Surgical Emergency

The Department of Emergency Medicine at Sterling Hospitals in Gurukul Ahmedabad treats a variety of surgical emergencies. These emergencies may include conditions such as appendicitis, bowel obstruction, gallbladder inflammation, hernias, and trauma-related injuries. 

Gastrointestinal: Appendicitis is a condition in which the appendix, a small pouch-like structure attached to the large intestine, becomes inflamed and filled with pus. This can cause severe pain in the lower right abdomen, nausea, and vomiting. In severe cases, the appendix can rupture, leading to a potentially life-threatening infection. 

Bowel obstruction is another surgical emergency that may require immediate intervention. It occurs when the intestines become blocked, preventing the normal passage of stool and gas. This can cause severe abdominal pain, vomiting, and constipation. 

Gallbladder inflammation, also known as cholecystitis, is a condition in which the gallbladder becomes inflamed and swollen. This can cause severe pain in the upper right abdomen, nausea, and vomiting. In some cases, the gallbladder may need to be surgically removed. 

Hernias are another common surgical emergency that may require immediate attention. They occur when an organ, such as the intestine, protrudes through a weakened area of the abdominal wall. This can cause pain and discomfort, and in some cases, the hernia may become trapped and require surgical repair. Read More Link to GI Emergency Tab 

 
ENT : One common emergency is epistaxis, which can be categorized as anterior or posterior. In cases where a posterior source of bleeding is suspected, such as when bleeding occurs from both nares or blood is seen draining into the posterior pharynx after controlling anterior sources, direct external pressure should be applied to the cartilage just below the nasal bones for 15 minutes while the patient is in the “sniffing” position. Read  More – Link to ENT Emergency Tab  
 

Neurological:  Patients with Intracerebral haemorrhage should be admitted to a monitored critical care area for treatment with antiepileptic medications if seizures occur, management of hyperglycemia, blood pressure management, and reversal of coagulopathy with vitamin K, fresh frozen plasma, and/or prothrombin concentrates. Patients with evidence of increased intracranial pressure (ICP) should be treated with head elevation to 30°, analgesia, and sedation. If more aggressive ICP reduction is indicated, such as with osmotic diuretics or intubation with neuromuscular blockade with mild hyperventilation, invasive monitoring of ICP by neurosurgery may be necessary. Appropriate use of neurology, neurosurgery, and neurocritical care specialists early in the evaluation of patients with a stroke can be helpful. Emergent neurology consultation may be helpful in stroke cases as the indications for intravenous thrombolysis and endovascular therapy are evolving rapidly. Early neurosurgical consultation is appropriate for patients with SAH and intracerebral haemorrhage when evidence of increased ICP, location of bleeding, or other conditions suggest that surgical intervention may be indicated.  
Read  More – Link to Neurological Emergency Tab 

• Finally, trauma-related injuries such as fractures, dislocations, and lacerations may also require emergency surgery. These injuries may result from accidents, falls, or other types of trauma, and may require immediate intervention to prevent further damage and promote healing. 

Link to Trauma & Polytrauma Care Tab 

The Department of Emergency Medicine at Sterling Hospitals in Gurukul Ahmedabad is equipped to handle these and other surgical emergencies, with a team of experienced surgeons and advanced medical technology available to provide prompt and effective treatment.