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When should I use the ED services?

We evaluate everyone who comes to us. This means that we see patients with anything from sprained ankles to heart attack.
The most often conditions we see are as follow:
- Airway Obstruction.
- Respiratory Distress.
- Chest Pain
- Severe abdominal pain
- Sudden severed headache
- Uncontrolled bleeding
- Change in level of consciousness
- Sudden onset of any neurological disorder-paralysis, speech difficulties.
- Burns
- Fall or fractures.
- Asthma Attack
- Lacerations (Cuts)
- Allergic reactions.
- Highs fever over 38 degrees that does not decrease with analgesia

What happens when I arrive at the ED?
As soon as you arrive, a medical assistant evaluates your illness or injury and ranks your treatment needs based on the severity of yours symptoms or injuries. This process is called triage. Triage allows doctors to see the most seriously ill or injured patient first.
The Medical Assistant will ask about your illness or injury and some brief medical history as part of the primary triaging process. Colour coded triage card are given according to the severity of your illness or injury and you will be directed to the various zones of the department.

After your initial medical evaluation, for those whose are triaged green, you will be directed to the registration counter. The registration staff will ask for information such as your name, address, telephone number and names of persons to contact in an emergency. After registration you are then called to be first examined by a nurse and then the doctor.

Why do I have to wait so long?
There are varieties of reasons why you must wait. The ED does not schedule appointments, so it has no control over how many patients arrive at a given time. You may arrive at an especially busy time, and therefore, wait. Additionally the ED staff prioritises patients as they arrive, ensuring that patient who need the most immediate medical attention see a doctor first. If your situation is less urgent, you may have to wait to see a doctor.

How long will treatments take?
The length of time for treatment depends on a number of factors:
• The seriousness of the illness or injury (Multiple injuries involving many organs)
• The number and types of test or procedures necessary.(X-ray, laboratory investigations ,scan)
• The number of patients who are currently being treated in the emergency department.
• The need for referral doctors consultation.

Each of these factors plays a key role in your treatment time. Please feel free to ask your nurse what is happening as you are being treated. To ensure that we provide the most accurate diagnosis and treatment available, it is necessary to wait until all tests are completed

Do you know?
• We have approximately 100,000 visits to our ED each year.
• Visit may range from 250 to 300 visits a day.
• We are generally the busiest from 8.00pm to 11.00pm and from 10am to 6.00pm at weekends
• You can also seek minor treatment at your nearest government health clinic in your area.
• Selayang Health Clinic (Klinik Kesihatan Selayang Baru) is open daily from 8.00am to 9.00pm except Sunday & public holiday.

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