surgicalemergencies.pptVIP

ENT Emergency Foreign body Epistaxis Deep neck infection Others Ophthalmic Emergencies Red eyes Foreign body Blurred vision Blindness Others REEVALUATION Time interval Same personnel Vital signs Laboratory examination Early suspicion Early consultation MEDICAL ETHICS Treat a person not a disease Treat a patient as your family Be patient to a patient’s complaint Be kind and more smile Careful explanation SURGICAL EMERGENCY GOAL 1. Recognize different surgical emergencies 2. Learn a correct notion 3. Decrease delayed diagnosis 4. Prevent secondary injury GUIDELINES 1. Surgical emergencies 2. Pediatric surgery emergencies 3. Urological emergencies 4. ENT emergencies 5. Ophthalmic emergencies 6. Gynecologic emergencies PRINCIPLES OF  MANAGEMENT 1. Life-saving a. Identify life-threatening injury b. Appropriate resuscitation 2. Maintain vital status a. Detailed physical examination b. Continuous resuscitation 3. Further evaluation and management a. Laboratory examination b. Consultation TRAUMA 1. The 5th leading causes of death of Taiwanese 2. The 1st leading cause of death of young adults 3. Approximately 8,000 patients died from trauma annually WOUND CARE 1. Copious irrigation 2. Remove foreign body 3. Antiseptic solution 4. Adequate debridement 5. Primary / Delayed suture PRIMARY SURVEY A. Airway and C-spine control B. Breathing and ventilation C. Circulation and hemorrhage control D. Disability E. Exposure M. Monitor SECURE AIRWAY Assist airway Oral airway, nasal airway, LMA Endotracheal intubation Oral, nasal Surgical airway Cricothyroidotomy Tracheostomy LIFE-THREATENING HEAD INJURY Intracranial hemorrhage Epidural hematoma, subdural hematoma, intracerebral hematoma, subarachnoid hematoma Diffuse axonal injury Management a. Evacuation of hematoma