Clinical Services

  • Adult emergency department
  • Pediatric emergency department
  • SQUH emergency medical services
  • Medical Toxicology

The department of emergency medicine is comprised of highly trained mostly board certified emergency physicians. There are total of … emergency physicians, which includes senior consultants, consultants, senior specialists, consultants, senior medical officers & medical officers. We are extremely proud of our staff & our continued achievements in both our academic and clinical portfolios where we work collaboratively to ensure high quality patient care, education & research.

Introduction

 

 

The Division for Pediatric Emergency Medicine (PEM) at Sultan Qaboos University Hospital is committed to providing infants, children and young adults with the highest quality of care. We look after medical and surgical conditions as well as trauma. All patients are accepted in the emergency department from birth through their 13th birthday, for acute illness and those with chronic illnesses requiring pediatric expertise. Division serve almost 15000 children each years and giving acute care and saving children’s lives 24/7, additionally providing teaching and research.

Our team of highly trained and experienced staff deals daily with a wide spectrum of illnesses and traumas -- from minor illnesses and injuries to the resuscitation of a severe trauma patient or stabilization of children with complex medical conditions.

We strive to develop and maintain the best clinical care for children in our Emergency Department through Clinical Practice Guidelines and collaborations with Child Health Department.

 

 

Education

The Division continues to be involved in the education of many different trainees. These include medical students, interns, residents from various surgical and medical sub-specialties, as well as residents from our own pediatric residency program.

 

 

Research

The Division of Pediatric Emergency Medicine (PEM) carries out research in many different areas. Currently, the major research foci are respiratory illnesses and length of stay in Pediatric Emergency Medicine.

 

 

Faculty & Staff

 

 

Dr. Marwan Al Raisi Dr.

Hilal Al Barwani Dr. Amal

Al Shibli

Dr. Ali Yazdan Dr.

Niranjan Lal Dr.

Sumaira Irum

 

Resources

 

 

 

 

Associations

 

  1. Overview

 

Sultan Qaboos University Hospital as the one of the leading educational and healthcare provider in Oman, continue its pledge to the community by establishing the Sultan Qaboos University Hospital Emergency Medical Services (SQUH EMS). The SQUH EMS is working under the branch of SQUH Emergency Medicine Department. Their aim is to provide high quality pre hospital care within the SQU campus. Consequently, it provides education to sustain the optimal quality of healthcare within the community.

 

  1. Our Roles and Responsibilities

 

The SQUH EMS Major Roles and Responsibilities in SQU are the following:

  • Providing high quality Pre Hospital Care within the SQU Campus

 

  • Involved in rendering resuscitative care for critically ill in the SQUH Emergency Medicine Department

 

  • Participating in Hospital and National Disaster Calls

 

  • Facilitating all SQUH patient conduction via Ambulance

 

  • Covering all SQU Activities

 

  • Participating in Teaching and Research C. The SQUH

EMS Composition

The SQUH EMS team composed of licensed Paramedic from different nations, that undergoes a series of interviews and review of qualifications from the Senior Consultants of the SQUH EMD. The unit is currently supervised by Mr. Ahmed Zahir Al Shaqsi, a licensed Senior Paramedic – Advance from Royal Oman Police. At present the SQUH EMS Unit is composed of 10 staff that endure to augment according to the demand of the institution.

 

Ø Kindly insert team picture and Ahmed solo pic D. Our Activities

The SQUH EMS team cover all the SQU Activities for Pre Hospital Medical Support, either its held inside or outside the campus. The team are properly dispatched and stationed to respond in all emergencies, either Trauma or Medical. Furthermore, the team participates in rendering education, by being involved in campaigns, drills and lectures that promotes the health and safety sustainability in the community.

 

Ø Kindly attach our pics for the activities and label each

E. SQUH EMS Gallery
- Pictures of the activities
= EMD participation
= patient care
= ambulance response
= video if possible

 

Medical Toxicology Consult Service at SQUH

 

 

 

Dr.Suad Abdullah Al Abri: MD, ABEM, Fellowship of medical toxicology from UCSF, USA

Consultant Emergency Physician

Medical toxicologist at SQUH Emergency Department

 

 Contents                                                                           

 

  •     Introduction                                                             
  •     Objectives &Goals                                                   
  •     Clinical Service                                                        
  •     Documentations and Records                                 
  •     Academic and Educational activities                      
  •     Research                                                                   
  •     Future development and human resources               
  •     Clinical toxicology Nurse                                        

 

 Introduction:

Medical toxicologists are involved in the comprehensive high-level care of patients with problems related to exposure to toxins such as:
1-    Adverse drug events: injury resulting from the use of a drug 
2-    Medication overdose: the ingestion or application of a drug in quantities greater than recommended either accidental or intentional 
3-    Environmental poisoning: poisoning resulting directly from the individual’s environment, such as air and water pollution, pesticides or asbestos
4-    Substance abuse: a harmful use of any substance with additive properties for mood- altering purpose
5-    Acute withdrawal: a group of symptoms that occurs as a results of the cessation of addictive chemicals such as drug and alcohol
6-    Snakes, scorpions and marine envenomation management 

Everyday the health care provider faces a growing burden of chemical, pharmaceutical, and related toxicological exposures, which requires a distinct set of clinical skills. Poison centers and medical toxicology are able to offered these skills to providers and the public to improve the recognition, awareness and management of poisonings. Efforts are underway across the developing world, including here in the Arabian Gulf, to build much-needed capacity in clinical toxicology. SQUH as a leading hospital nationwide as well as in the whole region should have clinical toxicology service integrated as part of it is growing service.


