Critical Care Medicine
A 10 bed unit equipped to respond immediately for life saving procedure in cases of trauma road side accident, COMA, mishaps poisoning, Brain hemorrhage, respiratory failure due to cause like severe responsive asthma, cardiac failure, Spinal injury etc.
The unit has fully adjustable multi positioned patient’s bed system, State of art and world class mechanical ventilation system, Multicolored Multipara bed head monitor with centralized monitoring system, defibrillators to correct heart rhythms. Backed up with highly trained qualified nursing staff & resident doctors.
Symptoms
- Respiratory Distress: Difficulty breathing, rapid breathing, cyanosis (bluish skin), use of accessory muscles.
- Shock: Low blood pressure, rapid pulse, cold and clammy skin, confusion, and dizziness.
- Sepsis: Fever, increased heart rate, low blood pressure, confusion, organ dysfunction.
- Acute Heart Failure: Shortness of breath, fatigue, swollen legs, fluid retention.
- Trauma: Bleeding, loss of consciousness, severe pain, breathing difficulties.
- Acute Kidney Injury: Reduced urine output, swelling, confusion, nausea.
- Neurological Issues: Seizures, sudden loss of consciousness, confusion, paralysis.
Treatment
- Ventilatory Support: Mechanical ventilation or non-invasive ventilation for respiratory distress.
- Medications:
- Vasopressors for shock (e.g., norepinephrine).
- Antibiotics for sepsis and infections.
- Inotropes for heart failure to improve heart function.
- Sedatives and Analgesics to manage pain and agitation.
- Surgical Interventions: In cases of trauma or life-threatening conditions like internal bleeding.
- Renal Replacement Therapy: Dialysis for acute kidney injury.
- Blood Transfusions: For hemorrhage or anemia-related issues.
- Nutritional Support: Parenteral or enteral nutrition to support recovery.
Prevention
- Early Recognition: Monitoring vital signs and clinical changes, especially in high-risk patients (e.g., those with chronic diseases).
- Infection Control: Hand hygiene, sterile techniques, and use of appropriate antibiotics to prevent sepsis.
- Prophylactic Treatments: Administering medications like anticoagulants for venous thromboembolism prevention, proton pump inhibitors for stress ulcers, and antibiotics in high-risk surgery.
- Ventilator-associated Pneumonia Prevention: Regular oral care, head-of-bed elevation, and ventilator care bundles.
- Proper Monitoring: Continuous monitoring of vital signs, oxygen levels, and lab values.