Life-threatening emergencies are medical conditions or situations that pose an immediate risk to a persons life and require prompt medical attention. Some examples of life-threatening emergencies include:
Cardiac arrest (when the heart stops beating)
Severe bleeding or uncontrolled bleeding
Stroke
Seizures that last for an extended period of time or that are accompanied by other symptoms, such as confusion or loss of consciousness
Choking
Respiratory distress or inability to breathe
Anaphylaxis (a severe and potentially life-threatening allergic reaction)
Severe head injury or traumatic brain injury
Poisoning or drug overdose
Chest pain or tightness that may indicate a heart attack
Severe burns
Coma
We have listed some of the critical, potentially critical and less critical conditions here. If you or someone you know is experiencing a life-threatening emergency, it is important to call emergency services immediately. Emergency medical personnel are trained to respond to life-threatening situations and will be able to provide prompt medical attention and transport you to a hospital if necessary. Time is of the essence in these situations, so it is important to act quickly and seek medical help as soon as possible.
1. Life threatening emergency (Priority ONE)
i) Gasping/ Noisy breathing
Gasping or noisy breathing refers to an abnormal breathing pattern that produces sounds such as wheezing, whistling, or rattling. It can occur due to a variety of reasons such as infections, allergies, obstructions in the airways, or other underlying medical conditions.
The symptoms of gasping or noisy breathing can include:
Wheezing or whistling sounds while breathing
Shortness of breath
Rapid breathing
Chest tightness
Coughing
Difficulty breathing
Bluish skin color (in severe cases)
If left untreated, gasping or noisy breathing can lead to serious complications, including:
Hypoxia (low levels of oxygen in the blood)
Pulmonary edema (fluid accumulation in the lungs)
Respiratory failure
Heart failure
Pneumonia
The treatment of gasping or noisy breathing depends on the underlying cause. Some common treatments include:
Medications such as bronchodilators, steroids, and antibiotics (in case of infections)
Oxygen therapy
Inhalers to open up the airways
Surgery to remove obstructions in the airways (in severe cases)
Lifestyle changes such as quitting smoking, avoiding exposure to irritants, and managing allergies
It is important to see a doctor if you experience gasping or noisy breathing, as early diagnosis and treatment can prevent serious complications and improve the prognosis.
ii) RR <8 or > 40 min
RR < 8 or > 40 refers to an abnormal heart rate. RR stands for "respiratory rate," which is the number of breaths a person takes in one minute. A normal respiratory rate is typically between 12 and 20 breaths per minute.
A respiratory rate less than 8 breaths per minute or greater than 40 breaths per minute can indicate a serious medical condition and should prompt a prompt evaluation by a doctor.
The symptoms of an abnormal respiratory rate can include:
Shortness of breath
Chest pain
Rapid or slow heartbeat
Dizziness or fainting
Confusion or altered level of consciousness
Bluish or gray skin color (in severe cases)
If left untreated, an abnormal respiratory rate can lead to serious complications, including:
Hypoxia (low levels of oxygen in the blood)
Respiratory failure
Cardiac arrest
Shock
The treatment of an abnormal respiratory rate depends on the underlying cause. Some common treatments include:
Oxygen therapy
Medications such as bronchodilators, steroids, and antibiotics (in case of infections)
Cardiac medications to regulate heart rate and rhythm
Intubation and mechanical ventilation (in severe cases)
Lifestyle changes such as quitting smoking, avoiding exposure to irritants, and managing underlying medical conditions
It is important to see a doctor if you experience an abnormal respiratory rate, as early diagnosis and treatment can prevent serious complications and improve the prognosis.
iii) Pulse <40/min or > 150/min
A pulse rate less than 40 beats per minute (bpm) or greater than 150 bpm can indicate an abnormal heart rate. A normal pulse rate for an adult at rest ranges from 60 to 100 bpm.
