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Emergency Medicine

Introduction to Emergency Medicine

Last Updated on June 26, 2022

Triage

Primary triage

• Asking presenting complaint
• Any evident / potential life-threatening condition / limb or organ injuries
• Any high risk medical profile?

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📑If patients fulfill the above criteria, patient will be assigned to higher acuity zones e.g. yellow / red zone (bypassing secondary triage)

Secondary triage

• Objective assessment: vital signs, brief clinical assessment (e.g. GCS, hydration status)
• Assign triage category based on findings from objective assessment

• Initiation of management e.g. pain management, wound dressing, immobilisation, relevant biochemical investigations / imaging

Zones in ED

Red zone

Yellow zone

Green zone

Framework of Management in ED — ROSE

Resuscitate
Optimise treatment
Stabilize patient / Monitoring
Evaluation of treatment

Tips

• In any hospital you go, ask for the medication protocol in that hospital / department, and get familiar with it

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