东区医院两分钟救人.pptVIP

Emergency Response Team Dr Wong Kin Wa ICU, PYNEH, Hong Kong 29 May 2009 Emergency Response Team Emergency Response Team Seriously ill patients and patients at high risk of developing serious illness no longer confined to ICU High incidence of potentially preventable mortality in General WARDS A generic , multidisciplinary hospital flexible model for clinical emergency response systems (CERS) provision of BLS and ALS providing support for general ward staffs for early recognition of a deteriorating clinical condition 5 Essential Components of Emergency Response Team Recognition of worsening condition and appropriate response (ward staff + primary care team) Protocol for when and how to trigger a response to call for assistance (ward staff+ primary care team) Responders who are capable to intervene (medical emergency team) Training system for staffs involved in 1-3 Quality improvement Structure of CERS Individuals trained in resuscitation and early recognition and management of patient in critical conditions Hospitalists Career medical officer who is trained in caring for patient with deteriorating condition Nurse emergency assessment team/ patient at risk team Nurse educator ICU/ED outreach nurse After hour medical team 4 Levels of Response to Patients with Deteriorating Condition Potential Calling Criteria for MET Airway: all respiratory distress/ airway obstruction Breathing: RR5/mins RR25/mins Circulation: Cardiac arrest Pulse40/min Pulse140/min SBP90mmHg Inside HospitalWards and units(except medical ward and operation theatre) 死者子轟明愛無人性 醫院堅持職員依足指引沒犯錯 (明報)2008年12月22日 星期一 05:10 運輸商前日在貨車上贏馬心臟病發， 兒子即驅車往醫院尋求「希望」，卻換來職員回答謂「唔關我事，你打999」。明愛高層昨日高調回應事件，堅持職員的做法符合醫院指引沒犯錯，「就算我親人在醫院門口心臟病暈低，我都係打999叫白車，醫院門外應該由消防去救」， 院方：親人門外出事也打999 明愛急症室主管吳奎昨聲稱，就算自己的親人在醫院門口心臟病發，也只會打999等救護車。龍仔聞之大怒﹕「我梗係唔信佢啦！你估我傻?咩！佢竟然話 喺醫院門口，唔關醫院事！話係消防員嘅責任，識得救人嘅都應該出嚟救呀嘛！嗰個我阿爸嚟?！ 「淨係救醫院範圍裏的人？」 「好似唔關佢事，醫院唔係救人?！淨係救醫院範圍裏面呀？有人喺門口叫救命呀！叫人去打999，詢問處無電話嘅咩？我好想講，好想表達，好想投訴佢 地…」 HKEC TASK FORCE ON DESIGNATED RESPONSE