ออกหน่วยน้ำท่วมรพ.สมเด็จพระสังฆราช นครหลวง

3. 7
7
1
2
17

5. 1
2
GMC

12.  30
 2
 X-ray 1
 lab CBC, UA,
cell count, E’lyte
 4
 9

13. 1.
2.
60-70
2nd-3rd care
3.

16. 



18. 
IPD

19. 1) -
2) -
3)
-
4)
5)
6) acute care
stand by refer

24. Round ward -
EM 1 ER
Sx/Med/Ped ER
5 consult
OR 2 OR
Scrub nurse
5 ER
AE/ICU/Med/Sx/ .

25.  21 2554 17.00
 23 2554
14.00
21 10/2554 27 1
22 10/2554 84 3
23 10/2554 40 0

27. 100
90
80
70
60
50
40
30
20
10
0
21/10/54 22/10/54 23/10/54

28. 90
80
70 Refer
60
D/C
50
40 Admit
30
20
10
0
21/10/54 22/10/54 23/10/54

29. 18
16
Sx
14
12 Ped
10
8 MED
6
4
2
0
21/10/54 22/10/54 23/10/54

30. 1 Pneumonia 9 Abdominal pain
2 Bronchitis 10 Pregnancy/Abortion
3 Sepsis 11 HT
4 allergy 12 DM
5 Trauma 13 Acute Febrile illness
6 Dyspepsia/Diarrhea 14 burn
7 Animal bite 15 stroke
8 anaphylaxis 16 Infected CAPD

31. 1 6 Peak flow
2 /Suture 7
3 Lab/DTX 8 I&D
4 EKG 9 VCT
5 Ultrasound, 10 CAPD
FAST

32.  Stab wound tear liver
: operation for EL ĉ suture liver
 Debridement
 Penetrating wound Rt. leg
: operation for Suture wound
 2o Burn: operation Scrub burn

39. •
ER
• ER

41. ER ER

43.  Disaster Medicine: Flooding
 Triage System
 Snake bite

44. 1. Everyone who can CPR/Emergency condition/ward
round
2. Emergency conditions : snake bite
3. Less investigations : CBC, BUN, Cr and electrolyte,
LFT
4. Anti-HIV, HBsAg, antiHBS, and AntiHCV

45.  ( case
complicate) ETT,
CPR

 emergency

46.  Surgeons should be more than 2nd years Resident
because in case trauma must be make decision for
emergency exploratory laparotomy as Blunt or
Penetration abdomen.
 They need only 1-2 surgeons, who have experience
about common conditions such as exploratory
laparotomy, bowel resection, open appendectomy
(include complicated appendicitis ), and peptic ulcer
perforation, blunt and penetrating abdominal injury.

49. 
