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Showing posts from 2017

Quality improvement in ED

http://www.authorstream.com/Presentation/drvenugopalpp-3308750-nabh-quality-improvement-ed-06-07-17/

Calicut Air port Mockdrill.mpg

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MR vaccine : need of the hour

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MR vaccine : need of the hour

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Mega BLS training at JDT

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Mass BLS in JDT

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Santhanagopalam - Short story

https://www.slideshare.net/drvenugopalpp/santhanagopalam-short-story In Desabhimani Varika 

Detecting methods of endotracheal tube positions

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https://www.slideshare.net/drvenugopalpp/detecting-methods-of-endotracheal-tube-positions

Metrovartha -Editorial article

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http://epaper.metrovaartha.com/c/21960793

Article in IMA aaroghyam 2017 September

https://www.slideshare.net/drvenugopalpp/ima-nammude-aroghyam-september-2017

Acute pain in ED

http://www.authorstream.com/Presentation/drvenugopalpp-3211974-acute-pain-ed-nbe-presenation/

Toxicon 11 a unique opportunity and experience

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Toxicon 11 was a wonderful experience . It was the national toxicology conference organised by Toxicology society of India on 11th ,12th and 13th August 2017 at Hotel Germanus , Kodaikanal . Veteran from various states participated. Well organized and well attended conference .It was a scientific feast and updation on basic and recent advances. Congratulations to Organizers Dr Narendra Jena and Dr.Senthil Kumaran , Dr SaiSurendran  and team.  I am so proud to be a faculty in the great conference.

Cardiopulmonary resuscitation -Lecture notes

https://www.slideshare.net/drvenugopalpp/cardio-pulmonary-resuscitation-78818600

Toxins and seizures - ppt

https://www.slideshare.net/drvenugopalpp/tox-and-seizures Lecture was given in Toxicon 207 at Kodaikanal

Road accidents write up

https://www.slideshare.net/drvenugopalpp/road-accidents-78808041

News hour Asianet :

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https://youtu.be/_mtewDVyKqI

A decade of emergency medical care ...to where we are moving ???

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http://digitalpaper.mathrubhumi.com/1313287/kochi/09-August-2017#page/8/1

Failing emergency medical care

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https://youtu.be/NGiK2-niKsA ഇന്നലെ റോഡപകടത്തിൽ ഗുരുതരമായി പരിക്കേറ്റ മുപ്പത്തിയഞ്ചുകാരൻ സുവർണ്ണ മണിക്കുറിലെ നിഷേധിക്കപ്പെട്ട ചികൽസമൂലം ആംബുലൻസിൽ വെച്ച് മരണത്തിന് കീഴടങ്ങിയത് കേരളത്തിലെ ആരോഗ്യ സംവിധാനത്തിന് തീരാകളങ്കമാണ്. മെഡിക്കൽ കോളേജ് കൾ ഉൾപ്പെടെ ആറു ആരോഗ്യ സ്ഥാപനങ്ങൾ വെൻറിറേററിന്റെയും മറ്റും സാങ്കേതിക കാരണങ്ങൾ പറഞ്ഞ് ഗുരുതരാവസ്ഥയിലുള്ള രോഗിയോട് കാണിച്ച  "കടക്ക് പുറത്ത് '' എന്ന സമീപനത്തിന്  മെഡിക്കൽ എത്തിക്സിൽ  യാതൊരു സ്ഥാനവുമില്ല . അടിയന്തര ചികിൽസ എത്രയൊക്കെ സൗകര്യങ്ങൾ ഇല്ലെങ്കിലും ആശുപത്രിയിൽ ആണ് നന്നാവുക , ആംബംലൻസിൽ അല്ല. ആശുപത്രിയിൽ നിന്നും അവശ്യം വേണ്ട ചികിൽസ നൽകി , പിന്നീട് അധിക സൗകര്യങ്ങൾ ഇല്ല എങ്കിൽ ഉയർന്ന കേന്ദ്രത്തിലേക്ക് റഫർ ചെയ്യുമ്പോൾ , ആ കേന്ദ്രവു മാ യി സംവദിച് രോഗിക്ക് ആവശ്യമായ ചികിൽസാ സൗകര്യം ഉണ്ട് എന്ന് ഉറപ്പു വരുത്തുന്നത്  റഫറൽ മര്യാദയുടെ ഭാഗമാണ് . അപകടത്തിൽ പ്പെട്ടാൽ നമ്മുക്ക് ബോധമില്ലെങ്കിൽ, നമ്മെ ആരും തിരിച്ചറിഞ്ഞില്ലെങ്കിൽ , നാം ഒരു നിമിഷം കൊണ്ട് ഡെസ്റ്റിട്ടൂ ററ് ആയി മാറും. ഇത് ഓർക്കുന്നത് നന്നായിരിക്കും. ഏത് ന്യായീകരണത്തിന്റെ മുകളിലായാലും അത്യ

