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How should you diagnose and treat medical emergency due to trauma? How do you define trauma? What are the types of trauma? What are the medico-legal issues relevant to trauma? What cases need a medico-legal report due to trauma? How do you do a trauma-related criminal investigation? What trauma cases need a medico-legal report? Are all traumas medical emergencies? When is a trauma a medical emergency? How soon should a medical emergency be attended? How soon should a medical emergency be attended due to trauma? How do you diagnose a medical emergency due to trauma? How do you treat a medical emergency due to trauma? How could this be prevented? Trauma medical emergencies Younger medical doctors should diagnose and treat medical emergencies in a hospital and at the initial location of a medical emergency. Senior, experienced medical doctors should guide and educate younger medical doctors. Case scenario 1 When and where should you as a medical doctor intubate patient in a road traffic crash or accident? History of road traffic crash or accident. No spontaneous eye opening. Patient cannot speak. No response to painful stimulus. No radial or carotid pulse. No respiratory movement, sounds, or heart sounds. Start an intravenous line. Intubate the patient. This should be done at the location of the road traffic crash or accident by a medical doctor. Give intravenous bolus of atropine or adrenaline. Senior doctor can supervise from a distance. If you really want to diagnose, properly treat, and care for a patient in road traffic crashes or accidents, this is the best way of diagnosis and treatment. Case scenario 2 What should you do as a medical doctor in a road traffic crash or accident if the patient can speak but has pain on movement, is unable to get up, unnable to move a specific joint, has brief unconsciousness, open wound, or vomiting? About Emergency Medicine. Let's examine this. 7.30 PM May 5, 2009. Winthrop Ave and Foster. Chicago, Illinois 60640 A big bang is heard and a woman starts crying. What did you hear and see? I heard a big bang and later saw a women crying inside the car. An apparent accident. Did you call an ambulance? Yes. Within a few minutes, an ambulance arrives, then a fire vehicle, and later a police car. A filmi scene is created. What is missing in this reality filmi scene? The medicos who interacted with the victim had little experience and knowledge of an on-the-spot case assessment. Should assessment of apparent accident damage to the vehicle be done first? or Should assessment of the victim be done first? Obviously, assessment of the victim is the priority. How should the assessment of the victim be done in this setting? What should you ask? Who should ask? How should you do an on-the-spot assessment? How should the victim be positioned? When should you not ask the victim to try to walk? When should you ask victim to try to walk? What do you do if the victim doesn't respond to verbal commands? What should you do if the victim doesn't have an Identity card? When should you transfer the victim to the hospital? When should you start on-the-spot cardiopulmonary resuscitation? What should go in the medical records? Don't write road traffic accident. This may be sabotage. This may be an accident. This may be due to alcohol or drugs. How many road traffic crashes were documented in North America, Asia Pacific, Europe, South America, and Africa, in 2008? Did they document the circumstances? Who should be involved and included in the emergency response team? Who has the duty and responsibility to educate the emergency response team? How could this have been prevented? |