Medical Emergencies: A Pocket Reference M Manthappa
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1Medical Emergencies—A Pocket Reference
2Medical Emergencies—A Pocket Reference
Manthappa M MBBS, MD Department ot Medicine KMC, Mangalore Foreword Mohammed Ismail H
3Published by
Jitendar P Vij
Jaypee Brothers Medical Publishers (P) Ltd
EMCA House, 23/23B Ansari Road, Daryaganj, New Delhi 110 002, India
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Medical Emergencies—A Pocket Raference
© 2006, Manthappa M
All rights reserved. No part of this publication should be reproduced, stored in a retrieval system, or transmitted in any form or by any means: electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the author and the publisher.
First edition: 2006
Typeset at JPBMP typesetting unit
Printed at Gopsons Papers Ltd., A-14, Sector 60, Noida
The greatest challenging situations for doctors are medical emergencies, which test your total capability, common sense, intelligence and knowledge, etc. Decisions have to be made then and there to save a life. Most of the time we know the diagnosis but remembering drug dosages is a big problem. You cannot run to library or home to refer in a demanding situation like a medical emergency. I came across such situations many times and wished I should have had a small pocket book containing all this information which I could refer then and there. I collected such vital information in a small book which worked wonders for me in managing emergencies. After I stared carrying this small book my usual fears disappeared and I was able to manage any emergency confidently and hence could save more lives than I thought.
The same book is with you now in a much improved form. The best thing about this book is that you can carry it in your pocket always, just like your handkerchief or mobile phone. Just see the difference in your confidence when this book is with you.
This pocket book is useful for any doctor, including primary care doctors, physicians, surgeons, etc.
Manthappa M
In any emergency,
  1. Always assess ABCs first (airway, breathing, circulation).
  2. If ABCs are not alright take immediate actions to correct them. This may involve CPR, airway opening, intubation, oxygen, IV fluids, blood transfusions, vasopressors, drugs to increase or decrease heart rate or other drugs as necessary. Do not bother about diagnosis at this stage but try to come to a diagnosis simultaneously while carrying out the above measures.
  3. Once the ABCs are stable then only proceed further with formal diagnostic procedure.
Though emergency and critical care is rapidly emerging as a separate speciality, it can never really be separated from general practice. It does not respect the lines that divide medicine into innumerable and everchanging domains. Nor is it confined within the walls of the emergency and intensive care units. We often find it bullying its way into the bedside and challenging our management abilities. It extends way beyond running ventilators and pushing IV fluids. Life is no longer taken away by drowning lungs and failing hearts. Such is the magnitude of the knowledge of emergency medicine.
Stuffing this vast knowledge into a pocket book is a difficult task. Yet the author has made a sincere and successful attempt. It has created a context in the simplest possible words. I am sure that the thinking it stimulates will not only educate the readers but also save the lives of the patients they treat.
Mohammed Ismail H
mbbs md
Professor, Department of Medicine
KMC, Mangalore