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
Cardiac
OBG
Minor Trauma
- X-Ray Trauma Series
- CBG
- USG abdomen if required
Renal Calculi / Ureteric Calculi
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