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Accident & Emergency (A&E)

The Accident & Emergency (A&E) services at Gleneagles Hospitals are available 24/7 daily, ensuring that expert medical care is always available whenever needed.

If you or someone you know is experiencing an emergency, call an ambulance or head straight to one of our nearest A&E for immediate medical attention. Remember, every second counts in emergency situations.

The team of skilled emergency physicians, doctors, nurses, and support staff is ready to provide immediate care and support at our urgent treatment centre. Upon your arrival at the Accident & Emergency (A&E), experienced medical personnel will swiftly assess your condition, triage appropriately, and commence treatment in accordance with your clinical needs.

As Malaysia's dedicated accident and emergency hospital, your health and safety are our unwavering commitment.

Select the nearest Gleneagles Hospital in Malaysia for Accident & Emergency (A&E) and Ambulance Services.

Gleneagles Hospital Kota Kinabalu Gleneagles Hospital Kuala Lumpur Gleneagles Hospital Medini Johor Gleneagles Hospital Penang

Triage & Waiting Time

The triage system plays a crucial role in prioritising patients based on the acuity of their clinical presentation.

Upon arrival at the emergency department, the triage nurse will assess your condition and categorise according to the severity of your condition. This assessment ensures that those with critical or urgent medical requirements receive immediate attention and care, allowing us to provide timely and appropriate treatment to all patients.

At Gleneagles Hospitals, we follow the 5-level triaging system, that is:

RED ZONE

Critical
(Seen immediately, 0-5 minutes)

Examples

  • Cardiac arrest
  • Severe respiratory distress
  • Extensive burns
  • Unresponsive trauma patient
  • Near-drowning
  • Hypotension with signs of shock

YELLOW ZONE

Semi-critical / high risk
(Seen within 15 minutes)

Examples

  • Acute abdomen pain
  • Open fractures of upper limbs (arms and hands)
  • Altered conscious level but not comatose
  • Spine injuries
  • Fever >40°C

GREEN ZONE

Non-Critical

Sub-category G1
(Seen in 30 minutes)

Examples
  • Mild asthma
  • Diarrhoea and/or vomiting with dehydration
  • Mild abdominal pain

Sub-category G2
(Seen in 60 minutes)

Examples
  • Minor allergic reaction
  • Minor burns
  • Acute infective eye conditions
  • Fever >38°C for adults

Sub-category G3
(Seen in 90 minutes)

Examples
  • Sore throat with no respiratory symptoms
  • Simple upper respiratory tract infection in adults
  • Wound dressing and opening stitches
  • Nail prick

We are committed to optimising efficiency and reducing waiting times for all our patients.

If you encounter any delays, our nurses are always available to help you and make sure that your condition is being monitored.

Getting to the Accident & Emergency (A&E) Treatment Centre (Alone or Accompanied)

  • If possible, get someone to drive you or be accompanied.
  • Carry a mobile phone in case you need to call for help if the situation worsens or if you need assistance while on the way to the hospital.
  • Carry essential and relevant documents such as identification and health insurance cards.
  • Bring any medications that you or the patient regularly take.
  • When you arrive at the A&E, make sure to provide detailed and accurate information about your symptoms, medical history, and the reason for your visit.

What to Do During an Emergency?

Knowing basic first aid techniques can make a significant difference in critical situations before professional medical help arrives. It is a vital and fundamental skill that serves as the initial response to injuries, illnesses, and emergencies where timely medical intervention is not readily available.

Administering proper first aid can help prevent the worsening of injuries or conditions. For instance, stop bleeding, immobilising fractures, or clearing airways can prevent complications.

In life-threatening situations, such as cardiac arrest, the timely application of first aid techniques such as cardiopulmonary resuscitation (CPR) can save lives.

The following are some common medical emergencies and what you can do to help while waiting for an ambulance to arrive.

