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

2. Will my patient die in 2

3. Life Threatening Conditions 3

4. AIRWAY Management of 4

5. What is Airway Management? 5

6. Opening up the air way 6

7. Head tilt and chin lift 7

8. Protect The Cervical Spine 8

9. Emergency Care For Choking Victim 9

10. Universal Sign of Choking 10

11. Heimlich Maneuver 11

12. Procedure 12

13. Method 13

14. Oropharyngeal Airways 14

15. Size of OPA 15

16. Breathing Management of 16

17. Acute Asthma & COPD - Diagnosis 17

18. First Responder Response 18

19. Acute Asthma & COPD - Treatment 19

20. Rotahaler 20

21. Metered Dose Inhaler 21

22. Using a Spacer 22

23. Other Inhalation Devices 23

24. Nebulizer 24

25. Spontaneous Pneumothorax - ∆ 25

26. Acute Pneumothorax - Treatment 26

27. Adult Respiratory Distress 27

28. Causes of ARDS 28

29. Imaging in ARDS 29

30. ARDS - Management Principles 30

31. circulation Management of 31

32. Question 32

33. Confirm Cardiac Arrest 33

34. Question 34

35. External Chest Cardiac Massage 35

36. Question 36

37. 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

39. Ventricular tachycardia38

40. Method of defibrillation 39

41. Differences 40

42. Cardiogenic Shock 41

43. Cardiogenic Shock- Treatment 42

44. Hollywood Acting or Real MI? 43

46. Consider prehospital fibrinolytic if capable and EMS-to-needle within 30 min.Onset of symptoms of STEMI EMS Dispatch 1 min EMS Triage Plan Inter-Hospital Transfer PCI capable GOALS 5 min. 8 min. EMS Transport Patient EMS Prehospitalfibrinolysis 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. Golden Hour = first 60 min. Total ischemic time: within 120 min. 44

47. Acute Pulmonary Edema - Diagnosis 45

48. Investigations 46

49. Acute Pulmonary Edema - Treatment 47

50. Thank You for The Patient Listening 48