Medical Emergencies

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Social and Preventive Medicine Lecture

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Presentation Transcript

Medical Emergencies : 

Medical Emergencies Dr. S. Aswini Kumar. MD Professor of Medicine Govt Medical College Thiruvananthapuram

Will my patient die in : 

Will my patient die in 2

Life Threatening Conditions : 

Life Threatening Conditions 3

AIRWAY : 

AIRWAY Management of 4

What is Airway Management? : 

What is Airway Management? 5

Opening up the air way : 

Opening up the air way 6

Head tilt and chin lift : 

Head tilt and chin lift 7

Protect The Cervical Spine : 

Protect The Cervical Spine 8

Emergency Care For Choking Victim : 

Emergency Care For Choking Victim 9

Universal Sign of Choking : 

Universal Sign of Choking 10

Heimlich Maneuver : 

Heimlich Maneuver 11

Procedure : 

Procedure 12

Method : 

Method 13

Oropharyngeal Airways : 

Oropharyngeal Airways 14

Size of OPA : 

Size of OPA 15

Breathing : 

Breathing Management of 16

Acute Asthma & COPD - Diagnosis : 

Acute Asthma & COPD - Diagnosis 17

First Responder Response : 

First Responder Response 18

Acute Asthma & COPD - Treatment : 

Acute Asthma & COPD - Treatment 19

Rotahaler : 

Rotahaler 20

Metered Dose Inhaler : 

Metered Dose Inhaler 21

Using a Spacer : 

Using a Spacer 22

Other Inhalation Devices : 

Other Inhalation Devices 23

Nebulizer : 

Nebulizer 24

Spontaneous Pneumothorax - ∆ : 

Spontaneous Pneumothorax - ∆ 25

Acute Pneumothorax - Treatment : 

Acute Pneumothorax - Treatment 26

Adult Respiratory Distress : 

Adult Respiratory Distress 27

Causes of ARDS : 

Causes of ARDS 28

Imaging in ARDS : 

Imaging in ARDS 29

ARDS - Management Principles : 

ARDS - Management Principles 30

circulation : 

circulation Management of 31

Question : 

Question 32

Confirm Cardiac Arrest : 

Confirm Cardiac Arrest 33

Question : 

Question 34

External Chest Cardiac Massage : 

External Chest Cardiac Massage 35

Question : 

Question 36

Effects of Hypoxia : 

Effects of Hypoxia 0 – 2 min Cardiac Irritability 3– 4 min Brain damage not likely 4 - 6 min - brain damage possible 6 - 10 min - brain damage very likely >10 min - irreversible brain damage 37

Shockable Rhythms : 

Shockable Rhythms Ventricular fibrillation Ventricular tachycardia 38

Method of defibrillation : 

Method of defibrillation 39

Differences : 

Differences 40

Cardiogenic Shock : 

Cardiogenic Shock 41

Cardiogenic Shock- Treatment : 

Cardiogenic Shock- Treatment 42

Hollywood Acting or Real MI? : 

Hollywood Acting or Real MI? 43

Present Protocol in AMI : 

Present Protocol in AMI EMS Transport Onset of symptoms of STEMI EMS Dispatch 1 min EMS on-scene Encourage 12-lead ECGs. Consider prehospital fibrinolytic if capable and EMS-to-needle within 30 min. GOALS PCI capable Not PCI capable Hospital fibrinolysis: Door-to-Needle within 30 min. EMS Triage Plan Inter-Hospital Transfer Golden Hour = first 60 min. Total ischemic time: within 120 min. Call 100 Call fast Patient EMS Prehospital fibrinolysis EMS-to-needle within 30 min. EMS transport EMS-to-balloon in 90 min. Patient self-transport Hospital door-to-balloon within 90 min. Dispatch 1 min. 5 min. 8 min. 44

Acute Pulmonary Edema - Diagnosis : 

Acute Pulmonary Edema - Diagnosis 45

Investigations : 

Investigations 46

Acute Pulmonary Edema - Treatment : 

Acute Pulmonary Edema - Treatment 47

Slide 48: 

Thank You for The Patient Listening 48