Emergency
Each protocol puts red flags first, then walks through treatment step by step with the medicines for each step.
Burns
Wash with tap water, apply topical silver sulphadiazine, give NSAIDs and, if needed, oral or IV antibiotics. Refer to a consultant for larger, deep or acid burns.
Dog Biteکتے کا کاٹنا
Tetanus toxoid, analgesia, anti-rabies vaccine on days 0, 3, 7 (and 14 as shown on the page), wound care and oral antibiotics.
Gastric Lavage: Contraindications
When gastric lavage must not be done in poisoning.
Organophosphate Poisoning (Spray Intake)سپرے کا زہر
A poisoning emergency managed with gastric lavage, IV access, repeated atropine to atropinisation, pralidoxime (Contrathion), antibiotics and monitoring. The book says poisonings must be dealt with at a government set-up.
Rat Pill Poisoning
The book's protocol for rat-pill (anticoagulant-type) poisoning: gastric lavage, baseline coagulation tests, vitamin K, IV fluid, antibiotic and PPI.
Road Traffic Accident (Minor Trauma and Abrasions)
A patient who fell from a bike half an hour ago with abrasions on the shin and forearm. Examine vitals, clean the wounds, assess for head, chest, abdominal and bone injury, and give tetanus toxoid and analgesia.
Scorpion Bite
Injectable antihistamine and NSAID, followed by oral NSAID, antihistamine and Danzen DS.
Snake Biteسانپ کا کاٹنا
Treatment protocol (medical unit protocol shown in the book): start as soon as possible, give 5 ampoules of polyvalent anti-snake venom diluted in 500–1000 mL of 5% D/W over 30–60 minutes, and watch for anaphylaxis.
Wasp / Bee Sting
Injectable antihistamine and NSAID, then oral NSAID, antihistamine and Danzen DS. Anaphylaxis (tachycardia, hypotension, wheeze) needs intramuscular adrenaline.