This document discusses the management of various medical emergencies. It covers topics like airway management, breathing issues including asthma, COPD, pneumothorax and ARDS. It also discusses circulation emergencies such as cardiac arrest, shock and myocardial infarction. For each topic, it provides guidance on diagnosis, treatment principles and protocols for first responders. The overall aim appears to be educating first responders and medical professionals on best practices for treating common life-threatening conditions in emergency situations.

1. Medical EmergenciesDr. S. Aswini Kumar. MDProfessor of MedicineGovt Medical CollegeThiruvananthapuram

2. Will my patient die in2

3. Life Threatening Conditions3

4. AIRWAYManagement of4

5. What is Airway Management?5

6. Opening up the air way6

7. Head tilt and chin lift7

8. Protect The Cervical Spine8

9. Emergency Care For Choking Victim9

10. Universal Sign of Choking10

11. Heimlich Maneuver11

12. Procedure12

13. Method13

14. Oropharyngeal Airways14

15. Size of OPA15

16. BreathingManagement of16

17. Acute Asthma & COPD - Diagnosis17

18. First Responder Response18

19. Acute Asthma & COPD - Treatment19

20. Rotahaler20

21. Metered Dose Inhaler21

22. Using a Spacer22

23. Other Inhalation Devices23

24. Nebulizer24

25. Spontaneous Pneumothorax - ∆25

26. Acute Pneumothorax - Treatment26

27. Adult Respiratory Distress27

28. Causes of ARDS28

29. Imaging in ARDS29

30. ARDS - Management Principles30

31. circulationManagement of31

32. Question32

33. Confirm Cardiac Arrest33

34. Question34

35. External Chest Cardiac Massage35

36. Question36

37. Effects of Hypoxia0 – 2 min Cardiac Irritability3– 4 min Brain damage not likely4 - 6 min - brain damage possible6 - 10 min - brain damage very likely>10 min - irreversible brain damage37

38. Shockable RhythmsVentricular fibrillation

39. Ventricular tachycardia38

40. Method of defibrillation39

41. Differences40

42. Cardiogenic Shock41

43. Cardiogenic Shock- Treatment42

44. Hollywood Acting or Real MI?43

45. Present Protocol in AMIHospital fibrinolysis: Door-to-Needle within 30 min.Call 100Call fastNot PCIcapableEMS on-sceneEncourage 12-lead ECGs.

46. Consider prehospital fibrinolytic if capable and EMS-to-needle within 30 min.Onset of symptoms of STEMIEMSDispatch 1 minEMS Triage PlanInter-HospitalTransferPCIcapableGOALS5 min.8 min.EMS TransportPatientEMSPrehospitalfibrinolysisEMS-to-needlewithin 30 min.EMS transportEMS-to-balloon in 90 min.Patient self-transportHospital door-to-balloon within 90 min.Dispatch1 min.Golden Hour = first 60 min.Total ischemic time: within 120 min.44

47. Acute Pulmonary Edema - Diagnosis45

48. Investigations 46