The symptoms of an abnormal pulse rate can include:
Dizziness or fainting
Chest pain
Shortness of breath
Rapid or weak heartbeat
Confusion or altered level of consciousness
Bluish or gray skin color (in severe cases)
If left untreated, an abnormal pulse rate can lead to serious complications, including:
Cardiac arrest
Heart failure
Stroke
Shock
The treatment of an abnormal pulse rate depends on the underlying cause. Some common treatments include:
Cardiac medications to regulate heart rate and rhythm
Electrical cardioversion (in case of life-threatening arrhythmias)
Implantable cardiac devices such as pacemakers or defibrillators
Lifestyle changes such as quitting smoking, avoiding exposure to stimulants, and managing underlying medical conditions
It is important to see a doctor if you experience an abnormal pulse rate, as early diagnosis and treatment can prevent serious complications and improve the prognosis.
iv) BP <90/60 or > 220/120
Blood pressure (BP) is the pressure of blood against the walls of the arteries. Blood pressure readings are given as two numbers, such as 120/80 mmHg. The first number (systolic pressure) measures the pressure in the arteries when the heart beats, while the second number (diastolic pressure) measures the pressure in the arteries when the heart is at rest between beats.
A blood pressure reading less than 90/60 mmHg or greater than 220/120 mmHg can indicate an abnormal blood pressure. Normal blood pressure for adults is typically between 90/60 mmHg and 120/80 mmHg.
The symptoms of low or high blood pressure can include:
Dizziness or fainting (in case of low blood pressure)
Headaches
Blurred vision
Chest pain (in case of high blood pressure)
Shortness of breath
Rapid heartbeat
If left untreated, low or high blood pressure can lead to serious complications, including:
Stroke
Heart attack
Kidney damage
Vision loss
The treatment of low or high blood pressure depends on the underlying cause. Some common treatments include:
Lifestyle changes such as maintaining a healthy diet, regular physical activity, and avoiding exposure to stimulants
Medications such as diuretics, ACE inhibitors, calcium channel blockers, and beta blockers
Monitoring and managing underlying medical conditions such as diabetes and heart disease
It is important to see a doctor if you experience low or high blood pressure, as early diagnosis and treatment can prevent serious complications and improve the prognosis.
v) Temp > 105oF
A body temperature greater than 105°F (40.5°C) is considered a high fever and can indicate a serious underlying medical condition.
The symptoms of a high fever can include:
Chills and shivering
Sweating
Fatigue
Muscle aches and weakness
Headache
Rapid heartbeat
If left untreated, a high fever can lead to serious complications, including:
Dehydration
Organ damage
Seizures
Confusion or altered level of consciousness
The treatment of a high fever depends on the underlying cause. Some common treatments include:
Over-the-counter fever-reducing medications such as acetaminophen or ibuprofen
Rehydration with fluids such as water, clear broths, frozen water or ice pops, or clear juice
Rest and avoiding physical activity
Antibiotics (in case of infections)
Treatment of underlying medical conditions such as pneumonia or meningitis
It is important to see a doctor if you experience a high fever, as early diagnosis and treatment can prevent serious complications and improve the prognosis.
vi) CBG < 50mg% on room air
A low level of blood glucose (blood sugar) is referred to as hypoglycemia and is defined as a blood glucose level less than 50 mg/dL (2.8 mmol/L) on room air. Hypoglycemia is a serious medical condition that can occur in people with diabetes or other metabolic disorders, as well as in people who do not have diabetes.
The symptoms of hypoglycemia can include:
Sweating
Shakiness
Confusion or altered level of consciousness
Hunger
Blurred vision
Headache
Fatigue
Rapid heartbeat
If left untreated, hypoglycemia can lead to serious complications, including:
Seizures
Coma
Permanent brain damage
The treatment of hypoglycemia depends on the underlying cause and the severity of the condition. Some common treatments include:
Consuming glucose-rich foods such as candy, fruit juice, or honey
Taking glucose gel or tablets
Adjusting insulin doses (in case of people with diabetes)
Monitoring and managing underlying medical conditions such as diabetes
It is important to see a doctor if you experience symptoms of hypoglycemia, as early diagnosis and treatment can prevent serious complications and improve the prognosis. If you have diabetes, it is important to monitor your blood glucose regularly and seek medical advice if you experience any changes.
vii) GCS <8/15
The Glasgow Coma Scale (GCS) is a widely used tool for assessing consciousness level in people with traumatic brain injuries or other conditions that affect brain function. The GCS score ranges from 3 to 15, with higher scores indicating better consciousness level. A score of less than 8 out of 15 is considered severe brain injury.
