an extreme, often life-threatening allergic reaction to an antigen to which the body has become hypersensitive.,an extreme, often life-threatening allergic reaction to an antigen to which the body has become hypersensitive.
Anaphylaxis is an acute, multi organ, life threatening allergic reaction. Initial symptoms may look like a normal allergy with runny nose or rash and usually occur within minutes of exposure to an allergen. Within a few minutes, symptoms get more severe and can be deadly if not treated. Anaphylaxis requires immediate medical attention.
This slide aims to inform readers about the characteristics of anaphylaxis, a highly serious type of allergy attack. It also gives a few tips on how to handle this disorder in an emergency.
an extreme, often life-threatening allergic reaction to an antigen to which the body has become hypersensitive.,an extreme, often life-threatening allergic reaction to an antigen to which the body has become hypersensitive.
Anaphylaxis is an acute, multi organ, life threatening allergic reaction. Initial symptoms may look like a normal allergy with runny nose or rash and usually occur within minutes of exposure to an allergen. Within a few minutes, symptoms get more severe and can be deadly if not treated. Anaphylaxis requires immediate medical attention.
This slide aims to inform readers about the characteristics of anaphylaxis, a highly serious type of allergy attack. It also gives a few tips on how to handle this disorder in an emergency.
To watch my animated viedo on YouTube visit
http://www.youtube.com/watch?v=nVHDGWfQhSU
To download my animated presentation visit:
https://www.dropbox.com/s/bbtayufrn1clnvh/Anaphylaxis.pptx
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COVID-19 PCR tests remain a critical component of safe and responsible travel in 2024. They ensure compliance with international travel regulations, help detect and control the spread of new variants, protect vulnerable populations, and provide peace of mind. As we continue to navigate the complexities of global travel during the pandemic, PCR testing stands as a key measure to keep everyone safe and healthy. Whether you are planning a business trip, a family vacation, or an international adventure, incorporating PCR testing into your travel plans is a prudent and necessary step. Visit us at https://www.globaltravelclinics.com/
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
Letter to MREC - application to conduct studyAzreen Aj
Application to conduct study on research title 'Awareness and knowledge of oral cancer and precancer among dental outpatient in Klinik Pergigian Merlimau, Melaka'
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DECODING THE RISKS - ALCOHOL, TOBACCO & DRUGS.pdfDr Rachana Gujar
Introduction: Substance use education is crucial due to its prevalence and societal impact.
Alcohol Use: Immediate and long-term risks include impaired judgment, health issues, and social consequences.
Tobacco Use: Immediate effects include increased heart rate, while long-term risks encompass cancer and heart disease.
Drug Use: Risks vary depending on the drug type, including health and psychological implications.
Prevention Strategies: Education, healthy coping mechanisms, community support, and policies are vital in preventing substance use.
Harm Reduction Strategies: Safe use practices, medication-assisted treatment, and naloxone availability aim to reduce harm.
Seeking Help for Addiction: Recognizing signs, available treatments, support systems, and resources are essential for recovery.
Personal Stories: Real stories of recovery emphasize hope and resilience.
Interactive Q&A: Engage the audience and encourage discussion.
Conclusion: Recap key points and emphasize the importance of awareness, prevention, and seeking help.
Resources: Provide contact information and links for further support.
Under Pressure : Kenneth Kruk's StrategyKenneth Kruk
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Deep Leg Vein Thrombosis (DVT): Meaning, Causes, Symptoms, Treatment, and Mor...The Lifesciences Magazine
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Navigating Challenges: Mental Health, Legislation, and the Prison System in B...Guillermo Rivera
This conference will delve into the intricate intersections between mental health, legal frameworks, and the prison system in Bolivia. It aims to provide a comprehensive overview of the current challenges faced by mental health professionals working within the legislative and correctional landscapes. Topics of discussion will include the prevalence and impact of mental health issues among the incarcerated population, the effectiveness of existing mental health policies and legislation, and potential reforms to enhance the mental health support system within prisons.
