HKCEM statement on community acquired pneumonia (CAP) and the timing of antibiotic use in Accident & Emergency Department
Patient with lower respiratory tract symptoms should have a chest X-ray for assessment.
Once the diagnosis of CAP is made, the severity can be assessed by clinical features and severity scores (e.g. CRB-65, CURB-65, Pneumonia Severity Index).
Supportive and symptomatic treatment as clinically indicated.
Early use of antibiotic is advisable, preferably within 4 hours after diagnosis.
Position Statement on Public Access Defibrillation
The Hong Kong College of Emergency Medicine believes that:
Ventricular fibrillation and pulseless ventricular tachycardia constitute a significant percentage of patients in out-of-hospital cardiac arrests.
Prior to arrival of emergency medical service (EMS) responders, immediate high-quality cardiopulmonary resuscitation (CPR) and public access defibrillation (PAD) conducted by trained non-traditional responders in the immediate few minutes of cardiac arrests will increase survival of these victims.
At sites where security structures capable of responding to emergencies are already in place, incorporation of CPR PAD programme is a practicable way to improve survival, especially if the volume of people flow in the vicinity is high.
on Emergency Medicine Ultrasonography
Ultrasound imaging has been
utilized successfully in various specialties of
medicine to enhance physician's ability to evaluate,
diagnose and treat patients.
The Hong Kong College of Emergency
Medicine endorses the following principles:
Emergency ultrasound examination should be
available twenty-four hours a day in Emergency
Focused ultrasound imaging by Emergency Physicians
will enhance quality of care to acutely ill
or injured emergency patients.
Emergency Physicians providing ultrasound
services should have appropriate training and
there should be a mechanism to maintain a satisfactory
Room 809, Hong Kong Academy of Medicine, 99
Wong Chuk Hang Road, Aberdeen, Hong Kong
Tel: +852 2871-8877 Fax: +852 2554-2913 Email: firstname.lastname@example.org