The Emergency Room Service provides a 24-hour non-departmentalized service that provides initial clinical care and management to patients requiring immediate treatment, such as:

• Cardiopulmonary-Cerebral Resuscitation (Basic Life Support and Advanced Cardiac Life Support)
• Pediatric Emergencies (Acute Asthma & Status Asthmaticus, Acute Pneumonias, Respiratory Distress, Perinatal Asphyxia, Upper Airway Obstruction, Anaphylaxis-Acute allergies, Circulatory Failure & Shock, Congestive Heart Failure, Diarrheal Disease & Dehydration, Gastrointestinal Bleeding, Hematologic Emergencies, Status Epilepticus, etc.)
• Medical Emergencies (Gastro Intestinal Emergencies, Acute Gout, Acute Thyroid Crisis, Diabetic Ketoacidosis, Hypertensive Crisis, Acute Heart Failure, Angina Pectoris, Acute Myocardial Infarction, Cardiac Arrythmias, Cardiogenic Shock, Acute Respiratory Distress Syndrome, Respiratory Failure, Drowning, Hemoptysis, etc.)
• Neurologic Emergencies (Hypokalemic Periodic Paralysis, Tonic-Clonic Seizures, Acute Alcohol Syndromes, Intoxications of the Nervous System, Increased Intracranial Pressure-Cerebrovascular Accidents, etc.)
• Psychiatric Emergencies (Suicide, Assaultive Behavior or Violence, Acute Psychotic States, Anxiety Related States, Organic Psychiatric Emergencies, etc.)
• Obstetric-Gynecologic Emergencies (Bleeding secondary to Abortion, Ectopic Pregnancy, Abnormal Uterine Bleeding, Hypertension in Pregnancy, Pelvic Inflammatory Disease, etc.)
• Surgical Emergencies(Triage, Acute Abdomen-Appendicitis, Penetrating Injuries, Blunt Abdominal Injuries, Pneumothorax, Thermal Burns, Fractures of Long Bones, Hand Injuries, Head Injuries, Maxillofacial Injuries, Foreign Bodies, Acute Scrotal Pain, Urinary Retention, etc.)
• Ocular Emergencies (Foreign Material Injury, Inflammatory Conditions, Trauma, etc.)
• Otorhinolaryngologic Emergencies (Dizziness, Epistaxis, Foreign Bodies, etc.)
• Environmental Emergencies (Stings, Snake Bites, Human Bites, Dog Bites, etc.)
• Toxicologic Emergencies (Coordinated with National Poison Control – PGH)

Emergency Procedures

• Endotracheal Intubation
• Thoracentesis (with ultrasound markings)
• Thoracostomy
• Tracheostomy
• Abdominal Paracentesis (with ultrasound markings)
• Urethral Catheterization and Supra-pubic Catheterization
• Vascular Access

LEVEL 1 HOSPITAL OUT-PATIENT SERVICES INCLUDE

• General Medicine OPD
• Internal Medicine OPD
• Pediatric OPD
• General Surgery OPD
• OB-Gyne OPD
• Out-Patient Surgery Room for minor surgical cases
• Dental Services

Authorized Bed Capacity of 42 beds for admissions from ER and out-patient service. Implementing bed allotment (based on management decision) is 85, distributed as follows:

• Medical – Male Ward (6 beds)
• Medical – Female Ward (6 beds)
• Adult Isolation Ward (2 beds)
• Adult Surgery Ward (3 beds)
• Pediatric Pneumonia Ward (10 beds)
• Pediatric AGE Ward (8 beds)
• Pediatric Sepsis Ward (4 beds)
• Pediatric Orthopedic Ward (2 beds)
• Pediatric Surgery Ward (2 beds)
• NICU (2 beds)
• OB NSD Ward (11 beds)
• PhilHealth Ward (15 beds)
• Covid and Isolation Ward (10 beds)
• Adult Critical Care Unit (4 beds)

General Surgery Cases

• Exploratory Laparotomy
• Wound Exploration
• Excision Biopsy
• Escharotomy
• Appendectomy
• Open Cholecystectomy
• Modified Radical Mastectomy
• Herniorrhaphy
• Hemorrhoidectomy
• Fistulectomy

OB / Gynecologic Surgery

• Delivery Room – Vaginal Deliveries
• Cesarean Section
• Hysterotomy
• Dilatation and Curettage
• Ectopic / Ovarian Surgery
• Hysterectomy

Orthopedic Surgery

• ACL Reconstruction
• Amputation
• Repair of Syndactyly
• ORIF

Urologic Surgery

• Herniorrhaphy
• Hydrocoelectomy
• Varicocelectomy

ENT

• Head and Neck Surgery
• Excision Biopsy
• Parotidectomy
• Thyroidectomy
• Sistrunk Procedure

Ophthalmologic Surgery

• Cataract Surgery (ECCE)
• Strabismus Surgery

Emergency Room Stock

• CNS Drugs – stimulants, depressants (sedatives/tranquilizers), anti-convulsants
• Anesthesia (general and local)
• Steroids
• Cardiac Drugs – coronary vasodilators, vasopressor agents, anti-hypertensive drugs
• Anti-asthma agents – bronchodilators
• Gastrointestinal Drugs
• Plasma expanders
• Replacement water/electrolyte solution
• Obstetric and Gynecologic Drugs – oxytocins, ergot derivatives
• IV infusion sets, syringes, etc.

Inpatient Service

• Inpatient medicines for the duration of confinement
• Drugs for commonly encountered admission cases

Outpatient Unit

• Basic generic, non-prohibited drugs and first-line antibiotics (oral tablets/liquid)

• Chest for Heart & Lungs
• Extremities
• Skull
• Vertebral Column
• Localization of Foreign Body
• Pelvis
• Shoulder Girdle
• Thoracic Cage
• Abdomen

Also called ultrasound scanning or sonography, this exposes part of the body to high-frequency sound waves to produce pictures of the inside of the body. Ultrasound exams do not use ionizing radiation (as used in x-rays). Because ultrasound images are captured in real-time, they can show the structure and movement of the body's internal organs, as well as blood flowing through blood vessels.

• Category – Secondary
• Classification – Institution-Based

• Urologic Surgery
• Orthopedic Surgery
• Plastic Surgery
• Adult Ophthalmology
• Pediatric Nephrology
• Pediatric Neurology
• Pediatric Cardiology
• Otorhinolaryngology (ENT)
• Adult Psychiatry
• Internal Medicine – Pulmonology
• Internal Medicine – Cardiology
• Internal Medicine – Vascular Cardiology
• Internal Medicine – Oncology
• Internal Medicine – Nephrology
• Internal Medicine – Rheumatology
• Adult Neurology
• Diabetes Center (Diabetologist – Family Medicine)
• Dermatology
• Restorative Dentistry

• CT Scan Unit
• Rehabilitation Unit (Physical Therapy)
• Hemodialysis Unit
• 2D-Echo, 24-hour Holter Monitoring, Treadmill Stress Test (Cardiac Center)
• OB Sonology (OB Ultrasound)
• Diabetes Center
• Laparoscopic Surgery
• Microsurgery of the Head and Neck
• Cataract Surgery (via Phaco Emulsification)
• Adult Critical Care Unit
• MRI Services (through Public-Private Partnership with I-Scan)
• Occupational and Speech Therapy Services (through PPP)