Private clinic and A&E: the interface
Private clinic and A&E: the interface Private clinic and A&E: the interface
MeningococcaemiaYour action• Personal protection• Call ambulance• Give one dose of antibiotics beforesending patient away: Cefotaxime(Claforan) or Ceftriaxone (Rocephin)50mg/kg IV• Early antibiotics saves life58
Traffic light system for identifying risk of serious illnessfor children with feverColour• Pale/mottled/ashen/blueActivityRespirationHydrationOthers• No response to social cues• Appears ill to a HCP• Unable to rouse or if roused does not stay awake• Weak, high-pitched or continuous cry•Grunting• Tachypnoea: RR > 60 breaths/minute• Moderate or severe chest indrawing• Reduced skin turgor•0–3 months: ≥ 38˚C;3–6 months: ≥ 39˚C•Non-blanching rash• Bulging fontane• Neck stiffness• Status epilepticus• Focal neurological signs• Focal seizures•Bile stained vomitus
- 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 18 and 19: A&E Management of STEMI• Patient
- 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: Paediatric case• A 6 years old gi
- Page 61 and 62: Traffic light system for identifyin
- Page 63 and 64: Ketamine associated cystitisnormal
- Page 65: The endThank you for your attention
Traffic light system for identifying risk of serious illnessfor children with feverColour• Pale/mottled/ashen/blueActivityRespirationHydrationO<strong>the</strong>rs• No response to social cues• Appears ill to a HCP• Unable to rouse or if roused does not stay awake• Weak, high-pitched or continuous cry•Grunting• Tachypnoea: RR > 60 breaths/minute• Moderate or severe chest indrawing• Reduced skin turgor•0–3 months: ≥ 38˚C;3–6 months: ≥ 39˚C•Non-blanching rash• Bulging fontane• Neck stiffness• Status epilepticus• Focal neurological signs• Focal seizures•Bile stained vomitus
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