Clinical_dialogue three （上海交大仁济临床医学院《医学专业英语》课件PPT）.ppt

Emergency Room How Emergency Rooms Work You will learn about the normal flow of traffic in an emergency room the people involved the special techniques used to respond to life-or-death situations Emergency Room Patients Car accidents Sports injuries Broken bones and cuts from accidents and falls Burns Uncontrolled bleeding Heart attacks, chest pain Difficulty breathing, asthma attacks, pneumonia Strokes, loss of function and/or numbness in arms or legs Loss of vision, hearing Unconsciousness Emergency Room Patients Confusion, altered level of consciousness, fainting Suicidal or homicidal thoughts Overdoses Severe abdominal pain, persistent vomiting Food poisoning Blood when vomiting, coughing, urinating, or in bowel movements Severe allergic reactions from insect bites, foods or medications Complications from diseases, high fevers Understanding the ER Maze The classic emergency room scene involves an ambulance screeching to a halt, a gurney hurtling through the hallway and some people frantically working to save a persons life with only seconds to spare. This does happen and is not uncommon, The majority of cases seen in a typical emergency department arent quite this dramatic. Triage When you arrive at the ER, your first stop is triage. This is the place where each patients condition is prioritized into three general categories: Immediately life threatening Urgent, but not immediately life threatening Less urgent Triage The triage nurse records patients vital signs (temperature, pulse, respiratory rate and blood pressure). She also gets a brief history of patients current medical complaints, past medical problems, medications and allergies. Registration This step is necessary to develop a medical record so that patients medical history, lab tests, X-rays, etc., will all be located on one chart that can be referenced at any time. If the patients condition is life-threatening or if the patient arrives by ambulance, this step m