Indonesian Journal of Clinical Pathology and Medical Laboratory
ISSN 0854-4263
Vol. 16 / No. 2 / Published : 2010-03
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Original Article :
The management of an emergency laboratory
Author :
- J. Nugraha*1
- Departemen Patologi Klinik FK Universitas Airlangga – RSUD Dr. Soetomo Jl. Prof. Mayjen Moestopo 6-8 Surabaya
Abstract :
The need for comprehensive and independent services in the emergency unit led to a need for a special laboratory organization in the unit. The simple laboratory organization has a special character that has a rapid and an accurate result, but it only provides certain parameters, which related to emergency condition. In the emergency unit laboratory tests are preferred to support the procedure of diagnosis and clinical decisions rather than to ensure that definitive diagnosis can be continued later, when the patient was moved to the ward. The test is chosen to support the diagnosis of diseases which requiring immediate treatment, such as myocardial infarction, stroke, emergency surgery preparation, the diagnosis of infection and electrolyte tests and blood gas analysis especially for critically ill patients. Back up instruments should be provided that can be operated anytime when there is congestion, an ideally means that will not interrupted the services. The laboratory needs an emergency unit that can be served by means of a simple, fast, accurate thorough test, and it is cheap as well. The unit should also linked to LIS and HIS. So that the results can be known or accepted in all parts of the hospital. The advantage of a special laboratory emergency unit in this case may accelerate the time of service as well as saving energy and the communications will be more simple, compared to the central laboratory, and should be operated for 24 hours.
Keyword :
Management, emergency laboratory,
References :
Gupta S,(2009) Laboratoy approach to the management of clinical emergencies Washington DC : J Lab Physician
Archive Article
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