The symptoms of a low GCS score can include:
Unresponsiveness or coma
Slow or irregular breathing
Pupil dilation or constriction
Abnormal eye movements
Weakness or paralysis
Confusion or altered level of consciousness
If left untreated, a low GCS score can lead to serious complications, including:
Permanent brain damage
Long-term disability
Death
The treatment of a low GCS score depends on the underlying cause and the severity of the condition. Some common treatments include:
Emergency medical treatment, including stabilizing the patient's airway, breathing, and circulation
Neurosurgery, such as removal of a brain hematoma or placement of a shunt to relieve pressure
Intensive care and monitoring, including mechanical ventilation and other supportive measures
Rehabilitation, such as physical therapy, occupational therapy, and speech therapy
It is important to seek immediate medical attention if you or someone you know experiences a significant head injury, as early diagnosis and treatment can prevent serious complications and improve the prognosis.
viii) Active Seizure
A seizure is a sudden and uncontrolled electrical disturbance in the brain. Seizures can cause a variety of symptoms, depending on the type of seizure and the part of the brain affected.
The symptoms of an active seizure can include:
Convulsions or muscle contractions
Loss of consciousness
Staring spells
Lip smacking or drooling
Uncontrollable movements of the arms and legs
Loss of bladder or bowel control
Biting of the tongue
Confusion or disorientation after the seizure
If left untreated, seizures can lead to serious complications, including:
Injuries from falling or convulsions
Aspiration or choking (due to inhaling food or liquids into the lungs)
Status epilepticus, a condition in which seizures last longer than five minutes or occur one after another without full recovery of consciousness between seizures
The treatment of seizures depends on the underlying cause and the frequency and severity of the seizures. Some common treatments include:
Antiepileptic medications, such as valproic acid, phenytoin, and carbamazepine
Surgery, such as removal of a brain lesion or placement of a brain stimulator
The ketogenic diet, a high-fat, low-carbohydrate diet that has been shown to help control seizures in some people
Cognitive and behavioral therapy, such as speech therapy and physical therapy
It is important to seek medical attention if you or someone you know experiences a seizure, as early diagnosis and treatment can prevent serious complications and improve the prognosis.
ix) Polytrauma
Polytrauma is a term used to describe the presence of multiple injuries, often as a result of a traumatic event such as a motor vehicle accident, falls, or blast injury.
The symptoms of polytrauma can vary widely, depending on the type and severity of the injuries. Some common symptoms can include:
Pain or discomfort in multiple body regions
Headaches
Dizziness or confusion
Loss of consciousness
Weakness or numbness
Abnormal breathing
Abnormal heart rate or blood pressure
Fractures or dislocations
If left untreated, polytrauma can lead to serious complications, including:
Chronic pain
Disability or functional limitations
Psychological problems such as post-traumatic stress disorder (PTSD)
Infections
Organ failure
The treatment of polytrauma depends on the underlying cause and the severity of the injuries. Some common treatments include:
Emergency medical treatment, including stabilizing the patient's airway, breathing, and circulation
Surgical intervention, such as fixation of fractures or repair of internal injuries
Physical and occupational therapy, to help restore mobility and function
Psychotherapy, to help manage the psychological and emotional impact of the trauma
It is important to seek immediate medical attention if you or someone you know experiences a traumatic event, as early diagnosis and treatment can prevent serious complications and improve the prognosis.
x) Acute chest pain
Acute chest pain is a sudden and severe pain felt in the chest that can be caused by a variety of medical conditions. Chest pain can be a sign of a life-threatening condition, so It is important to seek medical attention promptly.
The symptoms of acute chest pain can include:
Sudden and severe pain or pressure in the chest
Pain that radiates to the arms, neck, jaw, or back
Shortness of breath
Sweating
Nausea or vomiting
Rapid or irregular heartbeat
Dizziness or fainting
If left untreated, acute chest pain can lead to serious complications, including:
Heart attack (myocardial infarction)
Pulmonary embolism (a blockage in the lung's blood vessels)
Aortic dissection (a tear in the inner layer of the aorta)
Pericarditis (inflammation of the sac surrounding the heart)
Pneumothorax (collapsed lung)
The treatment of acute chest pain depends on the underlying cause and the severity of the condition. Some common treatments include:
Emergency medical treatment, including stabilizing the patient's airway, breathing, and circulation
Medications, such as aspirin or nitroglycerin, to relieve chest pain and prevent further cardiac damage
Imaging tests, such as X-rays, CT scans, or MRI, to help diagnose the underlying condition
Cardiac catheterization, a procedure used to diagnose and treat certain heart conditions
Surgery, such as coronary artery bypass surgery or valve replacement surgery, to treat certain heart conditions
It is important to seek immediate medical attention if you or someone you know experiences chest pain, as early diagnosis and treatment can prevent serious complications and improve the prognosis.
xi) Acute onset aphasia or limb weakness
Acute onset aphasia or limb weakness are symptoms that can indicate a serious medical condition, such as a stroke. A stroke is a sudden loss of brain function that occurs when the blood supply to the brain is disrupted, causing damage to brain cells.
