Sepsis is indeed a life-threatening organ dysfunction caused by a dysregulated host response to infection. Septic shock is a subset of sepsis, where circulatory, cellular, and metabolic abnormalities are responsible for increased mortality. The golden hour of sepsis management in the ED is crucial, as early recognition and implementation of evidence-based interventions can significantly improve patient outcomes. Join us with Dr. David as this session will delve into the latest guidelines and best practices for managing sepsis and septic shock in the ED, including early identification strategies, fluid resuscitation protocols, timely antibiotic administration, and organ support measures. 

Management of Sepsis and Septic Shock in the Emergency Department

Acute hepatopancreaticobiliary (HPB) pain, including conditions like pancreatitis and cholecystitis, is a frequent and debilitating issue in emergency settings. Traditionally managed with opioids, which carry risks and side effects, this pain may benefit from alternative approaches. The EASIER (Erector-spinae Analgesia for Hepatopancreaticobiliary Pain in the Emergency Room) trial investigated the ultrasound-guided erector-spinae plane (ESP) block as a potential solution. Join us as expert Dr. David will share valuable insights into how ultrasound-guided regional anesthesia techniques, such as the ESP block, could play a crucial role in the emergency management of severe HPB pain conditions.

Emergency Pain Management: 'EASIER' Solutions

Did you know that most adults who are admitted to emergency departments for deliberate self-harm are discharged to the community? Among those who are discharged, only about one-half receive an emergency mental health assessment, and a roughly similar percentage receive outpatient mental health care in the following month. Emergency departments have an opportunity to help ensure that patients who deliberately harm themselves receive prompt mental health treatment and that those who are discharged to the community receive timely follow-up care. Medflix favourite, Dr. Sandeep David will educate us on the patient-centered approach to deliberate self-harm.

Emergency Management of Deliberate Self Harm

In Emergencies, problems with Airway Management are rarely due to anatomically difficult airways, and commonly due to physiologically or situationally difficult airways (operator experience or staffing numbers). The strongest predictors of adverse events are multiple intubation attempts and respiratory or cardiovascular failure as the indication for intubation. Renowned Emergency Physician and Medflix Favourite, Dr. Sandeep David, will enlighten us on the top tips to establish an Effective Emergency Airway.

Establishing an Emergency Airway

One of the most frequent reasons people visit the emergency room is with acute chest discomfort. About 2% of patients have the diagnosis of ACS incorrectly, which has serious repercussions. For instance, patients with acute myocardial infarction (MI) who are inadvertently discharged from the emergency department (ED) have a twofold higher short-term mortality rate than patients who are admitted to the hospital. In this session, renowned emergency specialist, Dr. Sandeep David will discuss the appropriate course of action, initial evaluation, diagnostic concerns, and prompt care for patients with chest discomfort.

Approach to the Patient with Chest Pain

An infection, inflammation, vascular blockage, or obstruction could be the cause of the acute abdomen. Abdominal pain is the reason for 7% to 10% of visits to the emergency department. In this session, Dr. Sandeep David, an emergency expert, will discuss anatomic anomalies, vascular events that create an acute abdomen, common causes of an acute abdomen, and quick intervention techniques for both diagnosis and treatment.

The Acute Abdomen

Firework injuries are increasing in frequency and severity. Although, the spectrum of injuries caused by fireworks is diverse but these preventable injuries can be devastating and pose a significant surgical challenge due to the combination of burn and blast forces. In addition to the loss of anatomical structures, the blast injury can compromise the function of intact vessels and nerves making salvage and reconstruction particularly difficult.  In this engaging session Dr. Sandeep David, a renowned expert will discuss about the critical aspects of dealing with firecracker injuries a challenge that often peaks during festive seasons. Join us for a dynamic and vital session.

Initial Approach to Firecracker Injuries

Working in the emergency room necessitates proficiency in the ABCDE (Airway Breathing Circulation Disability Exposure) technique. Little is known about how frequently and thoroughly the ABCDE method is used with patients. The prompt identification of patients at risk must be an emergency department's first priority. The fundamental factor determining the success of therapy is if a critical risk is recognized right away upon arrival at the central emergency department and whether the proper therapy is started. Dr. Sandeep David will help us comprehend these crucial assessment and management approaches. 

