I fa chu emergency room-a kal a ngai a nih chuan engtin nge ni ang? Lungngai suh, he thu hi han sawi ila!

Chibai! I fa tê chu a damlo thut a nih chuan, a nih loh leh accident tenau a lo awm a nih chuan, nu leh pa angin i lungkham hi thil pangngai tak a ni, a dik em? Chutiang hunah chuan kan rilru chu damdawi in emergency room, chu chu ER (Emergency Room) -ah a tlan nghal a ni. A chhan chu chuta kan kal chuan engtik lai pawhin nausen dinhmun eng pawh ni se, inenkawlna kan dawng thei tih kan hriat vang a ni. Mahse, natna tenau emaw, hliam emaw kan neih apiangin ER-ah kan kal a ngai em? A châng chuan, i chhûngkaw doctor emaw, general treatment center emaw aṭanga chhawmdawlna i hmuh theih hun a awm bawk. Heng zawng zawng hi vawiinah hian han sawi ila.

ER ah kal ka ngai tak tak em? A nih loh leh hmun dangah tanpuina ka dawng thei ang em?

Hetah hian thil chu a awm a, a chang chuan medical emergency tak tak a ni thei bawk . Chutiang a nih chuan a tha ber chu i fa chu ER (Emergency Room) -ah hruai mai tur a ni (mi thenkhat chuan hei hi ED - Emergency Department an ti bawk ).

Mahse, natna leh accident tenau thenkhat chu i chhungkaw doctor pan a, damdawi la a, emaw , urgent care clinic-a enkawlna zawnga enkawl theih a awm (Sri Lanka ramah chuan hengte hi private hospital-ah hmuh tur a awm fo a, a nih loh leh doctor thenkhat channeling center thenkhat pawhin chutiang service chu an pe bawk).

Chuvangin, ER-a kan kal a ngai a nih chuan, kan thlen hunah eng nge kan beisei tur tih leh eng nge kan inbuatsaih tur tih hriat a pawimawh hle.

Engtikah nge 1990 hi ambulance koh tur?

Thil awm dan thenkhatah chuan i fa chu i car-a ER-a hruai ai chuan ambulance koh a him zawk. Sri Lanka ramah chuan kum 1990-a Suwaseriya Ambulance Service -ah kan call thei a ni. Ambulance koh ngei ngei tur dinhmun thenkhat chu hetiang hi a ni:

• Naupangin thawk harsatna a neih a vun chu a sen a nih chuan .
• Car accident- a i awm a, i hriatna hloh tawh emaw, hliam na tak i tuar emaw a nih chuan.
• Naupangin epilepsy emaw seizure emaw a neih chuan .
• Naupang chu a rilru a buai emaw, a thusawi a chhân lêt loh emaw a nih chuan.
• Naupangin a kawr emaw a ruhro emaw a hliam nia rinhlelhna a awm chuan .
• Lu hliam hnua i hriatna hloh a nih chuan , i luak chhunzawm zel a, a nih loh leh i chhang let lo a nih chuan.
• Thunun theih loh khawpa thisen chhuak i nih chuan .
• Naupangin a chhanna a pangngai lo emaw , poisoning avanga thawk harsatna a neih chuan . A pawimawh ber chu Poisoning i rinhlelh chuan National Poisons Information Center 0112686143 ah biak nghal la, thurawn la rawh.ER-ah pawh an refer thei bawk.

Pawimawh: Hetiang dinhmunah hian hlauhthawn loh a harsa a, mahse a tul ang ang chu muangchangin hma la rawh.

ER kal hmain engtin nge kan inbuatsaih thin? (Ram lawk rawh)

Naupang nen ER-a kal a ngaih hunah chuan hlauthawng tih hi thil pangngai tak a ni. Mahse, a hmaa tlem inbuatsaihna chuan chu lungkhamna chu a tiziaawm thei a ni.

Emergency-a tih tur leh eng ER-ah nge kal tur tih hriat tumin i fa doctor pangngai nen inbia ang che. I doctor chuan ER hnai ber chungchang a hrilh thei che a, damlo an hmuh fona damdawi ina ER-ah a refer thei che a ni.

Naupang damdawi inah ka fa hi ER-ah ka hruai tur em ni?

A awlsam zawngin naupang damdawi in hi naupang enkawlna lama tui bik hmun a ni. Naupang enkawltu specialist , nurse, leh chutiang atâna ruahman bîk facility tam zâwk an nei thei a ni. Chuvangin, emergency a awm a, a bul hnaia naupang damdawi in (entir nan, Lady Ridgeway Children’s Hospital) a awm chuan, chutah chuan kal chu i ngaihtuah mai thei.

