EMERGENCY ROUNDS

  Definition: “ A technique of administering one or more sedatives or dissociative agents with or without analgesics to induce a state that allows the patient to tolerate unpleasant therapeutic or diagnostic procedures while maintaining cardiorespiratory function ” Provide the optimal amount of sedation and analgesia for the procedure that needs to be performed.   Indications ·        Drugs used can be changed based upon the Indications. ·        Both diagnostic and therapeutic procedures and it may be urgent or elective or painful or painless ·        Diagnostic imaging- CT / MRI / USG / ECHO / Endoscopy ·        Diagnostic Procedures - LP, Bone Marrow, Biopsy ·        Therapeutic - I &D / Fracture Reduction /Dislocation, Wound / Laceration Repair ·        Common procedur...

  Acute heart failure (AHF) is a common emergency routinely seen in clinical practice. The timely recognition and intervention by an emergency physician (EP) is important to prevent mortality and further morbidity in such patients. Hypertensive AHF is a distinct subgroup where there is increase in afterload and decrease in venous capacitance, leading to a shift of fluid from splanchnic circulation to pulmonary circulation. Sympathetic crash acute pulmonary oedema (SCAPE) is a life-threatening condition due to the increased systemic vascular resistance and rapid redistribution of fluid caused by a sympathetic surge. Pathophysiology Sympathetic activity that causes an abrupt increase in catecholamine release, subsequently increasing venous and arterial tone, SCAPE is a subset of acute hypertensive heart failure syndromes (AHFS) and is a hypertensive emergency with acute heart failure, Left Ventricular Dysfunction leads to an abrupt increase in sympathetic tone and the ...