The symptoms of acute onset aphasia or limb weakness can include:
Sudden difficulty speaking or understanding language (aphasia)
Sudden difficulty with movement or coordination in the face, arm, or leg on one side of the body
Sudden severe headache
Confusion or disorientation
Dizziness or unsteadiness
Blurred or double vision
If left untreated, a stroke can lead to serious complications, including:
Permanent brain damage
Loss of mobility or independence
Depression or anxiety
Cognitive problems, such as memory loss or difficulty with thinking and reasoning
The treatment of acute onset aphasia or limb weakness depends on the underlying cause and the severity of the condition. Some common treatments include:
Emergency medical treatment, including stabilizing the patient's airway, breathing, and circulation
Thrombolysis, a treatment that uses medication to dissolve blood clots in the brain
Anticoagulant medications, to prevent the formation of blood clots
Surgery, such as carotid endarterectomy or stenting, to treat certain types of stroke
Rehabilitation, including physical, occupational, and speech therapy, to help the patient regain mobility and independence
It is important to seek immediate medical attention if you or someone you know experiences acute onset aphasia or limb weakness, as early diagnosis and treatment can prevent serious complications and improve the prognosis.
xii) Intubated patient / patient on ionotropes
An intubated patient is a person who has had a breathing tube inserted into their windpipe in order to assist with breathing. A patient on ionotropes is a person who is receiving medications called ionotropes to support the function of their heart.
The symptoms of a patient who is intubated or receiving ionotropes may include:
Difficulty breathing
Shortness of breath
Rapid or irregular heartbeat
Chest pain
Fatigue
Confusion or disorientation
If left untreated, these symptoms can lead to serious complications, including:
Respiratory distress or failure
Cardiac arrest
Sepsis (a severe infection)
Pneumonia (an infection in the lungs)
Acute kidney injury
Ventilator-associated pneumonia (a lung infection that can develop in a patient who is on a ventilator)
The treatment of a patient who is intubated or receiving ionotropes will depend on the underlying cause of their symptoms and the severity of their condition. Some common treatments include:
Monitoring of the patient's breathing and heart function
Medications, such as antibiotics or diuretics, to treat infections or manage fluid balance
Adjustments to the patient's breathing support, including changes to the rate or pressure of the ventilator
Continuous positive airway pressure (CPAP), a form of non-invasive ventilation that uses a mask to deliver air pressure to the lungs
Extubation, the process of removing the breathing tube, when the patient's breathing has stabilized
Rehabilitation, including physical, occupational, and speech therapy, to help the patient regain mobility and independence
It is important to seek medical attention if you or someone you know is experiencing difficulty breathing or other symptoms that may indicate the need for intubation or ionotropes. Early intervention and treatment can help prevent serious complications and improve the prognosis.
xiii) Pain score > 7/10
A pain score of greater than 7 out of 10 is considered moderate to severe pain. Pain is a subjective experience, and the severity of pain can vary from person to person. Pain scores are often used in medical settings to help quantify the intensity of pain and guide treatment decisions.
The symptoms of moderate to severe pain can include:
Constant or intermittent pain in a specific area of the body
Tension or stiffness in the muscles surrounding the affected area
Reduced range of motion
Difficulty sleeping or concentrating
Fatigue or exhaustion
If left untreated, chronic pain can lead to serious complications, including:
Depression or anxiety
Increased use of pain medications, which can lead to dependence and overdose
Reduced mobility and independence
Difficulty performing daily activities
Decreased quality of life
The treatment of pain will depend on the underlying cause and the severity of the pain. Some common treatments include:
Pain medications, including over-the-counter pain relievers, prescription pain medications, and opioids
Physical therapy or exercise to help improve mobility and reduce pain
Psychotherapy, including cognitive-behavioral therapy or counseling, to help manage the emotional impact of pain
Acupuncture or massage to help relieve tension and reduce pain
Interventional procedures, such as nerve blocks or spinal cord stimulation, to help manage chronic pain
It is important to seek medical attention if you or someone you know is experiencing moderate to severe pain. Early diagnosis and treatment can help prevent serious complications and improve the prognosis.
