0,45 CME

Urgences médicales courantes que chaque médecin devrait être capable de gérer

Conférencier: Dr Aman Sharma

Health Education England Wolverhampton, England, United Kingdom

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Description

Medical emergencies are life-threatening which requires immediate intervention. The way the action is taken at that particular emergency can make a big difference. It can also prevent the condition from becoming a medical emergency by identifying the warning signs.The common medical emergencies include heart attack, breathing difficulties, seizures, traumatic head injury, stroke and burns.

Résumé

  • The speaker emphasizes the importance of a standardized ABCD approach for managing emergency medical situations, regardless of the setting (periphery or tertiary care). This approach involves assessing and addressing Airway, Breathing, Circulation, Disability, and Exposure. The goal is to save lives, provide effective care, and be cost-conscious.
  • In airway management, the priority is ensuring a patent airway, using techniques like head-tilt chin-lift or jaw thrust (in trauma cases). Suctioning is crucial for removing obstructions. Breathing assessment includes evaluating rate, pattern, effort, and oxygen saturation, supplementing oxygen or providing artificial respiration as needed. Circulation involves checking for bleeding, skin condition, heart rate, and capillary refill time. IV access and fluid administration are essential.
  • Disability assessment focuses on alertness, response to stimuli, pupillary reaction, neck stiffness, and blood sugar levels. Exposure entails a thorough examination for any abnormalities, injuries, or signs of underlying conditions, while maintaining patient temperature. In suspected sepsis, blood cultures should be obtained, and antibiotics administered promptly.
  • Clinical scenarios are presented to illustrate the ABCD approach. A female presenting with epigastric pain, nausea, and an abnormal ECG requires immediate assessment for ACS, following ACLS protocols. A male presenting with headache, double vision, and high blood pressure requires assessment for stroke.
  • A 68-year-old male with increased confusion and urinary issues requires sepsis protocol initiation. A female with abdominal pain and instability requires consideration for ectopic pregnancy and DKA. For DKA management, the priority is fluid replenishment, insulin administration, and potassium monitoring. The speaker stresses the importance of documentation and constant patient monitoring.

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