New Treatment of a Heat Stroke Patient

Heat stroke is the most severe form of heat illness and is a life-threatening emergency. It is the result of long, extreme exposure to the sun, in which a person does not sweat enough to lower body temperature. The elderly, infants, persons who work outdoors and those on certain types of medications are most susceptible to heat stroke. It is a condition that develops rapidly and requires immediate medical treatment….(more information www.drraomd.com)

What causes heat stroke

Our bodies produce a tremendous amount of internal heat and we normally cool ourselves by sweating and radiating heat through the skin. However, in certain circumstances, such as extreme heat, high humidity or vigorous activity in the hot sun, this cooling system may begin to fail, allowing heat to build up to dangerous levels.

If a person becomes dehydrated and can not sweat enough to cool their body, their internal temperature may rise to dangerously high levels, causing heat stroke

new heat stroke treatment

It is important for the person to be treated immediately as heat stroke can cause permanent damage or death. There are some immediate first aid measures you can take while waiting for help to arrive.

Get the person indoors. Remove clothing and gently apply cool water to the skin followed by fanning to stimulate sweating.

Apply ice packs to the groin and armpits.

Have the person lie down in a cool area with their feet slightly elevated
Intravenous fluids are often necessary to compensate for fluid or electrolyte loss. Bed rest is generally advised and body temperature may fluctuate abnormally for weeks after heat stroke

In a case of Critical Care, Broessner and coworkers [1] claim to have successfully treated a patient with heat stroke by using a specific cooling device. We should like to raise some important issues.

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Types of Dental Sedation

Many people suffer an intense, deep fear of having dental work done and they may go to extreme lengths to avoid it. Only the most severe pain of a dental abscess or other emergency will drive them to finally seek care. About 10% to 15% of Americans suffer this type of fear, which has been diagnosed as “Dental Phobia”. For these dental patients, some form of sedation is a blessing which helps them get through most dental procedures.

Dental Sedation Is Beneficial For The Patient Who:

  • Suffers from severe dental phobia
  • Has a high level of anxiety or fear about dental procedures
  • Is a patient with special needs, such as autism, which can make dental treatment quite difficult for both the patient and the dentist
  • Have an uncontrollable or severe gag reflex
  • Have a high tolerance for local anesthetics and “do not get numb”
  • Patients who have adverse reactions to local anesthetics
  • Patients who require extensive dental work and must have it completed within a limited number of visits.
  • Patients with certain medical conditions, such as cerebral palsy, which makes dental procedures difficult, uncomfortable or unsafe.

Patients should be encouraged to let their dentist know their level of fear and anxiety. The first visit is a good time to share this anxiety so an appropriate plan of treatment can be developed. It will take the patient’s fears into consideration as well as the type and amount of dental work that must be done. Adequate sedation must be planned for the patient that may need some lengthy dental procedures.

Types Of Dental Sedation

Oral Sedation
Medication such as Valium, Xanax, or Halcion is given to the patient the night before the appointment with a second dose about one hour before seeing the dentist. This helps relaxation and the patient remains awake and able to follow instructions. A local anesthetic is given so there is no pain at the site for the dental work.

Nitrous Oxide – “Laughing Gas”
This gas reduces anxiety and helps the patient become calm and relaxed. This is most effective when given to patients who have mild anxiety but will be having a relatively short, uncomplicated dental procedure. Gas is administered with a mask and local anesthesia is also used.

Intravenous Conscious Sedation
A medication is injected into a vein to produce a lowered state of consciousness. The patient can not smell, feel, or taste. Because there are different levels of sedation, a local anesthetic may be used in conjunction..  The patient’s blood pressure, pulse and heart rate are monitored as well as respiration rate. The level of oxygen in the patient’s blood is also observed closely. Sedation dentist are specially trained in dental anesthesia.

Deep Intravenous Sedation
This is a state that is between IV Conscious Sedation and Unconscious Dental Sedation. The patient is not able to respond to questions or follow simple instructions. These patients must be monitored closely and the blood pressure, heart and pulse rate are watched closely as well as their respiratory status. Advanced training is required to administer this type of dental anesthesia.