Step-by-step First Aid Measures for Burns and Scalds

First Aid Measures for Burns and Scalds

What to do if someone has a burn injury?

Step 1: Remove any jewellery or other restrictive garments quickly and gently before the affected area swells up.

Step 2: Hold the affected area under cool, running water for 5 minutes.

Step 3: Alternatively, the wound can be covered with wet gauze or towels for at least 30 minutes.

Step 4: For minor burns and scalds, paracetamol or non-steroidal anti-inflammatory drugs (NSAIDs) can be taken for pain relief.

Step 5: Go to the hospital’s Accident & Emergency.

First Aid Measures for Choking

What to do when an adult is choking?

Step 1: Call an ambulance immediately.

Step 2: Encourage the person to cough. However, if choking is severe, they may not be able to breathe, speak or cough.

Step 3: Perform chest blows by standing behind the person. Lean the person slightly forward and give 5 blows to the upper back with the heel of the hand.

Step 4: If the person is still choking, perform abdominal thrust (Heimlich manoeuvre). Wrap your arms around the waist, create a fist with one hand and position it just above the umbilicus (belly button). With your other hand, grip the fist and deliver and inward and upward thrust simultaneously.

Step 5: Continue step 3 and 4 until the choking is relieved or until ambulance arrives. If the person becomes unresponsive, start CPR.

What to do when a child over 1 year old is choking?

Step 1: Call an ambulance immediately. The child may be unable to speak, breathe or cough with sound while clutching their neck or chest.

Step 2: Perform 5 back blows by hitting firmly on the child’s back between the shoulder blades while holding in a head-down position.

Step 3: If the child is still choking, perform 5 abdominal thrusts (Heimlich manoeuvre). Hold the child around the waist and administer an inward and upward thrust simultaneously, just above the umbilicus (belly button).

Step 4: Continue step 2 and 3 until blockage dislodges or ambulance arrives. If the child becomes unresponsive, start CPR.

What to do when an infant is choking?

Step 1: Call an ambulance immediately. Infant may be unable to cry, breathe, cough or make any noise.

Step 2: Perform 5 back blows by holding the infant face-down along your thigh, ensuring that their head is positioned lower than their bottom. Deliver firm blows to their back between the shoulder blades using the heel of your hand.

Step 3: If the infant is still choking, perform 5 chest thrusts. Turn the infant over so they are facing upwards. Position two fingers in the middle of their chest, just below the level of the nipples and push downwards firmly up to 5 times.

Step 4: Continue step 2 and 3 until blockage dislodges or ambulance arrives. If the infant becomes unresponsive, start CPR.

Step-by-step first aid measures for drowning

First Aid Measures for Drowning

What to do if witness someone drowning?

Step 1: Remove victim from the water without endangering yourself.

Step 2: Check the victim for a response. If the victim is unresponsive, shout for help and call an ambulance right away.

Step 3: Provide rescue breathing if victim is not breathing but pulse is felt. 1 breath every 6 seconds for 10 breaths per minute. Check for pulse every 2 minutes.

Step 4: Begin CPR (cardiopulmonary resuscitation) if there is no pulse.
  • 30 compressions : 2 breaths
  • Place both hands in the centre of the chest, between the nipples
  • 100-120 compressions per minute
  • Compression depth of about 5-6cm
  • Allow full chest recoil after each compression

Step 5: Continue to perform CPR until emergency help arrives and manages the victim or until there are signs of life and the victim starts to breathe normally.

Step 6: Put the person in recovery position if they are becoming responsive and breathing normally. Keep the victim dry and warm if possible.

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. A child can drown in as little as 1 inch of water.
  • When a child has had a near-drowning episode.
Step-by-step first aid measures for managing fever

First Aid Measures for Managing Fever

What to do if someone has a fever?

Step 1: Make the person comfortable. Wipe the body with a wet towel to permit heat dissipation.

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

Step 3: Give the patient fluids such as water or diluted juice.

