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Emergency Medicine

Emergency Medicine is a branch of medicine that deals with patients in need of immediate medical attention. Those who study emergency medicine often work in the emergency room (ER) of a hospital.

500 Questions

What is the ratio for 2 man CPR?

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As of the 2010 ECC updates:

  • For ADULT CPR, the ratio is the same (30:2) for 1-person and 2-person CPR, but you should incorporate switching at least every 2 minutes/5 cycles
  • For CHILD/INFANT CPR, the ratio CHANGES from 30:2 (1-person) to 15:2 (2-person), along with the compressor adopting a modified hand position in infant CPR. Switching should also be utilized.

Do you need prescription to buy EPI pen?

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What is the reason you ask? For allergic reactions, I seriously doubt it- it can have serious effects on the body and isn't easily attainable because of them. You can't keep it on hand "just in case" in a first aid kit unless you've had someone who has previously had a reaction and had it prescribed for them. But there are forms of epinephrine in some nasal sprays for opening up the vessels in the nasal cavities.

What is the difference between emergency care and first aid?

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Emergency care is what a person in distress needs. Some needs of a person in distress may be first aid, CPR, ACLS, and others.

Why should a tourniquet not be left for more than one minute?

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The reason to use a tourniquet is to stop blood from going out of the body, or to stop contaminated blood from reaching the general circulation (other parts of the body).

You might apply a tourniquet "above" where a person has been bitten by a snake or spider to stop the venom from spreading to other areas of the body. For example, if the bite is on a hand, you would apply the tourniquet on the arm...where biceps/triceps are...or forearm if you are really quick in banding the tourniquet.

The most common reason to use a tourniquet is to stop the flow of blood from a severed artery. For example, if you are first on the scene of an accident and you see a person on the ground with blood spurting out of an ankle, you would immediately apply a tourniquet to the lower leg ...you can use a belt. Here is where is gets dangerous. If you do not apply pressure, the person will most likely "bleed out" or go into shock from blood loss, etc...so, by applying a tourniquet, you may save the person's life; you can let up on the pressure for a few seconds to allow blood to flow to the foot/lower leg....BUT, in a severe gash in a leg...severed femoral artery (huge pipe)...the person will die if you do not apply a very tight and permanent tourniquet. The larger the diameter of the artery that is sliced, the faster the patient will go into shock and bleed out. In this case, unless the person gets to a cardiovascular surgeon immediately, the leg will most likely have to be amputated. This typepf pressure cuts off all the blood to every part of the body that is "south of" or distal to the tourniquet. Continuous pressure is necessary..and hopefully you will have your cell phone and a free hand to dial 911. The order of events is always dial 911 FIRST...but if you know what you're doing, you can formulate a plan to stop the bleeding WHILE you call 911... Hopefully Good Samaritan Laws will apply if you are ever put to the test!

If you are interested in helping in emergencies, I hope you will go to your local fire department and sign up to take the CERT training..(Certified Emergency Response Team).

You will learn a lot of first aid, CPR and how to interact with the public in a crisis.

What is the purpose of tourniquet application in venipuncture?

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to obtain blood from the vein for diferrent purposes.

What is the maximum leght of time for a tourniquet should be in place before blood is drawn?

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no longer than a minute and a half to two minutes once you get the needle into the vein you should tell the person to relax the fist first then remove the tourniquet if left on too long you can obliterate the blood supply and cause tissue damage

What if you got shot with a CO2 BB gun?

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Any device that causes any part of your body to be impacted by a comparatively high velocity slug or anything like it can damage the body. In the case of the hand, you are looking at bruising, breaking the bones of the hand, possible penetration and resultant damage to internal processes including blood vessels, as well as other damage. Depending on the CO2 gun, projectile velocity can be as high as a handgun's and the dangers can be the same. Gas powered weapons have been used to kill people before, and thus warrant the same cautions firearms call for. While most CO2 weapons lack the abilty to fire a high-speed, high-intertia slug, and thus will usually result in superficial damage, even the low-powered weapons can do damage. Finally, much history on the subect of projectile weapons of all kinds yields the human race this important wisdom: Do Not Get Shot By Anything if you can possibly avoid it.

When do you loosen tourniquet?

