The document discusses snake bites and scorpion stings. It notes that snake bites are a common life-threatening occurrence in many countries, with 3-5 million victims and 50,000 deaths annually. Prompt medical treatment is vital for snake bites. Scorpion stings can also be serious, especially from certain species, causing symptoms like tachycardia, hypertension, and seizures. The document provides guidance on assessing and managing bites/stings, including identifying the species when possible, monitoring vital signs, administering antivenom if needed, and treating symptoms.
first aid in Insects bites and heat stroke.pptxanjalatchi
Most insect bites and stings are mild and can be treated at home. They might cause itching, swelling and stinging that go away in a day or two. Some bites or stings can transmit disease-causing bacteria, viruses or parasites. Stings from bees, yellow jackets, wasps, hornets and fire ants might cause a severe allergic reaction (anaphylaxis).
first aid in Insects bites and heat stroke.pptxanjalatchi
Most insect bites and stings are mild and can be treated at home. They might cause itching, swelling and stinging that go away in a day or two. Some bites or stings can transmit disease-causing bacteria, viruses or parasites. Stings from bees, yellow jackets, wasps, hornets and fire ants might cause a severe allergic reaction (anaphylaxis).
Injections, also known as shots, deliver liquid medications, fluids, or nutrients directly into a person’s body. A healthcare professional can use injections to administer vaccines and other types of medications into a person’s vein, muscle, skin, or bone.
First aid for patients with Wound, Hemorrhage.pptxanjalatchi
First aid is as easy as ABC – airway, breathing and CPR (cardiopulmonary resuscitation). In any situation, apply the DRSABCD Action Plan. DRSABCD stands for: Danger – always check the danger to you, any bystanders and then the injured or ill person.
Poisoning
Poison
Medicinal Poisoning
Environmental Poisoning
Factors Affecting Environmental poisoning
Drug Poisoning
Role of Pharmacist to Prevent Poisoning
Diagnosis
Treatment
Poisoning is a lethal disruption of body’s physilogical machanism by the induction of an exogenic biological or chemical agent.
A poison is any substance that is harmful to your body.
Poisons may include-
Prescription or over-the-counter medicines taken in doses that are too high
Overdoses of illegal drugs
Carbon monoxide from gas appliances
Household products, such as laundry powder or furniture polish
Pesticides
Indoor or outdoor plants
Metals such as lead and mercury
Injections, also known as shots, deliver liquid medications, fluids, or nutrients directly into a person’s body. A healthcare professional can use injections to administer vaccines and other types of medications into a person’s vein, muscle, skin, or bone.
First aid for patients with Wound, Hemorrhage.pptxanjalatchi
First aid is as easy as ABC – airway, breathing and CPR (cardiopulmonary resuscitation). In any situation, apply the DRSABCD Action Plan. DRSABCD stands for: Danger – always check the danger to you, any bystanders and then the injured or ill person.
Poisoning
Poison
Medicinal Poisoning
Environmental Poisoning
Factors Affecting Environmental poisoning
Drug Poisoning
Role of Pharmacist to Prevent Poisoning
Diagnosis
Treatment
Poisoning is a lethal disruption of body’s physilogical machanism by the induction of an exogenic biological or chemical agent.
A poison is any substance that is harmful to your body.