Step 4: Call an ambulance or visit the hospital’s Accident & Emergency 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

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:
  • Younger than 3 months old and has a rectal temperature of 38°C (100.4°F) or higher.
  • Between 3 and 6 months old and has 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 and has 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, you can call sooner.

Fever in children (> 2 years old)

There is probably no cause for alarm if your child has a fever but is responsive. This 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.

Remember: Do not give aspirin to anyone under the age of 16.

symptoms of the heart attack and cardiac arrest and step-by-step measures

Heart attack vs Cardiac arrest

Know the differences to help someone in an emergency

 

Heart attack (Myocardial infarction)

Cardiac arrest

What is it?

  • It is a “circulation” problem.
  • Occurs when there is a blockage in one or more of the coronary arteries supplying blood to the heart muscle.
  • If a blocked artery is not promptly reopened, the part of the heart that receives blood from that artery begins to die.
  • The heart continues to beat, and the person may remain awake. Symptoms develop gradually.
  • Immediate medical attention is vital.
  • It is an “electrical” problem.
  • Occurs when there is sudden loss of heart function and heart stops beating.
  • Triggered by an electrical malfunction in the heart, resulting in an irregular heartbeat (arrhythmia). This prevents the heart from effectively circulating blood to the brain, lungs, and other organs. 
  • Within seconds, the person becomes unresponsive and stops breathing.
  • If immediate cardiopulmonary resuscitation (CPR) is not initiated, death can occur rapidly. 

While most heart attacks do not result in cardiac arrest, it is possible for a heart attack to lead to a cardiac arrest.

What are the symptoms?

  • Intense discomfort or pain in the chest and other areas of the upper body (shoulders, arms, neck, back, jaw or stomach)
  • Shortness of breath
  • Nausea, vomiting
  • Cold sweats
  • Dizziness 
  • Palpitations 
  • Sudden loss of responsiveness 
  • No normal breathing

What to do?

  1. Call an ambulance immediately.
  2. Ask the person to take their own heart attack medication if they have.
  3. Monitor the person's response level until the ambulance arrives. 
  1. Call an ambulance immediately.
  2. Start CPR right away.
  3. Get an AED (Automated External Defibrillator) and use it as quickly as possible. 
  4. Continue CPR until person breathes or ambulance arrives.

Call an ambulance or head straight to the nearest Gleneagles Hospital Accident and Emergency (A&E) for immediate medical attention. Remember, every second counts!

Step-by-step first aid measures for burns and scalds

First Aid Measures for Poisoning

What to do in case of poisoning?

Step 1: Call an ambulance immediately.

Step 2: Check the scene and person and try to find out what poison was taken.

Step 3: Look for labels on any containers near the victim.

Step 4: Do not give the person anything to eat or drink.

Step 5: Wash your hands immediately if you touch the victim or poison containers nearby to reduce the risk of contamination.

B.E.F.A.S.T to spot a stroke!

How to tell if someone is having a stroke. Look out for the following signs.

Balance

  1. Sudden loss of balance?
  2. Having difficulty standing or walking?

Eyes

  1. Change in vision?
  2. Having trouble seeing?

Face

  1. Does the face look asymmetrical?
  2. Does one side of the face droop?
  3. Can the person smile?

Arm

  1. Sudden weakness or numbness of one or both arms?
  2. Can the person raise both arms?

Speech

  1. Having difficulty speaking?
  2. Is the speech slurred or hard to understand?
  3. Ask the person to repeat after you.

Time

  1. Time critical for stroke management. Early treatment significantly improves the chances of recovery.

Call an ambulance or head straight to the nearest Gleneagles Hospital Accident and Emergency (A&E) for immediate medical attention. Remember, every second counts!

  • Burns
      Step-by-step First Aid Measures for Burns and Scalds

      First Aid Measures for Burns and Scalds

      What to do if someone has a burn injury?