A nih loh leh, i hnaih ber public emaw private hospital emaw ER-ah damdawi in i pan thei bawk. Eng emaw chhan vanga i fa dinhmun bik chu chu damdawi inah chuan enkawl theih a nih loh chuan, chuta doctor-te chuan i fa chu a remchan dan anga facility awmna hmunah sawn turin ruahmanna an siam ang.

Naupang damdawi lam chanchin chu lehkhabuah kan ziak chhuak tur em ni?

Hei hi a pawimawh hle. Emergency khaw lum takah chuan i fa natna leh damdawi chungchang chipchiar taka hriat reng a harsa thei hle. Chuvangin, i fate damdawi lam chanchin ziak chhuah hi a \angkai hle . In chhunga mi zawng zawngin an hmuh theihna hmunah dah la. Hei hi i fa enkawltu (e.g. nanny, pi leh pu) tu emaw chuan emergency-ah i fa chu ER-ah a hruai a ngai a nih chuan a tangkai hle ang.

Chu medical history-a thil belh tur thenkhat chu hetiang hi a ni :

• Tuna naupangin damdawi a ei mek (hming leh a dose) te.
• Naupangin allergy a neih (damdawi, ei leh in, etc.).
• Damdawi inah i lo awm tawh a nih chuan a chipchiar zawkin i sawi dawn nia.
• Tun hmaa surgery neih tawhte .
• Naupangin natna rei tak a neih (e.g. asthma, diabetes).
• Chhungkuaa natna langsar tak tak (e.g. thinlung natna, cancer).
• Naupang immunization history report .

Tin, i fate Primary Care Provider (chu chu i chhungkaw doctor) hming leh phone number ziak la, i damdawi i dawn fona damdawi dawr hming leh number pawh ziak bawk ang che.

ER kal tura inbuatsaih hunah eng nge i hriat reng tur?

I fa nen ER-a i kal hian tuna i fate harsatna chu eng nge ni tih chiang taka hriat a pawimawh.

• Engtik lai/engtik lai nge buaina hi a lo intan?(Hliam a nih chuan, a hun, natna a nih chuan eng chen nge a lo awm tawh).
• Tuna a symptoms te chu engte nge ni ?
• Eng enkawlna leh damdawi nge i lo enchhin tawh ?
• Naupang hian engtikah nge/engtik lai khan nge eng thil pawh a ei hnuhnun ber ?

I fain damdawi emaw, in lama i hman tui emaw a ei tawh angin han mitthla teh. ER i kal chuan in tur awmna bottle emaw packet emaw kha la la. Chutiang chuan doctor-te chuan eng ang enkawlna nge pek tur tih chiang takin an hrethiam thei a ni. I fain thil te tak te (e.g. pawisa fai, infiamna chi khat) a ei tawh a nih chuan, a theih chuan chutiang thil pakhat chu keng leh rawh.

ER I Kal Hunah Eng Nge I Beisei Tur?

Hun engemaw chen nghah beisei ang che.

ER eng pawhah, emergency na ber tih loh chu, nghah rei lote neih beisei rawh . ER kal hmaa hun i neih chuan chhiar tur, lehkhabu emaw magazine emaw keng la. Tin, doctor hnena zawhna i neih apiang ziak turin pen leh paper keng tel a tha bawk. I fain harsatna a tawh lutuk loh chuan khelhna tur thil te tak te (crayon, lehkhabu, infiamna, teddy bear duh ber ang chi) keng la. I fa chu damdawi inah a awm a ngai mai thei tih i ngaihtuah chuan nang leh i fa tan thawmhnaw thlak leh toothbrush keng tel a tha bawk.

ER-ah hian eng chen nge i awm dawn tih chiang taka hriat theih a ni lo. Mahse i fain damdawi lama harsatna lian tak a neih chuan , doctor-te chuan a tul angin enkawlna an pe nghal ang tih i chiang thei ang.

Doctor-te chuan hliam leh natna na ber berte chu an hmu hmasa ber ṭhin a, chuvangin hliam tenau neia i luh chuan rei vak lo i nghah a ngai mai thei. Waiting room-ah tumah awm lo mah se, exam room a khat a nih pawhin, doctor leh nurse tam takin damlo na tak pakhat an enkawl lai pawhin i nghah a ngai mai thei. A pawimawh ber chu, Doctor hmuh i nghah laiin i fate dinhmun a chhe zual nia i hriat chuan chuta medical staff-te hnenah hrilh nghal rawh.

