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Surgical Emergencies

Recommendations relevant to hospitals and types of physicians inside and outside the state. Who are these recommendations for? Physician medical emergency staff, including heads of departments, seniors, juniors, and medical students. Physician surgical medical emergency staff, including heads of departments, seniors, juniors, and medical students. Physician surgical elective surgery staff, including heads of departments, seniors, juniors, and medical students. Heads of various departments inside and outside the state. Others. Doctor Asif Qureshi, founder of Qureshi University, the Global Democratic Party, and the founder of United Continents of the World and United States of the World, forwards these recommendations dated February 1, 2016, from Chicago, Illinois, North America. I am Doctor Asif Qureshi. My biodata or profile is displayed at the resource displayed below. http://www.qureshiuniversity.com/aboutthefounder.html This is for those who need to know my biodata or profile. I practiced as a physician medical emergency staff from March 5, 1995 to June 1998 at King Fahed Hospital in Medina. On February 1, 2016, I was at my home office at 5042 N Winthrop Ave #237 in Chicago, Illinois, North America, and I came across the King Fahed Hospital Medina Orthopedic Department’s staff. Take a look at this: http://www.madinaortho.com/staff/staff.htm What are the actual categories required of surgeons? Physician surgeon, medical emergency staff, (seniority: guide, heads of departments, consultants, seniors, juniors, and medical students) Physician surgeon, elective surgery staff (seniority: guide, heads of departments, consultants, seniors, juniors, and medical students) What is the actual entity for medical emergencies related to surgery? Physician surgeon medical emergency Seniority: head of the department of emergency surgery, consultant emergency surgery, senior emergency surgeon, junior surgeon of emergency surgery, and medical student. How does a medical emergency in a hospital function? Physician diagnoses a medical emergency and makes treatment recommendations. A physician in a medical emergency makes treatment recommendations for emergency surgery consultation. A physician surgeon in a medical emergency goes ahead with an emergency surgical consultation. There are 14 different categories of surgical emergencies. Is it possible to have 14 different categories of surgeons next to a physician in a medical emergency to deal with emergency surgical consultations? No. A physician surgeon in a medical emergency has to do all of the emergency surgical consultation. A physician surgeon in a medical emergency can be a guide, head of a department, a consultant, a senior, a junior, or a medical student. What did you understand? What is the role of Doctor Asif Qureshi in this situation? A guide to all of them. What can be the seniority of a physician surgeon in a medical emergency? Head of the department physician surgeon in a medical emergency. Consultant physician surgeon in a medical emergency. Senior physician surgeon in a medical emergency. Junior physician surgeon in a medical emergency. Medical student physician surgeon in a medical emergency. If any of you have had an orientation only to orthopedic surgical emergencies, you have to slowly get oriented to all surgical emergencies relevant to medical emergencies. Examples of surgical emergencies. Most common to least common medical conditions have been elaborated. What are examples of all surgical emergencies? 1. General surgery emergencies What are examples of general surgery emergencies? Acute appendicitis Acute pancreatitis Biliary colic and cholecystitis Trauma surgery Massive upper GI bleeding Peritonitis Small bowel obstruction Perforated abdominal viscus Acute diverticulitis Rectal bleeding Acute abdomen that needs further diagnosis and treatment 2. Thoracic surgery emergencies What are examples of thoracic surgical emergencies? Airway obstruction Tension pneumothorax Massive haemothorax Open pneumothorax Flail chest segment with pulmonary contusion Cardiac tamponade 3. Colon and rectal surgical emergencies What are examples of colon and rectal surgical emergencies? Injury to the colon and rectum (stab wound) Hemorrhoids with unstoppable bleeding or severe pain Fissures (painful tears in the anal lining) Abscesses and fistulas (infections located around the anus and rectum) Hemorrhage of rectum and anus Anal incontinence Anal sphincter repair Rectal prolapse 4. Obstetrical emergencies What are examples of Obstetrics emergencies? Preterm labor and delivery Premature rupture of membranes Severe preeclampsia Prolapsed umbilical cord Antepartum hemorrhage Ectopic pregnancy with shock Acute abdominal pain during pregnancy Abortion with hemorrhagic shock Disseminated intravascular coagulation