Chest pain or pressure
Especially with sweating, breathlessness, or pain spreading to the arm, jaw or back. Do not drive yourself.
Doctors on the emergency floor at all hours, with the operation theatres, ICU, laboratory and blood arrangement all in the same building as the resuscitation bays.
Especially with sweating, breathlessness, or pain spreading to the arm, jaw or back. Do not drive yourself.
Note the exact time symptoms began — it decides which stroke treatments are still possible.
Unable to complete a sentence, blue lips, or gasping at rest.
Including vomiting blood, black stools, or bleeding after injury.
Do not put anything in the mouth. Turn the person on their side and call an ambulance.
Sudden, severe headache with vomiting, neck stiffness or confusion.
Suspected fracture, deep wound, head injury or a fall from height.
Particularly in children, the elderly or anyone on chemotherapy.
Grunting, blue tinge, refusing feeds or very reduced urine output.
A triage nurse assesses your airway, breathing, circulation and pain score, and assigns a colour code. Red-zone patients bypass registration entirely.
Monitors, oxygen, IV access and bloods are started simultaneously by the emergency team while an emergency physician takes the history.
Bedside ECG, blood gas, troponin and ultrasound are done in the bay itself — no transporting you elsewhere for basics.
CT is on the same floor. The relevant specialist — cardiologist, neurologist, surgeon — is called to the bedside, not consulted by phone.
Clot-dissolving therapy for a heart attack, wound and fracture management for trauma, or transfer to theatre for emergency surgery. Registration and billing run in parallel with your attendant.
A designated staff member updates your family, and the treating doctor speaks with them once the immediate emergency is stabilised.
GPS-tracked ambulances,
6 with advanced life support
Our advanced life support units carry a ventilator, defibrillator, infusion pumps, emergency drugs and a trained paramedic. ECGs are transmitted to the emergency physician while you are still on the road, so the emergency team is ready before you arrive.
Call for help and start chest compressions immediately — centre of the chest, hard and fast, about two per second, letting the chest come all the way back up. Do not stop to check for a pulse. If an AED is available, switch it on and follow the voice prompts. Compressions alone are far better than nothing.
Sit the person down and keep them still. Call an ambulance rather than driving. If they are not allergic and have no bleeding disorder, have them chew a 325 mg aspirin. Loosen tight clothing and stay with them.
Note the exact time symptoms started. Do not give food, water or medicines — swallowing is often unsafe. Lay them on their side if drowsy, and get to a stroke-ready hospital immediately.
Press firmly on the wound with a clean cloth and keep pressing — do not lift it to check. Raise the limb above heart level if possible. Do not apply a tourniquet unless bleeding is life-threatening and pressure has failed.
Cool with running tap water for 20 minutes. Do not use ice, toothpaste, oil or butter. Remove rings and watches early before swelling starts, cover loosely with cling film or a clean cloth, and come in.
Move hard objects away, cushion the head and turn them on their side. Do not restrain them or force anything into the mouth. Time the seizure — anything beyond five minutes is an emergency.
Give five firm back blows between the shoulder blades. If that fails, stand behind them and give abdominal thrusts inwards and upwards. Alternate the two until the object clears or help arrives.
Do not induce vomiting. Bring the container, strip or bottle with you — knowing exactly what was taken changes the antidote. Call the emergency line on your way.