3^rd Annual Congress on Emergency Medicine and Acute Care August 13-14, 2020 Dubai, UAE

The cardiac care is the term to describe immediate diagnosis of emergencies such as respiratory arrest, drowning, heart attack. The cardiac disorders are the number one killer of adults. Early recognition and initiation of appropriate treatment can save lives during three of the most deadly cardiac emergencies: sudden cardiac arrest, heart failure, and acute pericarditis. Therefore, more attention for accurate diagnosis and immediate managements should be paid in order to improve clinical outcomes, which includes reducing mortality and mobility.

The cardiopulmonary resuscitation is a emergency lifesaving technique useful in many conditions drowning, heart attack in which heartbeat and breathing stops. This technique is used as a life support for oxygenating the brain and heart to provide oxygen to heart, brain and other vital organs until the appropriate treatment restores normal heart and ventilatory action. Adrenaline (epinephrine) is the major drug used during resuscitation of cardiac arrest. Currently 50%-60% of Sudden death occurs when breathing and heartbeat stop suddenly. The major role in children who have pre-operative are successfully resuscitated. Cardiac arrest Outside North America advanced life support can be remarkably effective.

The Pediatric emergency is a serious condition which threatens the life of an infant, child, or teen. Generally physicians required special knowledge and skills to assess the condition of the children and also provides medicine to the children who are actually ill or else injured.. Because of insufficient oxygenation and ventilation or perfusion from any cause will become difficult to determine the primary physiologic problem. The most common factors are high fever, difficulty in breathing, infectious diseases, exposure to foreign objects will cause allergic reactions.The doctor prepares for the immediate therapeutic support. Child trauma is a leading cause of death in infants.

Trauma can termed as when a person experiences distressing event that involve serious harm or injury or threat of death. The critical trauma disease has always the trends in military war experiences. These are historically revolutionized clinical concepts and medical devices. The trauma injuries may range from small lesions to multi organ injury. The development of intensive care technology and challenging our health care systems in the management of multiple victims has led to new innovations in our trauma care system. The research includes “intensive care medicine”.

The acute respiratory failure occurs when fluid builds up in air sacs and cause difficulty in breathing or inability to breathe in such cases patient takes irregular or slow breaths where immediate medical help is required and can be fatal if not treated. Chronic diseases of respiratory tract, influenza, pneumonia, are frequent respiratory disorders. Asthma and COPD are characterized by bronchial hyper responsiveness followed by chronic inflammation which results in cough; shortness of breath. Pulmonary disorders either acute or chronic require long term treatment. Several easy techniques are designed which includes inhalers and some electronic device which improves patient adherence. Novel therapeutic targets i.e. biomarkers are also useful for identification.

The neuro emergency is a condition in which patient face with poor functional recovery unless treated in early stages. The neuro disorders arise frequently if not diagnosed properly can be life threatening conditions such as paralysis with long term disability results in death. Neurologic diseases are more common in geriatric patients and a major cause of death and disability in this population. Conditions include acute ischemic stroke, transient ischemic attack, subarachnoid hemorrhage, traumatic brain injury, seizures, and central nervous system infections. Treatment involves low threshold treatment is given. Generally in geriatrics. Polypharmacy increase complexity, adverse drug reactions. The emergency staff should provide high quality, patient centered and safe treatment.

Acute nursing is a secondary health care where patients receive active but short term treatment. Based on severity primary, secondary and tertiary nursing will be preferred. Every kind of modern nursing role is demanding, but acute care represents one of healthcare most challenging disciplines. The acute nurses have to perform a wide variety of tasks and must be prepared for different situations every day. The hospital level doesn’t negate the importance of physical activity. Although some conditions such as fractures requires bed rest to heal. The complications of prolonged bed rest include decreased cardiac reserve, muscle weakness, atrophy, glucose intolerance, constipation. The outcome measures are vital for helping nursing and rehabilitation staff asses and changes in patient function. The type of physical activity should be aerobic, muscle strengthening, bone strengthening absolute contraindications are preferred in case of pericarditis, acute myocardial infarction.

