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EmergencyCareSingaporeGeneralHospital
EmergencyCare
AtSGH,patientshaveaccesstoover600doctorsfromover30clinicalspecialties.Ourdedicatedteamofhealthcareprofessionalsiscommittedtogiveeachpatientthequalityof
carethatwouldbestaddresstheclinicalproblem.ThissectionwillhelptofamiliariseyouwithourEmergencyDepartment.
RegistrationandTriage
AsanEmergencyDepartment,ourpriorityistoattendtopatientswithseriousillnessesandinjuries.
Tofacilitatethis,wewillassessyourmedicalconditionatTriageafteryouhaveregisteredatourRegistrationCounter,andsometimes,evenbeforeregistrationifthesituationso
demands.TheEmergencyDepartmentatSGHisoneofthebusiestinthecountry.ThereisaSeniorEmergencyPhysicianondutyoneveryshift.
Triage
AttheTriageRoom,ourstaffwill:
takeashorthistoryofyourillness.
recordyourvitalsignsliketemperature,pulse,respirationandbloodpressure.
Pleaseassistthestaffbygivingthemalltherelevantandaccurateinformation.Youwillbeassignedaspecificprioritylevelaccordingtotheseverityofyourmedicalcondition.Our
staffwilladviseyouoftheappropriateareatogotoforconsultationandtreatment.Thereareseparatewaitingareasforpatientswithdifferentprioritylevels.
Ourstaffwillalsoinformyouoftheestimatedwaitingtime.Wewouldliketoassureyouthatalleffortswillbemadetoseeyoupromptly.
PriorityLevels
Therearefourdifferentlevelsofpriorityandtheyareasfollows:
Priority1Resuscitation&CriticallyillPatients
PatientsinastateofcardiovascularorimminentcollapseareattendedtoimmediatelyattheResuscitationArea.
Thedoctorswillspeaktothefamilymemberaftertheyhaveassessedandstabilisedthepatient.
Examples:Heartattack,severeinjuries,severebleeding,shockandsevereasthmaattack.
Priority2MajorEmergencies(NonAmbulant)
PatientswithacutemedicalconditionsthatmustbeinitiallytreatedintheHospital.Theyareinstableconditionanddonotrequireresuscitation.Theyarerequiretobetrolley
basedforpatientexaminationandtreatment.ThesepatientsareattendedtoearlyattheCriticalCareArea.
Thedoctorswillspeaktothefamilymemberaftertheyhaveinitiallyassessedthepatient.
Examples:Majorlimbfracture/dislocation,moderateinjuries,severeabdominalpainandotherseveremedicalillnesses.
Priority3MinorEmergencies(Ambulant)
Patientswithacutesymptomswhoareinastableconditionandareabletowalk.ThesepatientsmaybetreatedbyGeneralPractitioners(GP)/FamilyPhysicianswithacutecare
resourcesorattheEmergencyDepartment.AfterTriage,theyareseenattheEmergencyAmbulatoryCareArea.
Familymembersmayentertheconsultationroomwiththepatient,buttheymaybeaskedtotakeaseatinthewaitingareawhenexaminationsandproceduresarebeing
performed.
Examples:Sprains,minorinjuries,minorabdominalpain,vomiting,fever,rashesandmildheadaches.
Priority4NonEmergency
Anoldinjuryoraconditionthathasbeenpresentforalongtime.ThesepatientsshouldpreferablybeattendedtobyGeneralPractitioners(GP)/FamilyPhysicians.TheEmergency
Departmentisnottheappropriatefacilityfortheircare.YoumaywishtogotoyourownGeneralPractitionerortoapolyclinic.
Examples:Chronicjointpains,chronicskinrash,longtermnasaldischarge,oldscars,cataracts,removaloftattoosandsorethroats.
MoreexamplesofnonemergencycasescanbefoundonHealthPromotionBoardwebsite(http://www.hpb.gov.sg/HOPPortal/faces/Resources/AandE?
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state%3D17ryurea62_4).
PatientsWithFever
PatientswithfeverwillbemanagedinaseparateareaintheEmergencyDepartment.ThisistoreducetheriskofinfectiontotheotherpatientsintheEmergencyDepartment.
WaitingTime
Thewaitingtimereferstotheperiodfromthetimeyoupresentinthedepartmentuntilyourconsultationwiththedoctor.Thewaitingtimemaydependonvariousfactors.
However,ifyourconditionhasbeenassessedtobeseriousatTriage,youwillbeattendedtoearlier.
ConsultationandTreatment
Dependingonyourmedicalcondition,ourdoctorsmaydecideonthefollowingforyou:
ReviewbydoctorsfromotherdepartmentsWhenyourmedicalconditionrequiresareviewbydoctorsfromotherdepartmentsofSGH,wewillcalltherespective
doctorstoattendtoyou.
Observationafterinitialtreatment/investigationsAfterinitialtreatmentandinvestigations,wemayobserveyouintheEmergencyObservationWardforanumber
ofhours.Followingreview,adecisioncanthenbemadeastowhetheryourconditionrequiresinhospitaladmissionoroutpatientcare.
AdmissionWhenthereisaneedforfurtherinvestigationsandtreatmentinaninpatientsetting,wewilladmityouasaninpatient.
DischargeforhomeAftertreatment,youmaybedischargedwithorwithoutmedication.ThedoctormayalsoreferyoutoourSpecialistOutpatientClinic,yournearest
polyclinicoryourownfamilyphysician.
http://www.sgh.com.sg/PatientServices/Pages/emergencycare.aspx
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EmergencyCareSingaporeGeneralHospital
FollowupAppointment
IfthedoctorrefersyoutoourSpecialistOutpatientClinic,ourstaffwillgiveyouanoutpatientappointmentletterwiththedateandtimeofyourappointment.
CollectionofMedication
Ifyourdoctorhasprescribedmedicationforyoutotakehome,youmaycollectyourmedicationatthePharmacy.
Payment
ThecurrentchargesforEmergencyDepartmentcanbefoundhere(http://www.sgh.com.sg/patientservices/chargespayment/pages/outpatientcharges.aspx).Our
A&Eservice&facilityfeecoversbasicinvestigationsandservicesprovided.Specialisedemergencyinvestigationsandserviceswillinvolveextracostandhenceadditionalcharges.
Youmaypaybycash,NETS,personalchequeorcreditcard.Ifyourdoctordecidestoadmityou,thefeeswillbeincludedinyourtotalhospitalbill.
Admission
OurstaffattheAdmissionsCounterwillassistyouwiththeadmissionandhelpyoudecideonyourroomtype,bygivingyoutheestimatedcostofhospitalisationandthedeposit
required.
Childrenbelow12yearsold
InSGH,wedonothavethefacilitiestotreatyoungpatients.OurpaediatriciansarestationedatKKH.Usuallybeforesendingyoungpatientsover,wewillstabilizetheircondition
first.
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Copyright2016SingaporeGeneralHospital,OutramRoad,Singapore169608
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