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Only qualified medical personnel should loosen a tourniquet once it has been applied. The reason for this is because the cells of the body part that has been cut off from blood flow continue to perform metabolism to live, but use anaerobic metabolism, which produces toxic byproducts. If these byproducts accumulate and are released back into the body, they can cause heart arrhythmias. This is why tourniquets are used as a last resort, and it is why they should never be removed once applied, except by someone who has been trained to do so.

What do you do if a person aspirates?

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For rescue breaths to be effective, it is paramount that the airway is clear. In rare cases where the patient vomits, simply tilt them on their side and sweep a gloved finger in the mouth to clear the vomit.

It is important to remember that you should never put yourself at risk during a first aid emergency situation. If you feel uncomfortable about doing mouth to mouth with a vomit-covered mouth, you have the right to not do so. Once again, this comes to remembering to use a face shield when doing CPR and making sure the airway is clear before commencing.

There is a difference between having vomit in your mouth and literally vomiting it out. If the patient literally vomits it out, then CPR will not be needed as it shows that their signs of life are present.

Other causes of vomit include alcohol overdose and poisoning.

What is the average salary for a pediatric emergency medicine physician?

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The average salary for emergency medicine doctors varies significantly according to seniority, country, skill, experience and qualification.

Based on United States figures, the median pay for an emergency medicine doctor is US$245, 842 per annum. However, the salary may range from US$180,000 through to US$550,000. A small percentage of highly qualified and experienced emergency medicine doctors have a seven figure salary.

In New Zealand, the median pay for an emergency medicine doctor is NZ$ 240,000 less than the United States median figure.

How were injuries treated in ancient Greece?

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they had no hippocrates (doctors) so they could not treat it

What happens when a tourniquet is left on too long during a venepuncture?

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it causes a hematoma. Yes it does, but it also causes hemoconcentration & hemolysis.
If a tourniquet is at high enough pressure and left on long enough, the tissues distal to the tourniquet may develop ischemia and gangrene, resulting in loss of those tissues.

How do you tie a tourniquet?

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The torniquet is a last resort. Using a tourniquet is likely to result in the loss of a limb. First you have to try direct pressure, elevate the wound, pressure points, and maybe using a hemostatic agent to stop the bleeding. If all else fails then use a tourniquet. A tourniquet is used most of the times in conjunction with a bandage and a dressing.

What do you do if someone collapses?

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Check their level of responsiveness. Shout "hey can you hear me?" and squeeze their shoulder. No response then send someone to call 911 IMMEDIATELY while you begin chest compressions.

The 2010 American Heart Association CPR guidelines state C-A-B (Circulation, Airway, Breathing) as the most important. This differs from regular first aid in which the order is A-B-C. Research has shown that immediate compressions are beneficial and can deliver oxygen to the brain.

If you DON'T have a CPR Mask DO NOT do rescue breaths (unless its a family member). The risk of infection is too great. Continue with compression only CPR until help arrives.

If you are by yourself, stop CPR after 2 minutes and go call 911.

I strongly recommend you take a first aid or CPR course.

How much is an emergency room visit for neck and shoulder injury?

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well sorry but this website does not have the answer to this question.sorry for ur inconvience

What is a tourniquet used for?

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A lightly applied tourniquet is used to engorge your veins prior to venipuncture. While a tourniquet can be used to stop catastrophic blood loss, it rarely is used for this and probably should be used less than it is. Here's why: If you have a bleeding forearm, a tourniquet proximal to the wound can be cranked down to stop ALL bloodflow. The good news is the bleeding has stopped. The bad news is all the blood distal to the tourniquet is quickly deoxygenating, and the blood and the tissue it was feeding is now in the process of dying. So are agents of the immune system in that area. And, as there's an open wound, the risk if infection is high, and increases every second. There quickly comes a point where the contents of the forearm below the tourniquet are quite septic. At this time, releasing the tourniquet floods a compromised body with a surprisingly heavy bacterial and viral load as well as a quantity of deoxygenated blood which will oxygenate very quickly indeed, which is clearly undesirable. The alternative is amputation. If there were no alternative, we could discuss this in sepulchral tones and figure we're saving a life at the cost of a limb. But we aren't. Nearly ANY wound on an extremity can be controlled by direct pressure. This includes guillotine amputations and a variety of other horrors. I imagine that somewhere out there, there's a wound so bad that I'd need to tourniquet it, but then I'd have to wonder if even a tourniquet would be enough? At that rarified point, there may be no good answer. In short, once the staple of battlefield medicine, the tourniquet is rarely used in a first aid context except for venipuncture nowadays.

