The Internal Medicine Emergency Unit of Perpetuo Socorro Hospital centres its activity of the overall care of sick adults. With an integrating and versatile focus, it provides care to the multi-pathological – multi symptomatic patient, alongside all prevalent illnesses in the inpatient and outpatient fields.

This unit becomes a key intermediary in hospital excellence that guarantees the necessary expectations of patients and their families through a technical-care quality focused on urgent pathology.

Services

• Receipt and classification of patients via a computerised triage system that guarantees care priority in accordance with therapeutic needs and the resources available.
• Medical consultation and advice based on a clinical history that implies: Productive questioning, physical examination, relevant diagnostic studies, evaluation of results, electronic records and medical decision making.
• Modern I.T. system that enables the recording, checking and monitoring of the patient throughout his or her stay in the service, along with the drafting of the discharge report and processing, if necessary, of his or her admittance or transfer.
• Welfare monitoring system: cardiac monitoring, pulse oximetry, breathing rate, blood pressure, heart rate, temperature, glycaemia.
• Continual hospital observation over 24 hours.
• Diagnostic imaging 24 hours a day/365 days a year: Digital radiology, portable radiology equipment, Doppler ultrasound, Orthopantography, Multi-sliced CT Scanners.
• Clinical Analysis – Haematology – Haemotherapy 24 hours a day/365 days a year.
• Pharyngeal Test for rapid diagnosis of bacterial pharyngitis.
• Invasive techniques for diagnosis and therapy: Channelling of peripheral and central arterial-venous lines, Paracentesis, Thoracentesis, Lumbar Puncture, Percutaneous Cricotomy, Percutaneous Tracheostomy, direct Laryngoscopy, orotracheal-nasotracheal Intubation, and bladder, rectal and nasogastrical catheterization.
• Administration of parenteral – oral – inhaled medication.
• Controlled sedation and analgesia for invasive, diagnostic and therapeutic procedures.
• Control of surgical and non-surgical airways.
• Invasive mechanical ventilation – Synchronised and non-synchronised electric cardioversion – Electrocardiogram – External cardiac pacemaker.
• Referral to other specialities: cardiology, pneumology, neurology, otolaryngology, general and digestive surgery, ophthalmology, dermatology, haematology, urology, etc.

Conditions Treated

• Advanced cardiovascular resuscitation.
• Cardio-respiratory support for patients with haemodynamic instability.
• Initial management of poly-traumatised patient.
• Anaphylaxis, – Shock – Coma, – Sepsis – Fainting – Poisoning.
• Arterial hypertension – Acute Myocardial Infarction – Angina – Acute pulmonary edema – Cardiac insufficiency – Cardiac arrhythmias – Pericarditis – Myocarditis.
• Breathing difficulties – Asthma – COPD – Pleural effusion – Pneumothorax– Haemoptisis– Pulmonary thromboembolism.
• Acute Confusional Syndrome – Headaches – Seizures – Acute cerebral-vascular accidents– Stroke – Subarachnoid haemorrhages – Shaking – Meningeal syndrome – Central and peripheral vertigo – Neuromuscular disorders – Coordination impairment – Ataxias.
• Abdominal pain – Acute Appendicitis – Acute Diverticulitis – Biliopancreatic diversion – Upper and lower GI bleeding – Acute gastroenteritis – Intestinal Inflammatory illness – Ischemic colitis – Mesenteric ischemia – urgent anorectal pathology.
• Glucose irregularities – Hydroelectrolitical imbalances – Metadiabetic complications – Adrenal insufficiency – Thyroid disorders.
• Renal insufficiency – Renal colic – Hematuria – Urine infections – Testicular disorders.
• Arterial thrombosis – deep vein – Thrombophlebitis – Diabetic foot.
• Conjunctivitis – Foreign Bodies in the eyes – Subconjunctival bleeding – Ocular infections.
• Oral-nasal cavity pharynx, larynx pathology – paranasal-otic sinuses – Temporomandibular joint dysfunction – Peripheral facial paralysis.
• Allergic reactions – Hives – Angioedema – Dermatitis – Skin infections – Burns.
• Non-descript febrile syndrome – Meningitis –Encephalitis– Pneumonia – Endocarditis – Tuberculosis – Digestive infections – Upper and lower respiratory pathway infections.
• Coagulation disorders – Anticoagulant overdoses – Anaemias.

