The hospital is a single unit for healthcare having doctors, paramedical staff, technicians, ambulance staff, pharmacist and others. Casualty is the section where persons with injury or acute medical conditions are attended to. The ER is often crowded due to the unpredictable circumstances that bring patients who rush in for urgent care. Good management in first 23 hours of presentation ensures resolution in most cases. The doctor's capacity to provide good management for resolution brings order and serenity.
Cases seen at casualty : Seizures: Seen in stroke, TIA, ICH, DM with hypoglycemia (RBS <70), or having dengue fever with hyperglycemia (>300 mg/dL), eclampsia, & ETOH abuse/withdrawal. Management: Phenytoin loading: 15 - 20 mg/kg IV. Maintenance: 5 - 8 mg/kg/d, or Levetiracetam loading dose 5 - 10 mg/kg IV over 15 min. Investigation with CT scan determines management for stroke…
