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Accident and Emergency

The Accident and Emergency department (A&E) at Gleneagles Hospitals is a service that is available 24 hours a day, throughout the year. It is led by a dedicated team of doctors and nurses who are specially trained for emergency situations. The team at A&E department is responsible to treat patients who are present with life threatening and serious conditions that require immediate medical attention.

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

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Do you know when to visit the Accident and Emergency Department? Here are some medical emergencies that require a visit to the A&E.

Accident trauma

Allergic reactions

Animal bites such asfrom snakes, dogs

Breathing difficulties

Burns or scalds

Epileptic seizure

Excessive bleeding

Heart attack

High fever

Insect stings such as from wasps, hornets

Severe pain

Stroke

Sudden Body Weakness

Sudden Loss Of Vision

Unconsciousness

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

What To Do During An Emergency

Quick, first aid techniques could save lives when applied correctly during a medical emergency. It’s particularly useful during the wait after calling the hospital’s Accident and Emergency hotline or the ambulance services. However, in situations like drowning, it’s crucial to pull out the victim from the water first before calling for emergency services.

Ambulance arrival typically takes a few minutes, depending on the location and traffic situation, and that’s when first aid skills come in handy. These are some common medical emergencies and what you can do to help in a situation while waiting for the ambulance to arrive.

Burns Choking Drowning Fever Heart Attack Poisoning Road Accident Seizures Stroke

Step 1

Hold the affected area under cool, running water for 10 to 15 minutes, or until the pain eases. Don’t prick to burst the blisters, and don’t 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.

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.

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 and use two fingers from the other hand to lift the chin.

Step 3

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

Step 4

If the victim is unresponsive, check if there is breathing by placing your ear above the victim’s mouth, 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 5

If there’s no breath, perform CPR immediately and wait for help.
(Source: St. John Ambulance UK)

Step 1

Make the person comfortable. Place a light sheet or a duvet over them.

Step 2

Check the patient’s body temperature with thermometer.

Step 3

Call an ambulance or visit the hospital’s Accident & Emergency department immediately if the patient has;

temperature of 40°C and above
difficulties in breathing
chest pain
severe headache
coughing with blood
vomiting or abdominal pain

Step 4

Bathing or sponging the patient with lukewarm water may help bring down a fever. Do not use cold water, ice baths, or alcohol.

Step 5

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

Step 1

Call the hospital 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. You could place cushions behind them or under their knees.

Step 3

Ask the patient to take their own angina medication, if they have some.

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

Don’t give the person anything to eat or drink unless directed to do so by the person on the emergency helpline.

(Source: American Red Cross)

Step 1

Call the hospital Accident & Emergency or Ambulance Service immediately.

Step 2

Alert oncoming traffic about the accident. Make sure you’re safe first before helping the patient.

Step 3

Turn off the vehicle ignition and 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’re unsure of the patient’s injuries, don’t 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

Don’t 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.

Step 1

Look for Facial Weakness, ask the person to smile. They maybe droopy, and can’t 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 on their feet stability and steadiness. They may face difficulty to balance or walk as they normally do.

Step 4

Observe Speech, ask them simple question, such as ‘What is your name?’ observe 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 hospital’s 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.

Burns

Step 1	Hold the affected area under cool, running water for 10 to 15 minutes, or until the pain eases. Don’t prick to burst the blisters, and don’t 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

Step 1	If the person is an adult, perform the abdominal thrust or the Heimlich Manoeuvre by standing behind the person.
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.

Drowning

Step 1	Remove victim from the water without endangering yourself.
Step 2	Call for help.
Step 3	Open the airway by placing one hand on the forehead to tilt the head back and use two fingers from the other hand to lift the chin.
Step 4	If the victim is unresponsive, check if there is breathing by placing your ear above the victim’s mouth, 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 5	If there’s no breath, perform CPR immediately and wait for help. (Source: St. John Ambulance UK)

Fever

Step 1	Make the person comfortable. Place a light sheet or a duvet over them.
Step 2	Check the patient’s body temperature with thermometer.
Step 3	Call an ambulance or visit the hospital’s Accident & Emergency department immediately if the patient has; temperature of 40°C and above difficulties in breathing chest pain severe headache coughing with blood vomiting or abdominal pain
Step 4	Bathing or sponging the patient with lukewarm water may help bring down a fever. Do not use cold water, ice baths, or alcohol.
Step 5	Do not give aspirin to anyone under the age of 16.

Heart Attack

Step 1	Call the hospital 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. You could place cushions behind them or under their knees.
Step 3	Ask the patient to take their own angina medication, if they have some.
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	Don’t 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 the hospital Accident & Emergency or Ambulance Service immediately.
Step 2	Alert oncoming traffic about the accident. Make sure you’re safe first before helping the patient.
Step 3	Turn off the vehicle ignition and 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’re unsure of the patient’s injuries, don’t 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	Don’t 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.

Stroke

Step 1	Look for Facial Weakness, ask the person to smile. They maybe droopy, and can’t 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 on their feet stability and steadiness. They may face difficulty to balance or walk as they normally do.
Step 4	Observe Speech, ask them simple question, such as ‘What is your name?’ observe 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 hospital’s 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 happen even in the safest of spaces, and often involve children or older adults. The truth is, despite your best efforts in keeping the home environment safe, you can’t prevent accidents from happening.

But you can reduce the chances of it by taking a few precautionary steps to make your home space safe for a well-balanced domestic health. Here are some common home accidents and how you can prevent them.

Chemical and Food Poisoning
Choking on Food and Small Objects
Cuts and Grazes
Drowning in Open Water Sources
Electrocution
Heavy Fallen Objects
Kitchen Fire and Heating Products
Trips and Falls

The medical specialists are on call for 24 hours. If you have a preferred specialist at our hospital, you can inform the personnel at admission counter that you wish to follow up with him or her.

We accept various modes of payment including cash and major credit cards at our hospitals. We also accept major foreign currencies for the convenience of our international patients.

If your employer is assisting you with bill settlement or if you’re 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. These documents need to clearly state your room type, your identity or passport number.

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.

When you are admitted at our 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.