Whether you operate in a small private clinic or a large chain hospitals, you can not evade providing emergency treatment, which demands a thorough understanding of all aspects of medicine, quick thinking, and decisive response. Although the nature of the emergency may be unknown, a methodical approach to examining each emergency patient is highly recommended, as it allows for early identification and stabilization of the problem. Medflix brings to you a club, Rapid Response, dedicated to discuss all possible emergencies that can present in an emergency room.

The management of the obstetric trauma patient is both challenging and anxiety-inducing for many clinicians. The primary evaluation needs to assess and treat life-threatening injuries rapidly & a multidisciplinary approach is warranted to optimize outcomes for both the mother and her fetus. Trauma assessment and resuscitation priorities are the same as in the nonpregnant woman but modified to thereafter address changes that occur in the later stages of pregnancy. Learn the essentials of initial assessment in obstetric trauma LIVE with Dr. Ashima Sharma!

Primary Evaluation of Obstetric Trauma

The management of the pediatric or obstetric trauma patient is both challenging and anxiety-inducing for many clinicians. The primary evaluation needs to assess and treat life-threatening injuries rapidly. In the case of obstetric trauma, A multidisciplinary approach is warranted to optimize outcomes for both the mother and her fetus. Anatomical, physiological, and psychological differences between children and adults have important implications for the initial assessment and management of pediatric trauma victims. Learn the essentials of early trauma assessment in pediatrics & obstetric trauma LIVE with Dr. Ashima Sharma!

Primary Evaluation of Obstetric & Pediatric Trauma

A hypertensive emergency is an acute, marked elevation in blood pressure that is associated with signs of target-organ damage. These can include pulmonary edema, cardiac ischemia, neurologic deficits, acute renal failure, aortic dissection, and eclampsia. While the specific target organ that is affected may dictate some specifics of treatment, rapid lowering of blood pressure is the mainstay of therapy for hypertensive emergencies. In this discussion with Prof. Dr. Nidhi Kaeley, we review the cause and pathophysiology of hypertensive emergency and highlight the role of timely evaluation & management. 

Evaluation and treatment of: Hypertensive Emergencies In Adults

Patients with acute elevations in intracranial pressure (ICP) from trauma, stroke, infection of the central nervous system, or other processes often require emergency airway management. Rapid sequence intubation (RSI) is the preferred method for securing the airway in patients with suspected elevated intracranial pressure (ICP). Maintaining oxygenation is vital in such patients. Dr. Sandeep David, who specialises in emergency medicine at CMC Vellore, illustrates his approach to airway management in these cases, when and how to intubate with special attention to hemodynamics and preservation of cerebral blood flow, mechanical ventilation settings, and the use of sedative agents based on the patient’s neurological status.

Airway management in the patient with elevated ICP

The secondary survey is a rapid but thorough head to toe examination assessment to identify potential injuries. It should be performed after the primary survey and the initial stabilization is complete. The purpose of the secondary survey is to obtain relevant historical data about the patient and his or her injury, as well as to evaluate and treat all significant injuries not found during the primary survey by performing a systematic, complete examination. Join Prof. Dr. Ashima Sharma, an established ATLS instructor, for an in-depth guide on how to perform the secondary survey in trauma situations.

Trauma Secondary Survey : A Case-based Approach

The Primary Survey is designed to assess and treat life-threatening injuries rapidly. The leading causes of death in trauma patients are airway obstruction, respiratory failure, hemorrhagic shock, and brain injury. Therefore, these are the areas targeted by the primary survey. The common acronym for performing the primary trauma survey is ABCDE, each letter representing an area of focus. Prof. Dr. Ashima Sharma, Head of Emergency Medicine and an esteemed ATLS Instructor, joins us on Medflix to provide us with a comprehensive step-wise guide to initial trauma assessment & appropriate management.

Initial Trauma Assessment #2 – The Primary Survey

Neurologic emergencies arise frequently and, if not diagnosed and treated quickly, can have devastating results, with high rates of long-term disability and death. Prompt recognition is an important skill. In fact, acute neurological illness is one of the most common causes for admission in the emergency. There are a number of such conditions such as peripheral neuropathy, paraplegia, stroke, NM junction disorders, transverse myelitis, quadriparesis and it is worthwhile to understand what one needs to do when a patient develops neurological emergencies. Let us learn from Dr. Nidhi Kaeley, Head of Dept. of Emergency Medicine at AIIMS, the clinical features and management of some of the common severe neurological emergencies.

Managing Neurological Emergencies

The initial assessment and management of the seriously injured trauma patient is both challenging and anxiety-inducing for many clinicians. It is an undertaking that requires a cool head, systematic approach, speed, and good clinical judgement. The Primary Survey is designed to assess and treat life-threatening injuries rapidly. The leading causes of death in trauma patients are airway obstruction, respiratory failure, hemorrhagic shock, and brain injury. Therefore, these are the areas targeted by the primary survey. The common acronym for performing the primary trauma survey is ABCDE, each letter representing an area of focus. Prof. Dr. Ashima Sharma, Head of Emergency Medicine and an esteemed ATLS Instructor, joins us on Medflix to provide us with a comprehensive step-wise guide to initial trauma assessment & appropriate management.

Initial Trauma Assessment #1 – The Primary Survey

Drowning is essentially respiratory impairment from liquid submersion. Cardiovascular effects after drowning stem from hypoxemia and hypothermia. Pulmonary insufficiency can develop insidiously or rapidly, anytime in the initial eight hours after a drowning event whereas neurologic injury in a drowning victim can range from subtle signs to comatose lacking brainstem reflexes. Key principles of management are maintaining adequate oxygenation, preventing aspiration and stabilising body temperature. Dr. Sandeep David, Consultant Emergency Medicine Specialist at CMC Vellore, is here to walk us through the essentials of emergency management of drowning(submersion injuries).

Rapid Response

Description

Sessions Held

674

4.8

915

4.7

2.2k

4.5

664

4.8

808

4.7

988

4.8

3.4k

4.7

1.3k

4.7

1.1k

4.7