Emergency Medicine

Paediatrics

What is Emergency Medicine?

In an Emergency Medicine department, a variety of procedures are performed to diagnose and treat acute medical conditions and trauma.

Here are some common procedures

  • Triage - Assessing and prioritising patients based on the severity of their condition to ensure timely treatment.
  • Primary Survey - Conducting a rapid assessment of airway, breathing, circulation, disability (neurological status), and exposure (full body examination) using the ABCDE approach.
  • Secondary Survey - A thorough examination to identify other injuries or conditions, including obtaining a detailed medical history.

  • Cardiopulmonary Resuscitation (CPR) - Performing chest compressions and rescue breaths in cases of cardiac arrest.
  • Advanced Cardiac Life Support (ACLS) - Administering medications, defibrillation, and advanced airway management during cardiac emergencies.
  • Airway Management - Techniques such as orotracheal intubation, nasotracheal intubation, and use of supraglottic airway devices to secure the airway in critical patients.
  • IV Access - Establishing intravenous access for fluid resuscitation and medication administration.

  • Point-of-Care Ultrasound (POCUS) - Using ultrasound for rapid assessment of conditions such as cardiac tamponade, pneumothorax, or abdominal emergencies.
  • Rapid Blood Tests - Performing bedside tests for glucose, electrolytes, and cardiac markers to aid in diagnosis.
  • Radiological Imaging - Ordering and interpreting X-rays, CT scans, or MRIs for diagnosis of fractures, internal injuries, or other acute conditions.

  • Wound Care and Suturing - Cleaning and suturing lacerations or wounds, and applying dressings.
  • Drain Placement - Inserting chest tubes for pneumothorax or pleural effusion, and placing drains for abscesses or fluid collections.
  • Reduction of Fractures and Dislocations - Performing closed reduction techniques for certain fractures or dislocated joints.
  • Emergency Surgical Procedures - Performing life saving surgeries such as laparotomy for abdominal trauma or emergency thoracotomy.

  • Intravenous Medications - Administering emergency medications such as analgesics, antibiotics, antipyretics, and antidotes.
  • Narcotic Overdose Treatment - Administering naloxone (Narcan) for opioid overdose.

  • Patient Monitoring - Continuous monitoring of vital signs and symptoms after stabilisation to ensure patient safety.
  • Discharge Planning - Providing instructions for follow-up care, medication management, and warning signs for patients being discharged.

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