- 64.7k views
Acute Stroke Management
Acute stroke management requires a time-sensitive and multidisciplinary approach. Rapid recognition of stroke symptoms, such as sudden onset of facial droop, arm weakness, or speech difficulties, is crucial for activating emergency medical services. Intravenous administration of tissue plasminogen activator (tPA) within the first few hours of symptom onset remains a cornerstone of acute ischemic stroke treatment, aiming to dissolve the clot and restore blood flow to the brain. For eligible patients, mechanical thrombectomy, a procedure to physically remove the clot, has shown efficacy in improving outcomes. Alongside these interventions, supportive care, close monitoring, and post-stroke rehabilitation contribute to optimizing recovery and reducing the long-term impact of stroke on patients' lives.
About the Speaker
Dr.Purusatyam Chakraborty
Consultant & Head Dept Of Emergency Medicine CMRI Hospital,Kolkata
Dr. Purusatyam Chakraborty is a seasoned medical professional with extensive expertise in Emergency Medicine. Currently serving as the Consultant and Head of Emergency & Triage at Calcutta Medical Research Institute, he brings over a decade of experience to his role. His leadership in emergency medical services is well-established through previous positions as Associate Consultant at BM Birla Heart Research Centre and Jr. Consultant at Kothari Medical Centre, where he managed acute care services and headed emergency departments.
Upcoming Case Discussions
Treatment of Renal Disease in ANCA Vasculitis
The treatment of renal disease in ANCA-associated vasculitis (AAV) typically involves a combination of immunosuppressive therapies to control inflammation and prevent further kidney damage. First-line treatment often includes high-dose corticosteroids and cyclophosphamide or rituximab, both of which help to induce remission by targeting the underlying immune system dysfunction. In cases of kidney failure or rapidly progressive glomerulonephritis, plasmapheresis may be used to remove circulating autoantibodies. Once remission is achieved, maintenance therapy with lower doses of immunosuppressants, such as azathioprine or mycophenolate mofetil, is used to prevent relapses and preserve kidney function.
Management of Pediatric Type 1 Diabetes
Pediatric type 1 diabetes management focuses on maintaining glycemic control while supporting normal growth. Insulin therapy, via multiple daily injections or pumps, is essential, with doses adjusted based on blood glucose monitoring or continuous glucose monitoring (CGM). Nutrition plans emphasizing carbohydrate counting and balanced meals are crucial, alongside adjustments for physical activity to prevent glucose fluctuations. Education for families on recognizing hypo- and hyperglycemia symptoms and managing sick days is vital. Regular follow-ups with a pediatric endocrinologist help monitor HbA1c levels, growth, and complications. Psychosocial support is key for ensuring adherence and addressing emotional challenges.
Rising Cardiac Arrests in Young Entrepreneurs
The increasing cases of cardiac arrests among young entrepreneurs are becoming a serious health concern. Intense stress, long working hours, unhealthy eating habits, and lack of physical activity are major contributors to heart-related issues in this group. This often leads to neglecting personal health, resulting in irregular sleep patterns and chronic fatigue. Additionally, skipping regular medical check-ups can leave underlying heart conditions undetected. Emphasizing stress management, healthy lifestyle choices, and routine health screenings is crucial to reducing this growing risk
Medical Management of Endometriosis
Medical management of endometriosis typically involves the use of hormonal therapies such as birth control pills, progestins, or GnRH agonists to reduce estrogen levels and suppress the growth of endometrial tissue. Pain management with NSAIDs, as well as targeted treatments like aromatase inhibitors or the use of intrauterine devices (IUDs), can help alleviate symptoms. In some cases, additional treatments like surgery may be considered for severe cases or when fertility is a concern.
Analytical Skills in Problem Solving
Today’s session on analytical tools and techniques in healthcare can provide valuable insights into how data-driven approaches enhance decision-making and problem-solving. Sharing personal or professional experiences where analytical skills were effectively used to address challenges can offer practical understanding and inspire learners. These skills are crucial in healthcare for accurate patient diagnosis, effective treatment planning, and efficient resource allocation. By applying analytical methods, healthcare professionals can improve patient outcomes, streamline operations, and make informed, evidence-based decisions that contribute to overall healthcare efficiency and quality.