“A daily fact which needs immediate care and attention”
Casualty & Emergency
Casualty & Emergency started newly on 1st April 2018. It is an eight bedded emergency department that is committed to caring of the patients. There are qualified and certified doctors of different medical specialties at YHPL who are appointed to execute their work and they are assisted by well-trained paramedic staff. This department deals with road accident cases, severe bleeding, poisoning cases, broken bones or compound wound cases, severe chest pain, stroke, burns, suicide & cases that need immediate medical attention and care.
Urgent Care Services
The emergency department assesses and treats people with serious injuries or conditions and those in need of emergency treatment. It is sometimes referred to as casualty, accident, and emergency or A&E which stays in operation for 24 hours a day, 365 days of the year. The outreach team and the resuscitation team is a team of specialist that respond to emergency calls and give advanced clinical advice or treatment to patients whose condition is deteriorating. For maternity emergencies, the labour ward offers a high dependency unit to care for women with rare, but more severe, complications of pregnancy.
To diagnose casualty, use your senses to obtain maximum information;
“Look, Speak, Listen, Feel and Smell”
If the casualty is conscious:
- Look and size up the problem as you approach.
- Ask casualty if he/she has pain and where it is, examine that part first.
- Ask casualty if he/she thinks there is anything else wrong.
- Examine the casualty carefully in a regular and orderly manner by running your hands gently but firmly over the body.
- Start at the head and neck, and then check the spine and trunk; the upper limbs, the lower limbs.
- Handle injured parts gently and firmly.
- Make sure there are no other injuries present, which may be masked by pain, by checking for tenderness and bleeding.
- Always compare abnormal parts with the normal side.
- The first aider needs to remove enough of the casualty’s clothing to expose the injuries and treat them. Then check:
If the casualty is unconscious:
- Note if breathing is present: if absent, immediately commence artificial respiration
- Examine over and under the casualty for dampness which might indicate bleeding. Stop any serious bleeding before proceeding further with the examination
- Bear in mind the possibility of internal bleeding
- Establish the cause of unconsciousness by examining the
- Breathing – rate and depth
- Pulse — rate and character
- Face and skin – colour, temperature and condition
- Pupils of the eyes
- Head for injury
- Ears, eyes, nose and mouth for blood and other signs
- Whole body for signs of injury.
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