Equipment

• Medical office equipped with: computer with Emergency management system; negatoscope, otoscope, ventilator, vacuum and suction system, examination light, scales, wash basin and telephone.
• Equipped triage room: integrated Emergency system computer, sphygmomanometer, pulse oximeter, otic thermometer, glucometer, telephone.
• Eight observation cubicles, four of which have articulating beds. All of which have ventilators, high flow oxygen and vacuum, and continuous monitoring screens.
• Computerised central reception to check and monitor patients.
• Electrocardiograph.
• Cardiac arrest trolley.
• Monophasic defibrillator with external pacemaker.
• Continuous fluid and medication infusion equipment.

The Traumatological Emergency Service of Perpetuo Socorro Hospital has a highly-prestigious team of surgical and traumatological specialists that provide care 24 hours a day, 365 days a year.

Services

• Patients with traumatic pathology caused in the workplace, from Workplace Accident Mutual Insurance Companies and other entities partnered to the Perpetuo Socorro Hospital.
• Road Traffic Accidents.
• Sporting accidents.
• Infant Trauma.
• Private patients.

Conditions Treated

• Spinal pathology (cervical, dorsal and lumbar pain…).
• Sprains and other capsule-ligament injuries.
• Muscle and tendon injuries.
• Lesions.
• Limb fractures.
• Spine fractures.
• Dislocations.
• Road traffic accidents.
• Workplace accidents.
• Sporting accidents.

Equipment

• Two medical consultation rooms.
• A plaster room.
• A treatment room.
• An observation room with four separate cubicles and three beds.
• Radiology service for emergencies when there is a need to take conventional X-rays, MRI or CT scans, or ultrasound.
• Four operating theatres equipped with the latest technology for the treatment of injuries that require immediate surgery.

In the Paediatric Unit of the Perpetuo Socorro Hospital we offer initial care and stabilisation of medical-surgical emergencies as well as the initial or definitive care, diagnosis or treatment to all patients under 14 that come to us as an emergency for any medical-surgical problem.

Services

• Receipt and classification of our patients, taking their weight and temperature measurements as well as their heart and breathing rate, blood pressure and pulse oximetry reading in cases where it is considered necessary.
• Administration of emergency oral, inhaled, intramuscular or intravenous medication.
• Securing of emergency analysis through arterial and venous puncture, catheterisation, suprapubic and lumbar puncture, etc.
• Channelling of peripheral pathways.
• Treatment and cure of lesions.
• Undertaking of rapid diagnostic techniques such as capillary glycaemia and detection of Group A Beta-haemolytic Streptococcus.
• Extraction of foreign bodies.
• Hospital observation with the appropriate monitoring of their vital signs and administration of necessary medication over a period of no more than 24 hours.
• Individual consultation with the corresponding clinical questioning, conventional examination, request and assessment of the complementary examinations undertaken, appropriate therapeutic indications, diagnostic impression and recommendations for discharge. All of which is outlined in the corresponding Emergency Medical Report that is handed in once the patient is discharged.

Conditions Treated

• Acute respiratory processes and repeated instances of chronic respiratory problems.
• Acute digestive processes and repeated instances of chronic digestive problems.
• Acute neurological processes and repeated instances of chronic neurological problems.
• Emergency Otolaryngological processes.
• Breastfeeding children and children with non-descript fever.
• Traumatic head injury.
• Facial trauma (nasal, ocular, oral, etc.).
• Skin irritations.
• Conjunctivitis.
• Urinary problems.
• Non-traumatic mobility problems.
• Insect bites.
• Etc.

Equipment

• Medical consultation room for examination.
• Observation cubicle for school children with two beds and the necessary equipment for cardio-respiratory monitoring, the administering of a drip, intravenous medication and oxygen, and breathing apparatus, etc.
• Observation cubicle for breastfeeding children with two cots and the necessary equipment for cardio-respiratory monitoring, the administering of a drip, intravenous medication and oxygen, and breathing apparatus, etc.
• Intermediate room for the administering of oral or inhaled medication.
• Waiting room.