Clinic-Based Emergency

 

A busy GP gets at least 80 emergencies per year.

 

Training

Reception staff and workers

Everyone should have a role.

 

Unscheduled mock codes can be very helpful.

 

 

Infection Control

 

 

Procedures

 

 

Documentation

Key for patient care upon transfer to hospital and for medico-legal reasons

 

Inform the patient's family and ensure the patient has an advocate at the receiving site.

 

Debriefing

Staff, patients in the waiting room

PDSA cycles: what simple things can we do better next time and implement quickly

 

 

Protocols

Should have similarities with

www.wrha.mb.ca

• seizures
• hypoglycemia
• asthma
• chest pain
• anaphylaxis
• abdominal pain
• head injury
• respiratory distress

Practice outcomes

definitions

symptoms and signs

intervention - pediatric and adult

supplies and equipment (KISS)

quick rference sheet

 

pediatrics

• airway obstruction

AEDs

 

Equipment

Pulse oximeter

 

Anaphylaxis

2x1ml epinephrine

blood glucose testing strips and monitor; glucose tablets and glucagon

 

 

Asthma

Adult and children

 

Chest pain

ASA 81 mg chewable

suction machine

lorazepam 2 mg sublingual tablets

 

 

Kaufman MA 2009. Life-threatening respiratory failure from H1N

1 influenza

Preparedness for COR in primary care. Scand Journal Priamry Care. 22(2):87-90.

Resuscitation by Primary Care Doctors. 2006. Resuscitation 70:229-237.

Medical Emergency Preparedness in Office Practice. 2007. American Family Physician 75(11).