Emergency Department

Emergency department (ED) has medical treatment facility specializing in emergency medicine, the acute care of patients who present without prior appointment; either by their own means or by that of an Ambulance. Chandan Hospital has well equipped Emergency Department of 10 beds. Five ambulances are always ready for 24 hours to pick the patients in quick time.

Patients can call the Ambulance through “Chandan hospital App” on mobile phone by clicking the Ambulance only. Patients will get back the phone call immediately from the Hospital to confirm the need and Ambulance will move from the nearest location to pick the patients in minimum possible time.

Tracking of Ambulance- Patients can track the location and arrival time of Ambulance through Chandan Care App on mobile phones. Patients gets the phone number of Driver also for any communication.

Ambulance is fully equipped with Ambulatory Ventilator, medical gas, resuscitation machines and Doctor to give primary treatment before reaching to hospital. Hospital gets ready to receive and treat the patient before reaching the hospital. Due to the unplanned nature of patient attendance, the department provides initial treatment for a broad spectrum of illnesses and injuries, some of which may be life-threatening and require immediate attention.

The emergency department of hospital operates 24 hours a day. Triage is normally the first stage the patient passes through, and consists of a brief assessment, including a set of vital signs, and the assignment of a "chief complaint" (e.g. chest pain, abdominal pain, difficulty breathing, etc.).

Most patients will be initially assessed at triage and then passed to another area of the department, or another area of the hospital, with their waiting time determined by their clinical need. However, some patients may complete their treatment at the triage stage, for instance if the condition is very minor and can be treated quickly, if only advice is required, or if the emergency department is not a suitable point of care for the patient. Conversely, patients with evidently serious conditions, such as cardiac arrest, will bypass triage altogether and move straight to the appropriate part of the department. The Intensive Care Unit(ICU): The most seriously ill or injured patients will be dealt with in this area, as it contains the equipment and staff required for dealing with immediately life-threatening illnesses and injuries. ICU is fully equipped with adequate staff and equipment to deal such patients.

Patients who exhibit signs of being seriously ill but are not in immediate danger of life are shifted to “HDU" where they will be seen by a physician and receive a more thorough assessment and treatment. Examples of "majors" include chest pain, difficulty breathing, abdominal pain and neurological complaints. Advanced diagnostic testing may be conducted at this stage, including laboratory testing of blood and/or urine, ultrasonography, CT or MRI scanning. Medications appropriate to manage the patient's condition will also be given. Depending on underlying causes of the patient's chief complaint, he or she may be discharged home from this area or admitted to the hospital for further treatment. Patients whose condition is not immediately life-threatening will be retained in Emergency ward. Such patients may still have been found to have significant problems, including fractures, dislocations, and lacerations requiring suturing.

Critical conditions handled :

Cardiac arrest :

Cardiac arrest may occur in the ED or a patient may be transported by ambulance to the emergency department already in this state. They are immediately transferred to Cardiac Intensive Care Unit for furthure treatment.

Heart attack :

Patients arriving to the emergency department with a myocardial infarction (heart attack) are immediately transferred to Cardiac Intensive Care Unit for further treatment.

They will receive oxygen and monitoring and have an early ECG; aspirin will be given if not contraindicated or not already administered by the ambulance team; morphine or diamorphine will be given for pain; sub lingual (under the tongue) or buccal (between cheek and upper gum) glyceryl trinitrate (nitroglycerin) (GTN or NTG) will be given, unless contraindicated by the presence of other drugs, such as drugs that treat erectile dysfunction.

An ECG that reveals ST segment elevation or new left bundle branch block suggests complete blockage of one of the main coronary arteries. These patients require immediate reperfusion (re-opening) of the occluded vessel. This can be achieved in two ways: thrombolysis (clot-busting medication) or percutaneous transluminal coronary angioplasty (PTCA). Both of these are effective in reducing significantly the mortality of myocardial infarction. This may involve transfer of patient for angioplasty.

Trauma :

Major trauma, the term for patients with multiple injuries, often from a motor vehicle crash or a major fall, is initially handled in the Emergency Department.

The services that are provided in an emergency department range from x-rays, CT Scan and the setting of broken bones to those of a full-scale trauma centre. A patient's chance of survival is greatly improved if the patient receives definitive treatment (i.e. surgery or reperfusion) within one hour of an accident (such as a car accident) or onset of acute illness (such as a heart attack). This critical time frame is commonly known as the "golden hour".

Mental illness :

Some patients arrive at an emergency department for a complaint of mental illness.Patients who appear to be mentally ill and to present a danger to themselves or others may be brought against their will to an emergency department by law enforcement officers for psychiatric examination. The emergency department conducts medical clearance rather than treats acute behavioral disorders. From the emergency department, patients with significant mental illness may be transferred to a psychiatric unit.

Asthma and COPD :

Acute exacerbations of chronic respiratory diseases, mainly asthma and chronic obstructive pulmonary disease (COPD), are assessed as emergencies and treated with oxygen therapy, bronchodilators, steroids or theophylline, have an urgent chest X-ray and arterial blood gases and are referred for intensive care if necessary. Noninvasive ventilation in the ED has reduced the requirement for tracheal intubation in many cases of severe exacerbations of COPD.