Emergency

EMERGENCY

Sudden illness or injury requiring immediate physicians attention to prevent the danger and delay in treatment to save lives and prevent disability and death. Most common cause of trauma/injury is a road traffic accident. It is the fourth major killer after communicable diseases, cancer, and cardiovascular disease

Need for emergency department

3.5 people die every year because of road traffic accidents. 10-15 million people die every year due to vehicular and other accidents. There is one death every 50th second and one gets injured every 2 seconds.

Because of the nature of its severity, an unexpected and fatal outcome occurs. Keeping this mind a special branch of trauma care medicine has been started at Vijay hospitals with trained trauma care physicians and surgeons

Overview

The emergency department is a medical treatment facility at Vijay hospitals that is specialized in emergency medicine providing care to the patients on an emergency crisis. Its 24 hr emergency and trauma care is designed to meet all the medical and surgical emergencies, including polytrauma

All efforts are made to provide essential care and investigation in the same premises to save the life of the trauma patients. Further to minimize the delay in treatment, the trauma care is provided at the site of the accident in the form of basic and advanced life care support

Apart from the trauma due to accidents there also exists an emergency unit for the threatening medical conditions endangering life

Spontaneous abortion Is a non-induced embryonic or fetal death or passage of products of conception before the 20th week of gestation. Spontaneous abortion occurs in about 10-15% of the pregnancies, the cause being unknown. This threatening condition is a medical emergency as vaginal bleeding occurs during this condition.

Traumatic brain injury A traumatic brain injury occurs when an unexpected, vicious blow or jolt to the head results in brain damage. This sort of impact on the head or brain is frequently associated with internal bleeding or swelling of the brain.

Heart attack Heart attack or myocardial infarction or MI is a severe medical emergency in which the supply of blood to the heart is abruptly blocked, frequently by a blood clot. Tightness and pain in the chest are the frequently correlated conditions observed in these patients

Respiratory failure Respiratory failure results when the inhalation of oxygen and exhalation of carbon dioxide from the bloodstream is impaired resulting in a life-threatening situation

Trauma Traumas occurring due to accident or falls result in injuries affecting various parts of the body Bone fractures High impact force or stress on the bone due to trauma results in a break in the continuity of the bones a medical emergency condition causing intense pain Procedures

Mechanical Ventilation is a form of artificial respiration that utilizes ventilator a breathing machine to aid patients with their breathing. This form of mechanical support is provided when the lungs are not functioning adequately. Breathing support helps in getting sufficient oxygen supply to the body and also assists in the removal of carbon dioxide from the body.

Physicians take intense care to the prevent patient from acquiring infections of the lung particularly, pneumonia. It involves the infiltration of an instrument through the mouth or the skin of the patient. There are two major modes of mechanical ventilation one being the positive pressure ventilation and the other negative pressure ventilation.

Electrocardiogram (ECG) is a test generally performed to determine the electrical activity of the heart. This electrical activity is identified by tracing lines on a paper referred to as waves. It assists in ruling out the causative factors for the symptoms of the heart disease. The other uses of ECG include detection of the thickness of the walls of the heart and to examine if the medicines used to treat the heart are functioning properly.

An arterial line is a catheter that is inserted into an artery same as is the case for intravenous therapy. They can be inserted into the wrist or groin. The arterial line is an approach to continually monitor and determine the blood pressure of the patient. This steady monitoring of the blood pressure is necessary to treat the patient safely. An arterial line can be used in patients with exceedingly high or low blood pressures. Furthermore, it helps provide access to frequent blood sampling, as the blood can be withdrawn from the patient with the help of the catheter. These arterial lines are normally inserted by physicians, surgeons, anesthesiologists or nurses.

In cases where the functioning of the heart terminates, it is the lack of oxygenated blood that results in brain damage. The person may die within 5-10 minutes due to brain damage. CPR can assist in the constant flow of oxygenated blood to the brain and other vital organs until other assisted medical treatment can help restore a normal heart rhythm.

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