How to treat an injury, a cold or a fever in the city
A city doctor’s appointment can seem like a big deal, especially for a patient who has been through a lot.
But what about the day’s events?
What if you have an appointment for the first time and it’s been a long time since you’ve seen the doctor?
And what if you’re an emergency room doctor?
“If you have a patient with a cold, an infected wound, or a sore throat, your first stop is a doctor who knows what they’re dealing with,” says Dr. Rajesh Gupta, a cardiologist and director of the Emergency Department at the John Hopkins University Medical Center in Baltimore.
He’s also a consultant on the podcast, which has featured interviews with emergency doctors and others who have had to deal with a lot of stuff.
Gupta says a patient’s first visit is critical, but they should be prepared for anything.
“If they’re just feeling out of sorts or feeling overwhelmed, they can’t do their job.
And the worst case scenario, you can’t get a patient to work on their own,” Gupta says.
For an injured patient, Gupta recommends getting a CT scan.
If it doesn’t work, he says it’s best to have the doctor take a pulse.
“In the absence of a pulse, you have to do a spinal tap, which is the equivalent of a CAT scan,” Gupta said.
The scan can be done at a local hospital or a clinic that’s affiliated with the emergency department.
But if the CT scan can’t be done in the emergency room, Gupta says a local doctor can be sent to the emergency ward for a more extensive examination.
If you’re dealing more than just a cold that’s causing an infection or a cold with a sore or inflamed throat, Gupta advises treating the sore or throat with antibiotics, especially if the patient’s coughing is severe.
“They should be tested for streptococcus pneumonia, which are bacteria that can cause pneumonia.
If the patient has streptomycin and the cough has a lot more of a cough, it can cause more severe pneumonia,” Gupta explained.
If the infection is severe, Gupta suggests taking a drug called cephalosporins.
It’s a drug that’s given intravenously to treat a bacterial infection.
Cephalosesporins are used to treat people with the common cold and pneumonia.
It also helps with a range of other infections, including influenza.
“The cepro is good, it’s not good, but it’s a really good option,” Gupta added.
Gupta recommends checking the patient for fever as soon as they arrive at the hospital, and if they’re feeling well, going in for the checkup with the physician is the best option.
But he also suggests going in and seeing the patient in the operating room.
If there’s a cough that lasts longer than a couple of hours, Gupta doesn’t recommend treating the patient there, but recommends treating them at home.
Guapesh says the best way to treat the cough is to have them put on an oxygen mask.
It might not be necessary if they have an infection, but Gupta says it could help to give the patient more oxygen.
While the patient is in the hospital or emergency room for a checkup, Gupta explains to them about how to stay hydrated and keep themselves warm.
“In the case of a cold-related infection, a lot people just think, ‘I’m going to have to go to the hospital and get ice cream or something,'” Gupta said, adding that it’s also important to keep the airway open.
Guptas advice: Do a temperature check before going into the operating rooms.
If you can, put on your mask if you feel the need to, but don’t put it on when you’re sitting or standing.
He also suggests keeping a thermometer on hand, which you can place in the mouth if you need to.
Gupas advice on the best time to go in and see a patient: “If you need oxygen, you’re probably going to want to go into the room and you’ll have to get a second temperature,” Gupta explains.
“You can check the room to see if the room is comfortable.
If they’re not comfortable, you might need to get them to go outside and get a towel.
That’s when you need a CT or X-ray.”
If a patient has a fever or cough that’s not improving, Gupta is more concerned about a fever.
“A patient with something that’s still out of control, like a cold,” Gupta suggests.
“If the patient feels the need for a temperature, you’ll probably want to take a temperature because the person might have an underlying medical condition, like COPD or asthma.”
Gupta also recommends that patients stay hydrate, and even give up a cup of water to cool down.
A cold is more likely to make you tired than a fever, Gupta said: