Management Guidelines in Emergency Medicine

Accident And Emergency Care by Ministry of Health

• • A-E Guidelines2016.pdf

  • Manual for Accident & Emergency Care Services Manual of Sri Lanka – Ministry of Health 2016

  • A-E Policy2016.pdf

Antithrombotic  treatment

Antithrombotic – Management of Antithrombotic Therapy

Chemical Incidents – Management of Survivors of Chemical Incidents in Hospital 15-05-2019

Decompression Sickness – Guide to Management of Decompression Sickness

First Aid for Underwater Divers with “Bends” (English Version) (Sinhala Version)

Head Injury – Management of a Patient with a Head Injury by College of Surgeons of Sri Lanka 2007

International Guidelines in managing critically ill patients

• • Surviving Sepsis Campaign: International Guidelines for Management of Severe Sepsis and Septic Shock, 2012

  • NICEM consensus on neurological monitoring in acute neurological disease

  • Recommendations on basic requirements for intensive care units: structural and organizational aspects

  • Guidelines on the management of anaemia and red cell transfusion in adult critically ill patients

  • KDIGO Clinical Practice Guideline for Acute Kidney Injury

  • BTS guidelines for the management of spontaneous pneumothorax

Snakebite – Guidelines for the Management of Snakebite in Hospital 2021 – 2022-06-17 – Download Guidelines   Download GALLERY OF SNAKES

Snake bite – Management of Snakebite

Snake bite  – Guidelines for management of snake bite in hospital – 2017

 Snakebite  – Guidelines for the Management of Snakebite in Hospital – 2017

• • a. Introduction to the 2017 Revision
    b. Epidemiology of Snakebite in Sri Lanka
    c. Medically Important snakes in Sri Lanka
    d. Management Algorithm
    e. Initial Assessment and Envenoming
    f. Identification of Snakes – Explanation of Terms
    g. Identification of Venomous Snakes in Sri Lanka – Flow Chart
    h. More on Identification of Venomous & Non-venomous Snakes – Power Point programme
    of images
    i. Venomous Snakes in a Nutshell
    j. Antivenom Therapy
    k. Antivenom Reactions – Introduction
    l. Management of Antivenom Reactions
    m. Special Topics

  • i. Snakebite in Children

  • ii. Management issues relating to envenoming by specific snakes

  • a) Cobra
    b) Kraits
    c) Russell’s viper
    d) Saw-scaled viper
    e) Hump-nosed pit vipers
    f) Green-pit viper
    g) Seasnakes

Manual for Accident & Emergency Care Services Manual of Sri Lanka – Ministry of Health

• • 1. Surgical Emergencies

  • 1.1 Head Injury 1.2 Chest Injury 1.3 Abdominal Injury 1.4 Acute limb swelling +/- infection 1.5 The Acute Abdominal Pain

  • 2. Medical Emergencies

  • 2.1 The critically ill patient: assessment and stabilization 20 2.2 Cardiac arrest – Adult Advanced Life Support Algorithm 21 2.3 Hypotension 22 2.4 Sepsis and septic shock 22 2.5 Anaphylaxis and anaphylactic shock 23 2.6 Chest pain 23 2.7 Dyspnoea 25 2.8 Fever 26 2.9 The unconscious patient 27 2.10 Transient loss of consciousness 28 2.11 Acute confusional state 29 2.12 Status epilepticus 29 2.13 Acute headache 31 2.14 Bronchial Asthma 32 2.15 COPD 36 2.16 Community acquired pneumonia. 39 2.17 Indications for NIPPV 42 2.18 Management of suspected myocardial infarction 43 2.19 Cardiac arrhythmias 44 2.20 Brady arrhythmia 45 2.21 Tachyarrhythmia 46 2.22 Acute pulmonary oedema 47 2.23 Hypertensive emergencies 48 2.24 Diagnosed ITP bleeder 49 2.25 Haemophilia 50 2.26 Over warfarinization 53 2.27 Upper gastrointestinal bleeding 55 2.28 Poisoning 57 2.29 Patient presented with suspected poisoning 58 2.30 How to do gastric lavage 59 2.31 List of specific antidotes and general care that can be given in some poisoning cases 60 2.32 Management of organophospate poisoning 62 2.33 Treatment algorithm for acute deliberate paracetamol overdose with known time of ingestion 63 2.34 Snake Bite 65

  • 3. Paediatric Emergencies

  • 3.1 Pathways leading to cardiac arrest 69 3.2 Paediatric basic life support 70 3.3 Paediatric cardiac arrest algorithm 71 3.4 Algorithm for asystole, PEA and ventricular fibrillation, VT 72 3.5 The scheme of management for epiglotittis 73 3.6 Bronchiolitis 75 3.7 Asthma 77 3.8 Management of acute severe asthma> 2 years 78 3.9 The febrile child 79 3.10 Febrile convulsions 80 3.11 Diarrhoea and dehydration 81 3.12 Child in shock 82 3.13 Status epilepticus algorithm 83
    4. Obstetric Emergencies

  • 4.1 Management of pregnancy induced hypertension 84 4.2 Eclampsia 85 4.3 Management of Postpartum Heamorrhage 86

  • 5. Gynaecological Emergencies

  • 5.1 Evaluation of woman with acute pelvic pain 5.2 Post abortal care 

  • 6. ENT Emergencies

  • 6.1 Management of ear emergencies 92 6.2 Assessment of a patient presenting with a solitary acute attack of vertigo 93 6.3 Emergencies of nose 94 6.4 Assessment of a patient with facio-maxillary trauma 98 6.5 Emergencies of throat 100 6.6 Management of laryngeal / tracheal trauma 101

  • 7. Psychiatric Emergencies

  • 7.1 The aggressive and violent patient 105 7.2 The hallucinating patient 108 7.3 Management of the suicidal patient 109 7.4 Managing substance and alcohol problems 111 7.5 The confused patient 112 

  • 8. Radiology

  • 8.1 Patient needs immediate Ultra sound Scan 113 82 Patient need urgent CT 114 

  •  ABCD Aproach

Rabies – Protocol for anti rabies post exposure therapy PET – 2019 – 2019-08-16