2. Potential life threatening emergency (Priority TWO)
i) RR > 30/min
A respiratory rate (RR) greater than 30 breaths per minute is considered rapid breathing. Rapid breathing can be a sign of an underlying medical condition and should be evaluated by a healthcare professional.
The symptoms of rapid breathing can include:
Shortness of breath
Chest pain
Rapid or irregular heartbeat
Fatigue or exhaustion
Lightheadedness or dizziness
Confusion or disorientation
If left untreated, rapid breathing can lead to serious complications, including:
Hypoxia, a condition in which the body doesn't receive enough oxygen
Respiratory distress or failure
Cardiac arrest
Sepsis (a severe infection)
Pneumonia (an infection in the lungs)
The treatment of rapid breathing will depend on the underlying cause and the severity of the condition. Some common treatments include:
Oxygen therapy, to help improve oxygenation of the body's tissues
Medications, such as bronchodilators or steroids, to help relieve airway narrowing and improve breathing
Chest physiotherapy, including postural drainage and vibration, to help clear mucus from the lungs
Continuous positive airway pressure (CPAP), a form of non-invasive ventilation that uses a mask to deliver air pressure to the lungs
Intubation and mechanical ventilation, to help support breathing in severe cases
It is important to seek medical attention if you or someone you know is experiencing rapid breathing. Early intervention and treatment can help prevent serious complications and improve the prognosis.
ii) Pulse > 120/min
iii) BP <100/70 or > 180/110
iv) GC <15/15
v) Acute Gastroenteritis with dehydration
Acute gastroenteritis with dehydration is a condition in which inflammation of the stomach and intestines leads to vomiting and diarrhea, causing the body to lose fluids and electrolytes.
The symptoms of acute gastroenteritis with dehydration can include:
Nausea and vomiting
Diarrhea
Abdominal pain or cramping
Decreased urine output
Dry mouth, skin, and mucous membranes
Dizziness or lightheadedness
Confusion or disorientation
Rapid heart rate
If left untreated, dehydration can lead to serious complications, including:
Hypovolemic shock, a life-threatening condition in which the heart can't pump enough blood to the body's tissues
Renal failure, a condition in which the kidneys can't properly filter waste from the blood
Electrolyte imbalances, which can affect the heart, muscles, and nervous system
Seizures
Coma
The treatment of acute gastroenteritis with dehydration will depend on the severity of the dehydration and the underlying cause of the gastroenteritis. Some common treatments include:
Oral rehydration solutions, such as Pedialyte, to help replace fluids and electrolytes lost through vomiting and diarrhea
Intravenous fluids, if oral rehydration is not possible or if the dehydration is severe
Antibiotics, if the gastroenteritis is caused by a bacterial infection
Anti-diarrheal medications, such as loperamide, to help slow down diarrhea
Anti-emetic medications, such as ondansetron, to help relieve nausea and vomiting
It is important to seek medical attention if you or someone you know is experiencing symptoms of acute gastroenteritis with dehydration. Early intervention and treatment can help prevent serious complications and improve the prognosis.
vi) H/O seizure or LOC in the past 12 hrs
A history of seizure or loss of consciousness (LOC) within the past 12 hours is a serious medical condition that requires immediate attention.
The symptoms of a recent seizure or LOC can include:
Confusion or disorientation
Headache
Nausea or vomiting
Weakness or fatigue
Muscle twitching or tremors
Unusual behavior or mood changes
Memory loss or difficulty speaking
Changes in vision or hearing
If left untreated, a seizure or LOC can lead to serious complications, including:
Recurrent seizures
Permanent brain damage
Status epilepticus, a life-threatening condition in which seizures last for a prolonged period of time
Neurocognitive decline
Cardiac arrest
Death
The treatment of a recent seizure or LOC will depend on the underlying cause and the severity of the condition. Some common treatments include:
Antiepileptic medications, such as valproic acid or phenytoin, to help prevent future seizures
Benzodiazepines, such as lorazepam or diazepam, to stop a seizure or prevent status epilepticus
Neuroimaging, such as a CT scan or MRI, to help diagnose the cause of the seizure or LOC
Electroencephalogram (EEG), a test that measures the electrical activity of the brain
Lumbar puncture (spinal tap), a procedure to collect a sample of cerebrospinal fluid for testing
Intravenous fluids and electrolytes, to help maintain blood pressure and support organ function
It is important to seek medical attention immediately if you or someone you know has a history of seizure or LOC within the past 12 hours. Early intervention and treatment can help prevent serious complications and improve the prognosis.
