The document provides an overview of the planning, functions, processes, and equipment of an emergency department. It discusses key aspects such as the location and physical facility of the emergency department, the types of emergencies seen, objectives to provide treatment and minimize mortality, and the triage process. Documentation and the interrelationships between the emergency department and other hospital departments are also covered.

1. PRESENTATION ON-
EMERGENCY DEPARTMENT
SUBMITTED TO- SUBMITTED BY-
Dr. Dhanya KANU CHATURVEDI

2. CONTENT
• About emergency department and
what is emergency services
• Planning-
Location
Physical facility
• Functions
• Types of emergency
• Objectives
• Triage
• Equipment’s
• Interrelationship to emergency
• Process
• Documentation

3. ABOUT EMERGENCY DEPARTMENT

4. Emergency department is integral part of hospital. It is like front door of the hospital and its
portal entry interacts directly with highest volume of patients who require critical care.

6. WHAT IS EMERGENCY SERVICES?
An emergency department (ED), also known as an accident & emergency department (A&E), emergency
room (ER), emergency ward (EW) or casualty department, is a medical treatment facility specializing
in emergency medicine, the acute care of patients who present without prior appointment; either by their own
means or by that of an ambulance. The emergency department is usually found in a hospital or other primary
care center.

7. PLANNING OF EMERGENCY DEPARTMENT

8. Planning of emergency departments is divided into certain parts :-
• location – should be located on ground floor and it has direct access to road with separate approach other
than OPD. It should be adjacent to OPD and should have ambulance services for the emergency patients and
also helipad for major trauma patients at unappropriate places.

9. Physical facility-
Clinical area
Circulation area

10. FUNCTIONS

11. • Provision of immediate and correct life saving treatment at all times for all situations
• Rapid institutions of BLS to critically ill patients at site, en-route and in hospital
• Information rendering to patients on telephone for simple medical queries
• Capacity and capability to provide effective management during disaster situation
• Length of stay in emergency is 4 hours not beyond 4 hours

12. TYPES OF EMERGENCY

13. There are 4 types emergency-
• Major emergency
• Basic emergency
• Referral emergency
• Stand by emergency

14. OBJECTIVES

15. • To triage all patients arriving in emergency department
• To make available western class treatment to patients
• To treat, admit and provide qualitative treatment and proper follow ups
• Cater patients with relief and management of patients arriving at hospital
• It minimize early mortality and complications

16. TRIAGE

17. Triage refers to the evaluation and categorization of the sick or wounded when there are insufficient resources
for medical care of everyone at once.

18. EQUIPMENT’S

19. • The essential and functional equipment are-
A ventilator is a machine that breathes for you or helps you breathe. It is also called a breathing machine or
respirator.

20. Monitors X- ray machine

21. Crash cart Dressing trolley Ct scan machine

22. INTERRELATIONSHIP TO EMERGENCY

23. Emergency department has close relationship with-
• OT
• ICU
• Blood bank
• Laboratory
• OPD
• Mortuary
• CCU
• Radiology
• Endoscopy

24. PROCESS/ WORK FLOW

25. Initial assessment is done firstly by nursing in 10 mins
Stable patient
Unstable patient
Dead patients
ER
Observation
Triage
Treatment
Minimum 4 hours stay
Discharge, if required
MLC patients
Handover body to family or police

26. DOCUMENTATION

27. • Patient records
• Causality Death register
• Operation and follow up records
• Referral records
• Treatment records
• Incident report form & register
• Attendance register of staff
• Register of duty doctor and staff
• All documents related to admission, case sheet, death certificate forms
• MLC records with all diagnostic and investigation results kept secretly with cmo causality
• Medico-legal cases like accident, trauma, assault, rape, poising, unconsciousness and brought dead should
be stamped at MLC