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Services

Services
The department (63 beds) is divided into adult DEM with (42 beds) and Pediatric emergency (21 beds) capacity. All beds / rooms are equipped with oxygen, suction, air and grounded electrical outlets. The isolation room is designed and equipped to be used to treat require negative air flow and isolation precautions.
The DEM comprises more than 66 full time physicians (Assistant Professors,  Consultants, Demonstrators ,Senior registrars ,Registrars ,  Residents)  and approximately 190 allied health care professionals distributed over 3 units,( Adult emergency, Pediatric emergency, Emergency medical service)
The adult DEM aim to provide specialized care for all acute medical / surgical emergencies (aged more than 12 years). The unit is divided into several clinical areas to provide the best required services according to patients needs.  Triage unit (6 beds), Resuscitation unit (9 beds), Acute care unit is (19 beds) and Urgent care unit (10 beds), the unit is staffed with 119 staff nurses.
The pediatric emergency (21 beds) aims to provide emergency services for pediatric  medical / surgical cases 24 hours a day from birth to 12 years of age, children who are already receiving specialty services may continue to be taken care of girls up to 16 years of age and boys up to 14 years of age. The unit is dived into several clinical areas to provide the best required services according to patient needs.
Triage room (2 beds), Pediatric resuscitation area (3 beds), Examination / treatment room (11 beds), Procedure room (1bed) Isolation room (1bed), Nebulization room (1 bed), and urgent care (2bed). The unit is staffed with 42 staff nurses.
Emergency medical Service aim to provide the best possible pre-hospital care to KKUH and King Saud University community as well as assisting the Red Crescent Society in providing efficient and quality care to the public  It is under the administration of department of emergency medicine and supervised by Emergency Medical Service Director, who is a consultant in DEM. There are 9 ambulance cars 5 are equipped to response to emergency calls and remaining 4 are used for normal patient transfers. The unit is staffed with 16 paramedic and 6 drivers.
Administrative Services
Training & Education
Clinical services
Research
Clinical Services
The DEM provides a comprehensive emergency service to all patients presenting to the department on a 24 hours a day 7 days a week basis.
The services include:
o   Patient care:
Accepts all patients with acute illness for treatment.
Triage patients according to a 5-level Canadian Triage Acuity Scale system (CTAS); ensuring patients are assessed and sorted according to acuity
Plan for Assessment, diagnosis, treatment & medical referral for all patients as necessary
Perform emergency medical intervention and resuscitation
Provides advanced Trauma Care to trauma patients.
Liaise with all hospital departments for patient admission and follow up.
Provides care in case of disaster to the community.
Operates an Urgent Care Center almost continuously to meet the needs of less acute presentations.
Receives and assesses the stability of direct admissions, including Medi-Vac patients en route to critical care areas within the hospital.
o   Patient Presentations include:
Respiratory Emergencies
Acute airway obstruction
Acute respiratory failure
Exacerbation of COPD, asthma ,broncheactasis ….
Cardiovascular Emergencies
Cardiac heart failure
Arrhythmias
Acute Coronary Syndrome
Post cardiac surgery complications
VTE
Gastrointestinal Emergencies
GI Bleed
Bowel Ischemia
Biliary tree diseases
Bowel obstruction
Gastroenteritis
Malnutrition
Vomiting/diarrhoea
Food poisoning
Neurological Emergencies
Infections
Stroke
Seizure disorders
Head injury
Spinal injury
Acute rise of ICP
Acute pain presentation
Oncological Emergencies
Spinal cord compression 
Infection in immunocompromised patient 
Hemorrhage 
Tumor lysis syndrome
Chemo and/or radiation complications
Genitourinary Emergencies
Infection
Trauma
Acute urinary obstruction
Torsion testes
Priapism
Trauma (any types)
Thermal injury
Motor vehicle accident
Explosion injury
Orthopedic fracture
Chemical exposure
OB/GYN
 Infection
Early pregnancy emergencies
Precipitous Delivery
PV hemorrhage
Environmental & Toxicology
All type of intoxication
Heat related diseases 
Occupational diseases
Marine Medicine
Aviation Medicine
Frequent Procedures/Services/Functions:
The DEM utilizes numerous diagnostic and therapeutic modalities to facilitate patient care, including the following:
Procedure Sedation  and Analgesia
Rapid sequence intubation
Mechanical ventilation
Defibrillation
Synchronized Cardio-version
Provision of Advanced Cardiac Life Support
Provision of  Pediatric Advanced Life Support
Hemodynamic support: inotropes, anti-arrythmics
Emergency Nursing Process
Primary Survey and Secondary Survey
Initiation of life-saving measures
Recognition of pathophysiological basis to emergency
Articulation of Trauma Nursing Process
Ongoing assessment of nursing care
Review of nursing efficacy
Patient advocacy
Cardiac monitoring and rhythm interpretation
Recording of 12-lead ECG’s
IV cannulation
Ongoing nursing management of critically ill patients, unable to transfer to CCU/IC
Management of intravenous therapy including blood transfusion
Placement of chest tubes
Placement of central lines including haemodynamic monitoring lines
Initiation of cervical immobilisation and spinal precautions 
Placement of nasogastric tubes
Placement of urinary catheters
Assessment, reporting and treatment of pressure ulcers
Family health education 
Acute/acute-on-chronic pain management
Emergency childbirth 
End of life care
Education:
Training of medical, nursing, paramedical and administrative staff
Non Formal Teaching: In terms of teaching, we provide 24 hour/day, 7 day/week on-site training.
Formal Teaching: Educational Rounds
There are a number of educational rounds as follow:  
Adult Morning Report Rounds: Daily 8:00-9:00 Department's Education mini-conference Room. Discussing Interested Cases
Half Day Academic Activities "Adult": Monday, 8:00-11:00 (2nd week of each Gregorian month)
Half Day Academic Activities "Pediatric": Each 1st & 2nd Sundays of each Gregorian month
Residency Program Half-Day Academic Activities "Adult": Monday, 8:30-12:30 (3rd & 4th week of each Gregorian month)
Journal Club/Literature Review: The journal club is held in a less formal event every fourth Tuesday evening of each Gregorian month with the goal of teaching an organized method to evaluate the literature, analyze research design and examine important topics in Emergency Medicine.
Quality day: 1st Monday of the Gregorian month 8:00- 11:00 . this is a mini conference that discussed all quality issues related to the department including Mortality and morbidity when a discussion of patient with difficult management problems or complex presentation, also new guideline and policies been discussed in this day and other related quality issues like infection control . All Emergency Staff are required to attend.
Research:
The DEM contributes to enhance research in all aspects of emergency medicine through the followings:
Encouraging the consultant to have a minimum of 2-3 publications per year.
Recruit research assistants
Create research committee
Conducting clinical research, randomized controlled trials, and prospective registry.
Coordinate with other departments to accomplish national clinical trails

 

 


 

Last updated on : January 12, 2023 3:19am