Primary Evaluation in Emergency 

Patients with acute elevations in intracranial pressure (ICP) from trauma, stroke, infection of the central nervous system, or other processes often require emergency airway management. Rapid sequence intubation (RSI) is the preferred method for securing the airway in patients with suspected elevated intracranial pressure (ICP). Maintaining oxygenation is vital in such patients. Dr. Sandeep David, who specialises in emergency medicine at CMC Vellore, illustrates his approach to airway management in these cases, when and how to intubate with special attention to hemodynamics and preservation of cerebral blood flow, mechanical ventilation settings, and the use of sedative agents based on the patient’s neurological status.

Airway management in the patient with elevated ICP

Drowning is essentially respiratory impairment from liquid submersion. Cardiovascular effects after drowning stem from hypoxemia and hypothermia. Pulmonary insufficiency can develop insidiously or rapidly, anytime in the initial eight hours after a drowning event whereas neurologic injury in a drowning victim can range from subtle signs to comatose lacking brainstem reflexes. Key principles of management are maintaining adequate oxygenation, preventing aspiration and stabilising body temperature. Dr. Sandeep David, Consultant Emergency Medicine Specialist at CMC Vellore, is here to walk us through the essentials of emergency management of drowning(submersion injuries).

The ABCs of Drowning: Clinical Essentials for Physicians

Join us live as we celebrate Medflix's two-year milestone with an incredible night filled with joy, laughter, exciting games, and amazing prizes for everyone! Don your party hats and join in on this wonderful celebration that is sure to be fun and festive.

Medflix Anniversary Special 

Dr Sandeep David will offer a comprehensive overview of the crucial role of extracorporeal membrane oxygenation (ECMO) in the realm of emergency medicine and critical care. With a focus on selecting the most appropriate patients for this life-saving intervention, Dr David will provide practical guidance to aid emergency medicine physicians in effectively implementing ECMO. Don't miss the opportunity to learn from Dr Sandeep David and enhance your knowledge of critical care medicine.

ECMO Made Easy: Simplifying Critical Care Support

Learning to perform Emergency Department (ED) procedures is a complex and highly individualized educational process and an essential core clinical skill. Some of the routinely performed ED procedures are - cardioversion, NIV application, emergency chest tube placement, pericardiocentesis, fasciotomy, basic trauma survey amongst others. Dr. Sandeep David, acclaimed Emergency Physician from CMC Vellore joins us on Medflix for a comprehensive two-part series covering the most commonly performed ED procedures & how to ace them like a pro!

Most Commonly Performed ED Procedures #2

Most Commonly Performed ED Procedures #1

Acute respiratory distress syndrome (ARDS) is noncardiogenic pulmonary edema that manifests as rapidly progressive dyspnea, tachypnea, and hypoxemia. Diagnostic criteria include onset within one week of a known insult or new or worsening respiratory symptoms, profound hypoxemia, bilateral pulmonary opacities on radiography, and inability to explain respiratory failure by cardiac failure or fluid overload. Mechanical ventilation remains the most important aspect of managing patients with ARDS. An in-depth knowledge of lung protective ventilation, optimal PEEP strategies, modes of ventilation and recruitment maneuvers are essential. Dr. Sandeep David, Consultant Emergency Medicine Physician from CMC Vellore, is here to recommend some of his expert strategies for the management of ARDS.

Management of ARDS – What Works and What Does Not

Central line placement is an essential skill, especially in emergency care settings. Indications for central venous line placement include fluid resuscitation, blood transfusion, drug infusion, central venous pressure monitoring, pulmonary artery catheterization, emergency venous access for patients where peripheral access cannot be obtained, and transvenous pacing wire placement. The ideal catheterization site should bear fewer thromboses, lower infectious rate, and fewer mechanical complications. Non-tunneled catheters are commonly used in emergency situations since it is easy to place and does not need special surgical skills for insertion. Complications of CVL placements include arterial puncture, catheter malposition, pneumothorax, subcutaneous hematoma, hemothorax, and cardiac arrest (exceedingly rare). Let us hear from Emergency Medicine expert at CMC Vellore, Dr. Sandeep David, on the do's & don'ts of central line insertion during emergencies.