vii) Pain in abdomen/Testes
Pain in the abdomen or testes can have a variety of causes and can range from mild to severe. Some possible causes of abdominal pain include:
Gastrointestinal problems, such as indigestion, constipation, or irritable bowel syndrome
Reproductive issues, such as menstrual cramps, endometriosis, or ovarian cyst
Urinary tract problems, such as bladder infection or kidney stones
Musculoskeletal problems, such as a hernia or muscle strain
Infections, such as appendicitis or diverticulitis
Structural problems, such as a ruptured spleen or aortic aneurysm
Pain in the testes can have several causes, including:
Testicular torsion, a condition in which the testicle twists on its blood supply, leading to severe pain and swelling
Epididymitis, an inflammation of the epididymis, the tube that carries sperm from the testicle
Testicular cancer
Trauma to the testicles
The symptoms of abdominal or testicular pain can include:
Sharp or dull pain
Swelling or tenderness
Nausea or vomiting
Changes in bowel or bladder habits
Fever or chills
If left untreated, some conditions that cause abdominal or testicular pain can lead to serious complications, including:
Peritonitis, an infection of the abdominal cavity
Septicemia, a life-threatening infection of the bloodstream
Testicular necrosis, the death of the testicular tissue
Infertility
Chronic pain
The treatment of abdominal or testicular pain will depend on the underlying cause of the pain. Some common treatments include:
Pain medications, such as acetaminophen or ibuprofen, to relieve mild to moderate pain
Antibiotics, if the pain is caused by an infection
Surgery, if the pain is caused by a structural problem or testicular torsion
Physical therapy, to help alleviate musculoskeletal pain
Testicular cancer treatment, if the pain is caused by testicular cancer
It is important to seek medical attention if you or someone you know is experiencing abdominal or testicular pain. Early intervention and treatment can help prevent serious complications and improve the prognosis.
viii) Acute Headache
Acute headache is a sudden, severe headache that can be accompanied by other symptoms. Some common causes of acute headache include:
Migraine headaches
Tension headaches
Cluster headaches
Sinus headaches
Rebound headaches (caused by overuse of pain medications)
Infections, such as meningitis or encephalitis
Intracranial hemorrhage, a bleed within the skull
Increased intracranial pressure, due to a brain tumor or hydrocephalus
Stroke or transient ischemic attack (TIA)
The symptoms of acute headache can include:
Severe, throbbing pain
Pain that is sudden and intense
Pain that affects one side of the head
Nausea and vomiting
Light sensitivity or sound sensitivity
Stiff neck or jaw
If left untreated, some causes of acute headache can lead to serious complications, such as:
Vision loss
Loss of consciousness
Paralysis
Memory loss or cognitive impairment
Death
The treatment of acute headache will depend on the underlying cause of the headache. Some common treatments include:
Pain medications, such as acetaminophen, aspirin, or ibuprofen, to relieve mild to moderate pain
Prescription pain medications, such as triptans, to relieve migraines or cluster headaches
Antibiotics, if the headache is caused by an infection
Steroids, if the headache is caused by increased intracranial pressure
Surgery, if the headache is caused by a brain tumor or an aneurysm
It is important to seek medical attention if you or someone you know is experiencing a sudden, severe headache. Early intervention and treatment can help prevent serious complications and improve the prognosis. If the headache is accompanied by other symptoms, such as confusion, loss of consciousness, or neck pain, It is especially important to seek medical attention right away, as these symptoms can indicate a more serious underlying condition.
