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Priority Calls in ED
Priority Calls in ED
Priority calls should be answered without delay by the dedicated emergency clinician(s) or the dedicated multi-disciplinary team. Calls should be initiated at the first point when the need for a priority assessment becomes clear; however, a senior decision should be sought for all clinically stable patients to ensure that ED and hospital resources are used most efficiently. The first point of call for the senior decision is the Walk-in and Ambulance RATT area or the EDIC (normally available in the MDT Office)
Ambulance Services often provide a pre-alert for a priority case. Unless one of the following emergencies is predicted, ambulance pre-alert cases will be expected and greeted by the ED team led by an ED Senior (usually oin the Resuscitation area). If the pre-alert falls into one of the categories listed below, the additional call should be initiated to allow the multi-disciplinary team to attend.
Click on each Priority Call to read the summary of their goals and the expected response:
Click on each Priority Call to read the summary of their goals and the expected response:
Cardiac Arrest Call
Cardiac Arrest Call
The call is activated for peri-arrest or cardiac arrest.
During working hours, ED medical and nursing team will manage the cardiac arrest with the help of an anaesthetist (airway). Out-of-hours the hopsital cardiac arrest team will attend, with the medical SpR, SHO and anaesthetist.
ED Senior (SpR) should attend the cardiac arrest call along with an ED SHO / ACP / PA.
Paediatric Cardiac Arrest
Paediatric Cardiac Arrest
The call is activated for peri-arrest or arrest situations.
Hospital Cardiac Arrest team along with a senior anaesthetist and senior and a junior paediatric team members (consultant / Spr/SHO). The ED Senior (Consultant / SpR) will also attend.
Paediatric Emergency
Paediatric Emergency
The call is activated for sick child who likely needs immediate intervention and probably intubation.
Attended by paediatric team and a senior anaesthetist for managing airway. ED senior should be present but often hands over the management early (except in cardiac arrest), as paediatric admission is very likely.
Sepsis Call
Sepsis Call
Activated for patients where sepsis was suspected based on the sepsis triage criteria.
Attended by an ED senior (SpR/ACP/PA) who need to decide if a sepsis is likely or not. If sepsis is suspected, the sepsis bundle can be initiated without delay.
ED Trauma Priority
ED Trauma Priority
Activated for stable patients who fits into the criteria of "silver trauma" or a dangerous mechanism.
Attended by an ED senior (Cons/SpR/ACP/PA) who should conduct a primary survey and initiate the management and diagnostic imaging.
Hospital Trauma Call
Hospital Trauma Call
Activated for any unstable trauma patients and those who fit into the criteria of major trauma call.
Attended by the ED Consultant, ED senior and junior team, Orthopaedic SpR, Surgical SpR and anaesthetist.
Primary survey is led by the ED senior. Patient than handed over to the appropriate speciality for further management and secondary survey as appropriate.
Chest Pain Call
Chest Pain Call
Activated for Acute Coronary Syndrome which is in need for imediate revascularization.
Attende by the Cardiology nurse, medical SpR and/or cardiology SpR. The ED team will hand over the care.
Stroke Call
Stroke Call
Activated to all acute stroke cases
Attended by the medical divisional Stroke Team. ED teram should intiate the CT scan (preferably even before the Stroke Call put out), than hand over the care. If acute stroke is excluded by the stroke team, the further management might fall back to the ED Team.
NOF Call
NOF Call
Activated for a diagnosed isolated neck of femure fracture (NOF).
Attended by the Trauma-Orthopaedic SHO.
The ED Team shold administer the FIB Block if capacity allows. In case FIB block could not be managed in ED, patient should go to the CEPOD list and FIB admisnitered by the anaesthetic team.
Who should respond to the Priority Calls
Who should respond to the Priority Calls
Trauma Call will be responded to by the ED Consultant (510) and ED SpR (445)
The rest of the priority calls are responded to by the next available senior clinician, the task delegated by the EDIC (Emergency Doctor in Charge: usually the team leader consultant). Please be vigilant and attend to the priority when the task is delegated to you.
Useful Bleep numbers:
Useful Bleep numbers:
ED Consultant - 791
ED Trauma Bleep - 501
ED Senior SpR - 445
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