Emergency Room

Our mission is to introduce quality and efficiency in the services we provide, to achieve our goals, which means providing emergency medical care by a team of professionals who respect both the ethical values ​​and the rights of patients.
Every life saved, every patient treated with passion and responsibility in the medical act is, in fact the victory on which a doctor dedicates his skill, time, science and energy. We believe that patients need complete solutions for both diagnosis and treatment.
The Emergency Room (ER) was established in the structure of the Pediatric Clinical Hospital from Sibiu in 2006 through the Program of Rehabilitation of Emergency Medical Care - REMMSY Program, and started operating in 2008.
Annually, in the ER there are over 25,000 patient presentations that require emergency consultation.
The Emergency Room provides permanent emergency medical care to patients up to 18 years of age in critical condition in Sibiu County and neighboring counties.
In cases where the patient requires an emergency transfer to a hospital with a higher degree of competence, the staff of the ER initiates the interclinical transfer procedures, in accordance with the legal provisions in force.

Team of doctors

Dr. Gălățanu Carmen Daniela
- head of ER Department
- primary doctor in pediatrics;
- competence in general ultrasonography

Dr. Mako Mărioara Aurica
- primary doctor in pediatrics;
- competence in general ultrasonography, emergency medical assistance

Dr. Laiu Elena Mădălina
- primary doctor in pediatrics;
- competence in general ultrasonography

Dr. Bunescu Valentina
- primary doctor in pediatrics;
- competence in general ultrasonography

Dr. Făgărășan Tita
- primary doctor in pediatrics;
- competence in general ultrasonography

Dr. Sbârcea Maria Adela
- primary doctor in pediatrics;
- competence in general ultrasonography, emergency medical assistance

Dr. Man Teodora Geanina
- specialist doctor in pediatrics;

Dr. Șerb Ioana Raluca
- specialist doctor in pediatrics;

Dr. Șoaită Oana Maria
Dr. Soaita Oana CPU
- specialist doctor in pediatrics;

Dr. Zamfir Ioana Luminița
Dr. Zamfir Ioana
- specialist doctor in pediatrics;

Collaborating doctors

Dr. Burlacu Iurie
- primary doctor in pediatrics;

Team of nurses

HEAD NURSE Pop Lucica - Asistent medical de pediatrie
David Maria Felicia – Asistent medical generalist S PR.
Scarlat Alina- Asistent medical generalist S PR.
Solica Marioara - Asistent medical generalist S PR
Pop Alina Nicoleta - Asistent medical generalist S PR
Buica Livia Maria - Asistent medical generalist S
Rogozan Angela – Asistent medical generalist PL
Avram Ilariana - Asistent medical generalist PL PR
Danes Mihaela-Mariana - Asistent medical generalist PL PR
Ghindea Daniela - Asistent medical generalist PL PR
Iacob Daniela Marioara - Asistent medical generalist PL PR
Pitu Aurelia Andreea - Asistent medical generalist PL PR
Posa Veronica Silvia - Asistent medical generalist PL PR.
Radin Roberta Laura - Asistent medical generalist PL PR
Stoica Marilena Georgeta - Asistent medical generalist PL PR
Tristiu Cosmina - Asistent medical de pediatrie PL PR
Tudosoiu Corina Florentina - Asistent medical de pediatrie PL PR
Voina Simona - Asistent medical generalist PL PR
Buica Livia Maria - Asistent medical generalist S
Stefanuta Dobrita Teodora - Asistent medical generalist S
David Maria Felicia – Asistent medical generalist S PR.
Pop Alina Nicoleta - Asistent medical generalist S PR
Scarlat Alina- Asistent medical generalist S PR.
Solica Marioara - Asistent medical generalist S PR

ER Activity

On simple terms the activity in the ER consists of:

  • TRIAGE - When arriving to ER you will meet a nurse who will ask you the reason for the presentation and determine certain functional parameters such as saturation, blood pressure, heart rate and respiratory rate, temperature, weight; Accordingly, the child is placed in a triage category so that he or she can receive the best emergency medical care as soon as possible.
  • REGISTRATION - any patient who is in need of medical emergency medical care must be registered in the hospital's computer system. Name, surname, CNP, address and information regarding the family doctor will be requested. It is mandatory for the pediatric patient to be accompanied by an adult/relative who signs the patient's informed consent for the investigations performed (tests, x-rays, etc.)
  • HEALTHCARE -depending on the triage class in which the patient has been assigned will be taken over by a doctor and a nurse from the department's own staff.
* Resources: Laboratory tests (blood, urine), EKG, x-rays, ultrasound; Fluids i.v (volume refilling); Administration of drugs i.v, i.m. or by nebulization; Specialist consultations; * Simple procedures (eg bladder probing, suturing a wound, etc.) are considered a single resource. Complex procedures (for example, the ones which also require the sedation of the conscious patient) are considered two resources. * No resources are considered: Physical examination (including rectal or vaginal cough), peripheral venous approach, oral medication; tetanus prophylaxis; prescribing a prescription, telephone consultation, toilet and simple dressing of a wound; immobilization

