Medical Emergencies

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Medical Emergencies

  1. 1. Medical Emergencies<br />Dr. S. Aswini Kumar. MD<br />Professor of Medicine<br />Govt Medical College<br />Thiruvananthapuram<br />
  2. 2. Will my patient die in<br />2<br />
  3. 3. Life Threatening Conditions<br />3<br />
  4. 4. AIRWAY<br />Management of<br />4<br />
  5. 5. What is Airway Management?<br />5<br />
  6. 6. Opening up the air way<br />6<br />
  7. 7. Head tilt and chin lift<br />7<br />
  8. 8. Protect The Cervical Spine<br />8<br />
  9. 9. Emergency Care For Choking Victim<br />9<br />
  10. 10. Universal Sign of Choking<br />10<br />
  11. 11. Heimlich Maneuver<br />11<br />
  12. 12. Procedure<br />12<br />
  13. 13. Method<br />13<br />
  14. 14. Oropharyngeal Airways<br />14<br />
  15. 15. Size of OPA<br />15<br />
  16. 16. Breathing<br />Management of<br />16<br />
  17. 17. Acute Asthma & COPD - Diagnosis<br />17<br />
  18. 18. First Responder Response<br />18<br />
  19. 19. Acute Asthma & COPD - Treatment<br />19<br />
  20. 20. Rotahaler<br />20<br />
  21. 21. Metered Dose Inhaler<br />21<br />
  22. 22. Using a Spacer<br />22<br />
  23. 23. Other Inhalation Devices<br />23<br />
  24. 24. Nebulizer<br />24<br />
  25. 25. Spontaneous Pneumothorax - ∆<br />25<br />
  26. 26. Acute Pneumothorax - Treatment<br />26<br />
  27. 27. Adult Respiratory Distress<br />27<br />
  28. 28. Causes of ARDS<br />28<br />
  29. 29. Imaging in ARDS<br />29<br />
  30. 30. ARDS - Management Principles<br />30<br />
  31. 31. circulation<br />Management of<br />31<br />
  32. 32. Question<br />32<br />
  33. 33. Confirm Cardiac Arrest<br />33<br />
  34. 34. Question<br />34<br />
  35. 35. External Chest Cardiac Massage<br />35<br />
  36. 36. Question<br />36<br />
  37. 37. Effects of Hypoxia<br />0 – 2 min Cardiac Irritability<br />3– 4 min Brain damage not likely<br />4 - 6 min - brain damage possible<br />6 - 10 min - brain damage very likely<br />&gt;10 min - irreversible brain damage<br />37<br />
  38. 38. Shockable Rhythms<br /><ul><li>Ventricular fibrillation
  39. 39. Ventricular tachycardia</li></ul>38<br />
  40. 40. Method of defibrillation<br />39<br />
  41. 41. Differences<br />40<br />
  42. 42. Cardiogenic Shock<br />41<br />
  43. 43. Cardiogenic Shock- Treatment<br />42<br />
  44. 44. Hollywood Acting or Real MI?<br />43<br />
  45. 45. Present Protocol in AMI<br />Hospital fibrinolysis: <br />Door-to-Needle <br />within 30 min.<br />Call 100<br />Call fast<br />Not PCI<br />capable<br />EMS on-scene<br /><ul><li>Encourage 12-lead ECGs.
  46. 46. Consider prehospital fibrinolytic if capable and EMS-to-needle within 30 min.</li></ul>Onset of symptoms of STEMI<br />EMS<br />Dispatch 1 min<br />EMS Triage Plan<br />Inter-Hospital<br />Transfer<br />PCI<br />capable<br />GOALS<br />5 <br />min.<br />8 <br />min.<br />EMS Transport<br />Patient<br />EMS<br />Prehospitalfibrinolysis<br />EMS-to-needle<br />within 30 min.<br />EMS transport<br />EMS-to-balloon in 90 min.<br />Patient self-transport<br />Hospital door-to-balloon <br />within 90 min.<br />Dispatch<br />1 min.<br />Golden Hour = first 60 min.<br />Total ischemic time: within 120 min.<br />44<br />
  47. 47. Acute Pulmonary Edema - Diagnosis<br />45<br />
  48. 48. Investigations <br />46<br />
  49. 49. Acute Pulmonary Edema - Treatment<br />47<br />
  50. 50. Thank You for The <br />Patient Listening<br />48<br />

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