Oxford Handbook of Emergency Medicine 4th edition

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Emergency room
The role of emergencies The emergency department (ED) occupies a key position The interaction between her primary and secondary care is well known. Many patients present without a referral, but some are referred by the NHS Minor and direct injury units, general practitioners and other physicians
Emergency practitioners manage patients with a wide range of medical services Challenges and issues. Many of the patients they consult experience pain and / or discomfort Recent problems The priorities are as follows:
• Carry out life-saving measures.
• Provides pain relief.
• Investigate and initiate treatment to identify related problems.
• Determining the need for hospitalization or discharge.
ED staff work as a team. Traditional roles are often ambiguous. An important point is the clinical skills employees can demonstrate. ED employees include: Nurses (including working nurses, nurse counselors and health care professionals Assistant).
• Doctor (permanent and permanent).
• Reception and administrative staff (reception staff, secretaries, Manager).
• Radiologists, including reporter radiologists. Other professional staff (e.g., psychiatric liaison nurses, cast technicians,
Physiotherapists, medical staff, medical assistants, Occupational therapist, staff of the clinic / emergency department).
• Support staff (security, porters, janitors, police Physical resources
The main purpose of the emergency department is to provide immediate resuscitation to the patient. Patient with emergency completely The more patients are visited with minor injuries and conditions.
It is very difficult to see and receive treatment on time Method. Each section has its own system.
Necessary resuscitation room, but most importantly, a place for the patient in the trolley, And a space for sedentary people with fewer serious problems or injuries.  Paediatric patients are seen in a separate area from adults. In addition, every ED requires facilities for applying casts, exploring and suturing
wounds, obtaining X-rays, and examining patients with eye problems. 
Discharge from the ED
To work efficiently, the overall hospital system needs to enable easy flow of patients out of the ED. Options available for continuing care of patients who leave the ED, include:
• Discharge home with no follow-up. 
• Discharge home with GP and/or other community support/follow-up. • Discharge with scheduled hospital follow-up.
• Admission to the hospital for further examination and treatment.
• Transfer to another hospital with more specialized facilities.




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