Alphabetical Index After Hours Telephone Triage Protocols | Adult | 2015
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Altitude Sickness in Nepal Is About 1 in 30,000 Trekkers, Or 2-3 Deaths Per Year
Shoreland Travax Medical Summary ALTITUDE ILLNESS INTRODUCTION Altitude illness occurs when one ascends more rapidly than the body can adjust ("acclimatize") to the reduced atmospheric pressure and decreased oxygen delivery to the body's cells at the higher altitude. Factors affecting acclimatization include the altitude attained, the rate of ascent, the duration of exposure, genetic predisposition, and certain preexisting conditions. (See "Acclimatization," "Risk," and "Effect of High Altitude on Preexisting Medical Conditions.") Altitude illness is generally divided into 3 syndromes: acute mountain sickness (AMS), high altitude pulmonary edema (HAPE), and high altitude cerebral edema (HACE). See "Syndromes and Symptoms." Symptoms can range from mild to life-threatening. Although mild symptoms have been documented at relatively low altitudes of 1,200- 1,800 m (3,900-5,900 ft), serious syndromes are rarely seen below 2,500-3,000 m (8,200-9,800 ft). While death can occur from the more severe forms of altitude illness, most symptoms can be prevented or minimized by proper acclimatization and/or preventive medications. Risk and prevention strategies vary depending on the type of travel planned: travel to typical tourist destinations at relatively moderate heights or trekking in extreme high altitude situations. See "Risk of Altitude Illness" and "Prevention." ACCLIMATIZATION Acclimatization is a built-in adjustment mechanism that can optimize performance at higher altitudes. If a person ascends more rapidly than the body can adjust, symptoms occur that are referred to as altitude illness. Acclimatization seems to be determined by factors that are not known but may possibly be genetic. Some people adjust very easily to high altitude, while others cannot go above relatively moderate heights of 3,000 m (9,800 ft) without experiencing symptoms. -
Deadly High Altitude Pulmonary Disorders: Acute Mountain Sickness
Research Article Int J Pul & Res Sci Volume 1 Issue 1 - April 2016 Copyright © All rights are reserved by Michael Obrowski DOI : 10.19080/IJOPRS.2016.01.555553 Deadly High Altitude Pulmonary Disorders: Acute Mountain Sickness (AMS); High Altitude Pulmonary Edema (HAPE) and High Altitude Cerebral Edema (HACE): A Clinical Review Michael Obrowski1* and Stephanie Obrowski2 1Doctor of Medicine (M.D. – 2000); Assistant Professor of Anatomy; CEO, Chief Physician and Surgeon of Wilderness Physicians, European Union 2Doctor of Medicine (M.D. – 2019); Medical University of Łódź; President of Wilderness Physicians, European Union Submission: January 26, 2016; Published: April 15, 2016 *Corresponding author: Michael Obrowski, M.D., Doctor of Medicine (M.D. – 2000); Assistant Professor of Anatomy; CEO, Chief Physician and Surgeon of Wilderness Physicians, European Union, 43C Żeligowskiego Street, #45, Łódź, Poland 90-644, Email: Abstract Acute Mountain Sickness (AMS); High Altitude Pulmonary Edema (HAPE) and High Altitude Cerebral Edema (HACE). These three disorders, withMountain relatively Sickness, unimportant also smallcalled variationsHigh Altitude seen Sickness, in some isPulmonology specifically aTextbooks, triad of different because disorders, these are inso orderserious, of increasingthey are all seriousness: potentially deadly pulmonary disorders and we will discuss these three major, deadly disorders. Each one, starting with AMS, can progress rapidly to HAPE and then HACE. The two authors of this article have over half a century of high altitude mountaineering experience. They have also alsohad anddisaster still domedicine. have, for Since the lastspring twenty is rapidly years, approaching an NGO, Non-Profit and many Medical “weekend Organization backpackers” (Wilderness will start Physicians going into www.wildernessphysicians. -
Stingray Bay: Media Kit
