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Accident and Emergency

Accident and Emergency Services

At Gleneagles Hospitals, the Accident and Emergency Department (A&E) Services are available 24 hours a day, throughout the year. Led by a dedicated team of doctors and nurses specially trained for emergency situations, they are responsible in treating patients (adults, children, pregnant women) who are present with life-threatening and serious conditions that require immediate medical attention.

Adults may experience life-threatening emergencies such as heart attack and traumatic injuries, while children may experience emergencies such as choking and suffocation. Caregivers and healthcare providers need to be aware and have the necessary knowledge and skills to respond appropriately to each type of emergency.

On arrival at the A&E, patients are assessed, prioritised, and treated in terms of clinical needs.

Select the nearest Gleneagles Hospital in Malaysia for A&E and Ambulance Services.

Getting to the A&E (alone or accompanied)

Consider the following Standard Operating Procedures (SOPs) for accident and emergency cases that happen in your presence:

  • If possible, get someone to drive you or be accompanied.
  • Carry a mobile device in case you need to call an emergency or someone along the way.
  • Carry important and relevant documents such as an identification card and health insurance card.
  • Bring any medications that you or the patient regularly takes.
  • Provide full details and important information about the occurrence of the problem to the accident and emergency doctor in charge.
What to do during an emergency?

Quick, first aid for accidents and emergencies can make a vital difference to a patient’s condition before you can reach for medical help. These techniques could save lives when applied correctly during a medical emergency.

They are particularly useful during the wait after calling the hospital’s Accident and Emergency hotline or the ambulance services. Ambulance arrival typically takes a few minutes, depending on the location and traffic situation, and that is when first aid skills come in handy.

However, in situations like drowning, it is crucial to pull the victim out from the water first before calling for emergency services.

Below are some common medical emergencies and what you can do to help in a situation while waiting for the ambulance to arrive.

Step 1
Hold the affected area under cool, running water for 10 to 15 minutes, or until the pain eases.

Do not prick to burst the blisters. Do not use ice to cool off.

Step 2
Remove any jewellery or other restrictive garments quickly and gently before the affected area swells up.

Step 3
Call an ambulance or visit the hospital’s Accident & Emergency department immediately.

Step 4
For minor burns and scalds, apply water soluble antiseptic gels, cream, or ointment to provide pain relief and prevent infection.

Step 5
Cover the affected area with a clean, dry cloth or gauze.
Step 1
If the person is an adult, perform the abdominal thrust or the Heimlich Manoeuvre by standing behind the person.

For a child, kneel down behind. Place one foot slightly in front of the other for balance.

Step 2
Tip the patient slightly forward and wrap your arms around the waist.

Step 3
Clench your fist and position them two fingers width above the patient’s navel.

Grasp the fist with the other hand and press hard inwards, towards the upper abdomen repeatedly until the blockage is cleared.

For a child, use gentle yet firm pressure to avoid damaging the internal organs.

What to do for a choking infant younger than age 1?

  • Sit and hold the infant face-down on your forearm.
  • Thump the infant gently but firmly five times in the middle of the back.
  • Turn the infant face up on your forearm if breathing has not started.
  • Give five gentle but firm chest compressions with your fingers.
  • Repeat the back thumps and chest compressions if breathing does not start.
  • Call for emergency medical help.
  • Begin infant CPR if the airway is clear but the infant does not start breathing.

What to do if you are alone and choking?

  • Call for an emergency right away.
  • Then, give yourself abdominal thrusts (Heimlich manoeuvre) to remove the stuck object.
  • Place a fist slightly above your navel.
  • Grasp your fist with the other hand.
  • Bend over a hard surface. A countertop or chair will do.
  • Shove your fist inward and upward.
Step 1
Remove victim from the water without endangering yourself.

Step 2
Open the airway by placing one hand on the forehead to tilt the head back. Use two fingers from the other hand to lift the chin.

Step 3
If the victim is unresponsive, check if there is breathing by placing your ear above the victim’s mouth, with your eyes looking down the body.

Check for signs of the person’s breath on your cheek or watch out for chest movements for 10 seconds.

Step 4
If there is no breath, perform CPR immediately and wait for help.

Call for immediate emergency assistance in the following scenarios:

  • When a drowning child has problems breathing or has stopped breathing as a result of being immersed or submerged in liquid. Remember: A child can drown in as little as 1 inch of water.
  • When a child has had a near-drowning episode.
Step 1
Make the person comfortable. Place a light sheet or a duvet over them.

Step 2
Check the patient’s body temperature with a thermometer.

Step 3
Call an ambulance or visit the hospital’s Accident & Emergency department immediately if the patient has the following symptoms:
  • A temperature of 40°C and above
  • Difficulties in breathing
  • Chest pain
  • Severe headache
  • Coughing with blood
  • Vomiting or abdominal pain

Step 4
Bath or sponge the patient with lukewarm water may help bring down a fever. Do not use cold water, ice baths, or alcohol.

