EMERGENCY SERVICE ORGANISATION IN MULTIPLE PATIENT APPLICATION DUE TO MAJOR ACCIDENTAL EVENTS

In order to perform life saving procedures for every case of acute disease and trauma, perfectly organized emergency clinics are required. In our country the importance of the first aid and ambulance transport services isn't considered sufficiently. Our emergency clinic, which was established in 1993, serves in all branches, both medical and surgical, so that all mind of acute intervention can be carried out under the same roof. With these features, it is one of the first examples in this area in Turkey. Our emergency clinic consists of reanimation ward, policlinics, laboratories, computerized tomography, theatre rooms and intensive care unit. In 1994, 107768 patients were admitted to our emergency clinic (mean 295.2 patients/day) and operations were performed for 1891 of them (mean 5.2 operations /day). 709 patients were kept under supervision in the intensive care unit for while (mean 1.9 patients /day). We think that contemporary emergency clinics-the staff and equipment of which are being supplied by educational hospitals-are appropriate for our country's conditions.

KARTAL EÐÝTÝM VE ARAÞTIRMA HASTANESÝ ACÝL SERVÝS BÝNA ÖRNEÐÝ VE ÇALIÞMA SÝSTEMÝ

Her türlü acil hastalýk ve travmada hayat kurtarýcý giriþimlerin yapýlabilmesi için tam teþekküllü acil servislere ihtiyaç vardýr. Ülkemizde ilk yardým ve transport hizmetlerine ve acil servislere yeteri kadar önem verilmemektedir. 1993 yýlýnda hizmete açýlan hastanemiz acil servis binasý, tüm branþlara ait acil baþvurulan ve giriþimleri ayný çatý altýnda toplamasý özelliði ile ülkemizde ilk örneklerden biridir. Reanimasyon odasý, poliklinikler, laboratuarlar, bilgisayarlý tomografi, ameliyathaneler, yoðun bakým servisi gibi birimleri bünyesinde barýndýrmaktadýr. Acil servise, 1994 yýlý içerisinde 107.768 (295.5 kiþi/gün) hasta acil olarak baþvurdu. 1891 (5.2 kiþi/gün) hastaya ameliyat yapýldý. 709 (1.9 kiþi/gün) hastaya yoðun bakým hizmeti verildi. Ülkemiz koþullarýna, hekimi, personeli ve malzemesi bir eðitim hastanesi tarafýndan karþýlanan çaðdaþ acil servislerin uygun olacaðýný düþünmekteyiz.