Cold Injuries - Donald Pelto, DPM
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This document summarizes various cold injuries and conditions including hypothermia. It discusses how the body loses heat and regulates core temperature. The signs and symptoms of mild, moderate, and severe hypothermia are provided. Treatment recommendations for hypothermia and other cold injuries like frostnip, frostbite, trench foot, and eye injuries are outlined.
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2. Fluid deficit = Percent dehydration x Pre-illness weight = 10% x 7kg = 0.7L
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= 0.7L x 0.6 x 145 mEq/L = 72.6 mEq
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This document discusses hypothermia and cold weather survival. It describes the body's response to cold exposure, including the cold response, mild hypothermia, and severe hypothermia. The cold response is the body's normal reaction, involving blood vessel constriction and shivering. Mild hypothermia occurs when the body can no longer compensate, with symptoms like confusion and clumsiness. Severe hypothermia is a medical emergency, where core temperature drops below 90°F and victims lose consciousness. Treatment depends on the level of hypothermia, ranging from adding dry clothes and shelter for mild cases to gentle transport and preventing further heat loss for severe hypothermia.
-- Heat Stress -- Training PPT
Heat Stress is a serious concern in occupational health and safety.
It is important we carry out more awareness on heat stress to reduce incidents relating to heat stress.
Hri heat related illnesses
This document discusses heat-related illnesses, including heat exhaustion and heat stroke. It provides information on prevention, symptoms, assessment, and treatment for each condition. For heat exhaustion, it recommends stopping activity, moving to a cool place, cooling measures, oral rehydration, and monitoring vital signs. Hospitalization may be needed for severe cases or if symptoms persist. Heat stroke is a medical emergency, with symptoms including high body temperature, altered mental status, and organ dysfunction. Immediate cooling through methods like cold water immersion is critical to prevent complications and death. Treatment also includes IV fluids, monitoring for complications, and slow cooling once the temperature drops below 102F.
Cold related illnesses (cri)
This document discusses cold related injuries including hypothermia, frostnip, and frostbite. It defines each condition and provides details on assessment, risk factors, classification, goals of treatment, and nursing interventions. Hypothermia is categorized as mild, moderate, or severe based on core temperature. Signs and symptoms vary with each category. Rewarming methods depend on severity, with external warming used for mild cases and internal core rewarming for more severe hypothermia. Frostnip causes pain and numbness and is treated by rewarming the affected area. Frostbite classification is based on depth of tissue damage. Nursing interventions aim to prevent further injury and include rapid rewarming, analgesia,
Exercise physiology 2 2011b
The document discusses several factors that can cause fatigue during exercise including depletion of energy stores like ATP and glycogen, accumulation of lactic acid, restricted blood flow, dehydration, and rising body temperature. It then covers recovery processes like replenishing energy stores and fluids. It also discusses muscle soreness, temperature regulation, exercising in heat and cold environments, and exercising at altitude.
Ice rescue and immersion hypothermia slide share
In cases of environmental hypothermia, the common sense approach of “Warm them up!” may be the worst thing that you can do for your patient. In this presentation we learn the deadly effects of immersion, after-drop and cold induced vasodilation and how to properly differentiate between mild, moderate and severe hypothermia. We will discuss wilderness EMT and extreme environment treatment algorithms and how they apply to your service area.
3.Environmental Emergencies 1.ppeknrvlnwvlenvltx
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effects of extreme cold
The document discusses the effects of cold exposure on the human body. It describes how factors like low temperatures, wind chill, humidity, and altitude can impact regions. Prolonged cold exposure can cause hypothermia, a dangerous drop in core body temperature, as well as localized injuries like frostbite and trench foot. The summary describes treatment for hypothermia, which focuses on gradually rewarming the core body temperature, and treatments for local cold injuries like frostbite, which involves carefully rewarming affected areas and preventing further tissue damage. Prevention emphasizes adequate clothing, shelter, nutrition, foot care, and rapid treatment of any cold injuries.
Extreme Deserts Final
Homeostasis, or the maintenance of stable internal conditions, is crucial for human survival in extreme desert environments like Death Valley. When temperatures rise far above 100 degrees Fahrenheit, as they regularly do in Death Valley, the body engages various physiological and behavioral adaptations to keep its internal temperature regulated, such as sweating, slowing activity levels, and seeking shade. Prolonged exposure to the desert heat without proper precautions can overwhelm these adaptations and potentially lead to hyperthermia, organ failure, and even death. People must stay well-hydrated by drinking water, dress appropriately in light, loose layers, and avoid strenuous activity during the hottest parts of the day to maintain homeostasis in these extreme conditions.
