Medical emergency guidelines RCH

Early management of SVT

Coma overview
Coma is unresponsiveness from which the patient cannot be aroused and in which the patient's eyes remain closed
To impair consciousness, cerebral dysfunction must be bilateral; unilateral cerebral hemisphere disorders are not sufficient, although they may cause severe neurologic deficits
Maintaining alertness requires intact function of the cerebral hemispheres and preservation of arousal mechanisms in the reticular activating system (RAS—also known as the ascending arousal system)
Usually, RAS dysfunction results from a condition that has diffuse effects, such as toxic or metabolic disturbances (eg, hypoglycemia, hypoxia, uremia, drug overdose)
Cont....

Medical treatment of gout
1. Oral corticosteroids
2. NSAIDS
3. allopurinol