Qualification: 
MD, MBBS
gireeshkumarkp@aims.amrita.edu

Dr. Gireesh Kumar K. P. currently serves as Professor at the Department of Emergency Medicine, School of Medicine, Kochi.

Publications

Publication Type: Book

Year of Publication Title

2019

Gireesh Kumar K. P., Clinical Medicine In 30 Hours. Paras Medical Books Pvt Ltd, 2019, p. 297.

2015

Gireesh Kumar K. P., Advanced Emergency Life Support Protocols, 1st ed. Paras Medical Books, 2015, p. 255.[Abstract]


Emergency medicine is relatively a new specialty in India. But most of the hospitals have very busy emergency rooms. The emergency protocols, like advanced cardiac and trauma life support is not a routine part of our medical education system. But these protocols are very vital in managing very sick patients when they come to emergency room. These protocols are useful for pre-hospital care also. This book “ Advanced Emergency Life Support Protocols” covers topics, like Basic life support, both in-hospital and pre-hospital care, Advanced cardiac and trauma life support, Acute coronary syndrome management , Acute stroke, and many other common emergencies in the field of emergency medicine.

Key Features of the book:
1. The book covers all the major topics in emergency medicine.
2. Easy to follow format helps the readers to understand the procedures better.
3. Includes essential aspects of basic life support, advanced cardiac and trauma life support, acute coronary syndrome management, acute stroke and many other common medical emergencies.
4. Causes, symptoms, diagnosis, of acute emergencies are discussed and treatment options provided.
5. Handy quick reference tool for doctors, nurses, and paramedics of emergency medicine.
6. Dosage of drugs and infusion protocols mentioned will be extremely helpful to work more efficiently.
7. Figures and flow charts for all the protocols will help to follow the given maneuvers better.

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Publication Type: Journal Article

Year of Publication Title

2018

P. George Mathen, Sreekrishnan, T. P., Gireesh Kumar K. P., and Mohan, N., “Camphor Poisoning: A Rare Cause of Acute Symptomatic Seizures in Children”, J Emerg Trauma Shock, vol. 11, no. 3, pp. 228-229, 2018.[Abstract]


Camphor is a toxic compound easily available over the counter, which can cause fatal seizures in children when ingested. It is available in several forms and is commonly used in Indian households, especially for religious rituals and for its cough-suppressive and nasal-decongestant effect. The toxic effect remains unknown in most homes. Seizures are usually well controlled with intravenous benzodiazepines, and recurrences of seizures are rarely reported.

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2018

V. Manohar, S Prasad, B., Raj, S., Sreekrishnan, T. P., and Gireesh Kumar K. P., “The Eminence of Neutrophil-lymphocyte Count Ratio in Predicting Bacteremia for Community-acquired Infections at an Emergency Medicine Department in a Tertiary Care Setting.”, J Emerg Trauma Shock, vol. 11, no. 4, pp. 271-275, 2018.[Abstract]


Introduction: The changes in the white blood cells counts and other blood parameters are well-recognized feature in sepsis. A ratio between neutrophils and lymphocytes can be used as a screening marker in sepsis. Even though new markers such as Procalcitonin and adrenomedullin have been rolled out in the field, implementation of these markers has been hindered by cost, accessibility, and proper validation. We looked for the ability of simple neutrophil-lymphocyte count ratio (NLCR) when compared to the gold standard blood culture method in predicting bacteremia, on patients presented to emergency department (ED) with features of suspected community-acquired infections.

Materials and Methods: A comparative study done on 258 adult patients, admitted with suspected features of community-acquired infections. The study group included all patients who had positive blood culture results on index presentation at ED. Patients with hematological, chronic liver and retroviral diseases, patients receiving chemotherapy, and steroid medications were excluded from the study. The study group was compared with gender- and age-matched control group who were also admitted with a suspicion of the same, but in whom the blood culture results were negative.

Results: There was no statistically significant difference for predicting bacteremia by NLCR (>4.63) and culture positivity methods ( = 1.00). NLCR of > 4.63 predicts bacteremia with an accuracy of 84.9%.

Conclusion: In our setting, NLCR performs equally well with culture positivity, in detecting severe infection at the early phase of disease. The NLCR may, therefore, be used as a suitable screening marker at ED for suspected community-acquired infections.

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