Poisons may include-
Prescription or over-the-counter medicines taken in doses that are too high
Overdoses of illegal drugs
Carbon monoxide from gas appliances
Household products, such as laundry powder or furniture polish
Pesticides
Indoor or outdoor plants
Metals such as lead and mercury
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
Follow us on: Pinterest
Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
5. Clinical features & assessment Friends and relatives will frequently bring the snake with the patient; it should be handled as little as possible since it may only be injured rather than dead. The amount of venom injected via a bite is highly variable, depending on the length of time since the snake last ate and on its aggression. The pattern of clinical features is shown in Figure 9.9. Snake venom detection kits are available in some countries. The venom is detected from a dry swab of the bite site using monoclonal antibody techniques. The 20-minute whole blood-clotting test is a useful bedside tool in remote areas; a 2-3 ml sample of venous blood from the victim is left undisturbed at ambient temperature for at least 20 minutes. The vessel containing the blood is then tipped once and may be compared with a normal control. If it has not clotted, there is haemostatic disturbance from systemic envenoming. All patients should have a full blood count, urea and electrolytes, liver function tests, creatine kinase, troponins and an ECG performed. Friends and relatives will frequently bring the snake with the patient; it should be handled as little as possible since it may only be injured rather than dead. The amount of venom injected via a bite is highly variable, depending on the length of time since the snake last ate and on its aggression. The pattern of clinical features is shown in Figure 9.9. Snake venom detection kits are available in some countries. The venom is detected from a dry swab of the bite site using monoclonal antibody techniques. The 20-minute whole blood-clotting test is a useful bedside tool in remote areas; a 2-3 ml sample of venous blood from the victim is left undisturbed at ambient temperature for at least 20 minutes. The vessel containing the blood is then tipped once and may be compared with a normal control. If it has not clotted, there is haemostatic disturbance from systemic envenoming. All patients should have a full blood count, urea and electrolytes, liver function tests, creatine kinase, troponins and an ECG performed. Friends and relatives will frequently bring the snake with the patient; it should be handled as little as possible since it may only be injured rather than dead. The amount of venom injected via a bite is highly variable, depending on the length of time since the snake last ate and on its aggression. The pattern of clinical features is shown in Figure 9.9. Snake venom detection kits are available in some countries. The venom is detected from a dry swab of the bite site using monoclonal antibody techniques. The 20-minute whole blood-clotting test is a useful bedside tool in remote areas; a 2-3 ml sample of venous blood from the victim is left undisturbed at ambient temperature for at least 20 minutes. The vessel containing the blood is then tipped once and may be compared with a normal control. If it has not clotted, there is haemostatic disturbance from systemic envenoming. All patients should have a full blood count, urea and electrolytes, liver function tests, creatine kinase, troponins and an ECG performed.
6. Clinical features & assessment Friends and relatives will frequently bring the snake with the patient; it should be handled as little as possible since it may only be injured rather than dead. The amount of venom injected via a bite is highly variable, depending on the length of time since the snake last ate and on its aggression. The pattern of clinical features is shown in Figure 9.9. Snake venom detection kits are available in some countries. The venom is detected from a dry swab of the bite site using monoclonal antibody techniques. The 20-minute whole blood-clotting test is a useful bedside tool in remote areas; a 2-3 ml sample of venous blood from the victim is left undisturbed at ambient temperature for at least 20 minutes. The vessel containing the blood is then tipped once and may be compared with a normal control. If it has not clotted, there is haemostatic disturbance from systemic envenoming. All patients should have a full blood count, urea and electrolytes, liver function tests, creatine kinase, troponins and an ECG performed. Friends and relatives will frequently bring the snake with the patient; it should be handled as little as possible since it may only be injured rather than dead. The amount of venom injected via a bite is highly variable, depending on the length of time since the snake last ate and on its aggression. The pattern of clinical features is shown in Figure 9.9. Snake venom detection kits are available in some countries. The venom is detected from a dry swab of the bite site using monoclonal antibody techniques. The 20-minute whole blood-clotting test is a useful bedside tool in remote areas; a 2-3 ml sample of venous blood from the victim is left undisturbed at ambient temperature for at least 20 minutes. The vessel containing the blood is then tipped once and may be compared with a normal control. If it has not clotted, there is haemostatic disturbance from systemic envenoming. All patients should have a full blood count, urea and electrolytes, liver function tests, creatine kinase, troponins and an ECG performed. Friends and relatives will frequently bring the snake with the patient; it should be handled as little as possible since it may only be injured rather than dead. The amount of venom injected via a bite is highly variable, depending on the length of time since the snake last ate and on its aggression. The pattern of clinical features is shown in Figure 9.9. Snake venom detection kits are available in some countries. The venom is detected from a dry swab of the bite site using monoclonal antibody techniques. The 20-minute whole blood-clotting test is a useful bedside tool in remote areas; a 2-3 ml sample of venous blood from the victim is left undisturbed at ambient temperature for at least 20 minutes. The vessel containing the blood is then tipped once and may be compared with a normal control. If it has not clotted, there is haemostatic disturbance from systemic envenoming. All patients should have a full blood count, urea and electrolytes, liver function tests, creatine kinase, troponins and an ECG performed.
22. Spidar venom: All spiders produce venom and are capable of biting humans. Although spider bites in general may be capable of producing allergic systemic reactions, only the bite of the Widow Spiders and the Recluse spiders produce serious wounds and may be be potentially life threatening.
