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24x7 Emergency Care

The emergency department does not close. Patients are seen in order of how sick they are rather than when they arrived, which is why somebody who came after you may go first. Resuscitation bays, CT, operating theatres and intensive care are all within a short walk of each other.

  • Open every hour of every day
  • Seen by urgency, not arrival time
  • CT and X-ray beside resuscitation
  • Theatre and ICU in the same building

Stay

Assessment, then discharge or admission

Duration

Seen by urgency on arrival

Anaesthesia

As required

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About 24x7 Emergency Care

Triage happens on arrival, before registration is complete, because the first job is to find the patients who cannot wait. From there the department runs several streams at once: resuscitation for the critically ill, assessment for the seriously unwell, and treatment for injuries and illness that need attention today but not this minute.

  • Triage happens before registration is complete
  • Several streams run at once rather than one queue
  • Specialist teams are called down rather than the patient sent up
  • Most patients are treated and go home the same day
24x7 Emergency Care

Before you read on

Everything here is general information about 24x7 emergency care. Whether it suits you, and how it would be done in your case, is a decision for your doctor after examining you.

Your consultant's instructions always take precedence over anything written on this page.

When is it recommended?

Situations in which a doctor may suggest 24x7 emergency care.

  • Chest pain, breathlessness or palpitations
  • Sudden weakness, facial droop or slurred speech
  • Serious injury, fractures or heavy bleeding
  • Severe abdominal pain
  • Seizures or loss of consciousness
  • High fever with drowsiness, particularly in children
  • Poisoning or overdose
  • Any sudden severe symptom you are frightened by

Procedure details

The usual sequence, from first consultation through to follow-up.

01

Triage on arrival

A nurse assesses how urgent your condition is within minutes of arrival. This decides the order in which patients are seen.

02

Assessment

A doctor examines you and arranges tests. ECG, blood tests and imaging are available immediately rather than by appointment.

03

Treatment

Pain relief, fluids, oxygen or medication are started as soon as they are needed, often before the diagnosis is complete.

04

Decision

You are discharged with instructions, admitted to a ward, or taken to theatre or intensive care depending on what is found.

How to prepare

What to sort out before you come in.

  • Come as you are, there is nothing to prepare
  • Bring your medication list or the boxes if somebody can fetch them
  • Bring previous reports and scans if they are relevant and to hand
  • For serious symptoms call 108 rather than driving yourself
  • Bring one family member rather than several, as space is limited
Preparing for 24x7 Emergency Care

Recovery

What to expect afterwards, and roughly when.

  • Most patients are treated and discharged the same day
  • Follow the written instructions given, particularly the signs that mean returning
  • Complete any course of medication prescribed
  • Attend the follow-up appointment arranged, even if you feel better
  • Return immediately if the symptoms that brought you in get worse

Why choose Humayun in an emergency

An emergency department is judged on how fast the sickest patient is found and how little they are moved afterwards.

  • Triage on arrival, so a heart attack or stroke is picked out of the queue immediately
  • Imaging beside the resuscitation area rather than in another department
  • Emergency theatres and intensive care in the same building, so critical patients are not transferred
  • Specialist teams called down to the patient rather than the patient sent up to them
24x7 Emergency Care at Dr. Humayun Speciality Hospital

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Before you decide

Common questions about 24x7 emergency care.

Why was somebody seen before me?

Patients are seen by how urgent their condition is, not by arrival order. Somebody taken ahead of you is more unwell. If your condition changes while waiting, tell the nurse immediately.

Should I drive or call an ambulance?

Call 108 for chest pain, stroke symptoms, serious injury or breathing difficulty. Treatment starts in the ambulance and it brings you into the resuscitation area rather than the front door.

Can a relative stay with me?

Usually one person, and always with a child. During resuscitation the team may need space, and staff will explain what is happening as soon as they can.

How long will I be here?

It depends entirely on what is wrong. A simple injury may take an hour or two. An illness needing investigation and observation takes longer, and you will be told what is being waited for.

Still have questions?

If your question is not answered here, our team is happy to talk it through with you.

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