Emergency Medicine

              Poison Antidotes                  Acetaminophen → N-Acetylcysteine Aspirin → Sodium bicarb and hemodialysis (HD) Organophosphates→ Atropine, pralidoxime,  diazepam (for seizures) Carbamates  → Atropine, diazepam Warfarin  → Vitamin K, PCC Digoxin  → Fab fragments Ethylene glycol →  Fomepizole or ethanol, HD HFl acid → Calcium, magnesium Isoniazid  → Pyridoxine Methanol → Fomepizole or ethanol, HD TCAs → Sodium bicarb Carbon monoxide → Oxygen and hyperbaric oxygen Beta-blocker → Glucagon, calcium, high-dose insulin, intralipid = controversial CCB → Calcium, glucagon, high-dose insulin, intralipid = controversial Heavy metals   → Chelators - BAL then calcium disodium EDTA    (lead, mercury, arsenic) Iron → Chelator deferoxamine Cyanide → Hydroxocobalamin, sodium nitrate, amyl nitrate, sodium thiosulfate                                           Dr.Sun

              Celphos poisoning Aluminum phosphide (AlP) is used to preserve grains all over the world. It is also known as celphos and is one of the most dreaded poisons one can ever encounter in toxicology. The salt is usually available in tablet and pellet forms. AlP poisoning is common in all parts of the world but is found more commonly in developing countries like India and is often implicated in accidental and suicidal poisonings in India. The fatal dose is around 0.5 g and acute poisoning with these compounds may be directly due to ingestion of the salts or indirect from the accidental inhalation of phosphine generated during their approved use. Many lives have been lost in the last three decades, especially among the young rural population of northern India. It is not just limited to the agricultural society, but the incidence is increasing in urban families also. Previously, the laws and legislations were not that strict and it was easily available on the coun

                                HEART BLOCK (AV BLOCK) Heart block is conduction block from the atrium to the ventricle, can occur for a variety of causes in the clinical situation, and classified in a number of ways. The etiology may be functional or structural, the heart block may be classified by is severity from first to third-degree or complete AV block.                                                                                                                                                             ECG OF AV BLOCK 

ACLS (ADVANCED CARDIOVASCULAR LIFE SUPPORT) on 14th &15th  sep2019 at Patna  ntroduction : ACLS is a two-day workshop which delivers training in prompt management of life-threatening cardiovascular emergencies, including advanced level of patient resuscitation. ACLS course highlights the importance of team resuscitation with advanced airway management, electrical and pharmacological therapy. Duration: I DAY FOR BLS 2 Days ACLS Pre-requisites : BLS certified. Health care Providers ( Doctors of any specialty, nurses, paramedics, anesthetics, etc) Syllabus : Airway Management- Basic & Advanced Respiratory Arrest Management Team Dynamics & effective resuscitation Cardiac Arrest & Peri- arrest care Acute Coronary Syndrome Stroke Methodology : Audio – Visual session Practice while watching video Team Dynamics Hands-on training on a manikin, defibrillator with details of cardioversion & pacing Theory and skills assessment contact Dr.Sunil Kumar Emergenc

BLS (Basic Life Support) 13th sep 2019 Patna Introduction : BLS course is a one day workshop designed for use by laypeople as well as certified healthcare professionals. BLS focus on enhancing the skills and knowledge of the candidate in Cardio-Pulmonary Resuscitation(CPR) while providing Emergency Cardiovascular Care (ECC). This course helps to recognize the emergency and perform resuscitation and relieve choking without the use of advanced equipment or drugs in a safe manne r. Duration: 1 Day Pre-requisites : Anyone interested in saving a life. Health care Providers (Doctors, nurses, paramedics EMT, etc) Syllabus : Cardio Pulmonary Resuscitation (CPR) - adult, child & infant One & Two rescuer CPR- adult , child & infant Use of Pocket Mask Bag-Mask Technique- adult & child Use of Automated External Defibrillator (AED) Relieve Choking Methodology : Audio – Visual session Practice while watching video Team Dynamics Hands-on practice on manikins D

BLS & ACLS Training  BIEMS  (Bihar institute of emergency medical service ) association with Indian Institute of Emergency Medical Services ( IIEMS ) is a premier Emergency Medicine, Trauma Care, Emergency Medical Services and Disaster Management training institute in India. IIEMS is an International Training Centre (ITC) of American  Heart Association (AHA) and ranks No. 1 in India and No.2 in the world and is recognized as the  Gold Partner for AHA in the year 2013-14, Platinum Partner  during 2014-15, 2015-16 & Gold Partner in 2017-18  having its headquarters in Kerala-India also popularly known as ‘God’s Own Country’. Our international operation is managed by the Executive Office in Troy, Pennsylvania, USA. We are a group of dedicated Healthcare Consultants, Instructors, and Specialists from the USA, Europe, and India working together for the advancement of Emergency Medicine, Emergency Medical Services, and Disaster Management for the people of India.