The reproductive and Gynecological disorders are the conditions which threatens the life of a woman due to infections or inflammations. The gynecology emergency is divided into two pregnancy and non-pregnancy. Acute pelvic inflammatory disease, miscarriage, ovarian cysts are pregnancy issues. Other complications like menstrual disorders are non-pregnancy category. The life threatening complication includes obesity condition which occurs during labor and birth. This results in increase risk to women’s health and also loss of baby.

The patient management activities which are performed by anesthesiologist in an operating room as critical care service required during resuscitation. The physicians generally trained in critical care medicine to provide additional diagnostic therapeutic involvements with in intensive care unit which directly affect the patient outcome.  The reversible loss of consciousness during the treatment anesthesia causes “sedation”. These are used in emergency conditions to suppress the intolerable pain. Narcotic drugs and NSAID’S are psychoactive compounds used in emergency. The factors like patient’s age, extent of injury, nature of injury, homeostasis will affect the wound healing and the potential for infection. Wounds and burns also occur due to sudden onset or an accident or release of sudden onset or an accident or release of hazardous substances in nature results in damaging the environment as well as ecosystem. Difference in temperature between environment and body causes thermal gradient. Some of these are acute and life threatening.

The infectious diseases caused by organisms such as fungi, bacteria or through virus. Generally they are harmless sometimes even helpful. Large outbreaks of pandemic influenza, Ebola virus, and severe acute respiratory syndrome are not exceptional but are the consequences of increasing urbanization and some anthropogenic changes such as global warming, deforestation. Based on three major factors rate of transmission of pathogen, CFR (Case fatality ratio), and probability of disease causing pathogen to individual the mortality rate has been increasing due to infectious agents. Because of excess distal, intermediate and provisional factors the susceptibility towards infectious exposure ultimately results in disease outcome followed by death

The medical procedure which is performed to prevent and to relieve airway obstruction. This ensures an open pathway for gas exchange between a patient's lungs and the atmosphere. These are categorized as basic techniques i.e. improve ventilation and advance techniques include tracheotomy. The ingestion and exhalation of foreign bodies also results in complete obstruction. Recent advanced techniques used for trauma and cardiac resuscitation are very well emerging developments.

The medical imaging technique is the process to get the pictures of human body for easy assessment of diagnosis as well as treatment. The other issues can also track by accurate imaging (AI).The broken bones and tumors are easily identified by frequent diagnosis. Positron emission tomography (PET), Magnetic resonance imaging (MRI), single photon emission computed tomography (CT), are the advanced techniques which not only produce detailed images, but also visualizes the metabolic process of the body. The current innovations in emergency care are telemedicine, online check in for patients, patient flow software for admission and discharge procedures. The neuro imaging center has a powerful MRI scanner which examines how diseased and healthy brain work.

The emergency conditions will be ethical at individual, institutional and global levels. These ethical dilemmas routinely arise at emergency departments in hospital setting. Physicians, patients and patient families are face a problem of decision making become difficult in terms of ethics. There occur many difficulties in emergency care; in terms of need of quick involvement to save life, unknown history of patient, scarce resources, family culture or beliefs, and emergency crowdedness. The complex patient case involves many psychosocial issues

The medical innovation involves discovery and development of therapies to save lives effectively. Immersive training is quick turning into the new standard by online training, or situation-based simulations. In spite of the amusement social association, gaming will drive the initial adaptation of virtual reality innovation. The hugest market for virtual reality will be in basic care and in enhancing wellbeing and health. Current technologies are founded on more than 30years of research and development. The technology is currently used for the prevention, treatment and chronic disease management. Emergency medical services are now available for the advanced treatment and diagnostic equipment, for example, X-ray and ultrasound devices, electrocardiograms.