Thursday 30 July 2015

PRINCIPLES AND PRIORITIES IN EMERGENCY MEDICINE



The ABC (airway, breathing and circulation) of emergency medicine can be modified and adapted according to the specific clinical scenario and circumstance of each individual case. Critically ill patients should be assigned to a triage category of either 1 or 2, meaning that these patients should be either seen immediately or within 10 minutes.

The approach to seriously ill patients can be simplified by considering the following four scenarios. Note that there is considerable overlap in the assessment and management of these patient scenarios, but it is nevertheless useful to consider and present each group separately.

A) Cardiac Arrest in Adults - Basic and Advanced Cardiac Life Support (ACLS)

B) Assessment and Management of the Severely Injured Patient - Acute Trauma Life Support (ATLS)

C) Assessment and Management of the Seriously Ill Adult Patient (Eg. Asthma, Pneumonia, Status Epilepticus etc)

D) 1. Assessment and Management of the Critically Ill or Injured Child - Paediatric Advanced Life Support, Acute Paediatric Life Support (PALS, APLS)

2. Resuscitation of the Newborn

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