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Video reveals grim situation in emergency rooms

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Video reveals grim situation in emergency rooms

By The Nation

 

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Credit:National Institute for Emergency Medicine

 

A heart-wrenching two-minute video released by the National Institute for Emergency Medicine, designed to inform people about how to make the best use of hospital emergency facilities, is apparently in response to recurring complaints about inadequate service resulting in loss of life. 

 

An institute official told The Nation that patients sometimes do indeed die partly because of limited resources and overcrowded emergency rooms.

 

Death could also occur, she said, because the doctor on duty misdiagnoses a condition or errs in deciding which patients are in most dire need of attention.

 

The dialogue in the video runs as follows:

 

 

Dad: My kid has a high fever and has fallen unconscious.

 

 

Nurse: Well, we’ll run tests in a minute, so please have a seat and wait.

 

Mom: Yes ma’am.

 

Narrator: Statistics shows 60 per cent of patients in emergency rooms are not people in urgent need. This means doctors and nurses have to work very hard. Moreover, limited medical equipment cannot meet the high demand.

 

Nurse: Please wait. The doctor is busy with an emergency patient.

 

First teenager: How long do we have to wait? My friend has a cut on the head and we’ve been waiting for an hour!

 

Second teenager: This hospital sucks!

 

Dad: What are you doing? Isn’t this the emergency department? My kid is severely ill, so why is there no doctor to look at him? Are you waiting until he dies? 

 

Nurse: We have to take care of the emergency patients first. I’m really sorry but we have one patient who needs urgent treatment. Excuse me sir.

 

Dad: Hey, my kid is going to die! Isn’t that an emergency? 

 

Dad: You’re too busy but you have time to play with your mobile phone! If you don’t want to cure people, then why did you become a doctor?

 

Nurse: The patient has low blood pressure and is not responding.

 

Narrator: People waiting in the emergency room must acknowledge that the doctors and all staff are spending every minute saving the life of another patient. People without emergency conditions shouldn’t use the emergency room because every minute lost there could be a matter of life or death for many others who are in more critical condition.

 

Source: https://www.nationthailand.com/lifestyle/30376537

 

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-- © Copyright The Nation Thailand 2019-09-22

 

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I do not think this is solely a Thailand issue. Hospitals all over the world suffer the same problems. As posters above have said it is often people with minor scratches or ailments crowding the system. I do not know what the answer is to this problem, maybe a type of screening of patients to filter out non emergency on arrival. But then who will do that, and what criteria would have to be used....:sad:

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13 minutes ago, AhFarangJa said:

I do not think this is solely a Thailand issue. Hospitals all over the world suffer the same problems. As posters above have said it is often people with minor scratches or ailments crowding the system. I do not know what the answer is to this problem, maybe a type of screening of patients to filter out non emergency on arrival. But then who will do that, and what criteria would have to be used....:sad:

Overflowing emergency rooms is a known problem, i some cases due to people not having a regular Dr. to visit for lesser issues that left untreated can become major problems. I use to work at a hospital in the boiler room the entrance to the emergency room was in clear view of our shop. Friday and Saturday nights were the action nights, car wreck victims, injured drunks, drive by shootings, stabbings, beatings, and just plane old accidents. On ocassion the police were called in to haul off relatives and friends who could not set and wait but needed to interfer with treatment or gang members seeking retribution. Yep a problem world wide no need to get carried away and think it is only a Thai issue they are too dumb to handle

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55 minutes ago, trd said:

Triage is an integral aspect of all accident & emergency departments the world over. 

 

 

There is triage and there is triage. You know what I meant.

 

 

 

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3 hours ago, colinneil said:

Accident and emergency rooms at government hospitals are over crowded, staff over stretched due to the many people blocking the place with silly little none emergency ailments, ooh my nose is running, or i not been to the toilet for 3 days.

System being blocked by many for no reason.

 

sooo true.  other thing is the hordes of drivers that dont use seat belts adds to severity of injuries due to stupidity.

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10 minutes ago, NancyL said:

Every A&E I've seen in Thailand, the incoming patients have their vital signs checked immediately upon arrival.  That wasn't done in this video.  If the boy had an extremely high fever, low blood pressure and maybe had experienced some seizures, he would have been triaged appropriately. 

 

While this video made a good point, it didn't depict what seems to be normal and good medical practice here. 

I took my son to A&E in Bangkok Pattaya hospital with a badly cut lip. Was seen immediately, promptly stitched and was out of A&E in 45 minutes.

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It is a problem everywhere but skilled triage nurses make a world of difference in ensuring that, despite the crowding, care is given promptly to true emergency cases. That does mean that everyone else has to wait longer, of course.

 

Indeed, extremely long waits for people with non-urgent complaints is often actually a good sign indicating patients are being seen based on urgency rather than when they arrived. (Or how much they complain).

 

This video was poorly designed/chosen as the case (child unconscious with high fever) was in fact an emergency and any competent triage nurse would have sent the child straight inside to be treated at once.

 

 

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The article is about Thailand. I filter the comments that compare it to "back home".

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WRT Thailand, see back on topic 🙂 I don't know if hypochondria is part of the genetic makeup here, it seems that every Thai I know, particularly females, seem to have a huge bag of prescription pills ?

 

If I have a minor ailment my Mrs asks if I want to go to and see the doctor, I always refuse and invariably the problem sorts itself out in a few days. Her and her friends on the other hand are in the doctors at the drop of a hat, velly stlange. 😎

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