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KMID : 0378019810240100112
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New Medical Journal
1981 Volume.24 No. 10 p.112 ~ p.118
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Clinical Study on Emergency Patients of In Cheon District Area
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Abstract
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5422 emergency patients out of 131.016 patients were experienced in the period from 1980. Jan. 1. to 1980. Dec. 31. at in cheon gil hospital emergency room. The results are as follows.
1) 5422 patients (4.1%) out of 131.016 over all patients (35.9%) were visited of the emergency room and 2291 (42.30%) of emergency patients were required admission care.
2) Distribution of departmental emergency patients was marked as composition of OB& GY (42.5%) Internal Medicine (21.6%) Orthopedics (17.1%) General Surgery (11.7%) Pediatrics (8.6%) Neruro Surgery (8.1%) and Dentistry (0.2%)
3) Admission ratio of the emergency patients revealed high in OB & GYN (85.4%), Neuro Surgery (59.0/6), Orthopedics (39.9%) , Internal Medicine (32.1%) , General Surgery (31.6%) , Pediatrics (17.5%) and Dentistry (15.6%) in order. and emergency admission. ratio to over all admission was high in Neuro Surgery (42.8%), Orthopedics (37.4%), General Surgery, Medicine, Dentistry, OB & GYN, and Pediatrics respectively.
4) Emergency patients were increased in summer and decreased in wihter Typically,. 35.8% of all emergency patients were recieved treatment during weekend and the mean cause of emergency visiting was disease (84.6%).
5) Admission rate and expire rate of emergency patient to those of General out patients, were 8 times and over 6 times higher respectively.
Consequently:
The function of emergency room is much more complex then that of traditional clincal departments in providing care for patients in increasing number of patients and high in severity.
In addition to these, emergency patient is neither inpatient nor an out patient in the position of it´s scope.
It is necessary to have urgent care for the serious ill, and injured in emergency room. By the way it must enlist the cooperation of other departments, such as radiology, laboratory and ancillary personnels.
Despite the complexity of the Emergency Room, the character of care should have´ to be highly concentrated and immediate. There by, It is important ´in the hospital to creator to functionalize the organ namely, "Emergency patient sevice committee" and the organ must act to evaluate, plan and operate the Emergency Room service in order to assuring highly specialized, urgent, care with highly cooperative- Joint action interdepartmentally, intersectionally. The incidence of legal accidents in Emergency Room is highest than that of clinical departments too.
Then it is required to get perfect medical record in order to defense against legal accident and also continuing, the evaluation of Emergency service activity. The demand of weekend load is markedly havier than the one of the weekday.
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