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Canadian emergency triage system

一般来说, 在加拿大,等急诊的病人分五等:resuscitation, emergent, urgent, less urgent, non urgent. For the category one, the patient will be examined in ten minutes, such as cardiac arrest, massive vomiting of blood. The examples of emergent include acute confusion, acute chest pain. Urgent level includes serious extremity injuries, abdominal pain. the forth and fifth level include fracture of arm, fever, etc. So, in your case, as long as you are oriented and alter, and the nurses keep asking your questions every a half hour to see you are still conscious, I think I have to wait for a long time to see the doctor. You may belong to third or forth categroy depending on your consciousness and blood loss.
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Replies, comments and Discussions:

  • 枫下家园 / 医药保健 / 举个亲身看急诊的例子,看看这种情况,加拿大会如何处理?
    有一次在北京玩的时候把头撞在铁门上,出现大量出血。我赶紧向医院跑,幸好医院不远,5分钟跑就到了。但是,到了外科急诊,那个医生一边吃花生,一边让我先去交钱,我说能不能先给处理一下,在去交钱,并且我向她出示了我带了几百块钱,足够了。因为当时我的眼睛已经被流下来的血糊住了,就剩一条缝,而且衬衫全是血,连裤子都湿了粘在腿上。幸好我身体比较强壮,没贫血。可那女医生非常冷淡,说这是医院的规定。没办法,我只能楼上楼下地去划价交费,回来躺在床上时,血都快干了,结嘎巴了。这时那女医生才开始治疗,共缝了15针。
    我就害怕在北京就算先交费也就10来分钟,在这里如果要我等3个小时,不死也残。
    而且如果情况紧急,我来不及回家取医疗卡,EMERGENCY会不会给我先治,后补刷卡呀?否则要我回去取卡,肯定要死在路上。这里市场经济更发达,不会更冷漠吧?不知道加拿大医疗制度有没有这方面的规定。
    • 这里emergency分两种,一种是重症,就是车祸,心脏病等,抢救应该是很及时的,当然要是同时有一堆人重症那就悬了。还有一种就是一般 急诊,一般外伤,头疼脑热的统统去那里。
      象你这情况,当然是一般急诊,不管你有没有卡,都得等。有一次我去急诊室看眼角被撞破的朋友,直接撞到了重症室,看到一堆护士和医生在聊天,他们态度倒特好,替我仔细查了病人的名单,然后告诉我去外边一般急诊去看看(好象一个叫critical emergency,一个叫general emergency)。后来果然在那边看到了朋友躺在床上等候处理,他还算不错,只等了一个多小时就被缝上了。
    • TMD,加拿大,要是有急诊,你都能象我这样骂出来.半夜呕吐不止,上医院后又严重腹泻多次,在中国早就打上滴馏瓶子了.在这鬼地方,来了两次大夫,等了一个半小时,最后开药,让自己去药房去买!
      大半夜4点钟,我哪也没去. 吐完,拉完,自己就好了.你真的难以想象,都吐出绿水来了. 掏空了以后就感觉口渴要命,而且因呕吐,肌肉痉挛,脖子疼了两天.头一次知道,急性胃肠炎不吃药,不打针,也不练XX功,自己就能好,加拿大大夫真厉害
      • 中国的急诊是好!我过去就连喉咙痛也是看急诊,又快又周全.
      • 看来加拿大的大夫不是不负责,而是太笨。还谁有类似的感受?
        • 严重同意,加拿大医生一年才看多少病人,中国医生因年看多少医生,没法比。医生的医术是靠经验积累起来的。
          • 我自己的经验:接触过的这里的几个家庭医生,感觉水平相当于国内小工厂的厂医务室的水平
            • 不会这么严重吧?我们单位的合同医院是北京人民医院和协和医院,觉得这里的家庭医生水平还可以,可能是他的医学英文会的比我多得多,他说的单词我都基本不会,给我的错觉。
              • 那是蒙你不懂。这儿家庭医生三板斧,我都会:1)以前有这种症状吗?2)以前吃什么药?3)效果挺好,那接着吃。Next!
                • 还有一板斧你会不会:去,买这药去,吃两个星期再来看有没有问题。好了,OK;没好?换一种再来两个星期。还不行?我给你联系专科医生,二个月后检查。
                • It's because they have to worry about their licenses! I got a terrible experience in China.
                  I react to most needles. In china one time, they gave me Penicillin. After five needles, I started to react against the medicine. Then they gave me another five shot of something else to kill the skin reaction. They don't care. They charged me. But in here, I can sue them and the doctor will be need to worry about their license. That's why during normal circumstance, if they know certain medicine is right for you, they kind of stick to it. Because changing prescription involved a risk.
            • 也就赤脚医生!屋里证书挂的到不少,谁知道肚子里装的是什么,我都怀疑是不是有我这个医生世家长大的人知道的多。不得不找的话,千万找一个年级大点的老医生,年轻的还不知道要实习多久呢?中国30岁就可以成为好医生,这里恐怕得40
