EMERGENCY ROOMJULY 2014 Census

CABALTERA-DE GUZMAN / MADRIDFRANCISCO /LEO / PANELA / RAMIREZ / VILLARBELTRAN / DOMINGUEZ / DE VERA / OESWADI /TSAI

Total Triaged Patients(N = 1,463)

Emergency Room

792 54.13%

OPD 630 43.06

HAMA 10 0.68%

THOC 27 1.84%

Absconded 1 0.062%

DOA 3 0.21%

Comparison of number of triaged patients from MAY to JULY 2014

TOTA

L

Emer

genc

y Roo

m

THOC

HAMA

Absc

onde

d

DOA 0

100

200

300

400

500

600

700

800

900

MAYJUNEJULY

13-14%

ER Admissions (N=792 )

TotalPercentag

e

Discharged from the ER• SSU• Drop-in Consults

613159454

77.40%20.08%

57.32%

Transferred to Wards 131 16.54%

NICU 6 0.76%

RICU 15 1.89%

Transfer to Other Hospital

14 1.77%

HAMA 5 0.63%

DOA 3 0.38%

Mortality 5 0.63%

Top 10 ER Cases JUNE 2014 vs JULY 2014 (N=792)

JUNE 2014 % JULY 2014 %

1. Acute Gastroenteritis 67 9.72% 1. Acute Gastroenteritis 87 10.98%

2. Pneumonia 53 7.69% 2. Pneumonia 61 7.70%

3. Febrile Convulsions 33 4.79% 3. Upper Respiratory Tract Infection 53 6.69%

4. Systemic Viral Illness 32 4.64% 4. Non-specific Viral Infection (NSVI) 33 4.17%

5. Leukemia 29 4.21% 5. Urinary Tract Infection 29 3.66%

6. Seizure (LRE, Generalized Epilepsy) 28 4.06% 6. Acute Tonsillo Pharyngitis 28 3.54%

7. Upper Respiratory Tract Infection 21 3.05% 7. Bronchial Asthma 26 3.28%

8. Bronchial Asthma 19 2.76% 8. Dengue Hemorrhagic Fever 17 2.15%

9. Urinary Tract Infection 16 2.32% 9. Benign Febrile Convulsion 16 2.02%

10. Acid-related Disease 14 2.03% 10. Traumatic Brain Injury 16 2.02%

Top 10 ER ADMISSIONS and Drop-inDrop in (N=454) % Admission %

1. AGE 67 5.63% 1. Pneumonia 29 8.58%

2. URTI 53 4.45% 2. Acute Gastroenteritis 20 5.92%3. Non-specific Viral Infection (NSVI) 33 2.77% 3. DHF 17 5.03%

4. Pneumonia 32 2.69% 4. Neonatal sepsis 12 3.55%

5. Urinary Tract Infection 29 2.44% 5. Seizure Disorder 12 3.55%6. Acute Tonsillo Pharyngitis 28 2.35% 6. Febrile neutropenia 11 3.25%

7. Bronchial Asthma 21 1.76% 7 . Acute Leukemia 8 2.37%8. Benign Febrile Convulsion 16 1.34% 8. Acute glomerulonephritis 8 2.37%9. Traumatic Brain Injury Mild 16 1.34% 9. Abcess 6 1.78%

10. Acid Related Disease 14 1.18% 10. Bronchial Asthma 5 1.48%

Number of Hours of ER Stay

Time in ER   Time in ER  <1hr 296 14-15 31-2hr 120 15-16 62-3hr 84 16-17 53-4hr 62 17-18 44-5hr 54 18-19 45-6hr 38 19-20 26-7hr 18 20-21 27-8hr 7 21-22 58-9hr 12 22-23 3

9-10hr 9 23-24 210-11hr 5 >24hr 611-12hr 7 >48h 412-13hr 9 >72hr 213-14 2    

Number of Hours of ER Stay

July 2014

Mean 14.78 HR

Median 13-14 HR

Mode <1 HR

Transferred to NICU

NICU ADMISSIONS (N=6)NAME AGE DATE

ADMITTED

No of Hours Stay

ADMITTING DIAGNOSIS

RIC

Furio, Nicole 1 DOL 7/1/2014 4FT, 37-38 weeks by ballard’s

score, Appropriate for Gestational Age, Gastroschisis

De Vera

Sienes, Bb Girl 1 DOL 7/5/2014 6PT, 28 weeks by Ballard’s Score, Necrotizing Entero

Colitis Stage I De Vera

Molina, Quinn 3 wk 7/11/2014 >24FT, Neonatal Pneumonia, Abcess Left Frontal Area,

SepsisTsai

Sadje, Ponce 13 DOL 7/23/2014 15Hypovolemic Shock sec. Acute

Gastroenteritis with severe signs of Dehydration; Sepsis

Leo

NICU ADMISSIONS (N=6)NAME AGE DATE

ADMITTED

No of Hours Stay

ADMITTING DIAGNOSIS

RIC

Antonio, Jimwell 1 DOL 7/11/2014 6 FT, 39 weeks by Ballard’s

Score, Neonatal Pneumonia Leo

Hipona, Bb Girl 5 DOL 7/27/2014 8 FT, 38 weeks by Ballard’s Score, Omphalocele De Vera

Transferred to RICU

RICU ADMISSIONS (N=15)