When do you remove the tourniquet after a blood draw?

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Usually once you have half filled the last test tube. Allowing pressure inside the vein to drop to normal before withdrawing the needlle will help minimize bleeding and bruising at the venipuncture site.

How do you retrieve things stuck in the anus?

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Well your a idiot if you don't know this but you squeeze your butt cheeks together!

What are the initial signs of a heart related emergency?

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Heart related emergency generally occurs due to blockage in arteries and can lead to death in some severe conditions. There are various factors which affect the severity of symptoms such as gender, age, immunity and medical conditions etc.

The very initial symptoms of a heart related emergency is Vomiting, chest pain, shortness of breath, lightheadness, extreme fatigue etc.

What does EKG result low voltage mean?

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A low voltage EKG means the amplitude of the QRS waves on the EKG are lower than would be expected. COPD, obesity, and pericardial effusions can cause low EKG voltages, amongst other causes.

History of holy family hospital rawalpindi?

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* Holy Family Hospital was established in 1927 by the Christian mission of Philadelphia at Murree Road Rawalpindi. It was designed by an Italian architect, prisoner of World War 2. * The hospital was shifted to the present building in 1946. * It was taken over by Punjab government in 1977 and affiliated with Rawalpindi Medical College as a teaching hospital. * Bed strength was raised from 200 to 450 in the same building and then to 510 beds. * Initially there were departments of Surgery, Medicine, Ophthalmology, Gynaecology/ obstetrics and Otorhinolorynology existed, later on, the department of paramedics, radiology, pathology and dentistry was added. * In 1997, the plan for the construction of the new block was completed and construction started. It is a C- shaped four story building constructed on the grounds of HFH. * ** In 200 most of the civil works were completed and most of the departments started shifting to this new building with most modern and sophisticated facilities. Hence the hospital was expanded and officially started functioning. ** The new building has been provided with elevators and a ramp was constructed for easy approach of patients to different floors of this building. ** The new block is now fully operational. It is equipped with the state of the art equipment including MRI and DRA (Biplane Digital Subtraction Angiography) were installed in 2005. ** Holy Family Hospital was granted autonomy in June 1998 under Punjab Medical and Health Institutions Act 1986, and on July 01, 1998 it was declared as an autonomous hospital. ** After the autonomy, well equipped theaters were started. State of the art operation theaters were constructed having the latest facilities of motorized operation tables, closed circuit TV, ceiling suspended system compromising of operating microscope, patient monitors, anesthesia apparatus and ventilators. ** Surgery department is an institute par excellence. The department plays major emphasis in the research activities and has participated in national and international research activities. ** Surgical unit 2 has played a pioneering role in introducing the concept of telemedicine in Pakistan, its initiative was taken in 1998 and faculty has been trained in multiple centres of USA. ** This hospital has the distinction that its medical unit 1 has been selected as the first centre of diagnosis and treatment of Hepatitis B and C under the Prime Ministers Hepatitis Control Programme. The patients are sent to China for liver transplantation. ** The department of physical rehabilitation and training (PRTC) was established in 2005 after the rehabilitation of earth quake victims. It is a joint venture of RMC and HDF. ** Rawalian Burn unit has been set up in 2006 having its separate ICU. ** Separate ICUs are made for Medical and Surgical departments. There is also a separate CCU. ** School of Midwifery/ general nursing is also working in this institute and hundreds of students are being trained every year. Nursing school is now shifted to the new building. ** Diagnostic facilities of radiology and pathology are also available in the hospital. ** At present more than 100 FCPS/ MS are attached and being imparted training in different fields in HFH. ** A laundry plant has been installed. ** A new central supply and sterilization department is now functioning. ** Blood bank and thalaseamia center are also present. ** The hospital has central air conditioning. ** Human Resource Development Committee has been formed. ** Nephrology unit has been established. ** Mortuary having 16 cabinets and 2 post mortem tables is yet to start functioning. ** For proper disposal of human wastes in Rawalpindi hospitals, the Punjab government gave administrative sanctions for installation of incinerator at HFH which has been functioning since 2007.