STINGRAY BAY: MEDIA KIT Stingray Bay has been the talk of the town! What is it? Columbus Zoo and Aquarium guests and members will now have the opportunity to see stingrays up close and to touch these majestic creatures! The Stingray Bay experience will encourage visitors to interact with the Zoo’s brand new school of stingrays by watching these beautiful animals “fly” through the water and dipping their hands in the water to come in contact with them. Where is located? Located in Jungle Jack’s Landing near Zoombezi Bay, Stingray Bay will feature an 18,000-gallon saltwater pool for stingrays to call home. Staff and volunteers will monitor the pool, inform guests about the best ways to touch the animals and answer questions when the exhibit opens daily at 10 a.m. What types of stingrays call Stingray Bay home? Dozens of cownose and southern stingrays will glide though the waters of Stingray Bay. Educational interpreters will explain the role of these stingrays in the environment. Stingrays are typically bottom feeders with molar-like teeth used to crush the shells of their prey such as crustaceans, mollusks, and other invertebrates. I’m excited to touch the stingrays, but is it safe? Absolutely! The rays barbs have been carefully trimmed off their whip-like tails. The painless procedure is similar to cutting human fingernails. Safe for all ages, the landscaped pool features a waterfall and a wide ledge for toddlers to lean against when touching the rays. This sounds cool! How much does it cost? Admission to Stingray Bay is free for Columbus Zoo and Aquarium Gold Members and discounted for Members. -
Comparison of Health and Performance Risk for Accelerated Mars Mission Scenarios
NASA/TM-20210009779 Comparison of Health and Performance Risk for Accelerated Mars Mission Scenarios Erik Antonsen MD, PhD Baylor College of Medicine NASA Johnson Space Center, Houston, TX Mary Van Baalen, PhD; NASA Johnson Space Center, Houston, TX Integrated Medical Model Team Space Radiation Analysis Group Binaifer Kadwa, MS Lori Chappell, MS NASA Johnson Space Center, Houston, TX KBR NASA Johnson Space Center, Houston, TX Lynn Boley, RN, MS KBR Edward Semones, MS NASA Johnson Space Center, Houston, TX NASA Johnson Space Center, Houston, TX John Arellano, PhD Space Radiation Element MEI Technologies NASA Johnson Space Center, Houston, TX S. Robin Elgart, PhD University of Houston Eric Kerstman, MD NASA Johnson Space Center, Houston, TX University of Texas Medical Branch NASA Johnson Space Center, Houston, TX National Aeronautics and Space Administration Lyndon B. Johnson Space Center Houston, Texas 77058 February 2021 NASA STI Program…in Profile Since its founding, NASA has been dedicated to the CONFERENCE PUBLICATION. advancement of aeronautics and space science. The Collected papers from scientific and NASA scientific and technical information (STI) technical conferences, symposia, seminars program plays a key part in helping NASA or other meetings sponsored or co- maintain this important role. sponsored by NASA. The NASA STI program operates under the auspices of the Agency Chief Information Officer. SPECIAL PUBLICATION. Scientific, It collects, organizes, provides for archiving, and technical, or historical information from disseminates NASA’s STI. The NASA STI NASA programs, projects, and missions, program provides access to the NTRS Registered often concerned with subjects having and its public interface, the NASA Technical substantial public interest. -
Altitude Sickness
Altitude Sickness Team River Runner hosted their National Conference and Swiftwater Rescue Training out West this year. It was a great place to visit and our hosts: TRR Boise and Pilgrim’s Cove couldn’t have been more accommodating. Several participants came from low lying areas – near sea level including myself. Some attendees and myself as well experienced: • Headache • Loss of normal appetite • Nausea • Insomnia • General Fatigue We each came up with different conclusions on why we were experiencing these symptoms, in my case possible motion sickness, dehydration, etc. None of us thought Altitude Sickness may be contributing to our malaise. It wasn’t till after the conference when several of us that live near sea level and were experiencing the above symptoms figured out that a mild form of Altitude Sickness was a highly probably diagnosis. Part of my job is Risk Management so it’s well worth considering this possibility and precautions we should consider whenever traveling to locales that can trigger these issues. Most whom take Wilderness First Aid courses are taught the magic cutoff: 2400m or roughly 8,000’ (Red Cross says 7,000’). McCall Idaho is roughly 5,000’, roughly a mile high. It turns out that the 8,000’ cutoff is actually for: • HACE – High Altitude Cerebral Edema • HAPE – High Altitude Pulmonary Edema High Altitude per Wilderness EMS is actually from 1,500m to 3,500m, or starting at 4,921’ (roughly the altitude where we were staying at). A good guide is the Lake Louise Acute Mountain Sickness (AMS) Scoring System (LLS). -
