Private clinic and A&E: the interface
Private clinic and A&E: the interface Private clinic and A&E: the interface
from almchk.org.hk
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13.07.2015
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A&E Management of STEMI• Patient evaluation: focused Hx and PE• Define symptom onset time• Establish diagnosis; rule out AMI mimics• Ix: ECG 12 leads, right side, post leads• Ix: CBP, LRFT RG, AP/APTT, type &screen• Set IV access•Tx: MONA• Communication: activate AMI pathway 18
ECG ED R side leads
- Page 1: Private clinic and A&E: the interfa
- Page 4 and 5: Medical conditionsHypertension• A
- Page 6 and 7: Triage CategoriesTriage Category Pa
- Page 8 and 9: • Hypertensive emergency:- Severe
- Page 10 and 11: Evaluation• CNS: headache, vomiti
- Page 12 and 13: Management• HT Emergency- Manage
- Page 14 and 15: Case 2• A 55 years old gentleman
- Page 16 and 17: AMIActions for you:• Call ambulan
- Page 20 and 21: ECG ED posterior leads
- Page 22 and 23: No Left SystemTotal Blocked LADMech
- Page 24 and 25: Chest pain protocol• After brief
- Page 26 and 27: Neurological Problem• A 71 year o
- Page 28: Chain of optimal recovery of acute
- Page 32 and 33: Respiratory case• A 25-year old m
- Page 34: Severity Assessment34
- Page 37 and 38: Blood sugar• 73 year old man, kno
- Page 39 and 40: Hyperglycaemia• Manage in EMW/Obs
- Page 41 and 42: Are you worried?• PE: BP 80/30, P
- Page 43 and 44: The worst scenario for you….• W
- Page 45 and 46: For trained personnel• Delay of c
- Page 47 and 48: Use of Automated ExternalDefibrilla
- Page 49 and 50: Orthopaedic Cases• A young man sp
- Page 51 and 52: Another Orthopaedic Case• F/56, k
- Page 53 and 54: TreatmentPrognosis depends on• Hi
- Page 55 and 56: Decision for CT Brain55
- Page 57 and 58: Paediatric case• A 6 years old gi
- Page 59 and 60: Traffic light system for identifyin
- Page 61 and 62: Traffic light system for identifyin
- Page 63 and 64: Ketamine associated cystitisnormal
- Page 65: The endThank you for your attention
A&E Management of STEMI• Patient evaluation: focused Hx <strong>and</strong> PE• Define symptom onset time• Establish diagnosis; rule out AMI mimics• Ix: ECG 12 leads, right side, post leads• Ix: CBP, LRFT RG, AP/APTT, type &screen• Set IV access•Tx: MONA• Communication: activate AMI pathway 18
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