One of the most frequent reasons people visit the emergency room is with acute chest discomfort. About 2% of patients have the diagnosis of ACS incorrectly, which has serious repercussions. For instance, patients with acute myocardial infarction (MI) who are inadvertently discharged from the emergency department (ED) have a twofold higher short-term mortality rate than patients who are admitted to the hospital. In this session, renowned emergency specialist, Dr. Sandeep David will discuss the appropriate course of action, initial evaluation, diagnostic concerns, and prompt care for patients with chest discomfort.

Approach to the Patient with Chest Pain

An infection, inflammation, vascular blockage, or obstruction could be the cause of the acute abdomen. Abdominal pain is the reason for 7% to 10% of visits to the emergency department. In this session, Dr. Sandeep David, an emergency expert, will discuss anatomic anomalies, vascular events that create an acute abdomen, common causes of an acute abdomen, and quick intervention techniques for both diagnosis and treatment.

The Acute Abdomen

Firework injuries are increasing in frequency and severity. Although, the spectrum of injuries caused by fireworks is diverse but these preventable injuries can be devastating and pose a significant surgical challenge due to the combination of burn and blast forces. In addition to the loss of anatomical structures, the blast injury can compromise the function of intact vessels and nerves making salvage and reconstruction particularly difficult.  In this engaging session Dr. Sandeep David, a renowned expert will discuss about the critical aspects of dealing with firecracker injuries a challenge that often peaks during festive seasons. Join us for a dynamic and vital session.

Initial Approach to Firecracker Injuries

Working in the emergency room necessitates proficiency in the ABCDE (Airway Breathing Circulation Disability Exposure) technique. Little is known about how frequently and thoroughly the ABCDE method is used with patients. The prompt identification of patients at risk must be an emergency department's first priority. The fundamental factor determining the success of therapy is if a critical risk is recognized right away upon arrival at the central emergency department and whether the proper therapy is started. Dr. Sandeep David will help us comprehend these crucial assessment and management approaches. 

Primary Evaluation in Emergency 

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

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).

The ABCs of Drowning: Clinical Essentials for Physicians

Dr Sandeep David will offer a comprehensive overview of the crucial role of extracorporeal membrane oxygenation (ECMO) in the realm of emergency medicine and critical care. With a focus on selecting the most appropriate patients for this life-saving intervention, Dr David will provide practical guidance to aid emergency medicine physicians in effectively implementing ECMO. Don't miss the opportunity to learn from Dr Sandeep David and enhance your knowledge of critical care medicine.

ECMO Made Easy: Simplifying Critical Care Support

Learning to perform Emergency Department (ED) procedures is a complex and highly individualized educational process and an essential core clinical skill. Some of the routinely performed ED procedures are - cardioversion, NIV application, emergency chest tube placement, pericardiocentesis, fasciotomy, basic trauma survey amongst others. Dr. Sandeep David, acclaimed Emergency Physician from CMC Vellore joins us on Medflix for a comprehensive two-part series covering the most commonly performed ED procedures & how to ace them like a pro!

Most Commonly Performed ED Procedures #2

Most Commonly Performed ED Procedures #1

Acute respiratory distress syndrome (ARDS) is noncardiogenic pulmonary edema that manifests as rapidly progressive dyspnea, tachypnea, and hypoxemia. Diagnostic criteria include onset within one week of a known insult or new or worsening respiratory symptoms, profound hypoxemia, bilateral pulmonary opacities on radiography, and inability to explain respiratory failure by cardiac failure or fluid overload. Mechanical ventilation remains the most important aspect of managing patients with ARDS. An in-depth knowledge of lung protective ventilation, optimal PEEP strategies, modes of ventilation and recruitment maneuvers are essential. Dr. Sandeep David, Consultant Emergency Medicine Physician from CMC Vellore, is here to recommend some of his expert strategies for the management of ARDS.

Management of ARDS – What Works and What Does Not

Assistant Professor, Department of Emergency Medicine, Christian Medical College, Vellore

Dr. Sandeep David

19

15.5k

278.5k

4.7

Sessions Taken

809

4.7

661

4.5

313

4.6

644

4.6

501

4.8

733

4.7

632

4.8

1.2k

4.8

2.4k

4.7

958

4.7