TYPES OF EMERGENCIES:

MINOR EMERGENCIES
Minor emergencies are in turn treated with extreme seriousness and professionalism on our part. If you notice that other patients, some of whom are coming after you, are being treated and treated with priority, this does not mean that we do not care about your illness, only that the other patient needs medical attention faster, either because of his current condition or because that his illness may worsen rapidly.
IMMEDIATE EMERGENCIES
The immediate emergency area normally has four workstations, but their number may be increased in special situations (collective accidents or events with multiple victims). This space is designed to be elastic, the workstations are separated by curtains, so as to provide easy and quick access to any of the patients who are consulted or treated here. We are talking about patients whose condition is not critical, but who need careful monitoring of progress and prompt intervention when appropriate.
RESUSCITATION
The resuscitation room is intended for the management of critically ill patients. It has two jobs that have the highest degree of endowment. This makes it possible to assist any type of patient, regardless of the nature of the condition they are suffering from, whether it is major trauma, patients in a coma or cardio-respiratory arrest.

Frequent questions

You have arrived with your child in an Emergency Room. What should you expect?
Getting to an Emergency Room (ER) can be a daunting and confusing experience not only because of the illness you are suffering from, but also because you do not know how it works. department, patient route or possibilities for diagnosis and treatment. The ER is the independent section of the hospital's structure, headed by a chief doctor, who has its own specially trained staff for the triage, assessment and emergency treatment of patients with acute conditions, who come to the hospital spontaneously or who arrive transported by the ambulances.
1Who am I talking to?
• During your stay in the ER, you will be in contact with various members of the hospital guard team. br • Everyone has an important role to play in helping you, regardless of the professional category you belong to: primary care physician, specialist or resident, nurse, nurse or housekeeper. br • Everyone is required to wear identification badges so that you can find out the name and professional category of the person you are talking to if they forgot to report. br • If you still have any questions, please ask.
2What does the doctor in the ER do?
• The Pediatrician or ER doctor: a doctor who is specially trained to diagnose and treat a wide range of illnesses, whether they are new or chronic illnesses that have worsened or with new symptoms. br • Through the knowledge he has, he can provide medical assistance to solve these urgent problems. br • After resolving the acute symptoms, he or she may recommend that you continue the treatment at home or refer you to a doctor in another clinic. br • If, in order to clarify the diagnosis, he considers that a specialist's opinion is necessary, he may request the doctor on call in another specialty for an emergency consultation.
• The doctor in charge of the shift: has the obligation to know the medical situation of all patients who are in an emergency. He can come to the aid of any emergency doctor to find the best solution for each patient, whether it is a medical or administrative issue.
3What does the emergency nurse do?
• The ER nurse: is the person with whom the patient is usually most in contact and is more than just an executor of the orders of doctors on duty. br • His/her role is not only to administer medication, to collect tests, to determine blood pressure, temperature or to make electrocardiograms. He/she has emergency preparedness, is able to identify those changes in the patient's condition or monitored parameters that require immediate treatment and can initiate (within the limits of his professional skills) the necessary measures or maneuvers, especially those related to saving lives. br • Triage Assistant: is specially prepared for the application of the National Triage Protocol, having in addition to the necessary medical knowledge and decision-making capacity but also communication skills, being the first person the patient meets. br • The assistant in charge of the shift: coordinates the activity of all the nurses but also of the auxiliary staff in the shift. Supports the work of other nurses and is involved in solving medical or administrative problems regardless of the area of ​​treatment in which the patient is.
4 Are there any priorities in healthcare?
• You may notice that other patients, some of whom come after you, are being treated or treated with priority. This does not mean that we do not care about your illness, but that the other patient needs medical attention more quickly, either because of his or her current condition or because his or her illness may worsen rapidly.
• You will be given regular information about the investigations that have been done and the treatment that your child is receiving. If you have any questions, feel free to ask us • If your child's condition worsens or if new symptoms occur, please tell your doctor or nurse so that they can take the necessary action.
5 What happens once I get to the healthcare area?
• You will be consulted by a pediatrician or emergency doctor. He will draw up a consultation form for you and set out an investigation and treatment plan to discuss with you.
• If it is necessary to establish the diagnosis, on the advice of the attending doctor and with your consent, a nurse will perform various medical procedures (blood collection, performing an electrocardiogram, measuring blood pressure, etc.)
• Some conditions require prolonged observation or long-term treatment (several hours). In this case, you will be informed and placed in a bed in a treatment area appropriate to the condition you are suffering from.
• If your pediatrician or emergency doctor deems it is appropriate for you to be hospitalized, this will be discussed with you.
• There is a possibility, although we do not recommend, that you may not agree with the examination, treatment or hospitalization. In this case, you will have to sign this decision. Under these conditions, the examining doctor is not obliged to prescribe treatment at home.
• If symptoms worsen or change once you get home, we advise you to contact your family doctor or return as soon as possible.
6What documents do I receive at the end of the consultation?
• If you are allowed to go home after the diagnosis and treatment stage, you will be given a prescription in case you need to receive treatment at home. br • You will receive the results of the investigations performed (radiological examinations, ultrasound), specialist consultations, home treatment recommendations, diet, follow-up. br • All the recommendations that have been made to you will be explained to you, but if you still have any doubts, please do not hesitate to ask us. We will try to be clearer in the explanations. br • If symptoms worsen or change when you get home, we advise you to contact your family doctor or return as soon as possible.
7WHERE DO YOU GO/CALL WHEN THE FAMILY DOCTOR IS NO LONGER IN THE SCHEDULE (i.e. evening, night, Saturday and Sunday and public holidays) and you have a health problem that is NOT subject to ER consultations?
Call or go to the nearest medical center opened 24/7. The list of all centers in Sibiu and Sibiu County, are below:
- FIXED PERMANENCE CENTER SIBIU - str. Nicolae Iorga no. 50 - tel. 0369.435101
- FIXED PERMANENCE CENTER SĂLIȘTE - str. Spitalului no. 29 - 0269.553663
- AVRIG FIXED PERMANENCE CENTER - str. Horea no. 8A - 0269.525488
- FIXED PERMANENCE CENTER AGNITA - str. Spitalului no. 10 - 0269.510490
! The centers are opened from Monday to Friday from 15:00 to 08:00, on Saturdays and Sundays, but also during public holidays and on days declared free from 08:00 to 08:00.
! Uninsured people can also benefit from their services.