Shoulder dystocia Retained placenta Abdominal pregnancy Trauma during pregnancy Cesarean section under general anesthesia Cesarean section under local anesthesia Cesarean section without anesthesia Postmortem cesarean section Cardiopulmonary resuscitation during pregnancy Eclampsia Abruption of the placenta Placenta praevia Postpartum hemorrhage Amniotic fluid embolism Inversion of uterus Stillbirth and intrauterine death Postpartum blues, puerpural depression, puerpural psychosis Threatened abortion Incomplete abortion Complete abortion Inevitable abortion Septic abortion Second trimester abortion Third trimester delivery complication cesarean section Third trimester delivery complication manual removal of the placenta Third trimester delivery complication immediate post-partum hemorrhage Post-partum hysterectomy (see criminal matters with hysterectomy) Unruptured ectopic pregnancy Ruptured ectopic pregnancy Ovarian cyst, ruptured ovarian cyst Ovarian cyst, unruptured ovarian cyst Ovarian cyst, torsioned ovarian cyst Pelvic inflammatory disease mild Pelvic inflammatory disease moderate to severe Pelvic inflammatory disease tubo-ovarian abscess Abnormal vaginal bleeding 5. Gynecologic surgical emergencies What are examples of gynecologic surgical emergencies? Tubo-ovarian abscess Hemorrhagic ovarian cysts Gynecologic hemorrhage Vulvovaginal trauma Ectopic pregnancies Adnexal torsion 6. Neurological surgical emergencies What are examples of neurological surgical emergencies? Subarachnoid hemorrhage Intracranial hemorrhage Brain AVM (arteriovenous malformation) Spine fracture Cauda equina Penetrating injury Intracranial lesions–focal Open skull fracture Head trauma Cushing response Epidural hematomas Epidural hemorrhage Uncal herniation Pituitary adenoma Pituitary apoplexy Traumatic compression fracture Jumped facets Ballistic trauma or gunshot wound (GSW) Shunt malfunction T7-8 corpectomy and T6-T9 fusion Cord compression Clinical signs of high ICP 7. Ophthalmic surgical emergencies What are examples of ophthalmic surgical emergencies? Cataract surgery Retinal procedures Glaucoma Strabismus Corneal and oculo-plastic surgeries 8. Oral and maxillofacial surgical emergencies What are examples of oral and maxillofacial surgical emergencies? Dental extractions, including wisdom teeth Dental implants and bone grafting TMJ evaluations and management Corrective jaw surgery Facial infection treatment Treatment of facial trauma General oral surgery Cosmetherapy, including botox, juvederm, and restylane 9. Orthopaedic surgical emergencies What are examples of orthopaedic surgical emergencies? Pediatric patients Fractures. Supracondylar humeral, femoral, and tibial conditions (such as slipped capital femoral epiphysis) Septic arthritis Limb- and life-threatening pathologies, including compartment syndrome Dysvascular limb Cervical spine trauma Polytraumatized child Patients ages 19 or more Fractures. Open fractures (bone is exposed outside of a wound) Open fractures or joints Fractures with joint involvement Isolated breaks Stress fractures Multiple fractures Non-union fractures (fractures that do not heal) Malunion fractures (fractures that heal incorrectly) Acute compartment syndrome Neurovascular injuries Joint dislocations Ligament sprains Muscle strains Tendon injuries Septic joints Cauda equina syndrome 10. Otolaryngological emergencies What are examples of otolaryngological surgical emergencies? Epistaxis Peritonsillar abscess Retropharyngeal abscess Acute external otitis Auricular hematoma Mastoiditis Facial nerve paralysis/Bell’s palsy Ramsey-Hunt syndrome Nasal fracture Septal hematoma Orbital blow-out fracture Sudden sensorineural hearing loss (SSNHL) The red herring tonsil Dental abscess Facial cellulitis Ludwig’s angina Deep neck space infections Angioedema Sinusitis: complications 11. Pediatric surgerical emergencies What are examples of pediatric surgical emergencies? Appendicitis Bowel obstruction Intussusception Pyloric stenosis Incarcerated inguinal hernia Hirschsprung’s enterocolitis Malrotation with volvulus Necrotizing enterocolitis The acute groin Bleeding Meckel’s Foreign bodies 12. Plastic and maxillofacial surgical emergencies What are examples of plastic and maxillofacial surgical emergencies? Trauma emergency Facial trauma like an injury to the mouth, face, jaw, skull, scalp other structures that needs a surgical consultation Corrective jaw surgery (misalignment of jaws and teeth that can improve chewing, speaking, and breathing) Wisdom tooth is impacted Temporomandibular joint surgery Dental implants Congenital cleft palate (plastic surgery at six months age) Congenital cleft lip Reconstruction of burned skin Repair of complex wounds Reconstructive procedures after congenital, acquired, and traumatic issues. 