ENG235 fall2020 u6 diseases emergencymed VOC

CLASSIFICATION OF DISEASES DESCRIBE THE FOLLOWING DISEASES:... A FOUNDATION OF EMERGENCY MEDICINE... A FOUNDATION OF EMERGENCY MEDICINE.3. Emergency Medicine EM is a medical specialty -

DISEASES & EMERGENCY MED

UNIT 6 – VOCABULARY & READING (2 hours) ENGLISH IN MEDICINE 1 – GENERAL PRACTITIONER Y2

Presenter: Nguyen Hoang Quynh Mai Editor: Nguyen Hoang Quynh Mai Email: 1004quynhmai@gmail.com

Etc

1 OVERVIEW OF DISEASES

Disease, in medicine, is any state in which the health of the

human organism is impaired All diseases involve a breakdown

of the body's natural defense systems or those regulating theinternal environment Even when a cause is not known, adisease can almost always be understood in terms of the

physiological or mental processes that are disrupted.

Disease

Symptom Sign Syndrome

1 OVERVIEW OF DISEASES

pathophysiology risk stratification

epidemiology differential diagnoses

mortality rate treatment

presentation prophylaxis

5/ vaccine; hygiene; patient education

6/ extrinsic/intrinsic factors; bacterial virulence; host resistance

7/ helps identify the right level of care and services for distinct subgroups

of patients

8/ the ratio between deaths and individuals in a specified population and during a particular time period

1 OVERVIEW OF DISEASES

9/ social, economic, health, etc.

10/ medication; antibiotics; supportive measures; monitoring; positioning; etc.

11/ a problem that develops from an existing illness, making treatment more difficult

12/ good/poor outcome

13/ a deliberation between physicians on a case or its treatment

14/ lab tests

15/ signs; symptoms; physical/examination findings

16/ more than one illness or disease occurring in one person at the same time

1 OVERVIEW OF DISEASES

NAME SOME MOST COMMON DISEASES

2 CLASSIFICATION OF DISEASES

INTERNATIONAL CLASSIFICATION OF

DISEASES | WHO (ICD 11th revision)

The diagnostic classification standard

for all clinical and research purposes

https://www.youtube.com/

watch?v=tZFcoYfnwiM

>> What is ICD?

2 CLASSIFICATION OF DISEASES

subacute malignant diffuse febrile

chronic (in)curable mild idiopathic

congenital progressive moderate infectious

hereditary intermittent severe fatal

inherited localize (a)symptomatic traumatic

acquired systemic autoimmune terminal

1/ COVID-192/ Type 2 Diabetes Mellitus3/ Cervical cancer

4/ Ventricular septal defect (VSD)5/ Cerebral contusion

2 CLASSIFICATION OF DISEASES

DESCRIBE THE FOLLOWING DISEASES:

3 A FOUNDATION OF EMERGENCY MEDICINE

WHAT DO YOU KNOW

ABOUT EM?

3 A FOUNDATION OF EMERGENCY MEDICINE

Emergency Medicine (EM) is a medical specialty - a field of

practice based on the knowledge and skills required for the

prevention, diagnosis and management of acute and urgent

aspects of illness and injury affecting patients of all age groupswith a full spectrum of undifferentiated physical andbehavioral disorders It further encompasses an understanding

of the development of pre-hospital and in-hospital emergency

medical systems and the skills necessary for this development

3 A FOUNDATION OF EMERGENCY MEDICINE

The field of EM encompasses care involving the acute care of internal medical and surgical conditions In many modern emergency departments, Emergency physicians are tasked with seeing a large number of patients,

treating their illnesses and arranging for disposition - either admitting them to the hospital or releasing them after treatment as necessary.

The emergency physician requires a broad field of knowledge and advanced procedural skills often including surgical procedures, trauma resuscitation, advanced cardiac life support (ACLS) and advanced airway

management They must have the skills of many specialists - the ability to

resuscitate a patient, manage a difficult airway, suture a complex laceration, reduce (set) a fractured bone or dislocated joint, treat a heart attack, manage strokes, work-up a pregnant patient with vaginal bleeding, to conduct and interpret x-rays and ultrasounds.

3 A FOUNDATION OF EMERGENCY MEDICINE

(1) _ resuscitate a patient; (2) _ manage a difficult airway;(3) _ suture a complex laceration; (4) _ reduce (set) afractured bone or dislocated joint; (5) _ treat a heart attack;(6) _ manage strokes; (7) _ work-up a pregnant patientwith vaginal bleeding; (8) _ stop a severe nosebleed; (9) _place a chest tube, and (10) _ to conduct and interpret x-raysand ultrasounds.

A Cardiology B Plastic surgery C Cardiothoracic surgery

J Orthopedic surgery

MATCHING

4 LIFE-THREATENING CONDITIONS

NAME SOME MOST COMMON LIFE-THREATENING CONDITIONS.

4 LIFE-THREATENING CONDITIONS

 Cardiac arrest

 (Multiple) trauma/injury:

Cerebral contusionAcute subdural & epidural hematomaPenetrating injuries to the neck

Chest trauma (cardiac tamponade, tension pneumothorax)Abdominal trauma (penetrating, blunt injuries)

 Coma

 Seizure

 (Food) poisoning

4 LIFE-THREATENING CONDITIONS

WHAT SHOULD YOU DO FIRST

IN THESE CASES?

(OUTSIDE THE HOSPITAL)

 Call for help (115, around)

 Ensure environmental safety

 Approach to the victim

4 LIFE-THREATENING CONDITIONS

HOSPITAL COLOR CODES

5 EMERGENCY PROCEDURES

Defibrillation in CPR

5 EMERGENCY PROCEDURES

Endotracheal (ET) intubation

5 EMERGENCY PROCEDURES

Cricothyrotomy

5 EMERGENCY PROCEDURES

Nasogastric (NG) tube placement

5 EMERGENCY PROCEDURES

IV catheter insertion

5 EMERGENCY PROCEDURES

Central line placement

5 EMERGENCY PROCEDURES

Lumbar puncture (LP)

5 EMERGENCY PROCEDURES

Thoracentesis

5 EMERGENCY PROCEDURES

Urinary bladder catheterization

5 EMERGENCY PROCEDURES

Arterial Blood Gas (ABG)

5 EMERGENCY PROCEDURES

Oxygen therapy

REVIEW EXERCISES

GAME ON KAHOOT

REVIEW ON STUDY STACK

1/ Components & Functions:

2/ Diseases & Interventions:

TRANSLATION PRACTICE

“Disease is an enemy that must be feared, fought, battled, and routed The patient or the healthcare provider is a warrior, rather than a passive victim or bystander The agents of communicable diseases are invaders; non-communicable diseases constitute internal insurrection or civil war Because the threat is urgent, perhaps a matter of life and death, unthinkably radical, even oppressive, measures are society's and the patient's moral duty as they courageously mobilize to struggle against destruction.”

“The alcoholic is enslaved by drink, and the smoker is captive to nicotine.”

WRITING PRACTICE

1 What is morbidity rate? (3 sentences)

2 What is terminal disease? (3 sentences)

3 Introduce emergency medicine in 2 paragraphs.

QUESTIONS