Equipment

Within the Emergency Room (ER), there is the following equipment
    • ABL800 flex
    • Blood and electrolyte emergency analyzer
    • Automatic hematology analyzer
    • Automatic biochemistry analyzer
    • Automated C-reactive protein and procalcitonin analyzer
    • Automatic urine test analyzer
    • Automated analyzer for toxicology and cardiac markers
    • Ultrasound
    • Monitors for vital functions
    • Triage monitors
    • Electrocardiograph
    • Otoscope & Ophthalmoscope / diagnostic station
    • Aerosol devices
    • Centralized oxygen therapy and aspiration system
    • Spirometer
    • Air disinfection lamps
    • Injectomates
    • Volumetric pumps for infusion
    • Newborn resuscitation table
    • Transport incubator
    • Mechanical ventilation devices
    • Portable ventilation devices
    • Defibrillators
    • Mobile secretion vacuum cleaner
    • Laryngoscope with blade set
    • Telemedicine system
    • Shovel stretcher
    • Transparent hydraulic stretcher for patient transport
    • Patient transport chair

Medical spaces:

The Emergency Room has a number of 10 beds for day hospitalization and it is structured as follows:
  • Triage and registration
  • Resuscitation and Stabilization Salon
  • Salon for immediate treatments (critical cases)
  • Surveillance Salon
  • Salon for minor treatment
We are the ones who fight, every day, for every beat of the child's heart.

EMERCENCY DENTISTRY

Dr. Bratu  Mariana
- primary DOCTOR - specialty General Dentistry
- specialist doctor - Orthodontics and Dento - Facial Orthopedics

Activitatea stomatologica


    - Urgențe stomatologice pediatrice
    - Profilaxia cariei dentare: fluorizări, sigilări dentare 
    - Instructaj pentru o igienizare buco- dentară  corectă 
    - Tratamentul  durerii odontale și parodontale
    - Tratamentul gingivo-stomatitelor
    - Tratamentul traumatismelor dento - parodontale
    - Diagnosticul precoce al leziunilor cu potențial  malign din cavitatea bucală
    - Diagnosticul precoce al anomaliilor dento - maxilare și dento- faciale la copii