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At least 379 records · Page 21Linked to original sources

Life support and first aid in a mental health setting.

While there is much talk of holistic care in psychiatric care settings, emphasis on physical care is rare. Emergency aspects of care are always considered but their effectiveness is never certain until tested by real situations. With this in mind, and with some recent experiences to provide a focus, St Andrew's Hospital, Northampton, a national charity providing mental health services, implemented a review of life-support and first-aid provision. With financial and skills investment, the new systems and their associated maintenance and training are now in place.

Emergency Treatment↗

The World Trade Center attack. Similarities to the 1988 earthquake in Armenia: time to teach the public life-supporting first aid?

On 7 December 1988, a severe earthquake hit in Armenia, a former republic of the Soviet Union (USSR); on 11 September 2001, a manmade attack of similar impact hit New York City. These events share similar implications for the role of the uninjured survivor. With basic training, the uninjured survivors could save lives without tools or resuscitation equipment. This article makes the case for teaching life-supporting first aid to the public in the hope that one day, should another such incident occur, they would be able to preserve injured victims until formal rescue occurs.

Aircraft↗

First aid and transportation of burned patients during mass disasters.

Twenty-eight mass burn disasters in Bulgaria with 381 injuries in the last 27 years (1968-1994) were reviewed. Mass burn disasters were classified as follows: industrial accidents, 23, with 273 injured and 103 dead; traffic accidents, 2, with 97 injured and 30 dead; domestic accidents, 2, with 11 injured and 6 dead. Organization of first aid at the disaster site and in the regional hospitals is described, as well as the time of transport of the patients to major hospitals near the site of the accident. As a priority, the injured were transported early to the biggest center for burns and plastic surgery in the capital.

Bulgaria↗

[Diagnosis, first aid and classification of muscle injuries in sports medicine].

Muscle injuries are, with 6 to 14%, the most common but neglected and under-estimated sport injuries. Certain muscle groups are predisposed to injury depending on the type of sport. There are many hypothesis as to the cause of muscular injury. The prognosis and the length of treatment are greatly influenced by the quality of the first aid administered at the accident site. Simple measures such as compression, elevation, ice and rest can easily be carried out at this site. The further rehabilitation includes bandages and accompanying measures, such as physical therapy and medication. An early functional and conservative therapy is the treatment of choice. The classification of the extent of injury should be carried out by an experienced sportmedic with regard to a differential diagnosis. Sonography and MRI can supply additional information when it is not clear as to the extent of injury. Resulting from an exact as possible classification can the further treatment and planning of the progress of the rehabilitation be established. The necessary length of the pause from sport and of the rehabilitation depend on the seriousness of the injury.

Athletic Injuries↗

[Ways to improve training of the populace for rendering medical first aid to casualties in extreme situations].

The article presents the results of population' training for rendering the first medical aid in the cases of extreme situations, fulfillment of the normative document requirements on the problem The study was conducted in All-Russian Center for Disaster Medicine "Zaschita" of Russian Health Ministry. It is shown that after publication of normative documents the rescuer and special contingent training has improved, at the same time the training of other population groups doesn't meet the requirements. The current programs and forms of population education, insufficient number of educational time and pore material and technical basis don't provide the necessary knowledge and skills on rendering the first medical aid in the cases of extreme situations. Basing on the study the following documents were developed: the unified program "The First medical aid", the test program to control the students' knowledge, the methodical manuals for teachers and students and the standards of class equipping.

Disaster Planning↗

[Conclusions of the first-aid treatment of emergency patients from a prospective study of 106 lethal outcomes (author's transl)].

To obtain an objective judgement on the efficiency of emergency help, 106 emergency patients who died during a six month period were subjected to an examination in which all aspects of their treatment, beginning at the scene of the emergency and lasting until their death were documented. It could be shown that 8.5% of the examined patients would have had a chance for survival if proper and optimal treatment had been given, despite the effects of their injuries. Only by improving knowledge of first-aid procedures can an increase in the efficiency of emergency measures be attained as will be proven in this paper. Intensive schooling is necessary not only for the layman and ambulance orderlies but for doctors who are to be employed in rescue work in particular. The present criteria (one-year clinical activity and competency are by no means sufficient as a foundation.

Adult↗

Venomous adversaries: a reference to snake identification, field safety, and bite-victim first aid for disaster-response personnel deploying into the hurricane-prone regions of North America.

Each hurricane season, emergency-preparedness deployment teams including but not limited to the Office of Force Readiness and Deployment of the US Public Health Service, Federal Emergency Management Agency, Deployment Medical Assistance Teams, Veterinary Medical Assistance Teams, and the US Army and Air Force National Guard are at risk for deploying into hurricane-stricken areas that harbor indigenous hazards, including those posed by venomous snakes. North America is home to 2 distinct families of venomous snakes: 1) Viperidae, which includes the rattlesnakes, copperheads, and cottonmouths; and 2) Elapidae, in which the only native species are the coral snakes. Although some of these snakes are easily identified, some are not, and many rank among the most feared and misunderstood animals. This article specifically addresses all the native species of venomous snakes that inhabit the hurricane-prone regions of North America and is intended to serve as a reference to snake identification, basic field safety procedures, and the currently recommended first-aid measures for snakebite casualties.

Animals↗

Intravenous propafenone for suppression of symptomatic atrial fibrillation and atrial flutter in a first aid hospital.

The efficacy and safety of propafenone (PPF) were prospectively evaluated in 20 patients (13 men and 7 women, age 39 +/- 14 years) with atrial arrhythmias (AA) (atrial fibrillation: n = 13; atrial flutter: n = 7). All patients had arrhythmias from 109 +/- 63 minutes, (iT) without clinical evidence of heart failure. Intravenous PPF was given as a 1 mg/kg bolus over 5 minutes, with a therapeutical possibility of a second bolus (1 mg/kg) after 10 minutes if sinus rhythm was not restored. The conversion time (cT) was 6.4 +/- 2.2 minutes (range 3 to 18 minutes). In 19 patients (95%) sinus rhythm was restored and no serious adverse and proarrhythmic effects were noted in each patient. We conclude that 1) PPF is effective and acted significantly faster in controlling AA; 2) PPF appears to be well tolerated and relative safe with a low incidence of adverse and proarrhythmic effects in patients in a first aid station.

Adult↗