27. Field Safety Awareness Insects [“Venomous Arthropods”, Public Health Pesticide Applicator Training Manual, University of Florida and American Mosquito Control Association, at http://vector.ifas.ufl.edu/ and “Forest Pests of North America: A Guide For Foresters in the South”, Terry S. Price, University of Georgia, Warnell School of Forest Resources at http://www.forestpests.org/publichealth/ ] Field Safety Awareness Fire Ants Fire ant stings appear initially as a red wheal attended by severe burning and itching. The wheal progresses to a clear blister, then to a cloudy necrotic pustule. Breaking the pustule offers the opportunity for secondary infection. Multiple Fire Ant Stings, Murray S. Blum, The University of Georgia, 0001006, University of Georgia Insect Images. Single Early Fire An,t Sting, Jerry A. Payne, USDA ARS, 0001001, University of Georgia Insect Images. Fire ant stings should always be washed with soap and water and treated with antihistamine and antibiotic creams to prevent itching & infection.
28. Field Safety Awareness Insects [“Venomous Arthropods”, Public Health Pesticide Applicator Training Manual, University of Florida and American Mosquito Control Association, at http://vector.ifas.ufl.edu/ and “Forest Pests of North America: A Guide For Foresters in the South”, Terry S. Price, University of Georgia, Warnell School of Forest Resources at http://www.forestpests.org/publichealth/ ] Field Safety Awareness Stinging Caterpillars Puss Caterpillar, Lacy L. Hyche, Auburn University, 1430162, University of Georgia Insect Images. Saddleback Caterpillar, Clemson University - USDA Cooperative Extension Slide Series, 1233068, University of Georgia Insect Images. Io Moth Caterpillar, Clemson University - USDA Cooperative Extension Slide Series, 1233031, University of Georgia Insect Images. White Marked Tussock Moth Caterpillar, John H. Ghent, USDA Forest Service, 0488007, University of Georgia Insect Images. Hag Moth Caterpillar, Jerry A. Payne, USDA ARS, 0001030, University of Georgia Insect Images. Spiny Oak Slug, Jerry A. Payne, USDA ARS, 1227101, University of Georgia Insect Images.
29. Key Point Review Stinging insects include bees, wasps, hornets, yellow jackets, fire ants, and stinging caterpillars. These stinging insects are present in areas where division officers must work on a regular basis. Stinging insects may be debilitating if multiple stings are received, or severe allergic and/or other systemic reactions may occur. Allergic reactions to insect stings may be fatal . Bee’s leave stingers in the wound. The stingers must be removed immediately to prevent additional venom from being pumped into the wound. Wasps, fire ants and caterpillars may sting repeatedly. Bee and wasp venom contains chemicals that cause strong allergic reactions and histamine production in the wound area. Fire ant toxin produces less histamine but greater necrotic effects.
30. Key Point Review A poultice or wet table salt applied to a bee or wasp sting is effective in preventing inflammation. Multiple stings should receive an application of wet table salt and immediate medical attention . All sting victims should be watched closely for signs of allergic and/or other systemic reactions. Obtain immediate medical assistance if systemic effects are noted. Biting flies include mosquitoes, tabanid flies and biting midges. Mosquitoes are ubiquitous & are implicated in the vector transmission of Eastern Equine Encephalitis, St. Louis Encephalitis, West Nile Virus and other diseases between animals and man.
31. Key Point Review Tabanid flies are blood-sucking nuisance insects that are also capable of transmitting diseases. The bites are painful and produce strong itching. Tabanid flies breed in moist soils with high organic contents. They include horse flies, deer flies, yellow flies, stable flies and similar insects. They are sometime so numerous that extraordinary physical protection is required to work in areas infested with tabanid flies. Wash tabanid fly bites with soap and water. Treat with anti-itch creams. Use insect repellants that contain DEET (N, N diethyl- m -toluamide) Tabanid flies are sometimes so numerous that extraordinary protective measures such as the use of “bee-keeper” netting, gloves w/taped sleeves, and pants tucked into boots are required to accomplish any effective work.
32. Key Point Review Biting midges are also known as “no-see-ums” or “sand gnats”. They are very small biting flies that breed in damp soils with lots of organic matter. Biting midges are often so numerous they can literally cover skin surfaces! The most effective biting midge bite prevention is effective clothing; long sleeves, pants legs, head gear, even gloves. Use of an insect repellant containing DEET is also necessary, but physical barriers are the most effective deterrent.