Extreme Deserts Final
Homeostasis, or the maintenance of stable internal conditions, is crucial for human survival in extreme desert environments like Death Valley. When temperatures rise far above 100 degrees Fahrenheit, as they regularly do in Death Valley, the body engages various physiological and behavioral adaptations to keep its internal temperature regulated, such as sweating, slowing activity levels, and seeking shade. Prolonged exposure to the desert heat without properly hydrating, dressing appropriately, and avoiding strenuous activity can overwhelm these adaptations and potentially lead to hyperthermia, heat exhaustion, or even heat stroke.
exercise in hot & cold environment.pptx
Exercising in hot and cold environments can have different effects on the body. It's important to consider factors like hydration, clothing, and duration of exercise when working out in extreme temperatures.
Heat waves,cold waves,fog
This document discusses heat waves and cold waves. It defines heat waves as prolonged periods of excessive heat that can cause heat-related illnesses and deaths. Cold waves are periods of unusually cold air that can cause hypothermia, frostbite and affect infrastructure. The document details the causes, effects on humans, agriculture, livestock, and infrastructure for both heat waves and cold waves. It provides examples of historical heat waves and cold waves around the world and gives safety tips for dealing with extreme hot and cold weather.
HYPER THERMIA DR AMBER.pptx
Heat stroke is a life-threatening condition caused by the body's inability to regulate its temperature. It occurs when the body becomes unable to cool itself and the body's temperature rises to dangerous levels. Symptoms include a high body temperature over 105°F, confusion, loss of consciousness, and a lack of sweating. Heat stroke requires immediate emergency medical treatment to prevent death. Prevention methods include acclimatization, staying hydrated, limiting time in direct sunlight, and taking breaks in cool, shaded areas. Heat exhaustion is less severe but still requires treatment, while heat stroke is always considered a medical emergency.
Trainers'
The document provides an overview of managing work in hot environments and the effects of heat stress. It discusses how the body regulates temperature and the impact of dehydration. Maintaining fluid intake through hydration is essential to prevent dehydration and its negative effects. Other topics covered include measuring heat stress using the thermal work limit, the importance of acclimatization, and steps that can be taken to limit heat-related health issues.
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Here was a presentation I gave on toenail trauma with the slides involved. It was requested by a Worcester Emergency Resident. I hope you find it helpful. To watch video it is below the pictures.
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Here is a presentation I use for patients with heel conditions. It covers plantar fasciitis, plantar fibroma, Achilles tendonitis, Haglund's deformity, posterior tibial tendonitis, Severe's Disease. To learn more about heel pain go to www.worcesterfootcare.com/heel
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Here are the slides I use to go over with patients bunion surgery. You also will see a video of this presentation if you would like.
Preventing falls and amputation prevention april 2013
This document discusses ways to prevent falls and foot wounds for those with diabetes. It notes that falls are the leading cause of injury deaths among older adults, with hip fractures being most common. Risk factors for falls include neuropathy, ankle instability, weakness, vision problems, foot deformities, environmental hazards, and certain medications. It recommends developing a fall risk plan that includes assistive devices, therapy, medical care, and podiatric evaluation. The document also outlines 3.5 ways to prevent foot wounds: examining feet daily, wearing proper shoes, trimming calluses professionally, and taking responsibility through self-education and regular medical checks. Four major reasons wounds don't heal fast are listed as high blood sugar, poor circulation, neuropathy, and
UMass emergency medicine lecture
This document contains a summary of a lecture on emergency medicine topics related to the foot and ankle. It discusses ingrown toenails, including when antibiotics are needed and when part or all of the nail should be removed. It also covers topics like heel pain, stress fractures, warts, ulcers versus calluses, Charcot, and provides contact information for the lecturer to learn more.
Flat feet and tendonitis
This document discusses flat feet and tendonitis in children, providing treatment recommendations over multiple visits including RICE, physical therapy, proper shoes, custom orthotics, and ankle foot orthoses (AFO) as needed. It was authored by podiatrist Donald Pelto and encourages learning more by visiting his website or contacting his office.
