Shift Handover
ED patient handover — transfer clinical responsibility
Outgoing Doctor
Dr. Ravi Kumar (Night)
Incoming Doctor
Dr. Priya Mehta (Morning)
Handover Time
08:05 — 08:27
Patients
6 total
Critical (1)
Cardiac Arrest — Post-ROSC, STEMI
Key Issues: Resuscitated 08:14 — 9 min downtime. ROSC achieved. Cath lab activated. Awaiting PCI. Vasopressin infusion running.
Pending Actions: Urgent PCI — Cath lab notified. Repeat ABG at 10:00. ICU transfer post-procedure.
Dr. Mehta
Unstable (3)
NSTEMI, Diabetes, CKD Stage 3
Key Issues: Troponin 3.2 ng/mL rising. Cardiology reviewed. Dual antiplatelet started. BP 88/60 — fluid bolus given.
Pending Actions: Repeat troponin at 12:00. Cardiology follow-up for cath decision. Monitor BP hourly.
Dr. Nair
Acute Abdomen — Suspected Appendicitis
Key Issues: USG shows free fluid in RIF. WBC 18,000. Surgery team reviewed. Decision for emergency lap pending consent.
Pending Actions: Consent signed. OT booked at 11:00. NPO maintained. IV antibiotics running.
Dr. Singh
Diabetic Ketoacidosis
Key Issues: pH 7.18, Glucose 480 mg/dL. Insulin protocol started. Potassium replacement ongoing. 2nd bag NS running.
Pending Actions: Repeat BMP at 11:00. Reassess pH. Continue insulin at 0.1 U/kg/hr. ICU bed requested.
Dr. Verma
Stable (1)
Acute Severe Asthma
Key Issues: PEFR 42% on arrival. 3 nebs given — improved to 68%. SpO2 95% on RA. Improving.
Pending Actions: Discharge if PEFR > 75% on repeat. Counselling on inhaler technique. Step-up treatment.
Dr. Meena
For Discharge (1)
Laceration — Right Hand, 4 cm
Key Issues: Wound sutured. Tetanus booster given. Dressing applied. Neurovascular intact.
Pending Actions: Discharge with wound care instructions. Suture removal in 7 days. Pain meds prescribed.
Dr. Agarwal