the telecommunication centre of 'inter hospital referral system' as well as volunteer group like Red Cresent, St Johns Ambulance and JPA 3.
The centre functions 24 hours and has a medical officer, medical assistant, staff nurse and attendant, divided into 3 shifts.
Communication Centre Activities
1. Coordination of communication between all ambulance services like Red Cresent Society,
St Johns Ambulances and JPA 3.
2. Coordination of Inter Hospital Referral System.
3. Coordination of emergency calls from public with health centres in Klang Valley.
4. Coordination of telemedicine activities between emergency Department and other places.
5. Coordination of communication between staff of Emergency Department.
6. Triage Coordination Centre.
7. Help battered women through OSCC.
8. Coordination centre for special occasions and disaster.
9. Multimedia and research centre.
1. Malaysian Trauma Life Support Course
2. First Responder Life Support Course
3. Basic Life Support Course
4. One Stop Crisis Centre Course
5. Transportation Ill Patients Course
6. Triage Course