Ayur emergincies med-ksr

Ayurveda Atyayika Chikitsa
Dr. K. Shiva Rama Prasad, at http://technoayurveda.wordpress.com/

A
Technoayurveda International
Presentation
In
Association with
Ayurmitra
Technoayurveda.wordpress.com
CME on Kayachikitsa,
Dr N.R.S. Government Ayurvedic Medical College, Vijayawada
12th Sep 2011 to 17th Sep 2011.


• I am looking at the
death face of the
patient – Silent,
Helpless and
impatient, to say
my last word . . . . .
................
. . . . . . . . . . Sorry !

• This presentation is not just to entertain or expecting applaud from
the audience, but is a true confession of the Ayurvedic Practitioner


What made us to be in
this situation ?
• Improper education
• Lack of interest in learning
• Or –
– Ayurvedic medicines are not competent to combat the
emergencies?
– Our system is not designed to care the patients of medical
emergencies
– Why do we are scared of tackling the emergencies and trauma care
• Why always Ayurvedic Hospitals are with only death
reaching, day counting paralytic patients – who comes
after all systems finish their experiments –
– If we treat such neurological or respiratory conditions well in
advance efficiently – what is the rate of success after Tons of
GOLD consumption as medicine

• A sudden unforeseen
crisis (usually
involving danger) that
requires immediate
action
• Sudden state of
danger etc., requiring
immediate action.
• A condition requiring
immediate treatment,
where the patient with
this is either conscious
or unconscious.


What a coincidence !
• Speaker on Ayurveda
emergencies – not possible to
attend the session
• So, I am called here to speak on
“Ayurveda Emergencies
Management” – in emergency
short notice
• Kindly bear with the presentation
& Ideology on Ayurveda
Emergencies in Emergency !


Medical Emergency
• A medical emergency is
an injury or illness that is acute and poses
an immediate risk to a person's life or long
term health. These emergencies may
require assistance from another person,
who should ideally be suitably qualified to
do so, although some of these
emergencies can be dealt with by the
victim themselves.

http://en.wikipedia.org/wiki/Medical_emergency


Treatment may require the involvement of multiple levels of care,
from a first-aider to an emergency physician through to
specialist surgeons.
Any response to an emergency medical situation will depend
strongly on the situation, the patient involved and availability of
resources to help them. It will also vary depending on whether the
emergency occurs whilst in hospital under medical care, or outside
of medical care (for instance, in the street or alone at home).

What is in emergency ?


Emergency Medicine
• Emergency medicine is a medical
specialty—a field of practice based on the
knowledge and skills required for the
prevention, diagnosis and management of
acute and urgent aspects of illness and
injury affecting patients of all age groups with
a full spectrum of undifferentiated physical
and behavioral disorders. It further
encompasses an understanding of the
development of pre-hospital and in-hospital
emergency medical systems and the skills
necessary for this development


Classification - 1

Disease Emergency

True Emergency Procedural Emergency

Iatrogenic Emergency
(Doctor Made condition)

False Emergency Emotional Emergency

Anxiety Emergency
(Attendees Made condition)


Typology based on Risk
• Patient assessment omission – inappropriate diagnosis -
delay may result as life threatening
• Patient assessment commission – inappropriate
investigations
• Treatment omission – failure / delay in giving treatment
• Treatment commission - inappropriate treatment given
• External disposal omission – Failure to admit
• External disposal commission – Not applicable for
Emergency
• Internal disposal – unable to provide Bed – equipment etc
• Equipment – service / machine failure
• Documentation (Legal) – inadequate, inaccurate
documentation
• Patients action – consequences to themselves or others life
threatening (insane)
• General – failures of any other – such as electricity, etc
M Thomas, K Mackway-Jones, N Boreham, Derivation of a typology for the classification of risks in
emergency medicine, Emerg Med J 2004;21:464–468. doi: 10.1136/emj.2002.003624


Atyayika Typology
• Ayurveda emergencies are
not away from the problem
of patient
• The classification includes
Tridosha and Srotas
specific along with Agni,
Ama & Dhatu
• We can not neglect the role
of the rest in emergency
• The life in Ayurveda is
dependent upon the “Agni”


Dosha & Srotas
• Out of tridosha, Vata is said as driver and
performs all functions & the rest of two are lame
– Vata – 5 types, includes different level of body
functions and create emergency
• Impairment of 13 srotas along with sanjna &
chesta vaha srotas may lead to either structural
or functional anomalies
• Most of the time the structural impairments goes
to the surgical emergency management and the
functional to the medical emergencies

