More Related Content Similar to How to handle emergencies more efficiently (20) How to handle emergencies more efficiently1. Source:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4311332/
http://www.acepnow.com/article/14-tips-to-improve-clinical-efficiency-in-emergency-medicine/
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10 Avoidholdingpatterntests.
Theseareordered(oftenincomplexcases)todefer
yourdispositiondecisionordecisionstoorder
advancedimaging,buttheyaddlittletonovalueto
yourdecision-makingprocess.
9
Inputtingordersintotheelectronicmedicalrecord
(EMR)isnotgoodenough.Communicateyour
intentions.Don’tdelegatecommunicationtoa
computer.
Advisenursingofyourplan.
Highvolumewilldrive...8
...yourefficiencyoutofnecessity,butlowvolume
canteaseyouintorelaxingtoomuch,makingyou
becomeinefficient.
7
...andworktowardit.Everystepmustbringyou
closertoyourdecisionpoint.
Identifythedecision...
6 Medicationsandequipment
Medications,intravenousfluidsandequipmentwhichare
essentialforemergencymanagementshouldbestored
inaseparateplaceandlabeledproperlyforeasyaccess.
Theavailabilityofstocksandexpirydatesofthe
medicationsandintravenousfluidsshouldbechecked
regularlybyanappointedperson.Atthesametime,the
sterilityoftheequipmentsusedduringemergencies
shouldalsobemaintained.shouldalsobemaintained.
5 Practiceorganization
Thelocationandthelayoutofthemedicalcenterplaya
majorroleinprovidingemergencycare.Itshouldideally
besituatedinthecenterofthecommunity,withaneasy
accesstoitbyanymodeoftransport;therefore,care
shouldbetakenwhenalocationisbeingselectedfora
generalpractice.Itshouldbespaciousandhave
electricity,water,telephoneandtoiletfacilitiesandample
parkingspace.Itshouldhavebroadentranceandwheelparkingspace.Itshouldhavebroadentranceandwheel
chairaccesssoapatientcouldbecarriedorwheeledin
iftheneedarises.Thereshouldbeanemergencycare
roomclosetotheentranceanditshouldbeaccessible
fromtheconsultationroomofthedoctor.
4 Trainedparamedicalstaff
Thepresenceoftrainedparamedicalstaffisalso
essentialtoattendtoemergenciespromptly.Thestaffat
thereceptionshouldbeeducatedaboutthemedical
emergenciesandtheyshouldbeadvisedtogivepriority
topatientswhopresentwithmedicalemergencies.The
staffshouldalsobetrainedtodetectpatientsneeding
promptattentionsuchaswheezing,unsteadinessand
painastheyenterthepremises.Somepatientsarepainastheyenterthepremises.Somepatientsare
unawarethattheyarehavingalife-threateningcondition
despitehavingthesesymptomsandsomepatientsare
reluctanttobreakthequeueandtroublethestaffandthe
doctor.
3 Communicationskills
GPsshouldbeskilledtogatheraccurateandessential
informationfromallsourcesincludinghistory,physical
examination,familymembers,witnessestotheincident,
medicalrecords,etc.Theyneedtohaveexcellent
interpersonalskillsandcommunicationskillsthatresult
ininformationexchangeaswellasteamingwithpatients,
familymembersandparamedicalstaff.
2 Knowledgeandskills
Thetopmostrequirementforemergencymanagementis
theupdatedknowledgeofthedoctorthataidsinthe
earlydiagnosisandmanagement.Itisachallengefora
primarycaredoctortobeupdatedandcompetentin
everyemergencythathemaycomeacross.Onereason
isthewidespectrumofproblemsandtheotherreasonis
therarityofsomeoftheemergenciesencountered.It
hasbeenrevealedthatGPsarelesscomfortableinhasbeenrevealedthatGPsarelesscomfortablein
managingemergencieswhichtheyencounterless
frequently.
1 RoleofGP
Someemergenciescanbemanagedcompletelyata
generalpracticewhileothersshouldbereferredto
hospitalafterinitialmanagement.Theextenttowhicha
patientshouldbemanagedmaybedeterminedbythe
degreeofseverityofthecondition,expertiseofthe
doctoranddistancetothenearesthospital.Apartfrom
pharmacologicalmanagement,explanationaboutthe
conditionandtheneedforadmissionandappropriateconditionandtheneedforadmissionandappropriate
adviceoncarepriortoadmissionarealsovital
componentsofmanagement.
HowtoHandleEmergencies
MoreEfficiently
Managementofemergenciesisanintegralpartofprimarycare.Beingfirstcontactcare
providersgeneralpractitionersmayencounteranytypeofemergency.Acuteattacksof
asthma,myocardialinfarction,anaphylacticshock,hypoglycemiccoma,convulsions,
headinjuriesandtraumaaresomeofthecommonemergenciesencounteredbyGPs.