Diabetic Foot Ulcer Presentation
To learn more about diabetic foot wounds visit my website
www.healmyfootwoundfast.com
Educational power point on foot wounds relating to:
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Dr. Donald Pelto
299 Lincoln Street Suite 202
Worcester, MA 01605
Healthcare Guide to Laser Treatment for Toenail Fungus
In this presentation you will discover:
2 - Ways to determine you have nail fungus
4 - Mistakes to avoid when treating nail fungus
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Plantar fasciitis presentation
This document discusses plantar fasciitis, a common cause of heel pain. It begins by explaining that plantar fasciitis is pain in the heel and arch of the foot, especially upon waking or with the first steps of the day. It then covers the typical symptoms of plantar fasciitis such as heel pain that is worst with the first steps and located inside the arch or central heel. The document discusses that plantar fasciitis is often caused by activities like running that put too much stress on the feet too quickly, hard surfaces, or old shoes without proper support. It concludes by outlining common treatment options for plantar fasciitis that can be done at home or in the doctor's office, such
Comprehensive Diabetic Foot Examination
Presentation of information for a comprehensive diabetic foot examination that is used in conjunction with the exam. Healthcare guide to diabetes and your feet can be obtained at www.drpelto.com
Emergency room presentation - Donald Pelto, DPM
This document lists common types of foot and ankle injuries seen in emergency rooms, including fractures of the toes (phalanges and sesamoids), metatarsals, navicular, calcaneus, talus, and injuries to the Achilles tendon. It provides an overview of the different bone fractures and soft tissue injuries that podiatrist Donald Pelto treats at his practice in Worcester, MA.
Pies Sanos Con Diabetes
El documento proporciona información sobre el cuidado de los pies en pacientes con diabetes. Detalla varias condiciones dermatológicas y musculoesqueléticas comunes en los pies de pacientes diabéticos como úlceras, callos, deformidades y fracturas. También describe tratamientos como desbridamiento de heridas, calzado terapéutico, inyecciones de esteroides y cirugía para estas afecciones. El objetivo es ayudar a los pacientes diabéticos a mantener sus pies saludables y prevenir complicaciones.
Unimed Presentation - Dr. Donald Pelto
1. Diabetic foot ulcers are a common complication of diabetes, with an annual incidence of 1-4% and lifetime risk of 15-25%. Approximately 15% of diabetic foot ulcers result in lower extremity amputation.
2. Peripheral neuropathy is a major contributing factor in diabetic foot ulcers. The costs to treat a diabetic foot ulcer over a 2 year period following detection can be significant.
3. Five-year mortality rates for diabetes-related wounds and amputations are worse than some forms of cancer. Comprehensive diabetic foot examinations and appropriate footwear can help prevent ulcers.
Running without pain
Running form is key to avoiding foot pain. Maintaining a stable pelvis through engaged abdominal muscles prevents the upper body from leaning forward and reduces stress on the feet. Allowing the foot to land underneath the body in-line with proper form keeps the foot from overpronating and the toes from gripping the ground, avoiding injuries.
Amputation Prevention
Educational presentation on preventing amputations in patients with diabetes, neuropathy and peripheral vascular disease.
Common Foot Problems - Donald Pelto, DPM
This document discusses common foot problems and their treatments. It covers issues like plantar fasciitis, ingrown toenails, bunions, hammertoes, Morton's neuroma, and plantar warts. For each problem, it describes symptoms, causes, diagnosis methods, and potential home, office-based, and surgical treatments. It aims to inform readers about these foot conditions and help them better understand and manage their symptoms.
Diabetic Foot Lecture 2010
The document discusses current treatments and advanced therapies for diabetic foot complications, outlining risk factors like neuropathy and vascular issues that can lead to foot ulcers, and describing approaches to managing dermatological issues, nerve damage, musculoskeletal problems, vascular challenges, and proper shoegear through treatments like VAC therapy, debridement, dermal substitutes, revascularization, and diabetic footwear modifications.
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Dr. Donald Pelto discusses advances in preventing amputations for those with diabetes, noting that skin, nerves, bones, and blood vessels can be impacted. New treatments help wounds heal through synthetic skin substitutes, platelet-rich plasma therapy, and nail treatments. Advances also aid neuropathic feet through nerve fiber density tests, help manage Charcot foot through walking boots and surgery, and improve blood flow using devices like Silverhawk. Proper shoes, socks, and avoiding slippers can further reduce amputation risk.
Diagnosis and management by PCPs of simple podiatric problems
This document summarizes common podiatric issues that primary care physicians may diagnose and manage. It outlines treatments for conditions such as plantar fasciitis, flat feet, Morton's neuroma, bunions, callouses, athlete's foot, ingrown nails and diabetic foot ulcers. Evaluation and management may involve debridement, padding, orthotics, steroid injections, antibiotics, antifungals and wound care. Therapeutic shoes are recommended for diabetics with risk factors for foot ulcers.
Diabetic foot lecture 2010
The document discusses diabetic foot complications, including:
1) Diabetic foot ulcers affect 1-4% of diabetics annually and have a 15-25% lifetime risk, with 15% resulting in lower extremity amputation.
2) Risk factors for diabetic foot ulcers include peripheral neuropathy, a major contributing factor. Comprehensive foot exams assess dermatological, nerve, osseous, and vascular risks.
3) Current treatments include addressing dry skin, fungal infections, calluses, ulcers, and more through debridement, dressings, offloading, and advanced therapies like skin grafts and platelet-rich plasma.
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