Central Line Insertion in Emergencies

Food hypersensitivity is defined as an adverse reaction to food or a food additive and can be mediated by two different mechanisms: immunologic and non-immunologic. Immunologic reactions are divided into 3 groups: IgE-mediated (allergic reactions), non-IgE mediated (cell-mediated) or both. The spectrum of clinical manifestations is varied such as ranging from mild manifestations (i.e. flushing or rhinorrhea) to life-threatening situations (i.e. anaphylaxis), or can be the cause of worsening pre-existent diseases, such as atopic dermatitis. Non-IgE-mediated food allergies are a group of disorders characterized by subacute or chronic inflammatory processes in the gut. Let us hear from Dr. Sandeep David, Consultant Emergency Medicine from CMC Vellore all about the management of food hypersensitivity & allergies

Food Allergy & Hypersensitivity Reactions

The majority of patients with a pneumothorax first present to the emergency department and hence the physician needs to be up to date about its presentation and treatment. Pneumothorax should be suspected in patients who present with acute dyspnea and chest pain (classically pleuritic), particularly in those with an underlying risk factor. The treatment focuses on five key areas: air elimination, minimising air leakage, pleural fistula healing, facilitating re-expand, and preventing subsequent episodes. Patients with primary spontaneous pneumothorax (PSP), one that presents in the absence of an external factor, should receive resuscitation with a focus on airway stabilization as well as supplemental oxygen which treats hypoxemia. Dr. Sandeep David joins us LIVE on Medflix to share his skillful approach to a case of Pneumothorax.

Approach to a Case of Pneumothorax

Diwali, the festival of lights, is around the corner! This festival brings joys and celebration, but sadly, it often brings several unwanted medical complications as well. Some of the routinely encountered health hazards that might come our way uninvited during this time are burn injuries, blood sugar fluctuations, eye injury, hearing impairment and exacerbation of respiratory conditions. We have Dr. Sandeep David joining us LIVE on Medflix to teach us on how to effectively and promptly tackle these casualties!

Dealing with Festive Emergencies

When doing an intubation, it can be difficult to see the vocal cords or get the tube into the trachea. An intubation that is physiologically challenging entails cardiopulmonary compromise, which frequently shows up as hypoxemia or hypotension. A pre-intubation examination is frequently unable to predict anatomical and physiological challenges. Join us LIVE as Dr. Sandeep David, Consultant, Department of Emergency Medicine, Christian Medical College, Vellore, discusses the challenges of difficult intubations and what to do when they occur unexpectedly.

Difficult Intubations

Errors in the emergency room can seriously harm patients, and a wrong procedure could set off a chain reaction of subsequent health issues. A few of the most common types of errors include: medication errors, errors related to anesthesia, central line, intubation, contaminated or wrong blood type transfusion and diagnostic errors. Join us LIVE as Dr. Sandeep David, Consultant, Department of Emergency Medicine Christian Medical College, Vellore, discusses several crucial elements in the prevention of common mistakes in emergency procedures and the creation of a safety culture.

Common Errors in Emergency Procedures

Aspirin remains a common analgesic and a widely prescribed antiplatelet therapy for patients with cardiovascular and cerebrovascular disease, and thus aspirin toxicity remains an important clinical problem. The clinical manifestations and management of all salicylate intoxications are similar. Join us LIVE with Dr. Sandeep David, Consultant, Department of Emergency Medicine, Christian Medical College, Vellore to learn all about salicylate (aspirin) poisoning in adults and its management.

Aspirin Poisoning in Adults

Foreign bodies in the upper aerodigestive tract can be difficult to treat and diagnose, and if diagnosis is put off due to early or late problems, they can be lethal. For persistent esophageal foreign bodies that include respiratory symptoms and indications, a wrong diagnosis could result from confusing the location of bronchial and esophageal foreign bodies. Join us live to learn more about the Mx of aspirated and swallowed foreign bodies from a renowned professor from CMC, Vellore.

Mx of Aspirated & Ingested Foreign Bodies

Associate Professor, Department of Emergency Medicine, Christian Medical College, Vellore

Sudden Cardiac Arrest (SCA) is a life-threatening emergency that demands rapid, precise, and coordinated action. In this critical session, Dr. Sandeep David, a seasoned expert in emergency medicine, will walk us through the latest clinical protocols and practical steps in managing sudden cardiac arrest across various care settings. From recognizing early warning signs and initiating timely CPR to using defibrillation and understanding post-resuscitation care, this session aims to equip physicians with life-saving skills and updated knowledge. Don’t miss this high-impact clinical discussion designed to enhance your preparedness for one of medicine’s most time-sensitive emergencies.

Dr. Sandeep David

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