17414997
HOT SUMMER NIGHT
- Ismail got into an accident when driving at night
- Epidemiology of driving
- residents of UAE are 7 times more likely to die
in car accident compared to those in UK.
- Road accidents are the second major cause of
deaths in UAE
- road accidents are primary cause of deaths of children
in UAE
- The trend of road traffic fatalities is increasing among UAE
nationals as well as expatriates. RTIs were found to be more
frequent on roads with high speed limits and with the presence
of trucks. Further research is needed to identify associated risk
factors.
- residents of UAE are 7 times more likely to die
in car accident compared to those in UK.
- First aid
- Ensure personal safety
- Look at the patient in general to see if the patient appears unwell
- Check the patient's responses
- Check airway, breathing, and circulation
- If the patient is unconscious, unresponsive, and is not breathing normally (occasional
gasps are not normal) start CPR according to the resuscitation guidelines
- Monitor the vital signs early. Attach a pulse oximeter, ECG monitor and a non-invasive blood pressure
monitor to all critically ill patients, as soon as possible
- Insert an intravenous cannula as soon as possible. Take bloods for investigation when inserting the
intravenous cannula
- Ensure personal safety
- After assessment he was found to have
- Ruptured spleen
- Impaired kidney function
- Acute Renal
Failure
- Definition
- When the kidneys lose their filtering ability, dangerous
levels of wastes may accumulate, and the blood's
chemical makeup may get out of balance
- When the kidneys lose their filtering ability, dangerous
levels of wastes may accumulate, and the blood's
chemical makeup may get out of balance
- Causes
- Pre-renal
- Renal
- Glomerular disease
- Tubular injury
- Interstitial nephritis
- Vascular disease
- Glomerular disease
- Post-renal
- Pre-renal
- Investigations
- Urinanalysis
- Renal panel
- Kidney function tests
- Ultrasound
- Urinanalysis
- Management
- Initiative management
- Fluid balance
- Lack of fluid >> intravenous (IV) fluids
Swelling >>> diuretics particularly
(furosemide )
- Lack of fluid >> intravenous (IV) fluids
Swelling >>> diuretics particularly
(furosemide )
- Hyperkalemia
- Decreasing the intake of potassium in diet
- Exchanging potassium across the gut
lumen using potassium-binding resins
- Promoting intracellular shifts in
potassium with insulin, and dextrose
solutions
- Decreasing the intake of potassium in diet
- Hypocalcemia
- infusion of calcium
- infusion of calcium
- Hypophosphatemia
- Restriction of dietary phosphate
- Aluminum hydroxide , calcium carbonate
- Restriction of dietary phosphate
- Anemia
- Blood transfusion
- Blood transfusion
- Your patient doesn’t seem to improve on the management you are
giving him You will go for renal replacement therapy
- Dialysis
- Kidney transplant
- Dialysis
- Fluid balance
- Initiative management
- Definition
- Normal kidney tubular functions
- Acute Renal
Failure
- Ruptured spleen
- Epidemiology of driving
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