Universal approach and education to critical care and trauma/surgical/medical emergencies

10^th International Conference on Surgery and Anaesthesia

May 19-20, 2025 Zurich, Switzerland

Fabrizio Bonanno

University of Limpopo, South Africa

Scientific Tracks Abstracts: Surgery

Abstract :

Any health operator should be able to manage 3mely, safely and somewhat efficaciously a life-threatening crisis to be solved in 0-10 min from onset. The ra3onale of this 3me-lag lies in the safe preserva3on 3me of the brain from an ischemic damage in respiratory or respiratory/cardiac arrests. The second 3me-lag is the 0-20/30 min span in which the hearths or can have s3ll variable livelihood, and a respiratory-cardiac crisis can be op3mally and successfully solved, e.g. advanced hemorrhagic shock, a toxic or a toxic/sep3c shock, a conges3ve cardiac failure with acute respiratory failure or hypertensive crisis, a cariogenic shock, a severe or precardiac arrest asma a pre-cardiac arrest hemorrhagic shock or a s3ll rescuable cardiac arrest by exsanguina3on. I then would divide the lifesaving 3e-scale in a 0-2 hours maximum period with which salvageable condi3ons in the first 0-20/30 min can be prevented from deteriora3ng and leading to exitus e.g. a severe progressive advanced unstably unstable non compensated or compensatable hemorrhagic shock, a sep3c shock, acute vascular ischemia with systemic toxemia (ischemia-perfusion toxemia). A fourth category is the 0-6 hours period of pondered management of intes3nal obstruc3on, a sepsis, and cri3cal vascular acute ischemia. The emergencies manageable from 0-24 hours, urgencies, are mostly orthopedic or complica3ons or developments or reac3va3ons of the origin acute condi3on. An universal approach has been elaborated and developed during years of mul3disciplinary experiences, exposure and gained exper3se. A proposal for differen3ated personalized ad hoc tailored training is also presented.

Biography :

Emergency/Trauma Surgeon with background in Emergency Medicine and Anesthesia, worked in UK, Italy, East Africa and South Africa. Interested in critical care in general, surgical, medical and resuscitations.