Entonox is a mixture of two gases: nitrous oxide (N2O) and oxygen (O2).
It's a mixture of nitrogen and oxygen gasses - it's used as an anaesthetic in hospitals.
Entonox, a mixture of nitrous oxide and oxygen, is contraindicated in head injuries primarily due to the risk of increased intracranial pressure. Administering Entonox can lead to the expansion of air or gas within the cranial cavity, potentially exacerbating brain injury or compromising cerebral blood flow. Additionally, it may mask neurological symptoms, making it difficult to assess the severity of the injury. Thus, safer alternatives are recommended for pain management in patients with head trauma.
The invention of Entonox, a gas mixture of nitrous oxide and oxygen used as an anesthetic, is credited to British chemist Joseph Priestley in the late 18th century. However, its use as a medical gas for pain relief was developed in the early 20th century by British anesthetist Sir James Young Simpson.
This anesthetic gas mixture contain 50 % nitrous oxide (N2O) and 50 % oxygen (O2).
Pain relieving gas is often used to relieve labour pain. Entonox is a mixture of oxygen and nitrous oxide (laughing gas). It is designed to provide as good a pain relief as possible without causing undue sleepiness. The gas works quickly, but takes about 30 to 45 seconds to have an effect.
Support and Immobilisation, eg. for a leg pad round it with blankets do not try to relocate it. Advanced first aiders may be qualified to give analgesic gas (entonox) for pain relief).
You should only begin active pushing at full dilation (10cm). You may have an urge to push at 9cm but you need to try not pushing to allow the cervix to fully dilate. If you push before full dilation, you can cause the cervix to become swollen and this could slow down the dilation and the delivery, as well as possibly causing trauma to the cervix. If the urge to push is really strong then try some entonox (gas and air - nitrous oxide and oxygen). This can help overcome the urge to push. Your midwife will help you with this and talk you through it.
In St John Ambulance, New Zealand, an intensive care paramedic (the most senior paramedic qualification) needs to be able to perform the following advanced procedures: - Synchronised and electrical cardioversion - Laryngoscopy - Manual defibrillation - Rapid sequence intubation - Endotracheal Intubation - Chest drainage - Intraosseous, intravenous, intranasal and intramuscular access - Tourniquet - Capnography - Chest decompression - Pacing - PEEP Valve - Adjunct airway placement (able to be performed by First Responders) - Needle Crichothyroidotomy (also known as a tracheotomy) - Pharmacology and prescription of drugs (suxamethonium, midazolam, lignocaine, entonox, methoxyflurane, glycerol trinitrate spray, glucagon, ondansetron, loratadine, adrenaline, glucose, morphine, fentanyl, naloxone, amiodarone, ceftriaxone, naloxone, adenosine, ketamine, atropine and vecuronium)
First of all, check the scene for any potential hazards to you, the patient or your team and take appropriate action to isolate or minimize the risk. Once the safety of the scene has been established, check for the patient's level of consciousness and their Glasgow Coma Score (GCS). Note down the history of the scene, the time of onset and the mechanism of injury (MOI). Call for an ambulance of medical backup. The patient will need to be transported to an emergency department. Advise the patient not to move to prevent the condition from worsening or causing pain. Gently palpate the area for any signs of deformity, crepitus, protruding body parts and any abnormalities. An analgesia such as methoxyflurane, entonox, morphine, ketamine or another suitable drug should be administered to minimize pain prior to immobilization. If the ambulance is more than 30 minutes away, immobilize the patient by binding the legs and legs together (padded in between). This minimizes the patient's range of motion and will prevent any worsening of the condition.
There really isn't a lot one can do for a cracked rib. The old-style therapy was to try and tape the chest wall. Other than forming a pretty ineffective armor over the rib, this seems to have no real effect at all. Cracked ribs hurt when you breathe, and take up to 5 weeks to heal -- sometimes more. Painkillers and icepacks are your salvation. Try hard not to irritate the wound. Note -- this is true of cracked ribs. Broken ribs are another matter altogether.
Instinctively, to share and spread their genes. Mental/ or emotionally, by humans standards, to raise children and have someone in their image that they have personally nourished. But now and days, children seem to be having children. Humans are complicated things, there is no definitive answer to this question.