Emergency: Casualty triage, resuscitation records and emergency dispositions

Add it to your plan Start free trial

+$38.40/mo at 20 practitioners. Free instant access, no credit card required.

Works with

HMS Core

Emergency in the Bridge HMS Suite: Casualty triage, resuscitation records and emergency dispositions

What's inside

Everything in Emergency

74 items in 13 areas, every one shipping with the app today.

Arrival & Registration
- Rapid ED Arrival RegisterCentral emergency arrival record with auto-sequenced arrival number, timestamp, chief complaint and full mail chatter tracking.
- Seven Arrival ModesCapture how the patient arrived: walk-in, ambulance, private vehicle, police vehicle, wheelchair, helicopter/air ambulance or referred facility.
- Unidentified John/Jane Doe HandlingRegister unconscious or unknown patients with estimated age, gender and a short whiteboard label until identity is established.
- Ambulance Receiving WizardPre-hospital handover screen capturing unit ID, ETA, ATMIST report, provisional triage and accident flags, creating the arrival in one step.
- Paramedic / Pre-Hospital ReportRich-text ATMIST/MIST field storing the ambulance crew's pre-hospital handover on each arrival.
- Referral Source CaptureRecords referring facility and referring doctor for inter-facility transfers.
Triage & Whiteboard
- Five-Level ESI TriageColor-coded triage levels Red (ESI 1), Yellow (ESI 2), Green (ESI 3), Blue (ESI 4-5) and Black (dead on arrival).
- Rapid Triage WizardOne-screen triage tool that sets level, nurse, vitals and ED bed, then advances the arrival state and occupies the bed automatically.
- Color-coded Live Whiteboard KanbanKanban board grouped by ED bed with red/yellow/green/blue/black color badges reflecting each patient's acuity.
- Triage Latency & Target Breach TrackingAuto-computes minutes-to-triage against per-level targets (Red 0, Yellow 10, Green 30, Blue 60 min) and flags breaches.
- Quick Triage-Level MenusDedicated menu shortcuts to filter the board to Red, Yellow, Green, Today's, or all arrivals.
Trauma Documentation & Scoring
- ABCDE Primary Survey SheetStructured Airway/Breathing/Circulation/Disability/Exposure documentation with airway intervention choices, oxygen, fluids and cap-refill.
- Glasgow Coma Scale CalculatorEye/verbal/motor GCS selectors auto-summing to a GCS total on the trauma sheet.
- Revised Trauma Score (RTS)Automatically computes the coded RTS from GCS, systolic BP and respiratory rate using standard weighting coefficients.
- Injury Severity Score (ISS) with CategoryDerives ISS from top-three body-region AIS values (squared-sum, AIS-6 capped at 75) and classifies minor through unsurvivable.
- TRISS Survival ProbabilityOn-demand blunt-trauma TRISS calculation combining RTS, ISS and patient age, posting the survival percentage to the chatter.
- Injury Inventory by Region & TypeTag injured body regions and injury types (mechanism, baseline severity) via seeded catalogs to drive scoring.
Interventions & Observations
- Intervention LogTime-stamped record of every ED procedure with performer, dose/parameters, outcome and complications.
- Double-Signature for Life-Saving ProceduresEnforces a distinct witness signatory on high-risk interventions flagged as requiring double sign-off, blocking self-witnessing.
- Hourly Observation ChartSerial nursing observations of vitals, GCS, mental state, urine output, fluid intake and treatment response over the ED stay.
- Automated NEWS2 ScoringEach observation auto-computes the National Early Warning Score 2 from respiratory rate, SpO2, temperature, BP, pulse and consciousness.
- Seeded Intervention Catalog34 pre-loaded ABCDE-categorized interventions (oxygen, defibrillation, intubation, CPR, thrombolysis, chest decompression) with billing codes.
Emergency Prescriptions & Billing
- Save-Life-First Retrospective RxRecords emergency medications given (drug, dose, route, indication, administrator) before any paperwork, deferring billing.
- Retrospective Prescription Back-FillRetro-billing builds a proper emergency prescription and line on the visit, then raises the charge, keeping records complete.
- Intervention Charge CaptureTurns billable interventions into hospital charges using the type's billing code and default cost, linked back to the source record.
- Medication Product ValidationBlocks prescribing products not flagged as medications in the product catalog.
- Automated Retrospective Billing CronsTwo scheduled jobs auto-bill unbilled emergency medications and completed interventions once the arrival reaches a terminal state.
Disposition & Downstream Automation
- Full Disposition WorkflowDischarge home, admit (general/ICU/HDU/theater), transfer out, mortuary, left-against-advice or absconded, each with its own guarded action.
- Auto-Admission CreationAdmitting from the ED auto-creates an inpatient admission of type emergency via the ER route, linked to the visit and doctor.
- Auto Follow-Up AppointmentDischarging home auto-schedules a follow-up appointment seven days out for the patient.
- Auto Mortuary IntakeMarking a patient deceased auto-generates a mortuary intake record with death date and cause reference.
- ED Bed Auto-ReleaseFrees the occupied ED bed to a cleaning state when a patient leaves the department.
- Clinical Visit BridgingAuto-creates and advances a linked emergency clinical visit (triage, consultation) as the arrival progresses.
Medico-Legal & Accident
- Accident Case CaptureFlags accident cases with ten types (RTA, assault, burn, fall, poisoning, drowning, electric shock, industrial, animal, other) and description.
- Police / Medico-Legal WorkflowCaptures police OB number and station for medico-legal cases and blocks disposition until an OB number is recorded.
Mass Casualty Incident (MCI)
- MCI Activation WizardOne-screen incident activation capturing type, location, county, estimated casualties, commander and first-wave triage tally.
- Eleven Incident TypesClassify incidents: multi-vehicle RTA, explosion, fire, building collapse, stampede, chemical spill, biohazard, shooting, disaster, outbreak, other.
- Live vs Estimated Triage TallyTracks manual first-wave red/yellow/green/black estimates alongside auto-computed live counts from actual linked arrivals.
- MCI Command State MachineActivated to In-Progress to De-Escalating to Resolved lifecycle with duration tracking and incident commander assignment.
- External Agency CoordinationLinks responding agency partner contacts and records agency codes (Red Cross, Police, Fire, KDF, MoH and more).
- Resource Deployment & SITREPFree-form resource-deployed log plus a rich-text situation report on each incident.
Configuration
- Settings
Emergency
- ED Dashboard
- Red
- Active
- ED Whiteboard
- Yellow
- History
- Green
- Activate MCI
- Today
- Rapid Triage
- All Arrivals
- Ambulance Receive
- Trauma Docs
- Interventions
- Emergency Rx
- Observation Charts
- Handovers
- ED Body Regions
- ED Injury Types
- ED Intervention Types
Documents it prints
- ED Arrival Summary
- Trauma Sheet
- MCI Situation Report
- ED Whiteboard Snapshot
It runs by itself
- HMS ED: Alert stale arrivals (>4h)Runs hourly
- HMS ED: Retrospective emergency Rx billingRuns hourly
- HMS ED: Retrospective intervention billingRuns every 2 hours
- HMS ED: Auto-resolve stale MCIs (>24h)Runs every 6 hours
Guided assistants
- Rapid ED Triage Wizard
- MCI Activation Wizard
- Ambulance Receiving Wizard
- Config Settings

Works with

What Emergency works with

Emergency shares one database with the rest of the Bridge HMS Suite and BridgeERP: these are the apps it already talks to, with nothing to buy in between.