Clinical Focus

SPECIAL FOCUS - RAPID DIAGNOSIS AND TREATMENT:

Respiratory Emergencies

  • Acute airway obstruction
  • Acute respiratory failure
  • Exacerbation of COPD
  • Asthma

Cardiovascular Emergencies

  • Congestive Cardiac failure
  • Myocardial infarction
  • Post cardiac surgery complications
  • Cardiac Arrhythmias

Gastrointestinal Emergencies

  • Bowel obstruction
  • Acute Gastroenteritis
  • Vomiting / diarrhea
  • Food poisoning

Neuro-Surgical Emergencies

  • Seizure disorders
  • Head injury
  • Spinal Injury
  • Acute rise of ICP
  • Cerebral hemorrhage
  • Acute pain presentation

Genitourinary Emergencies

  • Acute urinary obstruction
  • Torsion tests

Renal Emergencies

  • Acute Kidney Failure
  • Chronic Kidney Failure

Trauma

  • Thermal injury
  • Motor vehicle accident
  • Explosion injury
  • Orthopedic fracture
  • Chemical exposure
  • Stab injury

OB / Gyn

  • Imminent Delivery
  • Per Vaginal Bleeding
  • Eclampsia

Metabolic Crisis

  • Hypoglycemia
  • Hyperglycemia
  • Ketoacidosis
  • Hyponatremia
  • Hyperkalemia
  • Hypokalemia

ENT

  • Epistaxis
  • Foreign body in Nose/Ear

Other Conditions

  • All Poisoning
  • Insect / animal bite
  • Infectious disease
  • Drowning
  • Hanging

PROCEDURES:

  • Provide pre-hospital emergency care and transportation of critically ill patients through road ambulance
  • Continuous assessments of patients’ physical and emotional needs and corresponding therapeutic interventions by the doctors, nurses and dieticians
  • Blood, urine and other body fluid investigations as appropriate
  • Endotracheal Intubation
  • Defibrillation
  • Synchronized Cardioversion
  • Provision of Advanced Cardiac Life Support
  • Provision of Paediatric Advanced Life Support
  • Hemodynamic support: inotropes, antiarrhythmics
  • Cardiac monitoring and rhythm interpretation
  • Recording of 12-lead ECG’s
  • IV cannulation
  • Management of intravenous therapy including blood transfusion
  • Chest tubes
  • Central lines including hemodynamic monitoring lines
  • Initiation of cervical immobilization and spinal precautions, splinting and immobilization
  • Suturing / suture removal
  • Incision and Drainage
  • Placement of nasogastric tubes
  • Placement of urinary catheters
  • Assessment, reporting and treatment of pressure ulcers
  • Acute / acute-on-chronic pain management
  • Emergency childbirth
  • Oxygen therapy and pulse oximetry
  • Management of artificial airways and mechanically ventilated patients.
  • Patient / Family education.
  • Psychosocial and emotional support.
  • Infection control and safety management
  • Family health education
  • Transfer of patients to ICU / wards

INVESTIGATIONS DONE:

Fever For Evaluation

  • CBC with Platelets
  • Chest X-Ray
  • CBG
  • MP QBC
  • Urine routine

Chronic Kidney Disease

  • Renal Function Tests
  • Serum Electrolytes
  • ABG
  • CBG
  • CBC

Neurology

  • CT Brain
  • MRI Brain

Cardiac

  • ECG
  • Cardiac Enzymes

OBG

  • USG Abdomen
  • TVS Scan

Minor Trauma

  • X-Ray Trauma Series
  • CBG
  • USG abdomen if required

Renal Calculi / Ureteric Calculi

  • X-Ray KUB
  • USG KUB
  • RFT

Suspected Acute Abdomen

  • CBG
  • USG abdomen
  • CBC
  • Urine routine
  • CT Abdomen

Major Trauma

  • X-Ray Trauma Series
  •  CBG
  • USG abdomen if required
  • CT Brain
  • Blood Grouping / Rh

 

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