Lecture 2 - Intro To Emergency Medicine Flashcards
1
Q
What is emergency medicine
A
- based on knowledge and skills required for the prevention, diagnosis and management of acute and urgent aspects of illness and injury
- patients of all age groups with a full spectrum of undifferentiated physical and behavioral disorders
- pre-hospital and in-hospital emergency medical systems
2
Q
Emergency department
A
- Dedicated area in the hospital that is organised to provide high standard of emergency care to those in the community who perceive a need for or are in need of acute or urgent care including hospital admission
3
Q
Reasons for increasing demand for ED
A
- ageing population
- risk aversion
- growing pop
- better informed population
- chronic disease
- changing face of GP practice
4
Q
What types of skills do you need to work in an ED
A
- deisiveness, teamwork, resilience and excellent interpersonal skills as well as breadth of knowledge across all facets of mecine
5
Q
What type of presentations?
A
- chest pain
- sepsis
- minor trauma
- abdominal pain
- Delirium
- psychiatry
- drug health
- major trauma
- pediatrics
- exacerbation of chronic disease
6
Q
How do emergency physicians diagnose and manage patients
A
1) History, examination, investigations all at once -> TREATMENT
2) Provisional diagnosis -> TREATMENT
3) Final diagnosis -> TREATMENT
4) Disposition
7
Q
Emergency medicine subspecialties
A
- toxicology
- research
- ultrasound
- medical education
- retrieval (helicopters/ambulance)
- trauma
- medical administration
- Pediatrics
- Disaster medicine
8
Q
Trauma Team: ABCDE
A
- Airway with C spine protection
- Breathing and ventilation
- Circulation with bleeding control
- Disability - GCS
- Exposure/environment
9
Q
Airway assessment and Management
A
- ensure patency
- simple airway maneuvers
- Suction
- airway adjuncts whilst awaiting
- expertise for definitive airway
10
Q
Breathing assessment
A
- RR
- SaO2
- palpate chest (broken rib or subcutaneous emphysema)
- listen to lungs
- palpate trachea
11
Q
Breathing Management
A
- high flow O2
- intubation
- needle thoracotomy or finger thoracotomy
- intercostal catheter
Cant go to C until you managed B
12
Q
Circulation assessment
A
- PR, BP, peripheries
- look for sources of bleeding: Chest, abdomen, pelvis, femur, floor
13
Q
Circulation management
A
- 2 large bore cannula
- fluids and blood
- bleeding control
- damage control resuscitation
- get to theater; pack bleed quickly then get back to ICU
14
Q
3 Conditions that you can get with acute trauma in prolonged anesthesia
A
- Acidosis
- Hypothermia
- Coagulopathy
15
Q
Disability assessment
A
- GVS (AVPU)
- pupil size
- response to gross motor function
- consider spinal cord injury
- check BSL
