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In an emergency

Many people continue to go to accident and emergency even when they could be treated just as professionally and usually more quickly at a minor injuries unit. At accident and emergency departments, staff must give priority to serious and life-threatening conditions.

 

Information on this page can help you understand where to go for the care you need. 


 

         Minor injury units

Minor injury units can:

  • stitch cuts/suturing
  • remove foreign bodies from ears, noses etc.
  • dress minor wounds, lacerations and abrasions
  • deal with sprains and strains
  • deal with most broken bones
  • treat wound infections
  • treat burns and scalds
  • remove fish hooks
  • remove splinters
  • remove ear rings/studs from earlobes, mouths, noses
  • treat head injuries
  • treat bites: insect, animal, human
  • treat eye conditions/injuries
  • treat minor chest injuries
  • treat neck pain/injuries
  • treat back pain
  • treat facial injuries including injuries to the nose
  • treat epistaxis
  • treat dental problems
  • treat burns and scalds
  • treat abscesses and paronychias
  • treat acute urticaria/allergic reactions
  • treat soft tissue injuries/bruising
  • apply plaster of paris
  • assess and advise

 

Minor injury units cannot treat:

 

  • chest pain
  • respiratory problems
  • abdominal pain
  • gynaecological and obstetric problems
  • overdose
  • alcohol related problems
  • mental health problems
  • primary care conditions

 

         Accident and emergency

The first thing that happens when you arrive at A&E - and even before when paramedics contact A&E from ambulances - is that you are assessed into one of the following categories:

 

  1. Immediate resuscitation - immediate treatment needed to save life

  2. Very urgent - seriously ill or injured, but not in immediate danger

  3. Urgent - serious A&E problems but stable

  4. Standard - standard A&E cases, but without immediate danger or distress

  5. Non-urgent - not true accidents or emergencies or people with old injuries.

 

This assessment is known as triage - which is simply the French word for sorting. It is the triage scale given above which determines how quickly you are seen, along with the number of patients in A&E at that time. 

         Emergency care centres

Emergency care centres (EECs) treat adult patients with acute medical illness, such as heart attack or stroke, and has a minor injuries service (for injuries such as fractures and sprains) for all age groups. 

 

Not all EECs are open 24 hours a day.

         Out of hours GP and dental care

Sometimes you just need to see a doctor, dentist or social worker outside of their normal open hours.