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Saturday, December 20, 2014

Emergency Department ( ED )

The emergency department (ED), is a specialized department of a hospital that aims to provide medical and nursing care to accident victims and patients with acute illnesses or injuries. Emergency departments are part of a chain of acute care where GP and GP, emergency room, midwife, ambulance service, MOSQUITO and mobile medical team each play their part.

Previously, for there specialized emergency departments were set up, patients with an urgent problem duplicated collected at one of the departments. Trauma patients (patients with serious injuries) were mostly collected in a free room to the operating theater. Patients with internal medical problems were collected by one of ordinary wards, depending on their condition, or the intensive care unit if the hospital had about it.

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Course Of Action

After the arrival of one or more patients (with an ambulance, referred by the GP or on your own - the so-called "self-referrals") is usually performed a triage which determined the nature of the injury or illness is and therefore the priority. Of course, people with severe disease are treated rather than people with less urgent condition. The work in the emergency department is diverse and includes diagnosis and sometimes treatment on the grounds of inter alia the following disciplines:

-Surgery / traumatology
*minor injuries such as broken bones or skin wounds
*major trauma (these are generally collected in specialized trauma)
-General surgery
*For example, the diagnosis of an acute abdomen such as appendicitis
-Emergency cardiology
*diagnosis and sometimes treatment of arrhythmias
*diagnosis of pain-in-the-chest complaints, heart attacks or threatened heart attacks
*analysis of fainting
-Internal medicine
*unregulated diabetes mellitus, severe infectious diseases and the like
-Neurology
*analysis of strokes or fainting.
*with the capture of trauma with brain injuries
-Pediatrics
*unregulated diabetes mellitus, severe infectious diseases and the like

Also, urological and dermatological complaints outside office sometimes caught in the emergency department.

Material

In Belgium, the minimum substantive requirements for an emergency department:

-Adequate medication, bandages and plaster material, medical instruments, etc.
-A supply of red cells and plasma substitutes
-Resuscitation equipment (including a defibrillator)
-An electrocardiogram device
-Equipment for oxygen and heart rate monitoring
-Breathing apparatus (including an endotracheal tube)
-Equipment for draining including the digestive system and freeing the airway
-Sufficient oxygen bottles and stretchers
-Own independent telephone line for communication with the Help Center 100/112
-Emergency power

On some larger emergency services are also found additional equipment, such as a private CT scanner.

Infrastructure

Most emergency departments have normally a reception, waiting area, triage room, study rooms, resuscitation room (also called shock cream, crash cream, acute room or called trauma room), usually a separate plaster room and sometimes own special amenities such as private CT scanner or radiology locally (However, they usually have in the emergency department of mobile X-ray equipment) or a decontamination room. There is sometimes an observation room or observation unit present in the emergency department.

Staff

In the Netherlands the typical staff of physician assistants (whether or not in training to become a specialist or general practitioner), sometimes doctors specializing in emergency physician and nurses (possibly trained as ER nurse). In Belgium, the service will be staffed by at least one approved physician specialist in emergency medicine and two nurses (at least one graduated in intensive care and emergency care), possibly supplemented by other physicians (including physician-specialists in emergency medicine, geneesheer- specialists in acute medicine and candidate physician specialists in emergency medicine) and nurses (possibly graduated in intensive care and emergency care).

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