Medical emergency guidelines RCH

Actively speaking two languages protects against cognitive impairment(dementia)

Early management of SVT

Common respiratory disease and treatment of choices

ECG with findings

Coma overview
Coma is unresponsiveness from which the patient cannot be aroused and in which the patient's eyes remain closed
To impair consciousness, cerebral dysfunction must be bilateral; unilateral cerebral hemisphere disorders are not sufficient, although they may cause severe neurologic deficits
Maintaining alertness requires intact function of the cerebral hemispheres and preservation of arousal mechanisms in the reticular activating system (RAS—also known as the ascending arousal system)
Usually, RAS dysfunction results from a condition that has diffuse effects, such as toxic or metabolic disturbances (eg, hypoglycemia, hypoxia, uremia, drug overdose)
Cont....

Step wise asthma treatment

HYPERTENSION
FOOTNOTES:
1. Htn is represents a quantitative not qualitative deviation from the norm
2. BP check every 5yr in adult pple( normotensive)
3. Identify any contributory factors
4. Detect any complications (target organ damage)
5. Identify comorbidity that may influence the choice of antihypertensive therapy
6. Check any cardiovascular risks

Dr jama Hirsi

Medical treatment of gout
1. Oral corticosteroids
2. NSAIDS
3. allopurinol

Poor doctor can kill fewer patients but poor medical policy can kill mass of population

Circuit of dm complications