Preparing for Emergencies in Shanghai Dr. Leslie Bottrell Family Physician Shanghai United Family Hospital
Preparation is never wasted Visit emergency facilities near you. Check on your insurance – what does it cover? Do you need extra coverage for evacuations? Make sure spouse and ayi* know CPR and choking first aid. Together with a friend, make an emergency plan. Regularly update this plan.
Assembling an emergency kit Enter important numbers on your phone at the top of address book. Fill out emergency contact sheet. Let contacts know your expectations. Copy necessary documents –- passports, insurance cards, etc. -- and place in a clear plastic envelope. Make two of these envelopes and keep in different places, such as at home and in car. Ensure you have access to emergency funds.
EMERGENCY FUNDS Always keep 120 RMB cash in your wallet to pay for an ambulance. Set aside 20,000 RMB for medical emergencies, on a bank card that is either kept at home or held by the spouse who does not travel. Make sure visitors check on their insurance coverage before coming, and that they buy travel insurance if not covered overseas.
KNOW WHAT TO EXPECT Understand what type of help you may get – or not get -- from local bystanders. Understand the strengths and weaknesses of the local ambulance service.
Ambulances in Shanghai Dispatchers may speak some limited English. Official response time is 10 minutes, but varies widely. Ambulances do not carry much beyond the basics –- oxygen, morphine, IV fluids, etc. If victim may have a spinal cord injury, you must ask them to bring a backboard. Training level is not the same as in the west. Ambulance workers will attempt to pick up victim by arms and legs. Always keep 120 RMB cash in your wallet to pay for an ambulance.
CALL 120 If the patient is unable to walk and too large to be carried easily. If you suspect a spinal cord injury or head injury. If you suspect a heart attack in an adult. If you are doing CPR and need a crew to take over from you in order to move the patient to a hospital.
ED Options in Shanghai Emergency Facilities in Shanghai Local Hospitals Emergency Foreign Clinics Walk-in clinics only SHU Emergency
ER Options in Shanghai Local Hospital ER Foreign & Walk-in Clinics SHU ER OrganizationGovernmentPrivate Standard of CareChineseInternational Direct BillingNo > YesYes EnglishMinimalFluent PhysiciansLocal specialists, heavy patient loads International general practitioners International emergency- trained MD FacilitiesClean? Lack of privacy Clean InpatientChildren?No ChildrenAll ages Cost$$$ Clean?++
Shanghai United Family Emergency Department Open 24/7 JCI (Joint Commission International) quality accreditation ER physicians and ER qualified nurses Staff speaks English Offers free translation service in 40 languages
Pudong options include: Shanghai Children’s Medical Center SEIMC (Shanghai East International Medical Center)
Children’s Medical Center This (along with Fudan) is one of the top two children’s hospitals in Shanghai. It has specialists in many fields and some advanced equipment.
CMC Special Service Clinic The staff and many specialists here speak English (call 5839-5238 for appointments). This clinic does not handle emergencies, but their staff may be able to assist you in navigating the rest of the hospital.
SEIMC International Clinic Side entrance, not open at night. Call ahead in an emergency. Has resources of adjoining public hospital (Shanghai East), but no pediatricians at night. Call ahead in an emergency: 5879-9999 or 150-0019- 0899.
Why you must go yourself To get used to local hospital conditions. “Trading pit” atmosphere at the triage desk can be overwhelming the first time you see it. For your driver / other household members to learn where hospital and entrances are. To know whether you need to keep looking for something better. To help you make the decision where to go in a true emergency.
Signage may be confusing. Elevator access may be restricted. (Ruijin Hospital)
Getting started Don’t worry about making appointments for visits. It’s nearly impossible to do, and irrelevant once you’re there. Enlist a Chinese-speaking friend to go with you. Carry the map of hospitals with you and plan to stop in to see one or two when you’re in the neighbourhood next.
Numbers to Know 120 = AMBULANCE 119 = FIRE 110 = POLICE BABY120 App
Numbers to Know Shanghai Help Line (free translation line run by city): 962288 China Help Line (paid translation service but every phone can make 3 free calls): 4008808080 Shanghai United Family Hospital Emergencies: 2216- 3999 Raffles 24-hour free doctor advice line: 6197-2300 SEIMC 24-hour number: 5879-9999. Parkway 24-hour appointment line: 6445-5999 24