Emergency and Critical Care

Dr. Elie Zaghrini

Consultant & Head of Department, Emergency and Critical Care

16 years of experience

Arabic, English & French

Royal Bahrain Hospital, Salmaniya

About

Dr. Elie Zaghrini is an Emergency Medicine Consultant with over 16 years of experience in leading international medical institutions and university hospitals. He is dedicated to compassionate, patient-centered care and clinical excellence. His expertise includes acute trauma stabilization, management of cardiac and respiratory emergencies, stroke and seizure management, sepsis and shock resuscitation, toxicology and poisoning treatment, and pediatric emergencies. He is also experienced in disaster and mass casualty preparedness, emphasizing rapid assessment, evidence-based intervention, teamwork, and clear communication to optimize patient outcomes.

Education & Training

Doctor of Medicine from American University of Beirut
Residency in Emergency Medicine at American University of Beirut
Faculty Development and Leadership fellowship from George Washington University
Emergency Department Quality Improvement Certification from Harvard
Medical School
Master’s in Health and Hospital Management
Executif Master’s in Healthcare Systems Analysis
Master’s in Business Administration – Hospital Management division

Clinical Expertise & Procedures Offered

Advanced airway management:
- Endotracheal intubation – supraglottic airway device placement- cricothyrotomy
Resuscitation techniques: Advanced cardial life support- pediatric advanced life support- trauma resuscitation (ATLS protocols)
Critical interventions: Central venous catheter insertion- chest tube thoracostomy- pericardiocentesis
Emergency procedure: Fracture reduction and splinting- wound repair and suturing- abscess drainage- lumbar puncture
Point-of-Care Diagnostics: Bedside ultrasound (FAST exam, cardiac, vascular)- ECG interpretation- rapid laboratory and imaging decision-making
- Acute trauma management- rapid assessment and stabilization of life-threatening injuries
- Cardiac emergencies- advanced management of myocardial infarction, arrhythmias, and cardiac arrest
- Respiratory emergencies- airway management, mechanical ventilation, and treatment of acute asthma/COPD exacerbations
- Neurological emergencies- stroke recognition, seizure control, and head injury management
- Sepsis and Shock management- early recognition and resuscitation protocols
- Toxicology and poisoning- antidote administration and decontamination procedures
- Pediatric emergencies- specialised care for infants and children in acute distress
- Disaster and mass casualty preparedness- triage and coordination in large-scale emergencies

About

Education & Training

Doctor of Medicine from American University of Beirut
Residency in Emergency Medicine at American University of Beirut
Faculty Development and Leadership fellowship from George Washington University
Emergency Department Quality Improvement Certification from Harvard
Medical School
Master’s in Health and Hospital Management
Executif Master’s in Healthcare Systems Analysis
Master’s in Business Administration – Hospital Management division

Clinical Expertise & Procedures Offered

Advanced airway management:
- Endotracheal intubation – supraglottic airway device placement- cricothyrotomy
Resuscitation techniques: Advanced cardial life support- pediatric advanced life support- trauma resuscitation (ATLS protocols)
Critical interventions: Central venous catheter insertion- chest tube thoracostomy- pericardiocentesis
Emergency procedure: Fracture reduction and splinting- wound repair and suturing- abscess drainage- lumbar puncture
Point-of-Care Diagnostics: Bedside ultrasound (FAST exam, cardiac, vascular)- ECG interpretation- rapid laboratory and imaging decision-making
- Acute trauma management- rapid assessment and stabilization of life-threatening injuries
- Cardiac emergencies- advanced management of myocardial infarction, arrhythmias, and cardiac arrest
- Respiratory emergencies- airway management, mechanical ventilation, and treatment of acute asthma/COPD exacerbations
- Neurological emergencies- stroke recognition, seizure control, and head injury management
- Sepsis and Shock management- early recognition and resuscitation protocols
- Toxicology and poisoning- antidote administration and decontamination procedures
- Pediatric emergencies- specialised care for infants and children in acute distress
- Disaster and mass casualty preparedness- triage and coordination in large-scale emergencies

Conditions treated

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Pneumothorax (Spontaneous or Traumatic)

Pneumothorax occurs when air enters the pleural space, causing partial or complete lung collapse. It can be life-threatening, especially if it progresses to tension pneumothorax. Spontaneous pneumothorax is common in tall, thin males or those with underlying lung disease, while traumatic pneumothorax results from blunt or penetrating chest injuries. Diagnosis is confirmed by chest X-ray or ultrasound. Management includes needle decompression for tension pneumothorax and chest tube insertion for larger collapses. Prevention involves avoiding smoking and controlling lung conditions.

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Gastrointestinal Bleeding (Upper or Lower)

Gastrointestinal bleeding is the acute loss of blood from the digestive tract and can be life-threatening if severe. Upper GI bleeding often results from peptic ulcers, esophagitis, or varices, while lower GI bleeding may be caused by diverticulosis, hemorrhoids, malignancy, or angiodysplasia. Diagnosis involves blood tests, endoscopy, and sometimes nasogastric aspirate. Management includes stabilizing the patient with fluids or transfusions and treating the source endoscopically or surgically. Preventive measures include ulcer management, avoiding NSAIDs, and prophylactic variceal treatment.

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