Altitude Sickness Fact Sheet
Altitude Sickness Fact Sheet At high elevation, you may experience a potentially life threatening condition called altitude sickness. This is exacerbated if you ascend in elevation quickly. At 8,000 feet, there is only ~75% of the available oxygen at sea level. Oxygen decreases ~3% with each 1000 feet in elevation. Altitude sickness is caused by the body not being able to get enough oxygen. There are three types of altitude sickness: Acute Mountain Sickness, High Altitude Pulmonary Edema, and High Altitude Cerebral Edema. SYMPTOMS Acute Mountain Sickness • Lack of appetite, nausea, or vomiting • Fatigue • Dizziness • Insomnia • Shortness of breath upon exertion • Nosebleed • Persistent rapid pulse • Swelling of hands, feet, and/or face High Altitude Pulmonary Edema (HAPE) • Symptoms similar to bronchitis • Persistent dry cough • Fever • Shortness of breath even at rest High Altitude Cerebral Edema (HACE) • Headache that does not respond to medication • Difficulty walking • Altered mental state (confusion, changes in alertness, disorientation, irrational behavior) • Loss of consciousness • Increased nausea • Blurred vision or retinal hemorrhage PREVENTION If your hike starts at high elevation, spend a few days adjusting to the altitude prior to any major physical exertion. It is best to sleep no more than 1,500 feet (457.2 m) higher than you did the night before. This helps the body adjust gradually to the decreased amount of oxygen. Contact your primary care physician for an evaluation prior to travelling to areas with high elevation. FIRST AID TREATMENT If you have any of these symptoms at altitude, assume that it is altitude sickness until proven otherwise. Do not ascend any further with symptoms. -
Telephone Triage Algorithms Pediatric After-Hours Version Anatomical Grouping - Alphabetical Listing
Telephone Triage Algorithms Pediatric After-Hours Version Anatomical Grouping - Alphabetical Listing Anatomical Group and Title Vomiting Without Diarrhea Abdomen Symptoms Worms - Other Than Pinworms Abdominal Injury Abdominal Pain - Female Arm and Leg Symptoms Abdominal Pain - Male Arm Injury Constipation Arm Joint Swelling Diarrhea Arm Pain Diarrhea Diseases from Travel Cast Symptoms And Questions Diarrhea On Antibiotics Finger Injury Feeding Tube Questions Leg Injury Food Allergy - Diagnosed Leg Joint Swelling Food Poisoning Leg Or Foot Swelling Food Reactions - General Leg Pain GI Symptoms Multiple - Guideline Selection Limp Hepatitis A Exposure Ring Stuck on Finger or Toe Hernia - Inguinal Splint Symptoms And Questions Hernia - Umbilical Toe Injury Hiccups Menstrual Cramps Motion Sickness Nausea Pinworms Spitting Up (Reflux) Stools - Blood In Stools - Unusual Color Swallowed Foreign Body Swallowed Harmless Substance Vomiting Blood Vomiting on Meds Vomiting With Diarrhea AfterHours Telephone Triage Algorithms - Standard Page 1 of 8 Copyright 1994-2019 Schmitt Pediatric Guidelines LLC Tuesday, May 21, 2019 Anatomical Group and Title Bites / Stings Breathing or Chest Symptoms Animal Bite Anaphylaxis Animal or Human Bite Infection on Antibiotic Asthma Attack Follow-Up Call Avian Influenza Exposure Bed Bug Bite Breast Symptoms (Female) - After Puberty Bee or Yellow Jacket Sting Breast Symptoms (Female) - Before Puberty Fire Ant Sting Breast Symptoms (Male) Human Bite Breastfeeding - Mother's Breast Symptoms Insect Bite or Illness Jellyfish -
Injuries and Envenomation by Exotic Pets in Hong Kong Vember CH Ng, Albert CH Lit, of Wong *, ML Tse, HT Fung