Poly trauma management

http://www.slideshare.net/drvenugopalpp/poly-trauma-initial-evaluation?from_m_app=android

Polytrauma - initial evaluation

https://www.slideshare.net/drvenugopalpp/poly-trauma-evaluation-and-management

'' മിന്നാമിനുങ്ങ് "

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മിന്നാമിനുങ്ങ് കണ്ടു - അതി മനോഹരവും ലളിതവും എന്നാൽ ജീവിത ഗന്ധിയുമായ ഒരു ചലചിത്ര കാവ്യം. ദേശീയ പുരസ്കാരം നേടിയ സുരഭിയുടെ തനിമയാർന്ന അഭിനയത്തികവിന്റെ നേർക്കാഴ്ചയാണ് ഈ കൊച്ചു സിനിമ . ഒരു സാധാരണ സ്ത്രീയുടെ ഇച്ഛാശക്തിയിലൂടെ യുളള അതിജീവി നത്തിന്റെ കഥ പറയുമ്പോൾ സ്നേഹവും ബന്ധങ്ങളും അതിസൂഷ്മായി സിനിമയിൽ ഉടനീളം ചേർത്തു വെച്ചിരിക്കുന്നു. സ്നേഹവും ബന്ധങ്ങളും വസ്തുവും പാർപ്പിടവും എന്നല്ല ജീവനും ജീവിതവും കൈവിട്ടു പോകുന്ന നഗ്നമായ ജീവിത യാഥാർത്ഥങ്ങളിലും ജീവിക്കാനും മുന്നോട്ട് തന്നെ യാത്ര തുട രാനും മിന്നായം പോലൊരു '' മിന്നാമിനുങ്ങ് " മിന്നിയിട്ടും മിന്നിയിട്ടും മായാതെ മായാതെ സിനിമയിൽ മുഴുവനായും പിന്നീട് തിയേറ്റർ വിട്ടിറങ്ങുമ്പോൾ നമ്മുടെ മനസ്സിലും ഒരു നൊമ്പരമായി നിറഞ്ഞു നിൽക്കുന്ന കേന്ദ്ര കഥാപാത്രത്തിന് ജീവൻ കൊടുക്കാൻ സുരഭിയ്ക്കു മാത്രമേ കഴിയൂ . സംസ്ഥാന അവാർഡ് കമ്മിറ്റി ഈ അഭിനേത്രിയുടെ അഭിനയം കാണാതെ പോയത് എന്തുകൊണ്ടാണ് എന്ന് എത്ര ആലോചിച്ചിട്ടും മനസ്സിലാകുന്നില്ല. മിന്നാമിനുങ്ങ് ഒരു അവാർഡ് സിനിമയല്ല. ഒരു കുടുംബസിനിമയാണ്. നമ്മൾ കാണണം. നമ്മുടെ മക്കളെ കാണിയ്ക്കണം . ഈ സിനിമയ്ക്ക് നമ്മു

Acute pain management in ED/Nbe

https://www.slideshare.net/drvenugopalpp/acute-pain-management-in-ed-nbe

Angels EMCT certifications

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Inaugural function of EMCT 5 th batch certificate distribution ceremony at police club Kozhikode

