Скачать с ютуб [Part 1] Primary Care Of Snakebite: The First Few Minutes - Dr. Ashima Sharma, Emergency Medicine в хорошем качестве

[Part 1] Primary Care Of Snakebite: The First Few Minutes - Dr. Ashima Sharma, Emergency Medicine

With tens of thousands of preventable and treatable deaths occurring due to snake bites every year, the focus for healthcare professionals is on improving awareness, early diagnosis and appropriate initial and definitive management of these cases. In a first for 10Min CME, we bring to you, 10 minutes a time, the first of this multi-part series with Dr Ashima Sharma. Learn more about the basics of management of a case of snakebite, the initial measures and the means of shifting these patients to higher centres for further therapy if need be. Dr Ashima is the Professor and Head of the Department of Emergency Medicine, Nizam Institute of Medical Sciences, Hyderabad. Having conducted a number of training sessions and awareness programs on the same, her reputation and domain authority on the management of snake bites in the Indian context precedes her. Chapters Primary Care Of Snakebite: The First Few Minutes 00:00 Introduction 00:20 Morbidity and mortality of snake bites 00:36 Epidemiology 01:22 Why not all patients of snake bite reach the hospital? 01:56 The Fab Four Snakes 02:25 Immediate Considerations at Primary Level of Care 02:44 Reassurance 02:52 Signs of sympathetic stimulation 03:14 Differentiating envenomation from anxiety 03:35 Local Examination of the bite site 03:54 Ligatures: To remove or not remove 04:41 When to remove ligatures 04:52 Vascular Access and fluid therapy 05:20 Blood glucose monitoring 05:39 Nil-Per-Oral instructions 05:56 Information from attendants 05:59 Traditional Remedies 06:25 Local infiltration of ASV: A Big no-no 06:54 Marking fang (bite) marks 07:12 Immobilization of affected body part 07:41 Bite marks not visible? What to do? 08:24 Transferring snake bite patient 08:37 Precautions while using a motorbike ambulance 09:10 Removing potential ligature-forming objects 09:40 What if I have ASV at my centre? 10:12 Different presentations of envenomation 11:28 One size fits all! 11:56 Thank you!