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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.
Below are some medical emergencies (types of accident and emergency cases) that require a visit to the A&E.
 | Accident trauma |
 | Allergic reactions |
 | Animal bites such as from snakes, dogs |
 | Breathing difficulties |
 | Burns or scalds |
 | New onset of seizure or childhood seizure |
 | Excessive or non-stop bleeding |
 | Heart attack |
 | High fever |
 | Insect stings such as from wasps, hornets |
 | Severe pain |
 | Stroke |
 | Sudden Body Weakness |
 | Sudden Loss Of Vision |
 | Sudden loss of consciousness |
 | Other Emergencies |
The specific objectives of the A&E department are as below:
 | Respond to emergencies |
 | Stabilise critically injured patients |
 | Quick assessments for differential diagnosis |
 | Minimise complications |
 | Maximise quality of life through quick, early actions |
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.
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.
- Burns
Step 1 HHold 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. - Choking
- 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.
- 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 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? - Drowning
- 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 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: - Fever
- A temperature of 40°C and above
- Difficulties in breathing
- Chest pain
- Severe headache
- Coughing with blood
- Vomiting or abdominal pain
- 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.
- 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.
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: 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 toddlersA fever is a particular cause for concern in infants and toddlers. Call for immediate emergency if the child is: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:
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. - Heart Attack
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. - Poisoning
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. - Road Accident
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. - Seizures
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. - Stroke
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.
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.
- Chemical and Food Poisoning
- There are various items within the home with poison alerts on them.
- Lock away chemicals such as bathroom and kitchen sprays including insect repellents, bleach, and washing liquids.
- Label all medications and keep them in a safe place and out of children’s reach.
- Throw away expired medications and food.
- Choking on Food and Small Objects
- Choking happens mostly in babies and toddlers as they explore with their mouths.
- Keep small objects such as stationery, bottle caps, coins, keys, and even some food out of their reach.
- Keep to age-appropriate toys as they are specifically made for children to prevent choking hazard.
- Cuts and Grazes
- Cuts could happen from handling sharp objects such as knives, shaving blades, scissors, broken glass, and paper edges.
- Be more mindful when using sharp objects and store them away from children to avoid accidental injuries.
- Use edge protectors on sharp tables and kitchen top corners to prevent graze and cuts.
- Drowning in Open Water Sources
- Drowning happens mostly to children.
- Do not leave children unsupervised in a bathtub, pool or near any water sources because it takes very shallow waters for a child to drown.
- Cover all water sources at home. Empty blow-up pools and put it away when not in use.
- Electrocution
- Working with electricity and power cords poses risks of electrocution that could lead to burns, immediate death, or even cause fire to the property.
- Do not switch off the circuit breaker in the house unnecessarily as this could cause electrical hazard.
- Avoid handling power cords and switches with wet hands as water conducts electricity.
- Always replace damaged or frayed power cables and discard any cords with exposed wiring to minimise chances of electrocution.
- Heavy Fallen Objects
- Injury from falling objects usually happens to kids as they learn to pull and tug at things. Adults are not sparred from it either especially when reaching for things on the shelf.
- Avoid storing heavy and bulky items on higher shelves.
- Keep the shelving unit organised according to your needs.
- Always use a ladder when reaching out for things on the higher unit and be more mindful while at it.
- Kitchen Fire and Heating Products
- Accidents that happen in the kitchen include burns, cuts, and other more serious cases.
- Do not leave food unattended on a burning stove in the kitchen.
- Keep flammable items such as towels, curtains, etc, away from heat sources.
- Keep your cooking area clean and free of grease.
- Use proper cooking equipment and make sure your electronic items are in good working condition.
- Use caution when cooking with oil. Avoid overheating oil and be mindful that even a single drop of water in heated oil can result in splashes and burns.
- Keep a fire extinguisher in the kitchen and know how to use it in case of a fire.
- Install a smoke detector in or near the kitchen. Test it regularly to make sure it is working properly.
- Keep heating products such as hair-straighteners, matches and flammable products such as perfumes away from children’s reach.
- Trips and Falls
- Trips and falls could result in bruises, sprains, torn ligaments, strained muscles, and in serious cases – head injuries, broken bones.
- Keep the floor dry to prevent it from being slippery.
- Use anti-slip mats especially in accident-prone areas such as the kitchen and bathroom.
- Keep the home space clutter-free, especially around stairs and narrow passageways to avoid trips.
Anyone with injury, illness, or an emergency that requires urgent medical attention will first be assessed by a triage nurse, then examined by our healthcare professional and given appropriate treatment based on their condition. The duration of the admission depends on the severity of the condition and the necessary treatment.
The medical specialists are on call 24 hours. If you have a preferred specialist at Gleneagles Hospital, you can inform the personnel at the admission counter that you wish to follow up with him or her.
Anyone, Malaysian or non-Malaysian, can walk into the nearest Gleneagles Hospital’s Accident & Emergency department so that the required medical procedures can start as soon as possible without losing precious time.
Gleneagles Hospitals accept various modes of payment including cash and major credit cards. Major foreign currencies are also accepted for the convenience of international patients.
When you are admitted at Gleneagles Hospital after a visit to the A&E, please check at the admissions counter if your insurance coverage is eligible for direct billing or the cashless service.
If your employer is assisting you with bill settlement or if you are using an insurance company through a direct billing arrangement, a Letter of Guarantee and hospitalisation identity card from your employer or insurance company are required.
In order to avail accident and emergency compensation, your documents need to clearly state your room type, your identity or passport number.
Please note that the hospital is unable to accept Letter of Guarantee from any employer or insurance company that does not have prior credit arrangements with the hospital.
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