Refer Emergency OPD case Resuscitation Cardiac Airway arrest

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Refer Emergency OPD

Refer Emergency OPD

ตวอยาง case Resuscitation Cardiac Airway arrest : FB obstruction with cyanosis , ETT Breathing

ตวอยาง case Resuscitation Cardiac Airway arrest : FB obstruction with cyanosis , ETT Breathing : ETT , pneumo/hemothorax ใส ICD , anaphylaxis Circulation : Shock , AMI with poor perfusion , unstable tachycardia/ bradycardia Multiple trauma with shock Active bleeding with shock Disability : severe head injury , status epilepticus

ตวอยาง case Emergency Stroke , Stroke fast track Unstable angina/NSTEMI COPD with AE Sepsis

ตวอยาง case Emergency Stroke , Stroke fast track Unstable angina/NSTEMI COPD with AE Sepsis MCA, ปวดทอง , FAST +ve แต vital signs ปกต Alteration of consciousness Mild to moderate head injury (GCS < 14) Paraquat poisoning UGIH , pulse เรว , NG สแดงสด Pregnancy + เลอดออกชองคลอดปรมาณพอสมควร หรอ ลกดนนอยลง Labour + CPD (cephalopelvic disproportion) AAA + ปวดทอง แต vital signs ปกตอย Peritonitis , ruptured appendicitis

ตวอยาง case Urgency �Acute appendicitis �Symptomatic gall stone �Anterior shoulder dislocation �Acute pancreatitis �T

ตวอยาง case Urgency �Acute appendicitis �Symptomatic gall stone �Anterior shoulder dislocation �Acute pancreatitis �T 12 compression Fx �Intertrochanteric Fx �Corneal ulcer �Neonatal jaundice �Mild head injury , GCS = 15 �UGIH , vital sign ปกต , ชพจรไมเรว coffee ground �Gut obstruction , NG

(Triage) จำแนกตามระดบความฉกเฉน เฉลยตอเดอน (ราย( 64. 5% 2330 2500 2000 1500 1000 229 6. 4%

(Triage) จำแนกตามระดบความฉกเฉน เฉลยตอเดอน (ราย( 64. 5% 2330 2500 2000 1500 1000 229 6. 4% cy en rg en -u on nc cy y rg er Em Se m i-u R es us ci ta ge tio nc n y 5. 1% 9. 4% rg e 0 340 14. 6% N 185 U 500 527

National Highway Traffic Safety Administration

National Highway Traffic Safety Administration

สมรรถนะบคลากรนำสง ����� Minimum Requirement for Staff Qualifications ����� �� ER* Basic Doing Develop 0

สมรรถนะบคลากรนำสง ����� Minimum Requirement for Staff Qualifications ����� �� ER* Basic Doing Develop 0 -1 �� Principle of Transportation + BLS 1 -3 �� ����� Basic + ACLS + ATLS/ATCN/ITLS 3 -5 �� ����� Doing + PALS + Neonatal Resuscitation 5 Advance ������� �� ����� Develop + critical care transport

การจดทรพยากรบคลากรนำสง Competency Level of Patients Acuity Advance U Unstable H Stable with High Risk

การจดทรพยากรบคลากรนำสง Competency Level of Patients Acuity Advance U Unstable H Stable with High Risk of Deterioration M Stable with Medium Risk of Deterioration‡ L Stable with Low Risk of Deterioration N Stable with No Risk of Deterioration Develop 1 Doing 1 1 Basic 1 1 1 ����� �� † ����� 3 �� 2 �� 1 1 �� ± 1 * 0 -1 ��

ผปวยชาย อาย 25 ป จกรยานยนตลม ปวดแขนซาย X-ray พบ closed fracture Lt distal radius with

ผปวยชาย อาย 25 ป จกรยานยนตลม ปวดแขนซาย X-ray พบ closed fracture Lt distal radius with intraarticular fracture ไม มอาการชาปลายมอ ชพจร radial แรงด Stable with No risk Adva nce Devel Doing. Basic op

Thai. Refer Add “Namo Teerin” “แมวบา สลาตน ” “Thanindesu Lokeskrawee” “Nantnalin Nakakul” “ขอเขากลม Thai.

Thai. Refer Add “Namo Teerin” “แมวบา สลาตน ” “Thanindesu Lokeskrawee” “Nantnalin Nakakul” “ขอเขากลม Thai. Refer คะ ”

Thank you for you attention

Thank you for you attention

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