Dr Muralidhara K is a Consultant in Emergency Medicine at Narayana Multi speciality Hospital, HSR Bangalore. He finished his ...

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Emergency Medicine | Dr Muralidhara K, Narayana Hospital, HSR

hi I'm Dr muraki I'm the consultant and head of the Department emergency medicine Nar hospitals HSR L Bangalore here we treat all uh kind of emergencies including uh cardiac emergencies neuro emergencies and trauma patients cardiac emergencies are our specialty we have a very good cardiac team here so initially any patient uh Who present with chest pain breathing difficulty giddiness or any of the uh chest symptoms be the patients will be evaluated within no time within 2 minutes we get all the uh ECG and we analyze the ECG and whatever the initial uh uh treatment or stabilization is required that we do and within no time cardiologist will be called in for uh further uh cardiac workup and Cath laap procedures we do receive a lot of trauma patients as well usually poly truma or Orthopedic Trauma patients we have very good Orthopedic uh say Consultants who were available around the clock so very experienc orthopedic surgeons that they are present here so initially whatever Aro cases we receive it will be stabilized uh here in year and then x-rays are done within no time and uh x-rays are splined and even if cast is required they're applied and uh the consultant is called in for uh say further uh management another plus point of our hospital is we we have in-house Sports Medicine specialist we do cater for all sports injuries and uh the initial stabilization of course will be done in ER Department later The Specialist will be called for see further care whenever we receive acute patients uh especially cardiac or arrest or per arrest patients we initiate all the code blue protocol here so Code Blue means say any patient who is in arrest or in per arrest such patients will be reated in our hospital without any delay so such patients will be initially given CPR and CPR is say is life saving technique and we have started an initiative to train this handson CPR uh in the community as well first we have started with uh training of police Personnel especially traffic police because they are the first point of contact after that we have started with gym facilities where say we have seen recently lot of say fit persons undergoing say the cardiac elements for that we started with the gym personal being trained in CPR techniques and later like now we have extended our CPR training skills even awareness programs to all the apartment complexes and even uh School premises also we have initiated this program I think everybody should learn CPR everybody should know how to give CPR this is a very good life saving uh skill and a tool we have inhouse neurologist and you know like whenever there is an acute stroke see how to how to recognize this acute stroke very simple technique we use a technique called as fast fast means say F stands for facial troping a stands for arm weakness uh S stand for speech abnormality T is time why T is included here because any stroke time is very important we call time brain is time means the more time we lose we are going to lose more neurons that is why so we have introduced this fast technique where the stroke is recognized very early and we have something called a stroke pathway here wherein So within no time a patient will be assessed and the Imaging will be done and if trois is required we do the thrombolysis uh in the ER Department itself and our neurologist will take care of this uh say acute Strokes well and if any interventions are required we have uh very well uh say experienced and uh neuro intervention team in our main NH whenever you have an emergency please call our emergency number or you can call to18 this is the national ambulance service number so once you see the patient is uh see unresponsive please check the response how to check the response you can hold the shoulders of the victim and slightly you can shake and shout at him if the patient patient is not responding that means patient is having definitely some serious illness you can check the pulse the central pulse koted pulse you can check if the pulse you you if you cannot check the pulse that is also fine but say you can call the nearby ambulance and meanwhile if somebody is aware of this CPR technique if patient is in say arrest or perest they can initiate the process they can initiate CPR technique and they can wait for the ambulance to come and help the victim

Dr.

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