BUILDING DESIGN
also security guards. Limited possibilities of natural light:
Because of the fact that this was a remodelling of an existing building with no possibility to expand its structure – because it is surrounded by existing buildings, the city street and the end of the site – the functional spaces needed to be adapted to the existing area, resulting in spaces without windows and
with minimum area. Adult Emergency: Occupies the third
The paediatric emergency entrance.
which connects the ICU with the surgery suite.
Since the beginning, this hospital has also
been the home of one of the main schools of medicine for the country, with academic and research activities, so there was also a need to reinforce the areas for residents, seminars, teleconferences and digital connections with the surgical suite. In this project there were also strong
limitations: • The site, with no possibility of growth, had to accommodate existing demand in limited spaces.
• Two facades of the building are located under ground, limiting the possibilities of natural light and views in many areas.
• The entrance façade is located by the street sidewalk, limiting possibilities for patient drop off.
• Security control at the entrance. • The hospital is located by the slope of a mountain, which has many creeks coming from it. One such creek, behind the building was producing high humidity on the interior walls.
Overcoming limitations Reinforcement of the structure: The side was
structurally reinforced. A soil study showed the absence of underground water. However, it did show high levels of humidity. Separation between the building wall and the side screen was only 1.5 m. A micropile system was used, mainly to avoid the high degree of humidity existing in the area of operating rooms, which are located almost at the same level as the bottom of the Creek adjacent on one side of
‘Regulations require separate emergency areas for children and adults, but they do share the use of imaging equipment.’
Paediatric emergency and doctors residencies. 36 IFHE DIGEST 2015
The adult emergency area occupies the third-floor, with direct access from the upper side of the street. There are two entrances, one for ambulances and other for walking patients.
the building. Being so old and narrow the creek could not be excavated by hand so deep as to build a concrete screen. The micropile system built by nailing 300-400 micropiles – one next to each other – with great care to
build a screen. Security control at the entrance: Doors,
which separate the emergency entrance from the rest of the department, control the emergency entrance that leads to the trauma room. A police station is located beside the door and in the ambulance area there are
floor, and has direct access from the upper side of the street. There are two entrances – one for ambulances and the other for walking patients. The trauma room has capacity for four beds and has a separate waiting area. The treatment area has eight separate
cubicles for general use and two cubicles for special treatment. Another area, for special victims, includes three beds, a consultation room and bath, and two individual isolated rooms with private bath. A respiratory therapy room has capacity
for seven reclining chairs, and an observation unit with two large rooms separated by sex, each having space for five beds. An area for traumatology includes cast room, X-ray and tomography. Each of these areas has a decentralised nurse station. There are two consultation rooms, an office for the director,
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