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