1. ALLERGIC REACTIONS
(ANAPHYLAXIS)
This protocol is to be used with patients suffering from an
allergic reaction or anaphylaxis. This type of reaction can be
triggered by a variety of allergens through multiple routes.
These include absorption through the skin, ingestion,
inhalation or even injection through the skin (sting, bite,
chemical injection). These reactions can range in severity
from mild with symptoms like local irritation, rash or itching,
to severe anaphylaxis with respiratory distress or failure,
shock and, even cardiovascular collapse.
3. MILD REACTIONS
BASIC LEVEL: EMT and PARAMEDIC
Initial Patient Assessment Protocol 2.1.1.
Airway Assessment /Management Protocol (O2 PRN) 2.1.2.
Attach cardiac monitor and pulse oximeter.
Transport to designated hospital.
ALS LEVEL 1: PARAMEDIC ONLY
Initiate IV of Lactated Ringers or Normal Saline at TKO.
Diphenhydramine HCL (Benadryl) 25mg IV or 50mg IM (Peds; 1-2mg/kg IV or IM.
Ranitidine (Zantac) 150mg PO if able to swallow.
ALS LEVEL 2: MEDICAL CONTROL
Call Medical Control or Medical Director for any concerns or help.
4. MODERATE ALLERGIC REACTIONS
(edema, hives, dyspnea, wheezing, “lump in throat” feeling, difficulty
swallowing, facial swelling and stable vital signs with a systolic BP> 90mmHg).
BASIC LEVEL: EMT and PARAMEDIC
Initial Patient Assessment Protocol 2.1.1.
Airway Assessment/Management Protocol 2.1.2.
Attach cardiac monitor and pulse oximeter.
Transport to designated hospital.
5. MODERATE ALLERGIC REACTIONS
cont.
ALS LEVEL 1: PARAMEDIC ONLY
Initiate IV Lactated Ringers or Normal Saline at 70cc/hr.
` Diphenhydramine HCL (Benadryl) 25mg IV or 50mg IM (Peds; 1-2mg/kg IV or IM.
Ranitidine (Zantac) 150mg PO (Peds; 2mg/kg PO).
Methylprednisolone Sodium Succinate (Solu-Medrol) 125mg IV/IO/IM.
Epinephrine (1:1000) 0.4mg IM Adult (Peds 0.01mg/kg). Caution should be used with
administration of Epinephrine when the patient has a history of hypertension or heart
disease. Call Medical Control if you have any concerns.
IF patient is on a Beta Blocker medication, administer Glucagon 2mg IV over 2-5
minutes. If you are not sure which drugs are Beta Blockers, contact Medical Control to
discuss.
If a patient shows signs of respiratory distress, administer;
Albuterol (Ventolin) 2.5mg mixed with 2.5ml of Normal Saline nebulizer treatment.
May repeat twice PRN.
Add Atrovent (Ipratropium Bromide) 0.5mg to the first Albuterol nebulizer treatment
only.
ALS LEVEL 2: MEDICAL CONTROL
Call Medical Control or Medical Director for any concerns or help.
6. SEVERE ALLERGIC
REACTIONS/ANAPHYLAXIS
(edema, hives, severe dyspnea and wheezing, unstable vital signs with systolic
BP < 90mm Hg, possible cyanosis and/or laryngeal edema).
BASIC LEVEL: EMT and PARAMEDIC
Initial Patient Assessment Protocol 2.1.1.
Airway Assessment/Management Protocol 2.1.2.
Attach cardiac monitor and pulse oximeter.
Transport to designated hospital.
7. SEVERE ALLERGIC
REACTIONS/ANAPHYLAXIS cont.
ALS LEVEL 1: PARAMEDIC ONLY
Initiate IV of Lactated Ringers or Normal Saline bolus with 250cc PRN up to 1 liter
(reassess vitals and respiratory status between each bolus), then rate of 125cc/hr.
(Bolus Peds with 20ml/kg then 40cc/hr).