Name Age/Sex

Date Hours Of Stay

Admitting Diagnosis

RIC

Viola, Arnel 1/M 7/1/2014 3 PCAP D, Sepsis Dominguez

Alvarez, Diefer 13/M 7/8/14 5 DKA, Severe; DM Type 1

poorly controlled Tsai

Balocating, Kristine 1/F 7/13/14 2 DHF III De Vera

Elino, Ariela 2mo/F 7/22/24 6Aspiration Pneumonia, CHD, cyanotic probably

Tetralogy of FallotTsai

Mendoza, Justine 10/M 7/14/14 1 DSS III De Vera

RICU ADMISSIONS (N=15)

Name Age/Sex

Date Hours Of Stay

Admitting Diagnosis

RIC

Alvero, Alianna 5 mo/F 7/11/14 12 PCAP D Dominguez

Dela Cruz, Rowell 6/M 7/17/14 18

Status Epilepticus probably secondary to

CNS infectionTsai

Ceriola, Angel 14/F 7/17/14 2 DSS III Leo

Fuentes, Junila 16/F 7/21/14 4 Status Asthmaticus De Vera

Lanang, Precious 11/F 7/23/14 2 DSS IV Dominguez

Unabia, Raven 16/M 7/24/14 2 DSS III Leo

RICU ADMISSIONS (N=15)

Name Age/Sex

Date Hours Of Stay

Admitting Diagnosis

RIC

Bacarro, Lanour Jay 12/M 7/2/14 2 DHF III Panela

Yacub, Jian 2mos/m 7/22/14 6 Aspiration Pneumonia Severe Ramirez

Lorete, Gener 11/M 7/16/14 3 DHF III Dominguez

Maninding, Ma. Alexa 9/F 7/23/14 3 DSS III Oeswadi

Masangcay, John 1mo/M 7/30/14 10 Pneumonia, Severe Beltran

Mortalities

NAME

AGE/SEX

DATE

Hours of Stay

Admitting Diagnosis

Final Diagnosis RIC

JJ 11 yo/M

07/08

10 hours

PCAP D, Severe Sepsis, Hypertensive encephalopathy probably sec to Acute glomerulonephritis

Multiple Organ Dysfunction (Acute respiratory distress syndrome, Disseminated intravascular coagulopathy, Acute kidney Injury)

Dr. Panela

AT 11 mo/M

07/11

12 hours

PCAP DCongenital Heart Disease, acyanotic probably VSD in failure

High output heart failure secondary to severe anemiasecondary to:1. chronic illness2. Severe malnutritionPCAP DCongenital Heart Disease, DORV, VSD, PS, Moderate pericardial effusion

Dr. Dominguez

MORTALITIES (N =5)

NAME

AGE/SEX

DATE Hours of Stay

Admitting Diagnosis

Final Diagnosis RIC

BB NB 07/14 43 hrs

Preterm, 32-33 BS, Respiratory Distress Syndrome vs Neonatal pneumonia

Preterm, 32-33 wks BS, Septic Shock, Neonatal Pneumonia

Dr. De Vera

HT 5 mo /F

07/22 4 hours

PCAP D, Biliary Atresia

PCAP D, Biliary Atresia Dr. Ramirez

BR 6mo /F

07/19 15 hrs

Choledochal Cyst, Type 1 s/p Excision, with some signs of dehydration

MODS (DIC< AKI prerenal), septic shock sec to ascending cholangitis, bile peritonitis, decompensated liver cirrhosis sec to choledocal cyst

Dr. Oeswadi

MORTALITIES (N =5)

DEAD ON ARRIVAL

DEAD ON ARRIVAL(N=3)

NAME AGE/SEX DATE RIC

Soriano, Andrei 7/M 7/1/2014 Dr. De Vera

David, Sean 2m/M 7/25/14 Dr. Ramirez

Ramos, Adrian 6m/M 7/24/14 Dr. Beltran

Coordinated Transfer

Coordinated (N=14)

NAME DATEHours

of Stay

Admitting Diagnosis RIC

Hospital

Abilong, Princess

7/2 40 TBI sec Epidural Hematoma

Tsai JRMMC

Esguerra, baby Boy

7/2 35Late Preterm 36-37 weeks AGA,

SepsisOeswadi QCGH

Mata, Baby Girl

7/4 17h FT, Neonatal Pneumonia

Dominguez

RMC

Espiller, Eunice

7/4 22h FT, Neonatal Sepsis

Dominguez

QCGH

Seranza, Ariane

7/5 56 CNS infection, subdural Effusion

Tsai RMC

Coordinated (N=14)

NAME DATEHours

of Stay

Admitting Diagnosis RIC

Hospital

Sanosa, Precious

7/7 42 Bronchopneumonia

Dominguez

RMC

Salamangue

7/9 26 Incarcerated Inguinal Hernia

De Vera PGH

Francisco 7/9 18 t/c Guillain Barre Syndrome

De Vera QCHG

Balliber, John

7/9 30 Status Epilepticus

Tsai QCGH

Tica, Lee 7/11 36 t/c CNS infection (TB Meningitis)

De Vera QCGH

Coordinated (N=14)

NAME DATEHours

of Stay

Admitting Diagnosis RIC

Hospital

Licuanan, Christine

7/14 7t/c Dysrhythmia;

Relational Problem

Dominguez

UE

Mendoza, Justine

7/14 9 Medulloblastoma Beltran RMC

Vergara, Daryl

7/14 15 Intracranial Mass Oeswadi RMC

Alam, Rose

7/24 24 Neonatal Tetanus t/c CNS infection

Beltran SLH

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