13. Urology emergencies What are examples of urological surgical emergencies? Acute urinary retention Testicular torsion Epididymo orchitis Paraphimosis Trauma to renal, ureteral, bladder, urethral, penile, testicular Non-traumatic hematuria, renal colic, urinary retention, acute scrotum, paraphimosis. 14. Vascular Surgical Emergencies What are examples of vascular surgical emergencies? Arterial acute ischaemia Arterial bleeding due to trauma Venours, deep venous thrombosis Venous pulmonary embolism Lymphatic cellulitis Compartment syndrome Peripheral vascular disease Occlusive blocked arteries Alphabetical Listings Surgical Emergencies Surgical emergency is a medical emergency for which immediate surgical intervention is the only way to solve the problem successfully. The following conditions are surgical emergencies: Abscesses Abscesses and fistulas (infections located around the anus and rectum) Acute abdomen that needs further diagnosis and treatment Acute airway obstruction Acute appendicitis Acute compartment syndrome Acute diverticulitis Acute external otitis Acute mesenteric ischemia Acute pancreatitis Acute subdural hematoma Acute trauma Acute urinary retention Airway obstruction Anal incontinence Anal sphincter repair Angioedema Aortic dissection Appendicitis Appendicitis Arterial acute ischaemia Arterial bleeding due to trauma Auricular hematoma Ballistic trauma or gunshot wound (GSW) Biliary colic and cholecystitis Bleeding ectopic pregnancy Bleeding Meckel’s Bowel obstruction Brain AVM (arteriovenous malformation) Cardiac tamponade Cataract surgery Cauda equina Cauda equina syndrome Cervical spine trauma Cholecystitis (gallbladder infection) Clinical signs of high ICP Compartment syndrome Congenital cleft lip Congenital cleft palate (plastic surgery at six months age) Cord compression Corneal and oculo-plastic surgeries Corrective jaw surgery (misalignment of jaws and teeth that can improve chewing, speaking, and breathing) Cosmetherapy, including botox, juvederm, and restylane Cushing response Deep neck space infections Dental abscess Dental extractions, including wisdom teeth Dental implants Dental implants and bone grafting Diverticulitis Dysvascular limb Epididymo orchitis Epidural hematomas Epidural hemorrhage Epistaxis Facial cellulitis Facial infection treatment Facial nerve paralysis/Bell’s palsy Facial trauma like an injury to the mouth, face, jaw, skull, scalp other structures that needs a surgical consultation Fissures (painful tears in the anal lining) Flail chest segment with pulmonary contusion Foreign bodies Fractures with joint involvement Fractures. Gastrointestinal perforation General oral surgery Glaucoma Head trauma Hemorrhage of rectum and anus Hemorrhoids with unstoppable bleeding or severe pain Hirschsprung’s enterocolitis Incarcerated hernia Incarcerated inguinal hernia Injury to the colon and rectum (stab wound) Internal bleeding Intestinal blockage/obstruction Intestinal volvulus Intracranial hemorrhage Intracranial lesions–focal Intussusception Isolated breaks Joint dislocations Jumped facets Ligament sprains Limb ischemia Limb- and life-threatening pathologies, including compartment syndrome Ludwig’s angina Lymphatic cellulitis Malrotation with volvulus Malunion fractures (fractures that heal incorrectly) Massive haemothorax Massive upper GI bleeding Mastoiditis Multiple fractures Muscle strains Nasal fracture Necrotizing enterocolitis Neurovascular injuries Non-traumatic hematuria, renal colic, urinary retention, acute scrotum, paraphimosis. Non-union fractures (fractures that do not heal) Occlusive blocked arteries Open fractures (bone is exposed outside of a wound) Open fractures or joints Open pneumothorax Open skull fracture Orbital blow-out fracture Paraphimosis Paraphimosis Penetrating injury Perforated abdominal viscus Peripheral vascular disease Peritonitis Peritonsillar abscess Pituitary adenoma Pituitary apoplexy Pneumothorax Polytraumatized child Pyloric stenosis Ramsey-Hunt syndrome Reconstruction of burned skin Reconstructive procedures after congenital, acquired, and traumatic issues. Rectal bleeding Rectal prolapse Repair of complex wounds Retained abortion Retinal detachment Retinal procedures Retropharyngeal abscess Ruptured aortic aneurysm Septal hematoma Septic arthritis Septic joints Shunt malfunction Sinusitis: complications Small bowel obstruction Spine fracture Stercoral perforation Strabismus Stress fractures Subarachnoid hemorrhage Sudden sensorineural hearing loss (SSNHL) Supracondylar humeral, femoral, and tibial conditions (such as slipped capital femoral epiphysis) T7-8 corpectomy and T6-T9 fusion Trauma surgery Temporomandibular joint surgery Tendon injuries Tension pneumothorax Testicular torsion The acute groin The red herring tonsil Thrombosed hemorrhoids TMJ evaluations and management Trauma emergency Trauma to renal, ureteral, bladder, urethral, penile, testicular Traumatic compression fracture Treatment of facial trauma