Diphenhydramine HCL (Benadryl) 25mg IV or 50mg IM (Peds; 1-2mg/kg IV or IM).
Ranitidine (Zantac) 150mg PO (Peds; 2mg/kg PO).
Methylprednisolone Sodium Succinate (Solu-Medrol) 125mg IV/IO/IM.
Epinephrine (1:1000) 0.4mg IM Adult (Peds; 0.01mg/kg). Caution should be used
with administration of Epinephrine when the patient has a history of hypertension
or heart disease. Call Medical Control if you have any concerns.
IF patient is on a Beta Blocker medication, give Glucagon 2mg IV over 2-5 minutes.
If you are not sure which drugs are Beta Blockers, contact Medical Control to discuss.
If patient shows signs of respiratory distress, administer; Albuterol (Ventolin) 2.5mg
mixed with 2.5ml Normal Saline nebulizer treatment. May repeat twice PRN.
Add Atrovent (Ipratropium Bromide) 0.5mg to the first Albuterol nebulizer treatment
only.
If the nebulized treatments do not significantly resolve the respiratory distress,
consider the need for intubation.
8. SEVERE ALLERGIC
REACTIONS/ANAPHYLAXIS
ALS LEVEL 2: MEDICAL CONTROL
Epinephrine (1:10,000) 0.3mg SLOW IV in 0.1mg increments over 2 minutes.
Caution should be used with administration of Epinephrine if patient has history
of hypertension or heart disease.
9. Diphenhydramine (Benadryl)
Benadryl products work because they contain an ingredient called
diphenhydramine hydrochloride, which is an antihistamine.
Here’s what happens during an allergic reaction:
• The body releases a substance called histamine into the bloodstream.
• Histamine travels to various parts of the body such as the eyes, nose, or skin.
• Histamine causes blood vessels to widen and expand.
• This causes redness, swelling, and inflammation.
• Symptoms of itching, sneezing, runny eyes or nose, or hives arise.
• The antihistamine in Benadryl blocks the action of histamine in the body and
helps to quickly relieve the symptoms.
10. Methylprednisolone Sodium Succinate
(Solu-Medrol)
• Actions: Anti-inflammatory, suppresses immune response (especially in
allergic reactions).
• Indications: Moderate and Severe allergic reaction, anaphylaxis,
asthma/COPD.
• Precautions: Must be reconstituted and used promptly. Onset of action
may be 2-6 hours and thus should not be expected to be of use in the
critical first hour following an anaphylactic reaction.
11. RANITIDINE (Zantac)
Zantac is a antihistamine primarily effective for the
histamine receptors in your stomach. They're called h-2
receptors. The histamine receptors in your blood vessels &
nerve endings are primarily h-1 receptors with some h-2
receptors. When h-1 active antihistamines like Benadryl or
Allegra are not sufficient to control hives, ZANTAC can be
added for a little extra control. Alone, it's not very good.
12. Beta Blockers
Beta blockers, also known as beta-adrenergic blocking agents,
are medications that reduce your blood pressure. Beta blockers
work by blocking the effects of the hormone epinephrine, also
known as adrenaline. When you take beta blockers, the heart
beat slower and with less force, thereby reducing cardiac output
and lowering blood pressure. Some beta blockers can also cause
blood vessels dilate to improve blood flow.
14. Glucagon
Glucagon bypasses the receptors obstructed by the beta-
blockers. These patients often respond poorly to epinephrine. In
case of epinephrine failure, consider the use of glucagon in
these patients.
Class: Hormone (anti-hypoglycemic agent).
Actions: Causes breakdown of glycogen to glucose.
Inhibits glycogen synthesis.
Elevates blood glucose level.
Increases cardiac contractile force.
Increases heart rate
15. Epinephrine 1:1,000
Epinephrine is a chemical that narrows blood vessels and opens
airways in the lungs. These effects can reverse wheezing, severe
skin itching, hypotension, hives and other severe allergic
reaction symptoms.