      Step 1: Remove any jewellery or other restrictive garments quickly and gently before the affected area swells up.

      Step 2: Hold the affected area under cool, running water for 5 minutes.

      Step 3: Alternatively, the wound can be covered with wet gauze or towels for at least 30 minutes.

      Step 4: For minor burns and scalds, paracetamol or non-steroidal anti-inflammatory drugs (NSAIDs) can be taken for pain relief.

      Step 5: Go to the hospital’s Accident & Emergency.

  • Choking

      First Aid Measures for Choking

      What to do when an adult is choking?

      Step 1: Call an ambulance immediately.

      Step 2: Encourage the person to cough. However, if choking is severe, they may not be able to breathe, speak or cough.

      Step 3: Perform chest blows by standing behind the person. Lean the person slightly forward and give 5 blows to the upper back with the heel of the hand.

      Step 4: If the person is still choking, perform abdominal thrust (Heimlich manoeuvre). Wrap your arms around the waist, create a fist with one hand and position it just above the umbilicus (belly button). With your other hand, grip the fist and deliver and inward and upward thrust simultaneously.

      Step 5: Continue step 3 and 4 until the choking is relieved or until ambulance arrives. If the person becomes unresponsive, start CPR.

      What to do when a child over 1 year old is choking?

      Step 1: Call an ambulance immediately. The child may be unable to speak, breathe or cough with sound while clutching their neck or chest.

      Step 2: Perform 5 back blows by hitting firmly on the child’s back between the shoulder blades while holding in a head-down position.

      Step 3: If the child is still choking, perform 5 abdominal thrusts (Heimlich manoeuvre). Hold the child around the waist and administer an inward and upward thrust simultaneously, just above the umbilicus (belly button).

      Step 4: Continue step 2 and 3 until blockage dislodges or ambulance arrives. If the child becomes unresponsive, start CPR.

      What to do when an infant is choking?

      Step 1: Call an ambulance immediately. Infant may be unable to cry, breathe, cough or make any noise.

      Step 2: Perform 5 back blows by holding the infant face-down along your thigh, ensuring that their head is positioned lower than their bottom. Deliver firm blows to their back between the shoulder blades using the heel of your hand.

      Step 3: If the infant is still choking, perform 5 chest thrusts. Turn the infant over so they are facing upwards. Position two fingers in the middle of their chest, just below the level of the nipples and push downwards firmly up to 5 times.

      Step 4: Continue step 2 and 3 until blockage dislodges or ambulance arrives. If the infant becomes unresponsive, start CPR.

  • Drowning
      Step-by-step first aid measures for drowning

      First Aid Measures for Drowning

      What to do if witness someone drowning?

      Step 1: Remove victim from the water without endangering yourself.

      Step 2: Check the victim for a response. If the victim is unresponsive, shout for help and call an ambulance right away.

      Step 3: Provide rescue breathing if victim is not breathing but pulse is felt. 1 breath every 6 seconds for 10 breaths per minute. Check for pulse every 2 minutes.

      Step 4: Begin CPR (cardiopulmonary resuscitation) if there is no pulse.

      • 30 compressions : 2 breaths
      • Place both hands in the centre of the chest, between the nipples
      • 100-120 compressions per minute
      • Compression depth of about 5-6cm
      • Allow full chest recoil after each compression

      Step 5: Continue to perform CPR until emergency help arrives and manages the victim or until there are signs of life and the victim starts to breathe normally.

      Step 6: Put the person in recovery position if they are becoming responsive and breathing normally. Keep the victim dry and warm if possible.

      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. A child can drown in as little as 1 inch of water.
      • When a child has had a near-drowning episode.
  • Fever
      Step-by-step first aid measures for managing fever

      First Aid Measures for Managing Fever

      What to do if someone has a fever?

      Step 1: Make the person comfortable. Wipe the body with a wet towel to permit heat dissipation.