Original Article Injuries and envenomation by exotic pets in Hong Kong Vember CH Ng, Albert CH Lit, OF Wong *, ML Tse, HT Fung ABSTRACT effects, and six cases with mild effects. All major effects were related to venomous snakebites. There Exotic pets are increasingly popular Introduction: were no mortalities. in Hong Kong and include fish, amphibians, reptiles, and arthropods. Some of these exotic Conclusion: All human injuries from exotic pets animals are venomous and may cause injuries to arose from reptiles, scorpions, and fish. All cases of and envenomation of their owners. The clinical major envenomation were inflicted by snakes. experience of emergency physicians in the management of injuries and envenomation by these exotic animals is limited. We reviewed the clinical Hong Kong Med J 2018;24:48–55 features and outcomes of injuries and envenomation DOI: 10.12809/hkmj176984 by exotic pets recorded by the Hong Kong Poison 1 VCH Ng, FHKCEM, FHKAM (Emergency Medicine) Information Centre. 2 ACH Lit, FRCSEd, FHKAM (Emergency Medicine) Methods: We retrospectively retrieved and reviewed 2 OF Wong *, FHKAM (Anaesthesiology), FHKAM (Emergency Medicine) 1 cases of injuries and envenomation by exotic pets ML Tse, FHKCEM, FHKAM (Emergency Medicine) 3 HT Fung, recorded by the Hong Kong Poison Information FRCSEd, FHKAM (Emergency Medicine) Centre from 1 July 2008 to 31 March 2017. 1 Hong Kong Poison Information Centre, United Christian Hospital, Kwun Results: There were 15 reported cases of injuries Tong, Hong Kong 2 Accident and Emergency Department, North Lantau Hospital, Tung and envenomation by exotic pets during the study Chung, Lantau, Hong Kong period, including snakebite (n=6), fish sting (n=4), 3 Accident and Emergency Department, Tuen Mun Hospital, Tuen Mun, This article was scorpion sting (n=2), lizard bite (n=2), and turtle Hong Kong published on 5 Jan bite (n=1). -
Database of Bibliography of Living/Fossil
www.shark-references.com Version 16.01.2018 Bibliography database of living/fossil sharks, rays and chimaeras (Chondrichthyes: Elasmobranchii, Holocephali) Papers of the year 2017 published by Jürgen Pollerspöck, Benediktinerring 34, 94569 Stephansposching, Germany and Nicolas Straube, Munich, Germany ISSN: 2195-6499 DOI: 10.13140/RG.2.2.32409.72801 copyright by the authors 1 please inform us about missing papers: [email protected] www.shark-references.com Version 16.01.2018 Abstract: This paper contains a collection of 817 citations (no conference abstracts) on topics related to extant and extinct Chondrichthyes (sharks, rays, and chimaeras) as well as a list of Chondrichthyan species and hosted parasites newly described in 2017. The list is the result of regular queries in numerous journals, books and online publications. It provides a complete list of publication citations as well as a database report containing rearranged subsets of the list sorted by the keyword statistics, extant and extinct genera and species descriptions from the years 2000 to 2017, list of descriptions of extinct and extant species from 2017, parasitology, reproduction, distribution, diet, conservation, and taxonomy. The paper is intended to be consulted for information. In addition, we provide data information on the geographic and depth distribution of newly described species, i.e. the type specimens from the years 1990 to 2017 in a hot spot analysis. New in this year's POTY is the subheader "biodiversity" comprising a complete list of all valid chimaeriform, selachian and batoid species, as well as a list of the top 20 most researched chondrichthyan species. Please note that the content of this paper has been compiled to the best of our abilities based on current knowledge and practice, however, possible errors cannot entirely be excluded. -
Backcountry Safety: Illnesses and Weather Hazards Sequoia National Forest
USDA ~ United States Department of Agriculture Backcountry Safety: Illnesses and Weather Hazards Sequoia National Forest The backcountry is beautiful place to visit, but also primitive and you will be on your own! We want you to enjoy your backcountry visit, and we want you to venture as safe as possible. These are some tips to remember. First and foremost, tell someone of your planned route and time of return before you travel into the backcountry! What to Pack Hyperthermia Sudden shifts in weather are one of the backcountry’s Caused by the body’s inability to cool in high heat greatest dangers. We recommend that you bring at the conditions. The body regulates the temperature by least a warm fleece or wool pullover, a waterproof jacket, sweating and releasing excess heat, but sometimes this an emergency blanket, a hat, sunglasses, sunscreen, lip is not enough especially when ambient air temperature balm, insect repellant, first-aid kit, pocket knife, flashlight is high and humid. The best way to cool the body is to or headlamp, waterproof matches, map, compass, a mirror stay hydrated and drink plenty of water in high and whistle for signaling if you are lost, plenty of water, temperatures conditions. If this is not enough, take a and extra food with you. break in a shaded area and remove some clothing to allow for more body cooling. There are three forms of Hiking in Variable Terrain heat-related illness that can lead to hyperthermia. Identify safe routes and local conditions. Test and use 1. Heat cramps is the mildest sign of heat-illness secure footing and never run down slopes. -
