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Mergency Epartment: Literature Study of
Mergency Epartment: Literature Study of
By,
Balaji . N
Sub : Architectural Design - v
Nishath Affrosha . K
EMERGENCY DEPARTMENT:
• EMERGENCY - A serious,
unexpected, and often dangerous
situation requiring immediate action.
• AREA - The total internal area of the
emergency department, should be at
least 145m2(1560 ft2) for 100 bedded
hospital.
• For the purpose of this standard the hospitals have been divided into,
The following five categories:
Category A - 25 to 50 Reds.
Category B - 51 to 100 Beds.
Category C - 101 to 300 Beds.
Category D - 301 to 500 Beds.
Category E - 501 to 750 Beds.
Up to 50 beds 02 beds
AMBULANCE BAY:
AMBULANCE BAY
CIRCULATION DETAIL :
CORRIDORS :
• Corridors provide patient, relative and staff
access to all parts of the Emergency
Department, as well as access to service areas of
the Emergency Department, to storage, and
access to equipment that is needed frequently or
urgently.
ALL ARE IN ‘mm’
• Clinical areas - the minimum must be to allow
2 trolleys/wheelchairs to pass easily with
associated equipment e.g. IV stands. A WIDTH FOR WHEEL CHAIR MOVEMENT
minimum width of 3m is recommended.
STAIRCASE DETAIL
CIRCULATION DETAIL :
RAMP :
• The slope ratio for the ramp 1:10.
• And the width of the ramp also 1500mm.
HANDRAIL DETAIL :
• The handrails are
provided where the steps
& ramp used.
WHEELCHAIR DETAIL :
MOVEMENT SPACE: TURNING RADIUS
TRIAGE AREA:
• A separate area or lobby may be used.
• A triage area is designed for the initial clinical
assessment of patients and allocation of an urgency.
EXAMINATION & TREATMENT AREAS:
ACUTE TREATMENT AREA :
• Utilized for management of patients with
acute illnesses
• Should be able to fit a standard mobile bed
with ample storage & usage space
• Area should include a service panel,
examination light, wall mounted
sphygmomanometer, emergency call Facilities.
• 2.4m of clear floor space between beds.
• Each treatment area requires space of 15 sqm,
doors at least 1.3m wide.
RESUSCITATION & TRUAMA CARE:
• Resuscitation and treatment of
critically ill or injured patients like
heart attack.
• Should have space to accommodate
specialized resuscitation bed, allow 360
degrees access to all parts of the patient
for facilitating procedures & monitoring.
• Minimum size for a single bed
resuscitation room is 25m2 (270 sq ft).
• Imaging facilities should include:
Overhead X-ray.
Lead lining of walls & partitions between
beds
Radiolucent resuscitation trolley with
cassette trays
X-ray viewing/digital electronic imaging
system
• An OT light should be made available
PLASTER ROOM :
• The Plaster room allows for the application of
Plaster of Paris (POP) and other splints for the
closed reduction under sedative or regional
anesthesia, of displaced fractures or dislocations.
• It must be at least 20 m2 (215 ft2) in size, excluding
crutch or splint storage areas.
DIRTY UTILITY/DISPOSAL ROOM:
• The dirty utility/disposal room is used for the disposal of clinical
and other wastes and soiled linen; for testing and disposal of
patient specimens; for decontamination and storage of patient
utensils such as pans, urinals and bowls; for cleaning and holding
of used equipment for collection and sterilisation elsewhere.
• This room should be a minimum of 12m2.
OBSERVATION WARD :
• Utilized for patients who have been evaluated & need extended treatment,
observation, re-evaluation or time consuming procedures Stabilized patients.
• A 6 to 8 bedded ward is recommended Needs supervision.
SPECIAL FUNCTION TREATMENT ROOMS:
• Designated room for ENT examination with full ENT set, head light, tuning forks, endoscopes,
ENT chair etc.
• Quiet rooms (see below)
• Ophthalmology assessment room with slit-lamp, black-out capability, Snellen chart etc.
• Private room for gynaecology.
• Plaster application room, with appropriate waste disposal Procedure room with operating
theatre standard lighting for suturing and wound care.
MATERIALS TO BE USED :
FLOORING:
• The floor covering in all patient
care areas and corridors should have
the following characteristics.
• Non slippery surface
• Impermeable to water, body fluids
• Durable
• Easy to clean
• So, we use LVT (luxury vinyl tile)
flooring for the hospital interior.
ROOFING:
• The roofing with MINERAL
FIBRE TILE .
• Easy to install.
• Maintenance free.
• Easy to fit the lightings.
• Easy to clean.
AMBULANCE:
• Length =5.4m
• As per IPHS, For the 300 bed hospital 3 no's
of ambulance's are necessary . • Width =1.9m
• Based on our design problem you should
• Height =2.5m
provide 2no’s
• Turning Radius =6.5m
MOBILE XRAY MACHINE :
VENTILATOR:
SERVICE PANEL :
CENTRAL CARDIAC MONITOR STATION: WALL MOUNTED SPHYGMOMMANOMETER :