Emergency lec 1

Additional – DPT
Course: Emergency Procedure and
Patient Care

Medical Emergency
• “An unforeseen combination of circumstances or
the resulting state that requires an immediate
action.”
(www.merriamwebster.com)
• “A medical emergency is an injury or illness that
is acute and poses an immediate risk to a
person's life or long term health” (Wikipedia)
• “Unexpected situation or problem need to be
taken care of immediately otherwise the
consequences will be very harm full to the person
or to the community”.(Dr.Asghan Khan)

Organization and Administration of
Emergency Care
• Develop and implement emergency action plan
• Emergency team
• Initial patient assessment and care
• Emergency communication
• Emergency equipment and supplies
• Venue location
• Emergency transportation
• Emergency care facilities
• Legal need and documentation

Emergency Action Plan
 EAP should be developed by organizational or institutional
personnel
in consultation with local emergency medical services.
 Components of Emergency Care
Preparation
 Development of an EAP
 Proper coverage of events
 Maintenance and upkeep of emergency equipment and supplies
 Selection of appropriate personnel as part of the team.
 Continuing education of the rehab team in emergency medical care

Medical Emergency Team
 House Medical Doctor
 Nursing Supervisor
 Registered Nurse responsible for patient
 Physical Therapist
Michael Brickens, PT is one of the physical therapists who work in EMTC
and he is involved in both evaluating patients as well as treating
them. “My responsibilities include providing PT Consultations to
individuals that have come to the Emergency Medicine Trauma Center
(EMTC) with complaints of musculoskeletal injuries ranging from acute
to chronic sprains/strains, segmental dysfunctions to acute
fracture/dislocations.” In addition, Michael says he also spends a lot of
time evaluating patients after a fall, providing thorough balance
assessments to try to better understand the patient’s underlying
problems. (APTA-Indiana Chapter)

Medical Emergency Team
• Any member of the emergency team can act as a
first responder.
• A first responder is defined as a person who has
been trained to provide emergency care before
EMS arrives on the scene.
• For this reason, all members of the emergency
team should be trained and certified in first aid,
cardiopulmonary resuscitation (CPR), automatic
external defibrillation (AED), and prevention of
disease transmission (Blood borne Pathogens).

Initial patient assessment and care
1-CHECK
 The scene to make sure it is safe to aid the person
 The scene to find evidence on what happened to the person
 The victim for airway, breathing, circulation,
 fractures, and bleeding
2-CALL
 The local emergency management service
 Give proper directions to the injury site
 Meet ambulance at scene and direct to injured person
3-CARE
 Calm and reassure the injured person
 Reassess and monitor all vital signs
 Control any bleeding
 Immobilize any injured body part
 Provide CPR/AED and appropriate first aid

Emergency communication
 Communication is the key to quick and effective
delivery of emergency care in any trauma situation.
 All emergency team members, and EMS personnel
must work together to provide the best possible care
for injured person.
 Communication prior to an event is a good way to
establish a positive working relationship between all
groups of professionals.
 If emergency medical transportation is not available on
site during a particular event, then direct
communication with the emergency medical system at
the time of injury or illness is necessary.

Emergency equipment and supplies
 Equipment
 AED unit
 Immobilization splints
 Stretcher/spine board
 Airway bag—valve
 mask
 Supplies
 First aid kit
 Sterile bandages
 Tape and elastic wraps
 Blood borne pathogen kits

Venue location
 Emergency Personnel on Site
 Emergency Communication
 Emergency Equipment
(AED, first aid kits, splints, spine boards)
 Ambulance on site
 Emergency Procedures; Includes
all venue drawings, maps, and
directions
 Instructions on all CHECK—
CALL—CARE items
 Directions to nearest emergency
care

Emergency Transportation
 The EAP should include a policy for
transportation of the sick and injured person.
 By definition, an emergency dictates that
transport should be via EMS vehicles
(ambulance).
 The policy on transportation should explain in
detail when and where an ambulance will be
available.
 Emphasis should be placed on having an
ambulance on site for all the time.

Emergency Care Facilities
 The EAP should include information regarding the
transportation
directions to an emergency medical facility.
 When selecting an appropriate emergency care facility,
consider the proximity of the emergency facility to the
place of incident and the level of care available at the
facility.
 There should be prior notification to the local emergency
services that are used by the organization in advance.
 It is also recommended that the EAP be reviewed and
practiced with both the emergency care facility
administrators and medical staff in regard to important
information concerning the care.

Legal Need and Documentation
 Individual Injury Evaluation Form, used for the
documentation of the person’s injuries or problems.
 Delineation of the person or group responsible for
documenting the events of the emergency situation.
 Follow-up documentation on the evaluation of
response to emergency situation.
 Documentation on personnel training and regular
rehearsal of the emergency action plan.
 Documentation of purchase, inventory, and
maintenance of all emergency equipment and supplies.

EAP For your Facility
Assaignment-1
1. What type of emergency could happen at
your facility?
2. How you will address the situation?
Note: Total marks 15
The answer for each question should not be
more than tow paragraphs.

Emergency lec 1

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Emergency lec 1