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Chapter 3 EM ppt

This chapter focuses on the management of emergency and injury medical services at the hospital level, outlining operational standards, system design, and quality management activities. It emphasizes the importance of a structured emergency care system, including triage, resuscitation, and patient management, as well as the need for trained personnel and adequate resources. The chapter also addresses injury management and the response to mass casualty events.

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Abraham Gebeyehu
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1 views

Chapter 3 EM ppt

This chapter focuses on the management of emergency and injury medical services at the hospital level, outlining operational standards, system design, and quality management activities. It emphasizes the importance of a structured emergency care system, including triage, resuscitation, and patient management, as well as the need for trained personnel and adequate resources. The chapter also addresses injury management and the response to mass casualty events.

Uploaded by

Abraham Gebeyehu
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
You are on page 1/ 17

CHAPTER 3

EMERGENCY AND INJURY MEDICAL SERVICES MANAGEMENT

1 MOH-ETH
Chapter Objective
 By the end of this chapter the you will be able to apply the system of
emergency and injury care services management at hospital level

Enabling Objectives:
 •Describe operational standards of emergency & injury care service practice

 Design a system to implement emergency & injury care service


management.

 Explore quality management activities across emergency & injury care


service

2
MOH-ETH
Outline
 Introduction

 Operational standards

 System design

Quality management activities

 Summary

3 MOH-ETH
Overview
Activity 22.1. Individual Reflection
Consider your healthcare setup and share your practical experience
Activities
 Describe the difference b/n Emergency medical service
and Hospital Emergency service.
 Describe emergency service levelling.
Time: - 5 min

4 MOH-ETH
Overview

Emergency Medical Services (EMS)  a network of services and


resources coordinated to provide aid and medical assistance from
primary response to definitive care.

 The service given in a pre-hospital or hospital setting

Injury:- conditions most commonly result from traffic collisions,


drowning, poisoning, falls, burns and violence

 Injuries comprises Majority of ER admission in our country’s


context, the emergency department shall give those services
5 MOH-ETH
 According to the 2020 Ethiopian Emergency service Leveling
health facilities are categorized into

1. Basic level - Health center and Primary hospitals

2. Intermediate level: General hospital

3. Advanced level: Tertiary hospital

4. Center of Excellence

6 MOH-ETH
Operational standards
1. The department led by an emergency and critical care professional in accordance
with the hospital tier level

2. The department shall be easily accessible, labeled and clearly visible upon entry to
the facility with an ambulance parking area and it is in close proximity to the ICU
and OR

3. The emergency unit has separate areas for triage, resuscitation, examination,
procedure, short stay beds, isolation room and decontamination area.

4. The hospital has an Emergency department/unit equipped with necessary


equipment, drugs and supplies needed to provide emergency medical services as
per the hospital tier level.

7 MOH-ETH
5. All emergency department clinical staff shall have emergency care
training.

6 The emergency department shall use a triage system of screening


and classifying patients to determine their priority needs and to
ration patient care efficiently.

7 The hospital provides emergency medical service 24 hours a day


and 365 days a year with a 24-hours’ access to diagnostic
laboratory, radiology, pharmacy services, blood products and
oxygen with priority for emergency clients.

8.
8 MOH-ETH
8. The hospital shall have an emergency management team with a
documented emergency preparedness and response plan.

9. Emergency department or Unit has policies, protocols and


treatment guidelines for running ED/EU.

10. The emergency unit shall have a staff facility room for rest and
refreshment.

11. The hospital has guards, porters and cleaners dedicated for
emergency unit.
9 MOH-ETH
System design for standard emergency service layout &
flow

Emergency & injury care service management structure

 The case team should be overseen by a director of emergency


services

 Services including patient triage, case management, laboratory,


pharmacy and diagnostic services of emergency unit

1 MOH-ETH
0
Activity 3.2: Gallery walk
Instruction:-Be in group of 4 Consider your healthcare
setup and share your idea
On a piece of paper
Reflect
Debate on the recorded ideas
Post the summary report
Activities
Describe emergency service layout
Describe the site and activities at EM triage?
List the HR requirements of EM?
What are the equipment’s and supplies needed at EM
Time: - The time allocated to reflect on the activity is 28
min.

1 MOH-ETH
1
Domains of Acute Care

1 MOH-ETH
2
Emergency Services Layout

A. Ambulance parking space and


entrance I. Utility areas
P. Portable imaging facilities and
B. Patient assistant area at J. Isolation room
bay
Emergency gate K. Decontamination Room
Q. Nurses and physicians station
C. Triage area L. Medical records/Cashier/Social
R. Administration room
D. Resuscitation area worker
S. Staff room /Meeting room
E. Waiting area M. Pharmacy
T. Supportive service
F. Examination area N.Laboratory/ sample collection
U. Emergency and mass causality
G. Procedure area and testing facilities
equipment store
H. The observation and treatment O. Emergency, OR and ICU
area

1 MOH-ETH
3
Emergency patient flow/pathway
Emergency patient flow/pathway

 Emergency Triage Activity:- be provided 24 hrs. a day, 365 days a year.

 Emergency Patient Resuscitation:-life threatening conditions and with CVS arrest


should be admitted to this area for resuscitation.

 Emergency Case Management :-who require temporary short-term observation


and management is admitted to this area

 Ambulance service :-need for advanced life support to be deployed to assist the
pre-hospital providers

 has to be equipped with equipment and supplies to render minimum Basic Life
Support/BLS/, Advance Life Support/ALS/ and trained ambulance drivers.

1 MOH-ETH
4
Quality management activities

Hospital Emergency preparedness and response

 Treating any acute event,

 Natural or man-made,

 Acutely or chronically ill or

 Injured have medical needs,

which exceed available resources, resulting in patients receiving inadequate or


even no care. NEEDS > RESOURCES.

 There shall be a trained emergency medical team (EMT) in the hospital which
will respond during time of disaster and mass casualties.
1 MOH-ETH
5
summary

 Emergency and injury care service is mainly about hospital based


emergency medical services

 This chapter also emphasizes on injury and mass causality


management and its implementation mechanism.

1 MOH-ETH
6
THANK YOU!

MOH-ETH

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