How to initiate mechanical ventilation in ED? updated version 2019

https://www.slideshare.net/drvenugopalpp/how-to-initiate-mechanical-ventilation-in-emergency-room

Out of Hospital Cardiac Arrest : Where we are ??

https://www.slideshare.net/drvenugopalpp/out-of-hospital-cardiac-arrest-ohca-where-we-are-128699862

Burns : Pre Hospital care

https://www.slideshare.net/drvenugopalpp/burns-pre-hospital-care

Drugs and Toxins induced seizures in Emergency departments

1. Seizures are the outward manifestation of abnormal electrical activity in the brain. • Direct intoxication from known poisons or psychotropic drugs, withdrawal from medications or alcohol, or idiosyncratic reactions to pharmaceuticals cause seizure
2.  • Toxin changes in brain chemistry • Promote aberrant electro-cerebral responses which cause seizures • Drug- and toxin-associated seizures (DTSs) differ in etiology but may demonstrate
3. DTS- How it differs? • Postictal state - confused • Ongoing electrical, subclinical status epilepticus • Continuous display electrical activities in the brain even after cessation of convulsion • Aura - unlikely • Features of partial seizure-like lateralized gaze and head deviation are rare

http://www.authorstream.com/Presentation/drvenugopalpp-3580010-drugs-toxins-associated-seizures-emergency-departments/
https://www.slideshare.net/drvenugopalpp/drugs-amp-toxins-associated-seizures-in-emergency-departments

Snake bite management : Practice guideline in Indian Scenario

https://www.slideshare.net/drvenugopalpp/snake-bite-management-practice-guideline

Acute Abdominal Pain evaluation in ED

https://www.slideshare.net/drvenugopalpp/acute-abdominal-pain-evaluation-in-emergency-department

Training of Ambulance paramedics in EMS

http://www.authorstream.com/Presentation/drvenugopalpp-3406301-ems-training-ambulance-paramedics/

Role of Capnography in emergency medicine

http://www.authorstream.com/Presentation/drvenugopalpp-3406285-role-capnography-emergency-medicine/

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