Accident & Emergency (A&E)


An emergency does not just mean serious cases such as heart or asthma attacks. Even a stomachache can be categorized as an emergency case if it happens after office hours when outpatient clinics are closed, or if you are not sure which consultant you need to see.

Columbia Asia Hospitals’ A&E department is a specialized facility within the hospital that offers prompt and efficient emergency medical care to patients in need. The department operates 24/7, ensuring that medical services are available round-the-clock.

A&E Services and Facilities

Columbia Asia's A&E department is equipped with state-of-the-art facilities and advanced medical technologies to aid in the rapid assessment, diagnosis, and treatment of patients. Kindly see below for list of services and facilities:

  • 24-hours Covid 19 testing
  • After-office hours outpatient services
  • Ambulance service
  • Dedicated Examination Rooms
  • Diagnostic imaging
  • Emergency Clinical Care
  • Emergency bays
  • Isolation bays
  • Laboratory services
  • Minor Emergency Medicine
  • Observational Medicine
  • Resuscitation Areas
  • Trauma Bays
  • Trauma Follow-Up
  • Triage
  • Wound care Clinic
A&E Medical Team

Columbia Asia's A&E department consists of experienced professionals who are trained to handle medical emergencies. They are highly skilled at providing immediate and effective care to patients in critical conditions. They also maintain a patient-centric approach, focusing on the well-being and comfort of patients during their emergency medical journey. Kindly see below for list of A&E team members:

  • Emergency physicians
  • Medical officers
  • Emergency nurses
  • Medical assistants
  • Consultants on call
  • Support staff
What To Do in An Emergency
  • 1. Evaluate surroundings
  • Evaluate the surrounding for things that may put you or the patient at risk of harm. If there are, wait for emergency services to arrive.
  • 2. Assess patient’s response
  • Assess patients for response. Do they respond when you talk to them, touch their hands, or squeeze their shoulders?
  • 3. Call for help
  • Call a household family member, neighbor, or emergency service for ambulance (if required).
  • 4. Carry out A-B-C action plan
  • Assess patient’s Airways to check if they are clear. Check Breathing by looking at chest movement. Start Cardiopulmonary resuscitation (CPR) if patient is not breathing.
  • 5. Apply First Aid
  • Stop any bleeding by compression or bandage. Immobilize patient if patient complains of neck, head, or back pain or limb, which may be a fracture.
  • 6. Keep calm
  • Reassure and comfort the patient. Gather and bring along patient’s ID and medical records. Bring your ID too.
  • 7. Be safe
  • If driving to the hospital, ensure everyone is safely seated and wearing seatbelts. Drive calmly, safely and make sure to obey traffic rules.
Upon Arrival at The A&E
  • 1. Triage
  • Patients in severe conditions are given priority over those with less urgent needs. Symptoms, vital signs, and the nature of your complaint will be evaluated to prioritize your care.
  • 2. Registration
  • Register your personal information at the registration desk. Provide accurate details to ensure smooth processing of your documentation.
  • 3. Evaluation and Examination
  • Next, a healthcare professional will assess your condition, review and perform a physical examination. You may be asked about symptoms, medical history, allergies and current medications.
  • 4. Diagnostic Tests
  • Diagnostic tests may be run to evaluate and diagnose including blood tests, X-rays, CT scans, ultrasounds, or other imaging studies. These identify underlying causes of symptoms and guide appropriate treatment.
  • 5. Treatment and Stabilization
  • To stabilize your condition and alleviate immediate health risks, the team will initiate appropriate treatment. This may involve administering medications, providing pain relief, immobilizing fractures and suturing wounds.
  • 6. Observation or Admission
  • After initial treatment, the healthcare team may observe your condition for awhile or recommend admission to the hospital for further care and monitoring.
  • 7. Discharge or Follow-up
  • You may be discharged if your condition is stable and does not require hospitalization. Before that, you will be given instructions on self-care, medicines, and follow-up appointments.
The Triage System

The A&E department follows a triage system to prioritize patients based on the severity of their condition. This ensures that critical cases receive immediate attention and that resources are allocated appropriately. While waiting times may vary depending on the urgency of each case, the staff at Columbia Asia Hospital strives to minimize waiting times and provide timely care to all patients. Below is an example of a triage system:

Critical (Red Zone)
Semi-Critical (Yellow Zone)
Non-Critical (Green Zone)

Triage 1 Critical (Red Zone) IMMEDIATE

This denotes patients who are unstable or when there is a potential loss of life or limb. For example:
  • Cardiac arrest
  • Severe respiratory arrest
  • Unresponsive trauma
  • Unresponsive babies
  • Severe crush on limbs
  • Extensive burns
  • Near drownings
  • Unresponsive with history of poisoning
  • Exsanguinations hemorrhage
  • Firearm wounds

Triage 2 Semi-Critical (Yellow Zone) WITHIN 30 MINUTES

This is for stable cases but still with a potential threat to life or limb. For example:
  • Lower limb fractures
  • Chest pains
  • Spine injuries
  • Eye injuries
  • Limb amputations
  • Dislocations
  • Major bleeding
  • Poisoning
  • Drug overdose
  • Dehydration

Triage 3 Non-Critical (Green Zone) WITHIN 60 MINUTES

These cases do not pose any immediate threat to life or limb. Patients show normal vital signs, despite feeling discomfort. For example:
  • Mild asthma
  • Small joint dislocation
  • Minor allerguc reaction
  • Foreign body
  • Minor burns
  • Diarrhea/vomitting (without dehydration)
  • Ear ache
  • Infective eye condition
  • Fever
  • Nail prick
  Also including:
  • Wound dressing
  • Open stitches
  • Change of catheter

In addition to providing emergency medical treatment, Columbia Asia's A&E department also coordinates patient admissions to the hospital for specialized treatment, arranging transfers between departments, or providing appropriate instructions for follow-up care after discharge.

Periodically, the healthcare team will reassess your condition, provide updates, and address any concerns you may have. The length of your stay in the ED varies depending on severity of your condition, the need for diagnostic tests, and the availability of treatment resources.

Remember, the specific processes and procedures may vary between different hospitals and healthcare systems, but the overall goal remains the same: to assess, stabilize, and provide appropriate care to patients in need of emergency medical attention.

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