ix) Persistent vomiting
Persistent vomiting is a condition in which an individual vomits repeatedly over an extended period of time. It can be caused by a number of underlying conditions, such as:
Gastroenteritis
Food poisoning
Migraine headaches
Motion sickness
Pregnancy (morning sickness)
Ulcers
Gastroesophageal reflux disease (GERD)
Gastroparesis (delayed gastric emptying)
Appendicitis
Intestinal obstruction
Pancreatitis
Kidney or liver failure
Some medications or toxins
The symptoms of persistent vomiting can include:
Repeated episodes of vomiting
Nausea
Loss of appetite
Abdominal pain or discomfort
Dehydration
Dry mouth and skin
Weakness or fatigue
Dizziness or lightheadedness
Confusion
Rapid heart rate
If left untreated, persistent vomiting can lead to serious complications, such as:
Dehydration, which can lead to electrolyte imbalances, kidney failure, and other serious health problems
Malnutrition, if the individual is unable to eat or drink enough to meet their nutritional needs
Aspiration pneumonia, if vomit is inhaled into the lungs
The treatment of persistent vomiting will depend on the underlying cause of the condition. Some common treatments include:
Rehydration with fluids, such as water, electrolyte solutions, or clear broths, to replace lost fluids and prevent dehydration
Antinausea medications, such as promethazine, metoclopramide, or ondansetron, to relieve nausea and vomiting
Antibiotics, if the vomiting is caused by an infection
Medications to treat the underlying cause of the vomiting, such as antacids for GERD or medications to regulate the digestive system in cases of gastroparesis
Surgery, if the vomiting is caused by a blockage in the intestines or other structural problem
It is important to seek medical attention if you or someone you know is experiencing persistent vomiting. Early intervention and treatment can help prevent serious complications and improve the prognosis. If the vomiting is accompanied by other symptoms, such as severe abdominal pain, high fever, or confusion, It is especially important to seek medical attention right away, as these symptoms can indicate a more serious underlying condition.
x) Pregnant with P/V bleeding/leaking
Pregnant women who experience vaginal bleeding or leaking fluid should seek medical attention as soon as possible, as these symptoms can indicate a problem with the pregnancy. Some common causes of vaginal bleeding or leaking fluid during pregnancy include:
Miscarriage
Ectopic pregnancy (when the fetus develops outside the uterus)
Placental abruption (when the placenta separates from the uterus)
Placenta previa (when the placenta covers the cervix)
Premature labor
Preterm premature rupture of membranes (when the amniotic sac surrounding the fetus breaks before 37 weeks of pregnancy)
The symptoms of vaginal bleeding or leaking fluid during pregnancy can vary, but can include:
Vaginal bleeding
Leaking fluid
Cramping or abdominal pain
Contractions
Lower back pain
Blurry vision
Headache
Weakness or fatigue
Rapid heart rate
If left untreated, vaginal bleeding or leaking fluid during pregnancy can lead to serious complications, such as:
Miscarriage
Ectopic pregnancy
Placental abruption
Premature birth
Fetal distress
Maternal bleeding or infection
The treatment for vaginal bleeding or leaking fluid during pregnancy will depend on the underlying cause. Some common treatments include:
Monitoring for signs of premature labor
Bed rest
Antibiotics, if the bleeding or leaking fluid is caused by an infection
Medications to stop or slow contractions, if premature labor is occurring
Surgery, if the bleeding or leaking fluid is caused by an ectopic pregnancy or placenta previa
It is important to seek medical attention as soon as possible if you or someone you know is experiencing vaginal bleeding or leaking fluid during pregnancy. Early intervention and treatment can help prevent serious complications and improve the prognosis. If the bleeding or leaking fluid is accompanied by other symptoms, such as severe abdominal pain, high fever, or confusion, It is especially important to seek medical attention right away, as these symptoms can indicate a more serious underlying condition.
xi) Fracture /Hand injury/Dislocation/Laceration
A fracture, hand injury, dislocation, or laceration can result from a variety of causes, including falls, car accidents, sports injuries, and physical altercations. The symptoms of these injuries can include:
Pain
Swelling
Bruising
Stiffness
Loss of function or mobility
Deformity (in the case of a fracture or dislocation)
Open wound (in the case of a laceration)
If left untreated, fractures, hand injuries, dislocations, and lacerations can lead to serious complications, such as:
Infection
Non-union or malunion (when the bone does not heal properly)
Arthritis
Nerve or blood vessel damage
Chronic pain or disability
Scarring (in the case of a laceration)
The treatment for fractures, hand injuries, dislocations, and lacerations will depend on the severity of the injury and the underlying cause. Some common treatments include:
R.I.C.E. (Rest, Ice, Compression, Elevation) to manage pain and swelling
Pain medications, such as nonsteroidal anti-inflammatory drugs (NSAIDs) or opioids
Immobilization of the affected limb, using a cast, splint, or brace
Physical therapy to regain strength and mobility
Surgery, in some cases, to repair the injury or to correct deformities
Antibiotics, if the injury is infected
Wound care, such as cleaning and dressing the wound, in the case of a laceration
It is important to seek medical attention as soon as possible if you or someone you know has sustained a fracture, hand injury, dislocation, or laceration. Early treatment can help prevent serious complications and promote healing. If the injury is accompanied by other symptoms, such as severe pain, high fever, or numbness or tingling in the affected limb, It is especially important to seek medical attention right away, as these symptoms can indicate a more serious underlying condition.
