Presentation for scouts and other volunteers who witness a mass casualty in the hospital. About the role of scouts and volunteers in the hospital. It describes different parts of hospital and what we can do there even when we are not medical person
1. Hospital Management of Trauma
Patients
For General Public and Scouts
Fakhir Raza
Imamia Medics International
2. 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.
3. 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
4. Types of Hospital
• There are three different types of Hospital
• Primary care
• Secondary Care
• Tertiary care
5. 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
6. Where to go in a hospital in
case of Trauma
• We should take the patient to Emergency
room in case of Trauma
• We should understand the basic structure of
Emergency room
8. 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
9.
10. 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
11. 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
12. 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
13. 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
14. 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
15. 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
16. 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
17. 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
18. 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
19. 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
20. 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