CPCR - Chapter on Cardiac arrest management

https://docs.google.com/document/d/1dxcaffQbd4Yn89wneWK46WSEeK8NtNQumhqwvZvQhvI/edit Cardiopulmonary resuscitation - An update Author : Venugopalan Poovathum Parambil, DA,DNB,MNAMS, MEM[GWU] Regional Faculty , American Heart Association [AHA] Director , Emergency Medicine , Aster DM Healthcare ,India. drvenugopalpp@gmail.com 9847054747 What is cardiac arrest ? Cardiac arrest is a sudden stop in effective blood flow due to the failure of the heart to contract effectively.Symptoms include loss of consciousness and abnormal or absent breathing.Some people may have chest pain, shortness of breath, or nausea before this occurs. If not treated within minutes, death usually occurs. All cases of sudden collapses are cardiac arrest unless otherwise proved What is cardiopulmonary Resuscitation? Cardiopulmonary resuscitation (CPR) consists of the use of chest compressions and artificial ventilation to maintain circulatory flow and oxygenation during cardiac arres

Pediatric defibrillation

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Pediatric paddle

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Defibrillator demo

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Defibrillator and defibrillation

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Cardioversion

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acute pain management in ED @ NBE

https://www.slideshare.net/drvenugopalpp/acute-pain-management-in-ed-nbe

LMA insertion

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Esophageal detection device

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Kings airway insertion

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Combitube insertion

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Cardioversion

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AED demonstration

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NPA insertion

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Head tilt and chin lift

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OPA insertion

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Endo test

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BVM ventilation

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Endotracheal intubation in Emergency Room

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LMA insertion in ER

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Economic times interview

My interview in economic times

Timely emergency care

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http://toi.in/YVuucZ/a18ag

E Ahemmed editorial article in metrovartha

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http://epaper.metrovaartha.com/1145894/metro-vaartha/24-03-2017#page/6/1 E ahammed editorial article - Metro Vartha

MEM2017 brochure

http://www.slideshare.net/drvenugopalpp/gwu-mem2017-brochure

Raise your voice and register a petition for quality Emergency medical care

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https ://www.change.org/p/prime-minister-of-india-raise-your-voice-for-quality-emergency-medical-care-system?recruiter=211757661&utm_source=share_petition&utm_medium=copylink

E Ahammed

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http://epaper.deccanchronicle.com/articledetailpage.aspx?id=7401439

Ahemmed Sahib

https://wordpress.com/post/drvenu.me/465

Red fm award

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ANGELS received RED FM 93.5 recognition for organization working towards social commitment.  Thanks to all those behind ANGELS and it's activities. Dedicating this award to the numerous lives saved by our trained hands.

Discharged and reached home

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Mr.Vijith[ an unknown Tamilian  - in between Dr.Fabith and Dr.Narendra had taken me to hospital from Gandipuram junction when I was helpless. Thanks a lot. Last few days gave me a different experience and exposure. This blog post is the continuation of the previous post. As I mentioned in the previous blog, I had an accident from Coimbatore and bimalleolar fracture right ankle.  Dr.Suresh Pillai and team  operated me and fixed the fractured fragments.  Dr.Kishore  gave me awesome anesthesia.  Dr.Nishad  gave me excellent post-op analgesia. Entire Aster MIMS management, Nursing team, EMS team, Emergency Team my students, subordinates and enormous friends and relatives supported mine like anything. My wife  Dr.Supriya  and Daughter  Neethu  with me in all stressful situations. Today is the third postoperative day. Everything fine. I have been discharged from the hospital .Reached home. Now a real rest for at least for a month. I take this opportunity to that each and everyone sup

I am recovering ...thank you so much

I had involved in a road traffic accident yesterday [27.01.2017 around 2.45 pm ] at Coimbatore city in Gandipuram Junction. When I was crossing the road through Zebra cross at the main junction and about finish the crossing, a motorbike came from my right side and hit on my right leg. I fell down on roadside .When look down I could confirm that my right ankle dislocated . Few lay people came to help me. I asked them to take me to a hospital. They caught an auto rickshaw and taken to me Ganga hospital. We reached Ganga around 3 pm, One young man accompanied me in autorickshaw. Even I could not sit into passenger seat. I sat on the floor putting injured leg outside. The leg was hurting too much with pain. I don't know the gentleman who helped me to take me to the hospital . I am so thankful to him, and I am praying for him. I was in Coimbatore to attend a life savers conference -EMTP con at KG hospital. Many of our colleagues are also participating in the conference including studen