xii) Head injury
A head injury can occur as a result of a fall, car accident, sports injury, physical altercation, or other traumatic event. Symptoms of a head injury can include:
Headache
Nausea or vomiting
Dizziness or unsteadiness
Blurred vision or double vision
Ringing in the ears
Memory loss or confusion
Fatigue or drowsiness
Mood changes or irritability
Seizures
Loss of consciousness (even briefly)
In some cases, the symptoms of a head injury may not appear until hours or even days after the injury has occurred. If you suspect that you or someone you know has sustained a head injury, It is important to seek medical attention right away.
Complications of a head injury can include:
Concussion
Hematoma (a collection of blood outside of blood vessels)
Skull fracture
Brain swelling
Brain damage or injury to the brainstem or spinal cord
The treatment for a head injury will depend on the severity of the injury and the underlying cause. Some common treatments include:
R.I.C.E. (Rest, Ice, Compression, Elevation) to manage pain and swelling
Pain medications, such as nonsteroidal anti-inflammatory drugs (NSAIDs) or opioids
Immobilization of the neck, using a cervical collar or brace, in some cases
Physical therapy to regain strength and mobility
Surgery, in some cases, to repair the injury or remove a hematoma
Antibiotics, if the injury is infected
Close observation and monitoring, especially in the case of a severe head injury or concussion
It is important to seek medical attention as soon as possible if you or someone you know has sustained a head injury. Early treatment can help prevent serious complications and promote healing. If the injury is accompanied by other symptoms, such as severe pain, high fever, or numbness or tingling in the limbs, It is especially important to seek medical attention right away, as these symptoms can indicate a more serious underlying condition.
xiii) H/o any bite
A bite from an animal or insect can cause a variety of symptoms and complications, depending on the type of bite, the location of the bite, and the health of the person who was bitten. Some common symptoms of a bite can include:
Pain at the site of the bite
Redness or swelling
Itching or burning
Warmth or tenderness at the site of the bite
A blister or wound at the site of the bite
A fever or chills
Muscle aches or headache
Nausea or vomiting
Fatigue
Rash or hives
Complications of a bite can include:
Infection
Tissue damage or necrosis (death of tissue)
Tetanus
Rabies
Lyme disease (from a tick bite)
West Nile virus (from a mosquito bite)
Anaphylaxis (a severe, life-threatening allergic reaction)
The treatment for a bite will depend on the type of bite, the location of the bite, and the health of the person who was bitten. Some common treatments for a bite include:
Cleaning the bite wound thoroughly with soap and water
Applying a cold compress to reduce pain and swelling
Taking pain medications, such as acetaminophen or ibuprofen
Taking antibiotics, if the bite is infected
Receiving a tetanus shot, if necessary
Receiving a rabies shot, if necessary
Receiving antivenom, if the bite was from a venomous animal or insect
Taking antihistamines, if the bite caused an allergic reaction
Monitoring the bite wound closely for signs of infection or other complications
It is important to seek medical attention as soon as possible if you or someone you know has been bitten. Early treatment can help prevent serious complications and promote healing. If the bite is accompanied by other symptoms, such as severe pain, high fever, or difficulty breathing, It is especially important to seek medical attention right away, as these symptoms can indicate a more serious underlying condition.
xiv) Active bleeding any site
Active bleeding, regardless of its location, can be a medical emergency and requires prompt treatment. Some common symptoms of active bleeding can include:
Bright red blood flowing from the wound
Blood soaking through a bandage or clothing
Rapid heartbeat
Weakness or dizziness
Nausea or vomiting
Confusion or disorientation
Complications of active bleeding can include:
Anemia (a decrease in red blood cells)
Hypovolemic shock (a decrease in blood volume)
Tissue damage or death (necrosis)
Increased risk of infection
The treatment for active bleeding will depend on the location, severity, and cause of the bleeding. Some common treatments for active bleeding include:
Applying direct pressure to the wound to slow or stop the bleeding
Elevating the affected limb, if the bleeding is fro
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This article was last updated on February 12, 2023
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