          • 您说得太对了。
          • 太有感触了.以前一个美国知名心脏病专家来北京讲课.课上炫耀说他做过300例瓣膜手术!下面某院长微微一笑,他都做过1000多例了.
            • 我有个中学同学,北医口腔学毕业,在口腔医院工作,说他们那里来了个外国专家做交流演示,用了一堆设备,最后还搞的病人脸发炎,全肿了;可中国人自己上去做,只用最简单的设备,病人几乎没有什么发炎。他们结论是:外国人手笨。
    • Canadian emergency triage system
      一般来说, 在加拿大,等急诊的病人分五等:resuscitation, emergent, urgent, less urgent, non urgent. For the category one, the patient will be examined in ten minutes, such as cardiac arrest, massive vomiting of blood. The examples of emergent include acute confusion, acute chest pain. Urgent level includes serious extremity injuries, abdominal pain. the forth and fifth level include fracture of arm, fever, etc. So, in your case, as long as you are oriented and alter, and the nurses keep asking your questions every a half hour to see you are still conscious, I think I have to wait for a long time to see the doctor. You may belong to third or forth categroy depending on your consciousness and blood loss.
      • 那为什么在北京上海看急诊没有这种情况?其实关键是急诊,要是有什么慢性病,回国治疗都可以。
        • 可你说,要是半夜发烧,自己吃药不管用,还不是要跑到急诊室去。据我所知,您就等着吧, 除非自己烧糊涂了, 医生可能能提前看看你。我是不明白加拿大这system, 可我又有啥法呢
          • 不知道这里有没有象美国那样的私人医院,是不是服务好些?我想当人都快死了,价钱再贵也要看。
            • 好象没有,去年有一个加拿大人长了一肿瘤,排队手术要一年,怕是等不及了,自己花钱跑到美国开的刀。你要是没钱,慢慢等吧。我觉得这里的医疗制度特象中国以前的公费医疗制度。
          • #280045, FYI.
            • It's posted by the same guy.
    • 好象和医院数量有关北京人口1000万,超过300张病床的医院上百家,多论多人口300万,超 过100张的可能不到20家,国内大医院的医疗水平和仪器先进度比这儿不差,加拿大医疗确实要改革
      • 我亲戚是上海一大医院的院长,早年在加拿大留学,每年世界到处跑,她一直说加拿大的医疗水平很高,现在我都糊涂了,谁是对的?
        • 加拿大医疗水平是比较平均,当然也是比较先进的;国内先进的大医院,普通人不一定 有机会(钱,官位,关系)能享受。如果你是个普通老百姓,在中国看病比加拿大要痛苦 的多,即使急诊也一样。
          • 但是感觉国内看病虽然条件不一定很好,象卫生,设备,但比较实用。也许这是中国人的习惯眼光。
            • You have to look at the whole picture. You can't just focus your view in Beijing, Shanghai and middle to higher class people.
              • You are absolutely right!
                But I am not the Minister of Health Department, so I don't care about the rest cities or provinces of China. I have no opportunities to live there. I just want to compare between Beijing, Shanghai and Toronto.
                • stubborn man.. I guess you always get sick otherwise you won't be concern so much.
                  • No. I get sick very seldom. About once per 3 year. 除了一些小问题,比如最近一次去医院是去北京医院耳鼻吼科:喉咙里有个小鱼刺,很不舒服。
        • 你说的是医疗研究水平,我们说的是临床水平。光研究水平高没有用,临床治疗病人是需要实际病例和经验积累的。中国的差距是在研究水平以及医疗仪器水平。临床水平远远高于北美。
          • 我觉得我们很幸运的是还有中医,我想不出来老外上火,嘴上起泡,应该怎么办,不会吃维生素吧?
      • Cool, then who will be paying for it??
    • 在加拿大人眼里,你是中国来的盲流。在中国,盲流的待遇也差不多
    • Live in Canada, act like a Canadian
      In China, we complain about the weather, the corruption, the population, people's behaviors and manners. In Canada, we still can find a lot of things we don't like. Is there a place suitable for Chinese to live?

      There are Canadian ways to solve these kind of problems. After staying here for a while, you will know what you should do. So give yourself some time.
      • I like this one.
      • Right! 不过你要是知道能否告诉大家,因为看病还是很要命的事,有时候时间过了就没命了。谢谢!