Triage chu eng nge ni? Document dang pawh i zir ve ang u

ER an thlen veleh nurse pakhat a lo kal ang a, naupang chu a rawn en ang. Symptoms chungchang a zawt ang a, vital signs (fever, pulse rate, leh breathing rate ang chi) te a check ang a, rang takin assessment a ti ang. Hei hi triage an ti a . A awlsam zawngin sawi ila, hei hi naupang damlohna nasat dan azira damdawi lam mamawh ngaih pawimawh hmasak dan a ni.

Tichuan registration process i kalpui ang.An direct ang che. Consent for Treatment Forms-ah hian sign turin an ti ang che. Health insurance i neih chuan chu card chu keng la. (Sri Lanka rama sorkar damdawi inah chuan heng insurance mamawh te hi a inzawm lo a, mahse private hospital-ah chuan hei hi a pawimawh hle).

Thil hriat belh tur dang:

• ER tam tak chuan lehlin service emaw, lehlin lama pui thei tur emaw an nei a. Sinhala i thiam lo a nih chuan (e.g., Tamil emaw English emaw i thiam chuan) i chhungte emaw, i thian emaw, tanpui thei tur i rawn hruai a tha.
• A \henah chuan Doctor chuan naupang chu engmah ei loh leh in loh chu a duh zawk mai thei. Chuvangin naupang chu ei leh in tur i pek hmain damdawi lam thawktute hnenah a tha em tih zawt hmasa phawt ang che.
• Kar tawp emaw, zan emawa ER-a i kal chuan chutih lai chuan specialist a awm lo mai thei. Mahse a tul chuan hruai luh dan tur ruahmanna an siam ang a, zai a ngai a nih chuan surgeon an biak ang.

Engtin nge i fa chu i tihlum theih ang? (I Fate Thlamuanna) .

ER-a i nghah lai hian nang leh i fa hian damlo nasa tak emaw, hliam tuar emaw in hmu mai thei. Naupang tê têin chutiang thil a hmuh emaw, a hriat emaw chuan a hlauthawng hi thil pangngai a ni. Chuvangin, i fate chu ER hi damlo awmna hmun tha ber a nih thu hrilh la, hetianga doctor-te hian an rilru a ti hahdam dawn tih hrilh bawk ang che. A theih chuan i hriat mi pakhatin a hun laia hliam a tuar a, a hlauthawng hle a, mahse doctor-te’n an enkawl hnuah a dam leh hun lai entirnan han sawi teh.

Hospital lian zawk thenkhatah chuan Child Life Specialist an nei a, anni hian naupangte chu ER-a an awm avanga an rilru hahna an hmachhawn theih nan an pui thei a, damdawi lam kalphung atan an buatsaih thei a, non-pharmacological pain management technique an zirtir thei bawk.

Thil hriat reng tur

ER-a i awm lai hian thu pawimawh i hriatte chu ziak chhuah tum ang che.

• Doctor hmingte chu.
• Natna emaw, hliam emaw chungchanga an sawi dan.
• Damdawi emaw enkawlna emaw naupang hnena pek.
• In lama tih tur chungchanga thupek (Follow-up emaw Care at Home) .

ER atanga haw hunah eng nge hriat tur? (ER chhuahsan) .

I fa chu ER atanga chhuah a nih chuan Home Care Instructions i hriatthiam ngei ngei tur a ni. Thil i hriatthiam loh chuan zawt hreh suh.

A tam zawkah chuan ER-a i fa enkawltu doctor chuan i chhungkaw doctor nen an inbia ang. I fa chu damdawi inah dah a nih chuan ER doctor chuan i doctor hnenah a hriattir ang.

ER thenkhat chuan thil hmuh tawhte ziak emaw electronic emaw documentation an pe ang che a, thenkhat chuan type up in chhungkaw doctor hnenah an thawn ang. I fa chhuahtir huna paperwork i dawn copy kha vawng la, nakin lawka doctor hmu tura i kal hunah i keng tel bawk ang.

A tawp berah chuan take-home message:

Naupang nen ER-a kal hi nerve tichhe thei tak a ni thei. Amaherawhchu, i hlauthawng lo a, tlem i inpeih a, ER-a thil thleng hriatthiamna tlem i neih chuan chu hun harsa chu tlem chuan i ti awlsam thei ang.

Hriat reng tur: I fa himna leh damna hi a pawimawh ber a ni. I mamawh hunah leh i mamawhna hmunah tanpuina dawng hreh suh. Heng thilte hi doctor nen inbiak fo a tha bawk.

Hriselna tha tak nei vek turin duhsakna kan hlan e!

` Emergency care, ER, Emergency Room, Naupang hriselna, Ambulance service, Medical history, Triage, Sri Lanka-a Health service