Uncal herniation Urinary retention Venous pulmonary embolism Venous, deep venous thrombosis Wisdom tooth is impacted Obstetrical emergencies Abnormal vaginal bleeding Abortion with hemorrhagic shock Abruption of the placenta Acute abdominal pain during pregnancy Amniotic fluid embolism Antepartum hemorrhage Cardiopulmonary resuscitation during pregnancy Cesarean section under general anesthesia Cesarean section under local anesthesia Cesarean section without anesthesia Complete abortion Disseminated intravascular coagulation Eclampsia Ectopic pregnancy with shock Incomplete abortion Inevitable abortion Inversion of uterus Ovarian cyst, ruptured ovarian cyst Ovarian cyst, torsioned ovarian cyst Ovarian cyst, unruptured ovarian cyst Pelvic inflammatory disease mild Pelvic inflammatory disease moderate to severe Pelvic inflammatory disease tubo-ovarian abscess Placenta praevia Post-partum hysterectomy (see criminal matters with hysterectomy) Postmortem cesarean section Postpartum blues, puerpural depression, puerpural psychosis Postpartum hemorrhage Premature rupture of membranes Preterm labor and delivery Prolapsed umbilical cord Retained placenta Ruptured ectopic pregnancy Second trimester abortion Septic abortion Severe preeclampsia Shoulder dystocia Stillbirth and intrauterine death Third trimester delivery complication cesarean section Third trimester delivery complication immediate post-partum hemorrhage Third trimester delivery complication manual removal of the placenta Threatened abortion Trauma during pregnancy Unruptured ectopic pregnancy Gynecologic surgical emergencies Adnexal torsion Ectopic pregnancies Gynecologic hemorrhage Hemorrhagic ovarian cysts Tubo-ovarian abscess Vulvovaginal trauma What should you do before going ahead with any emergency surgery? Verify diagnosis and alternative treatments with two other competent doctors. Document the findings of three separate doctors separately. Experience has revealed that an individual who knows how to make an eight-inch incision and closing in three layers. This individual is claiming to be surgeon specialist. A surgical technician knows more than these skills. Correct diagnosis of a human in various healthcare settings with various options of treatment is a prerequisite for all medical doctors. Here are further guidelines. http://www.qureshiuniversity.com/healthcareworld.htm http://www.qureshiuniversity.com/surgerypatients.html http://www.qureshiuniversity.com/surgeryworld.html What should every type of physician know about a medical condition? You should be able to elaborate on each medical condition mentioned in the questions. Here are further guidelines: What should you be able to elaborate about a medical condtion? Listed in alphabetical order Annotation or Definition Causes Complications Diagnosis Diagnostic tests Disabilities associated with this medical condition Emergencies associated with this medical condition Epidemiology History of this medical condition Medical history relevant to this medical condition Medical emergencies associated with this medical condition Mechanism or pathogenesis Normal values Prevention Relevant anatomy, physiology, or biochemistry Risk factors Research Symptoms and signs Types Treatment or management What should you be able to elaborate about a medical condtion? What is it? What causes it? What complications can occur? What are the risk factors? What's normal? How is it diagnosed? What are the symptoms? What are the signs? What are the clinical findings? What are the lab or investigation findings? What human anatomy should one know relevant to this medical condition? What human physiology should one know relevant to this medical condition? What human biochemistry should one know relevant to this medical condition? What human microbiology should one know relevant to this medical condition? How many such cases occur worldwide every year? How has diagnosis and treatment of this medical condition evolved? What medical history should you seek relevant to this issue? What happens in this medical condition? What research is being done on this issue? How can I help? How can you help? How is this medical condition reported? What should happen before reporting this medical condition? What are the types of this medical condition? What is the treatment? What are the workable treatment options? When is counseling required? When is medication required? How long should medication last? What type of medication is available? When is surgical intervention indicated? How could this be prevented? What did you understand from these guidelines? Regards and affection from Doctor Asif Qureshi, February 1, 2016, from Chicago, Illinois, North America to Zakia in Medina. What did you understand? If you have any questions or issues, email Doctor Asif Qureshi at admin@qureshiuniversity.com, call 7735616102 Chicago, Illinois, North America.