Universidade Federal Do Amazonas Instituto De Ciências Biológicas Programa Multi-Institucional De Pós-Graduação Em Biotecnologia
UNIVERSIDADE FEDERAL DO AMAZONAS INSTITUTO DE CIÊNCIAS BIOLÓGICAS PROGRAMA MULTI-INSTITUCIONAL DE PÓS-GRADUAÇÃO EM BIOTECNOLOGIA JULIANA LUIZA VARJÃO LAMEIRAS PRODUÇÃO DE SORO HIPERIMUNE PARA Potamotrygon motoro Müller & Henle, 1841 (CHONDRICHTHYES – POTAMOTRYGONINAE): VERIFICAÇÃO DA REAÇÃO-CRUZADA FRENTE ÀS PEÇONHAS DE OUTRAS ESPÉCIES DE ARRAIAS E DA NEUTRALIZAÇÃO DAS ATIVIDADES EDEMATOGÊNICA E MIOTÓXICA Manaus 2018 JULIANA LUIZA VARJÃO LAMEIRAS PRODUÇÃO DE SORO HIPERIMUNE PARA Potamotrygon motoro Müller & Henle, 1841 (CHONDRICHTHYES – POTAMOTRYGONINAE): VERIFICAÇÃO DA REAÇÃO-CRUZADA FRENTE ÀS PEÇONHAS DE OUTRAS ESPÉCIES DE ARRAIAS E DA NEUTRALIZAÇÃO DAS ATIVIDADES EDEMATOGÊNICA E MIOTÓXICA Tese apresentada à Universidade Federal do Amazonas como requisito para obtenção do título de Doutora pelo Programa Multi- institucional de Pós-graduação em Biotecnologia. Área de concentração: Biotecnologia para Saúde. Orientadora: Professora Dra. Maria Cristina dos Santos – UFAM Coorientador: Professor Dr. Oscar Tadeu Ferreira da Costa – UFAM Manaus 2018 ' Poder Executivo Ministerio da Educa�ao Universidade Federal do Amazonas Programa Multi-lnstitucionalde P6s-Graduacao em Biotecnologia 226a. ATADEDEFESADETESE No dia 27 de mar90 (ter9a-feira) de 2018, as 9hs, 11a sala de aula do Bloco ''G'', Setor Sul - UFAM. Juliana Luiza Varjao Lameiras defendeu sua Tese de Doutorado intitulada ''Produ�ao de Soro Hiperimune para Potamotrygon motoro Miiller & Henle, 1841 (Chondrichthyes - potamotrygoninae): verifica�ao da rea'rao-cruzada frente as pe'ronhas de outras especies de arraias e da neutraliza�ao das atividades edematogenica e miotoxica. '' Banca de Examinadores: Membros Parecer AIssina tura I I / ! --. Aprovada (f) Assinatura: ;· c:?M· <.... � � (__ _C, ..._,·, .\ f Prof a. Dra. Maria Cristina dos Santos - (Presidente) Reprovada ( ) CPF: 1.0'61J.f4 ( . t 7 C f ,_ o 2. -
Respiratory Diseases in Relation to Changes in Atmospheric Pressure
A n n a l s o f C linical Laboratory Science, Vol. 3 , No. 2 Copyright © 1 9 7 3 , Institute for Clinical Science Respiratory Diseases in Relation to Changes in Atmospheric Pressure BROOKS H. HURD, M.D. Director of Laboratories, Grant Hospital and Clinical Associate Professor of Pathology, ■ Ohio State University, Columbus, OH 43215 ABSTRACT In this paper are reviewed the present status of respiratory diseases in relation to high and low altitude environments. High Altitude Sickness in mountaineers occurred on their initial Intkoduction exposure to high altitude without proper acclimatization time. Men living at high Mountain sickness occurs in both an altitudes have a higher total blood volume acute form and a chronic form. Only re and a greater proportion of pulmonary cently has this been studied to any degree; blood volume than that present in sea level however, the first description was by a inhabitants. Persons going to high altitudes Peruvian in 1897.8 In 1937, Hurtado de tend to develop greater blood volume in scribed a case of pulmonary edema in an the pulmonary bed. Houston had reported Indian who became acutely ill after return mountaineers who have described cases of ing home from sea level to the high alti rapid death attributed to pneumonia. This tude.7 In 1945, a 39 year old man was occurred in healthy persons who were en examined who had developed pulmonary gaged in strenuous exercise over 14,000 edema after going to a height of 11,550 feet. feet. Death in 12 to 24 hours resulted if In 1949, a 29 year old man was described the symptoms were severe and remained who died from an acute pulmonary illness untreated.