scholarly journals Analysis of Medical Management in Geriatric Patients in the Hospital Emergency Department by Example of Selected Cities with County Status in Poland: A Retrospective Cohort Study

2021 ◽  
Vol 19 (1) ◽  
pp. 48
Author(s):  
Mariusz Celiński ◽  
Mateusz Cybulski ◽  
Joanna Fiłon ◽  
Marta Muszalik ◽  
Mariusz Goniewicz ◽  
...  
Keyword(s):  
Cardiovascular Diseases ◽  
Medical Management ◽  
Medical Records ◽  
Emergency Departments ◽  
Geriatric Patients ◽  
Medical Emergency ◽  
Medical Procedure ◽  
Hospital Emergency ◽  
Medical Emergency Teams ◽  
Hospital Emergency Departments

The aim of this study was to analyse medical management in geriatric patients in the Hospital Emergency Departments in the Biała Podlaska County and Chełm County (Poland) between 2016 and 2018 in a group of patients ≥65 years of age. We analysed medical records of 829 patients transported to Hospital Emergency Departments by Medical Emergency Teams. The research was conducted in the period from June 2019 to March 2020. We analysed emergency medical procedure forms and medical records of patients transported to the hospitals. Cardiovascular diseases were diagnosed in 40% of patients. Mortality cases accounted for 3.1% of the 1200 interventions analysed. Ambulance dispatch resulted in the patient being transported to the Hospital Emergency Departments in more than 2/3 of cases. The concordance between the diagnoses made by the Medical Emergency Teams and those made at the Hospital Emergency Departments was confirmed for 78% patients admitted to the department (n = 647), whereas the concordance of classification at the group level was estimated at 71.7% (n = 594). Further in-patient treatment was initiated in some of the patients admitted to the department (n = 385). The mean time of hospital stay was 10.1 days. In conclusion, differences between the initial diagnosis made by the heads of the Medical Emergency Teams and the diagnosis made by the doctor on duty in the Hospital Emergency Departments depended on the chapter of diseases in the ICD-10 classification, but they were acceptable. The majority of the patients were transported to Hospital Emergency Departments. The most common groups of diseases that require Hospital Emergency Departments admission include cardiovascular diseases, injuries due to external causes, and respiratory diseases. A moderate percentage of patients were qualified for further specialist treatment in hospital departments.

scholarly journals (A82) Triage in the Prehospital Setting

2011 ◽  
Vol 26 (S1) ◽  
pp. s23-s23
Author(s):  
A. Khorram- Manesh ◽  
A. Hedelin ◽  
P. Ortenwall
Keyword(s):  
Medical Records ◽  
Emergency Departments ◽  
The Other ◽  
Hospital Emergency ◽  
Prehospital Management ◽  
Medical Index ◽  
Ambulance Transports ◽  
The Difference ◽  
Hospital Emergency Departments ◽  
Initial Triage

IntroductionThe prehospital management of a patient starts with a telephone call to and triage by the ambulance dispatcher centre followed by continuous evaluations by ambulance crews and staff at emergency departments.AimThe aim of this study was to find out if these units have the same triage systems and if the initial evaluation matches the outcome at the hospital emergency departments.Method and MaterialOver 27000 ambulance transports within Gothenburg were studied by evaluating the ambulance medical records with regards to initial triage performed by the ambulance dispatcher centre using a medical index and triage performed by ambulance crews and staff at the emergency departments.ResultsThere was no common triage system between these units. We also found a discrepancy between the initial triage using the medical index and physiological-anatomical triage performed by ambulance crews and staff at the emergency departments. As an example 50% of all patients triaged as priority one by the ambulance dispatcher centre were down-graded to priority 2–4 by the other units involved.Discussion and ConclusionsA mutual and standardized system for triage is needed. Although over-triaged by ambulance dispatcher centre may be medically motivated, the difference between priorities should be minimized to a medically accepted level (25–35%).

scholarly journals Evaluation of the Levels and Quality of Microbial Contamination in Medical Emergency Departments in Comparison to Other Workplaces

2016 ◽  
Vol 65 (4) ◽  
pp. 465-469
Author(s):  
Agata Bielawska-Drózd ◽  
Bożena Wlizło-Skowronek ◽  
Piotr Cieślik ◽  
Izabela Winnicka ◽  
Ewa Skopińska-Różewska ◽  
...  
Keyword(s):  
Emergency Departments ◽  
Pathogenic Bacteria ◽  
Microbial Contamination ◽  
Sampling Method ◽  
Medical Emergency ◽  
Ward Staff ◽  
Hospital Emergency ◽  
Emergency Ward ◽  
Hospital Emergency Departments

Work in Hospital Emergency Departments (HEDs) exposes both the emergency ward staff and patients to infectious and in other way harmful biological agents. The results of this study shows the presence of pathogenic bacteria isolated by three different methods. It revealed 9.8% of pathogens detected by imprint method, 10.5% of pathogens by swabbing method, 17.6% and 22% in HEDs corridors and rooms, respectively, by air sampling method. In control workplaces (offices) pathogenic bacteria reached the level of 6.5% and 14.7% by imprint method and swabbing, respectively. The relatively low level of contamination by bacteria in HEDs may depend on the effectiveness of Standard Protective Precautions in the studied hospitals.

The Model of Hospital Emergency Departments in 2,000 Bed Hospital in Hungary

1986 ◽  
Vol 2 (1-4) ◽  
pp. 116-117
Author(s):  
Attila Csepanyi ◽  
Mihaly Sebestyen
Keyword(s):  
Emergency Department ◽  
Research Program ◽  
Emergency Departments ◽  
County Hospital ◽  
Hospital Emergency ◽  
Ministry Of Health ◽  
Ground Floor ◽  
Hospital Emergency Departments

The first emergency department in Hungary was established in Hetenyi Geza County Hospital in 1976. It was organized as part of a research program commissioned by the Ministry of Health. Initially, the hospital had 1400 beds which have now increased to 2,000.The Emergency Department is located on the ground floor of a new building and occupies 1,100 square meters of surface. The operation of the department is divided into three main areas.

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