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

      Step 3: Give the patient fluids such as water or diluted juice.

      Step 4: Call an ambulance or visit the hospital’s Accident & Emergency 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

      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:
      • Younger than 3 months old and has a rectal temperature of 38°C (100.4°F) or higher.
      • Between 3 and 6 months old and has 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 and has 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, you can call sooner.

      Fever in children (> 2 years old)

      There is probably no cause for alarm if your child has a fever but is responsive. This 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.

      Remember: Do not give aspirin to anyone under the age of 16.

  • Heart Attack
      Heart attack vs Cardiac arrest

      Heart attack vs Cardiac arrest

      Know the differences to help someone in an emergency

      Heart attack (Myocardial infarction)

      Cardiac arrest

      What is it?

      • It is a “circulation” problem.
      • Occurs when there is a blockage in one or more of the coronary arteries supplying blood to the heart muscle.
      • If a blocked artery is not promptly reopened, the part of the heart that receives blood from that artery begins to die.
      • The heart continues to beat, and the person may remain awake. Symptoms develop gradually.
      • Immediate medical attention is vital.
      • It is an “electrical” problem.
      • Occurs when there is sudden loss of heart function and heart stops beating.
      • Triggered by an electrical malfunction in the heart, resulting in an irregular heartbeat (arrhythmia). This prevents the heart from effectively circulating blood to the brain, lungs, and other organs. 
      • Within seconds, the person becomes unresponsive and stops breathing.
      • If immediate cardiopulmonary resuscitation (CPR) is not initiated, death can occur rapidly. 

      While most heart attacks do not result in cardiac arrest, it is possible for a heart attack to lead to a cardiac arrest.

      What are the symptoms?

      • Intense discomfort or pain in the chest and other areas of the upper body (shoulders, arms, neck, back, jaw or stomach)
      • Shortness of breath
      • Nausea, vomiting
      • Cold sweats
      • Dizziness 
      • Palpitations 
      • Sudden loss of responsiveness 
      • No normal breathing

      What to do?

      1. Call an ambulance immediately.
      2. Ask the person to take their own heart attack medication if they have.
      3. Monitor the person's response level until the ambulance arrives. 
      1. Call an ambulance immediately.
      2. Start CPR right away.
      3. Get an AED (Automated External Defibrillator) and use it as quickly as possible. 
      4. Continue CPR until person breathes or ambulance arrives.

      Call an ambulance or head straight to the nearest Gleneagles Hospital Accident and Emergency (A&E) for immediate medical attention. Remember, every second counts!

  • Poisoning
      Step-by-step first aid measures for burns and scalds

      First Aid Measures for Poisoning

      What to do in case of poisoning?

      Step 1: Call an ambulance immediately.

      Step 2: Check the scene and person and try to find out what poison was taken.

      Step 3: Look for labels on any containers near the victim.

      Step 4: Do not give the person anything to eat or drink.

      Step 5: Wash your hands immediately if you touch the victim or poison containers nearby to reduce the risk of contamination.

  • Stroke

      B.E.F.A.S.T to spot a stroke!

      How to tell if someone is having a stroke. Look out for the following signs.

      Balance

      1. Sudden loss of balance?
      2. Having difficulty standing or walking?

      Eyes

      1. Change in vision?
      2. Having trouble seeing?

      Face

      1. Does the face look asymmetrical?
      2. Does one side of the face droop?
      3. Can the person smile?

      Arm

      1. Sudden weakness or numbness of one or both arms?
      2. Can the person raise both arms?

      Speech

      1. Having difficulty speaking?
      2. Is the speech slurred or hard to understand?
      3. Ask the person to repeat after you.

      Time

      1. Time critical for stroke management. Early treatment significantly improves the chances of recovery.

      Call an ambulance or head straight to the nearest Gleneagles Hospital Accident and Emergency (A&E) for immediate medical attention. Remember, every second counts!

Key signs and symptoms that you should know