When the dental procedures are completed patients are observed closely until they are fully awake and their vital signs are stable. Dental sedation provides a way for patients with a high level of fear, as well as other problems, to have dental procedures carried out with relative ease.

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Managing Bronchitis Symptoms and Knowing the Treatment

Inflammation of the respiratory tract that includes the trachea and the bronchus is known as bronchitis. This may be caused by viral or bacterial infection or constant exposure to pollutants (such as smoking and air pollution). There are two kinds, acute and chronic bronchitis.

Acute bronchitis usually takes place right after an infection of the upper respiratory tract has occurred like a sinus infection or the common cold. As for chronic bronchitis, there is no exact microorganism that can be pinpointed as a cause but smoking and environmental pollutants are believed to be the major culprits which then may be followed by bacterial or viral infection as the immune system becomes vulnerable.

Common symptoms of both kinds of bronchitis are nasal congestion, muscle pains, fever and chills, sore throat, poor sleep, and dyspnea (common in chronic bronchitis). Basically, the symptoms of bronchitis are similar to that of the common cold. It starts with an irritation at the back of the throat and as it gets worse, cough will enter the picture which may come with phlegm. If the phlegm is streaked with blood, it is best to consult a physician.

Cough is a universal symptom of bronchitis. This may be accompanied with sputum or not (dry cough). Sputum producing cough is a manifestation of an infection in the lower respiratory tract and the lungs. In acute bronchitis, cough may persist for more than fourteen days. Constant and vigorous coughing may leave the thoracic and abdominal muscles aching. Without proper medication, forceful coughing may even cause injury to the chest wall.

Uncomplicated bronchitis can be easily treated at home. Commonly, bronchitis (especially acute bronchitis) is caused by a viral infection. Virus-caused bronchitis is self-limiting and may require no major treatment except to alleviate symptoms and ease discomfort.

But if it is caused by bacterial infections, then antibiotics are prescribed. However, antibiotics should not be taken if bronchitis is caused by a virus. Doing so, will only be a waste of time and money. An over usage of antibiotics will only make certain types of bacteria to build resistance from the medication.

Since muscle aches can be experienced through the course of the disease, anti-pain medications may be taken such as acetaminophen and aspirin. But bear in mind that an over dosage of these type of medications may cause gastric bleeding. These should be taken with a full stomach. Furthermore, aspirin is contraindicated for children and pregnant women. Aspirin is thought to be highly associated with Reye’s syndrome in children, and it may cause severe bleeding in pregnant women.

To ease irritation in the respiratory tract, a cool mist humidifier may be employed. Taking large amounts of liquid helps out to ease fever because it tends to cool down the body temperature. Liquid intake also thins out or liquefies the phlegm, making it easier to cough it out. Another way to loosen up the phlegm is by taking an expectorant such as quaifenesin.

Further medical treatment will depend on the causative factor of bronchitis. If the patient is experiencing severe uncontrollable coughing, cough suppressants may be prescribed by the physician. But the before prescribing it, the physician will most likely test the individual to rule out other diseases.

Another kind of medication is the bronchodilator. This causes the respiratory tract tissues to dilate or open up which then promotes easy passage of air to the lungs. It consequently reduces wheezing.

Again, antibiotics may be used. Other than the reason of bacterial-caused infection in uncomplicated bronchitis is because individuals suffering from long term lung problems are more prone to bacteria infections because of their weakened immune systems.

In later stages of chronic bronchitis, the patient may call for supplemental oxygen to assist him or her in breathing. This oxygen therapy may be given during exercise to avoid dyspnea. And the patient may as well be hospitalized if the disease has become very severe and has developed complications.

To avoid further complications, patients may be required to receive an annual flu vaccine, as well as pneumococcal vaccine every five to seven years. Other medical treatments may also include mucolytic agents, antitussive medications, and alpha1 antitrypsin therapy.

Other treatments that can ease the symptoms of bronchitis are the use of herbal medicines. These can be formulated as inhalants and tea. Still, consult your physician if these additional herbal medicines won’t interfere with the primary treatment.

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