- Home
- Our Services
- Emergency Department
Our Services
Thomson Hospital’s Emergency Department delivers rapid, expert care for heart attacks, strokes and traumatic injuries. Backed by specialised training and dedicated resources, our team acts decisively when every second counts.
First line triage
Stroke care including administration of clot-busting medications for ischemic stroke
Treatment of acute injuries (eg: fractures, burns, lacerations, and dislocations)
Children’s emergencies
Cardiac care (eg: heart attacks and arrhythmias)
Obstetric care (eg: complications during pregnancy)
Respiratory care (eg: difficulty breathing, respiratory distress, asthma attacks etc)
Poisoning and overdose management
Trauma care for critically injured patients (eg: severe bleeding, road accident etc)
Convulsions, fits or seizures
Any other medical emergencies
Our Specialists
Dr Mohamed Al-Hadi Bin Mohamed Razhi
Specialty
Qualifications
Suite Number
Spoken Language
What Happens at The Emergency Department
Patient Arrival & Triage
Medical team performs initial assessment on the patient. Patient is triaged into red, yellow or green zones based on urgency.
Registration
Front office staff registers new patients.
Consultation
A medical officer or consultant reviews the patient’s condition.
Investigation
Medical team initiates investigations, imaging and procedures.
Management / Treatment
Medical team carries out treatment, with continuous monitoring and observation.
Patient Outcome
After treatment, medical team determines patient outcome (Admission/Discharge/Referral/Transfer).
Triage & Response Time
Triage & Response
Time
Patients in the emergency department will be clinically assessed and prioritised on the triage system and NOT on a ‘first come, first served’ basis.
RED
(Immediate)
Requires immediate intervention
Example:
Heart attack
Severe bleeding
Collapsed patients
Stroke
YELLOW
(Within 30 minutes)
Requires urgent intervention
Example:
Severe pain
Pregnancy complications
Bone fractures
Minor burns
GREEN
(Within 90 minutes)
Less urgent intervention
Example:
Infections
Minor injuries
Our Specialisation
Heart Attack
Rapid Assessment
An electrocardiogram (ECG) is performed within 10 minutes of arrival in ED to confirm a heart attack.
Resident Cardiologists
If the patient has complete artery blockage (STEMI), CATH LAB will be activated immediately to perform Primary Angioplasty (PCI): The preferred "gold standard" treatment, door-to-balloon ≤90 minutes
Immediate Medication Prescription
- Aspirin: Immediately given to reduce blood clotting.
- Antiplatelet Agents: Drugs like clopidogrel or ticagrelor prevent further clots.
- Nitroglycerin: Widens blood vessels to improve blood flow.
- Morphine: Relieves chest pain and anxiety.
- Blood Thinners (e.g., Heparin): Prevents further clotting.
Intensive Care Unit
- Stability Monitoring: Patient is monitored for 24 hours in the ICU/CCU.
- Rehabilitation: Initiation of cardiac rehabilitation plans to prevent future events.
- Discharge: Depending on severity, patient may be discharged in 2 to 4 days.
Heart Attack
Rapid Assessment
An electrocardiogram (ECG) is performed within 10 minutes of arrival in ED to confirm a heart attack.
Resident Cardiologists
If the patient has complete artery blockage (STEMI), CATH LAB will be activated immediately to perform Primary Angioplasty (PCI): The preferred "gold standard" treatment, door-to-balloon ≤90 minutes
Resident Cardiologists
If the patient has complete artery blockage (STEMI), CATH LAB will be activated immediately to perform Primary Angioplasty (PCI): The preferred "gold standard" treatment, door-to-balloon ≤90 minutes
Resident Cardiologists
If the patient has complete artery blockage (STEMI), CATH LAB will be activated immediately to perform Primary Angioplasty (PCI): The preferred "gold standard" treatment, door-to-balloon ≤90 minutes
Stroke
Stroke Pathway
A "Stroke Alert" protocol will be activated in ED immediately when a suspected stroke patient arrives.
Fast Action
Diagnostic imaging CT brain (non contrast) will be performed within 20 minutes to distinguish between ischemic (blocked vessel) and haemorrhagic (bleeding) stroke.
Interventional Radiologist, Resident Neurologist & Neurosurgeon
Our neurologist will administer IV thrombolytic therapy with recombinant tissue plasminogen activator (alteplase) to dissolve clots, typically within 3 - 4.5 hours of symptom onset; or our interventional radiologist will perform mechanical thrombectomy - a minimally invasive procedure to remove blood clot and restore blood flow.
Critical Care
Patient will receive continuous monitoring in ICU for blood pressure, sugar, and fever to protect the brain.
Trauma
Emergency Stabilisation
Our Medical Officers will be performing Primary Survey to identify and treat life-threatening injuries in order of priority. Once life threatening injuries have been excluded, Secondary Survey (a head-to-toe examination) is conducted to identify all other injuries, including a detailed medical history.
Ever-Ready Specialist
Multi-disciplinary specialists involving trauma surgeons, intensivists, nurses and specialised therapists are available to provide treatment/lifesaving surgical procedures and manage complex, multi-organ injuries.
Critical Care
Post-surgical care often involves managing ongoing bleeding, trauma-induced coagulopathy (clotting issues) and multi-organ dysfunction. Patients will be monitored closely in ICU.
Multi-disciplinary Care
Multi-disciplinary critical care involving a coordinated team - Emergency Physician, Surgeons, Physicians, Intensivists and Nurses - providing 24/7, rapid-response care from pre-hospital stabilisation through ICU recovery.