Mechanical ventilation in Emergency department

http://www.slideshare.net/drvenugopalpp/mechanical-ventilation-in-emergency-department?from_m_app=android

Troponins in Emergency department

http://www.slideshare.net/drvenugopalpp/troponins-in-emergency-departments-by-venu?from_m_app=android

Averting errors in airway management

http://www.slideshare.net/drvenugopalpp/averting-errors-in-airway-management-emcon-17?from_m_app=android

Neck pain

http://www.slideshare.net/drvenugopalpp/neck-and-back-pain-70109138?from_m_app=android

NIV in Emergency department

http://www.slideshare.net/drvenugopalpp/niv-in-emergency-department-ebm?from_m_app=android

Sedation , Analgesia and paralysis in ICU

http://www.slideshare.net/drvenugopalpp/sedation-analgesia-paralysis?from_m_app=android

Young doctor died following cardiac arrest

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I deeply regret to inform the sad demise of Dr.Abdulla Shameer.  Kondotty.  May his soul rest in peace കൊണ്ടോട്ടി മേഴ്‌സി ഹോസ്പിറ്റൽ ഉടമ വീരാൻ കുട്ടി ഡോക്ടറുടെ മകൻ സമീർ ഡോക്ടർ രോഗികളെ ആശുപത്രിയിൽ ചികിൽസിക്കുന്നതിനിടെ ഹൃദയ സ്തംഭനം മൂലം അല്പം മുൻപ് മരണപ്പെട്ടു, Sudden cardiac arrest of young doctor in side hospital ...A witness arrest . We the Emergency people should think about it very loudly .

EMERGE 17

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Emege17 is the perfectly blended.  well organised and attended Emergency medicine crash course for doctors held on 22nd Jan 2017 at IMA hall Vatakara. Program was organised by IMA Vatakara and compiled by Aster Mims and Asha hospital emergency medicine departments. Basic Emergency skills were taught through 12 skill stations . 120 pre registered doctors attended . All of them received adequate hands on training. Even if it was done and promoted as regional events , it has got acceptance and participation at  state level . Vibrant and highly effective regional coordination team headed by DRS Vijayaraghavan , Afrose, Naseer , Sajit etc made it a most memorable event. Fifteen faculty members and 20 supportive paramedic staff made the high quality scientific feast  most effective and useful one. Dr R Remesh DHS attended workshop as  chief guest . Workshop closed with post test . MCI awarded 1.5hrs CME credits to the program. By Team EM

Handling RSI drugs

RSI is one the most dangerous procedures in ED and RSI drugs are the most dangerous pharmacological agents used clinical practice. RSI drugs are categorized under very very risk category drugs. Only qualified Anaesthesiologists, intensivists, and emergency physicians are authorized to load and administer this drugs. Intensivists and EPs should attend a special session on its usage and receive special privilege from institutional privilege committee. This drugs should not keep in ICU or ED drug storage along with other drugs. Its stock and release to use must be monitored and documented meticulously. It must be maintained under locked storage system. Even if it is utilized in a critical situation, you will get at least 10 minutes prior to intubation during the preparation phase. So RSI drugs must keep in pharmacy in ED medicine is existing or it must be locked and kept under Team leader's custody. If you don't have SOP on it kindly make it and implement ASAP DrVenu22.12.16

EMERGE 17

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Emergency medicine crash course at Vatakara on 22 nd Jan 2017 . By IMA Vatakara and Aster Asha hospital

MRCEM results in India

Great to see the wonderful results of MRCEM part C in Indian centers . MAX and Meenakshi mission had 100 percent results . Aster Medcity and AsterMims also have 100 percent results. Five candidates appeared . All cleared . I believe many other centers are also doing good . What is more important is EM training in India is passing through its phenomenal growth. Certainly it is a  reflection of quality training programmes. In nutshell  "quality will lead to recognition and not always recognition will lead to  quality".

Aster CMI Bangalore

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Aster CMI Bangalore has been accredited by NABH for Emergency medicine excellence as first institution in Karnataka and fifth one nationally. As of now 5 institutions have been accredited. Nationally three out of five are aster DM healthcare emergency medicine departments. Congratulations Dr Shailesh and team