Objectives:
1-    The Medical toxicology service will allow physicians with advanced toxicology training to be available for emergent cases immediately, upon request, to help in the diagnosis and evaluation of patients who experience a poison and/or toxic exposure.
2-     To improve patients’ overall care and efficiency in medical management. Studies show that this type of service results in decreased ICU stays and shorter hospital stays for the patient. It is also cost effective in that the patient needs fewer healthcare resources.
3-     Cost savings by judicious use of adult and pediatric admission criteria for poisoning patients as medical toxicology consults have been shown to reduce unnecessary hospital admissions.
4-     For SQUH to be recognized as a leading facility in the medical toxicology by making presence and maintaining contacts with other agencies dealing with various aspects of the prevention and treatment of poisoning including international conferences and meetings
5-    To Monitor and maintain records for poisoning and overdose patients to survey the local statistics as well serve as good database for future researches 
6-    To provide send in guidelines for acceptance of drug and 
7-    Public health and toxicological surveillance this include (1) cases of drug and substance abuse, (2) foodborne illness outbreaks (e.g., botulism), (3) food/medication contamination, (4) detection of adverse drug reactions to new or older medications, (5) injuries from commercial and consumer products, and (6) pediatric poisoning trends. 
8-    To provide formal professional toxicology education and training to physicians, medical students and in residency training

 

 

Clinical Services:
Bedside consults:

Will provide diagnosis and management advice for seriously poisoning and overdose patients from ED and ICU and acutely admitted patients to medical or pediatric floors. Consultation will also be provided for toxicological laboratory requests,  clinical interpretation of results  in collaboration with  toxicology lab.

Phone consults:
It can help in assessment and triage for poisoned and drug overdose patients if the call involve transferee from other hospitals, health care facility or EMS service and guide the management as needed plus providing guidance in management of acutely admitted patients


Timing: 
The toxicologist  is available for  any  toxicology consultations  upto 11 pm .After that  and  in weekends, consults are available by phone for seriously poisoning patient in Emergency department or ICU by senior doctors. 


 Documentation and Records:
A special Toxicology consults form (Appendix 1) will be added to the HIS records .The documentation is prepared by the medical toxicologist bases on international standers. These records provide unique toxicological information that can be extremely valuable for future research and local facility audits. Diagnosis codes will be also added to the current HIS records in order to facilitate easy search and tracking for specific toxicology cases.

 

Academic and Educational Activities:
 1- Teaching students and residents the medical management of many toxicological conditions. We also can deliver structured outreach sessions, providing information to staff working in acute medicine, emergency medicine, pediatrics and intensive care medicine. These can be in form of lectures   or an intensive simulation or combination of both.

2- The medical toxicologist can be also involved in CME at hospitals, professional conferences, and other hospital education activities by providing updated and continuous knowledge about clinical toxicology and overdose cases management in adults and pediatrics.

 

Research:
As we know research is an integral part in development especially in a leading academic institute like SQUH mentioned. The collected toxicology consult data will be important sources of information. The medical toxicologist will be committed to supervise and conduct research and projects in this unique population as well as providing publication

 

Future Development and Human Resources
The evolution of the medical toxicology service will depend on local circumstances, needs and number of patients served. Ideally, there should addition of human resources in the future with training in medical toxicology to maintain the continuity of the service as well as advancement and development of the service. Those professional staff will be encouraged to undertake relevant research and contribute to the literature as well as maintaining the toxicology consults service coverage 24/7.


Clinical Toxicology nurse job description

A.Clinical Services:
1.    Assess and implement needed care and follow up for toxicology-consulted patients seen or discussed with medical toxicologist.
2.    Order and follow specific toxicology test either bedside, in collaboration with biochemistry toxicology laboratory or other available analytical toxicology in college of science.
3.     Provide proper health education and consultation on prevention and assist in  proper toxicology patient discharge and  arrange for proper outpatient follow up of specific toxicology labs if needed .
4.    Maintain effective communication and documentation on consulted toxicology patient and maintain proper communication with admitting or   other specialty taking care of patient.
5.    Handle , maintain stocking  , be familiar with dosage and drug preparation and administration of all toxicology antidotes .

B.Education and Training:

1.    Updated protocols and algorithm in management of poisoned patient with help and guidance of medical toxicologist 
2.    Organized and participate in continuous professional activities and teaching regarding clinical toxicology in hospital and other institutions
3.    Attend conferences and courses and special workshop in clinical toxicology nationally and internationally 
4.    Prepare educational materials and leaflets for common poisoning prevention and management
5.    Participate in exhibition done internal and externally to educate the public about poisoning and prevention 
6.     Be expert and teach special lectures about chemical exposure and decontamination with practical demonstration if needed
7.    Prepare education toxicological presentation when needed 
8.    Participate in the national guideline of poison prevention  update  when needed .

C.Administration:

1.    Establish communication link between medical toxicology service, pharmacy and analytical laboratories internally
2.    Establish communication link between controlling and legislation agencies like ministry of agriculture and municipality for specific poison like pesticides be aware of prohibited list of pesticides in control
3.    Report to concern agencies presence of public threat from specific exposure for regulation and prevention in collaboration with poison control in ministry of health 
4.    Establish a communication channel to the poison control center in ministry of health for needed collaborative work.


D.Research 

1.     Report monthly statistics of toxicology data including for drug overdose, chemical exposure, bites and stings to medical toxicologist and emergency department and others when needed.
2.    Participate in toxicological related research including studies, publication, posters and abstracts
3.    Conduct regular audits for management of toxicological cases and provide needed feedback for concerned staff
4.    Assist other health care providers and students in conducting research related to toxicology 

Examples of Toxicology Websites
Agency for Toxic Substances and Disease Registry
FDA Website
Drugs in Pregnancy and Lactation
PA Pesticide Website
American College of Medical Toxicology position statements