Tagged Typology of Emergency
• Surgical Emergency
– Usually all traumatic / accident
cases
– Organ related pathology -
Appendicitis, Acute abdomen, etc
• Medical Emergency
– Internal - Any functional
impairments
– External - Snake bite, scorpion
sting, etc


Vata & Emergency
• Why the Vata?
– As it is minute and penetrable in all channels and
tissues – Avrutavata symptoms mimic emergency
• Pranavata – shiras as seat – corresponds
intellectual, cognitive, motor functions
• Udanavata – uras as seat – corresponds
pulmonary, acid base & fluid regulation
• Samanavata – digestive functions & movements
in abdomen
• Vyanavata – heart as seat – cardio-vascular,
Hemodynamics, etc
• Apanavata – pelvic floor, excretory and expulsive
functions


Emergency Resuscitation Vata
• उदानं योजयेदध्वर्मपानं चानुलोमयेत ् ||२१९||
ू
समानं शमयेच्चैव िऽधा व्यानं तु योजयेत ् |
ूाणो रआयश्चतुभ्योर्ऽिप ःथाने ह्यःय िःथितीुवा ||२२०||
र्
ःवं ःथानं गमयेदेवंऽवृतानेतान ् िवमागर्गान ् |२२१|
• Udana to be brought to up (Chest)=
Respiratory Resuscitation
• Apana is sent to down = active
peristalsis created
• Samana is subsided = kindling fire,
regulated digestion
• Vyanna is by all three methods
(regulated, spread & excreted)
• Prana Protected well = ??? Dosha
shamana


Emergency measures
• Airway maintenance
• Life line introduction – fluid and
electrolytes maintenance
• Blood Pressure / Pulse regulation
• Consciousness recall
• Stomach wash if necessary
• Call another Doctor ! If not possible !
• Or send the patient to better Hospital !


What to do in Ayurveda ?
• Ayurveda suggest few routes of drug administration that
bypass the digestion and act in Emergency – eg: Vasti,
Nasya, Lepa, etc.
• All the Rasa-Aushadha used in sub-lingual route are
meant for Emergency Medical Practice
• Ayurveda Injections – 25 years back experimentally
prepared and marketed with success and withdrawn
because of the Govt. policy – are best and quick tools
in tackling emergency


Tackling Jwara as
Emergency
• I witness hyperpyrexia of 106.6
degrees F for a child aged 5 years
• Cold sponging along with
Mrutyunjaya ras made the fever to
control very fast
• Along with what I have considered
is – soap water enema – which
made the temperature to drop in 15
– 30 minutes gradually

Tackling Atisara as Emergency
• Loose motions are not such emergency –
unless the person goes in dehydration
• Along with the measures of controlling
diarrhea –
• Triphla Churna is mixed Ice-water along
with ORH solution made the person to
recover faster and sooner


Tackling Pakshaghata as
Emergency
• A female patient aged 45 years approached with
right side paralytic stroke where both upper &
lower limbs are included along with facial
paralysis
• I prescribed 1 tab Brihatvata chintamani along
with Ekangaveer Ras for every 4th hourly for 24
hours resulted in to the normalcy and regulated
the dose to 6th hourly on second day and 3rd
day it was perfectly normal walk made me to
continue the same medicines twice daily – for
that patient I continued same medicine daily once
for another 21 days – please note - nothing more
then these two medicines


Tackling Tamaka swasa as
Emergency
• Status asthmatics is bad situation for
patient & Doctor
• Swasakasachintamani + Malla sindhura
with tmala patra swarasa sub-lingual
makes instantaneous relief
• 25 ml of Dashamoola taila or
Dhanwantara taila Salwana sukhoshna
Matra vasti – makes the patient to get
relief immediate

Conclusion
• There are many more situations drive
physician in to emergency
• All situations can not be recorded
• We have to follow the needs of patient
demands the situation with the equipment we
have with us
• With out deviating the Ayurveda principles –
what ever it suggest we follow with situational
dosage and intake methods – we can tackle
the emergencies through Ayurveda medicines.
• We require the parental route Ayurveda
medicines to bring in to and practice Ayurveda
in tradition and in scientific


• It is right time to start . . ..

Ayurveda
Emergency
Medicine


I strongly recommend to start
Do you feel this Critical
& Emergency Doctor? Suchiveda (Ayurveda Injection
Therapy) and a Committee to
study Ayurveda practice in
Yes ! I am short of
20,000 for my new CAR ! Medical emergencies

Now you Ask &
Answer


Ayur emergincies med-ksr

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