Fever in infants and toddlers

A fever is a particular cause for concern in infants and toddlers. Call for immediate emergency if the child is:
  • Less than 3 months old with a rectal temperature of 38°C (100.4°F) or higher.
  • Between 3 and 6 months old with a rectal temperature higher than 38.9°C (102°F) or has a lower temperature but seems unusually irritable, sluggish, or uncomfortable.
  • Between 7 and 24 months old with a rectal temperature higher than 38.9°C (102°F) that lasts longer than one day but shows no other symptoms. If your child also has other signs and symptoms, such as a runny nose, cough, or diarrhoea, call A&E sooner.

Fever in children (> 2 years old)

Usually, there is probably no cause for alarm if your child has a fever but still responsive, which means your child makes eye contact with you and responds to your facial expressions and to your voice. Your child may also be drinking fluids and playing.

However, emergency assistance is required if your child:
  • Is listless, confused or has poor eye contact with you.
  • Is irritable, vomits repeatedly, has a severe headache, sore throat, stomach-ache, or other symptoms that cause a lot of discomfort.
  • Has a fever after being left in a hot car. Seek medical care immediately.
  • Has a fever that lasts longer than 3 days.
  • Has a seizure associated with the fever. Call 999 if the seizure lasts more than 5 minutes or your child does not recover quickly.
Ask your child's healthcare provider for guidance in special circumstances, such as a child with immune system problems or with a pre-existing illness.

Reminder: Do not give aspirin to anyone under the age of 16.
Step 1
Call Accident & Emergency or Ambulance Service immediately.

Step 2
Help move the patient into a comfortable position. The best position is on the floor, with their knees bent and their head and shoulders supported.

Place cushions behind them or under their knees.

Step 3
Ask the patient to take their own angina medication if they have the medication.

Step 4
Keep monitoring the patient’s level of response until emergency help arrives.

Step 5
If they become unresponsive at any point, prepare to start CPR.
Step 1
Check the scene and the person and try to find out what poison was taken.

Step 2
Look for labels on any containers near the victim.

Step 3
Do not give the person anything to eat or drink unless directed to do so by the person on the emergency helpline.
Step 1
Call Accident & Emergency or Ambulance Service immediately.

Step 2
Alert oncoming traffic about the accident. Make sure you are safe first before helping the patient.

Step 3
Turn off the vehicle ignition. Turn on the hazard lights to indicate that the vehicle is immobile.

Step 4
Move the patient to a safer side, away from the oncoming traffic, broken glass, or leaking fluids from the accident.

Step 5
In the case of a bleeding patient, apply pressure on the injury using any available material to stop heavy bleeding.

Step 6
Make sure that the patient is getting enough air. Avoid crowding around the patient.

Step 7
If you are unsure of the patient’s injuries, do not move or lift the patient as this may worsen injuries and create more damage.

Step 8
Wait for the ambulance for further help.
Step 1
Turn the patient to one side to prevent choking.

Step 2
Do not restrain or hold down the patient to prevent shoulder injury.

Step 3
Clear the surrounding area by removing any harmful objects.

Step 4
Avoid placing any objects in the patient’s mouth to prevent clenching as this could chip teeth or cause a jaw fracture.

Step 5
Loosen any tight neckwear.

For patients with a history of epilepsy or seizures, consult your doctor for emergency seizure-stopping medicines which can be kept at home and used as directed by the doctor if the seizure is longer than 5 minutes and when you cannot immediately reach for medical help.
Step 1
Look for Facial Weakness. Ask the person to smile. They may be droopy and could not smile evenly.

Step 2
Look for Arm Weakness. Ask them to raise both of their arms. They may only be able to raise one.

Step 3
Observe Stability. Check their feet stability and steadiness. They may face difficulty to balance or walk as they normally do.

Step 4
Observe Speech. Ask a simple question such as ‘What is your name?’

Observe if can they respond appropriately.They are unable to speak clearly or might not be able to understand what you are saying to them.

Step 5
Look at their Eyes. Observe any visual changes suddenly, partial loss of vision in one eye, both eyes, or double vision.

Step 6
Time for Action. Call Accident & Emergency or Ambulance service number immediately and tell them you suspect a stroke patient.

Step 7
While waiting for help to arrive, keep the patient comfortable by support head and shoulder on a pillow, loosen the tight clothing, wipe away secretions from mouth, ensure the airway is clear and open.

Step 8
Place in the recovery position if the person is unconscious.
8 Common Home Accidents and How To Prevent Them

Home accidents can happen even in the safest of spaces, and often involve children or older adults. It is important to understand that despite your best efforts in keeping the home environment safe, accidents could still happen.

However, you can reduce the risks of home accidents.

Take the following precautionary measures to prevent common home accidents and make your home safe for a well-balanced domestic health.

Gleneagles Hospital Kota Kinabalu
Ambulance / Emergency
+6088 518 911
Gleneagles Hospital Kuala Lumpur
Ambulance / Emergency
+603 4141 3018
Gleneagles Hospital Penang
Ambulance / Emergency
+604 222 9199
Gleneagles Hospital Medini Johor
Ambulance / Emergency
+607 560 1111
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