We Support The Free Share of the Medical Information

TACTICAL MEDICINE TACMED España

TACTICAL MEDICINE TACMED España
by EMS SOLUTIONS INTERNATIONAL

NIVEL DE ALERTA ANITERRORISTA, España

Facebook EMS SOLUTIONS INTERNATIONAL

jueves, 28 de enero de 2016

¿Por qué algunas personas enferman tras volar en avión?

¿Por qué algunas personas enferman tras volar en avión? 

Según un estudio que acaba de publicar la Fundación Nacional de Ciencia de Suiza, la disminución de la cantidad de oxígeno del aire que respiramos, común en zonas de alta montaña y durante viajes en avión, puede potenciar la inflamación del tracto intestinal en ciertas personas, de manera que en el mes que sigue a un vuelo son más propensas a padecer una enfermedad inflamatoria intestinal. 

Tradicionalmente, los pacientes que habían detectado esta asociación entre viajar en avión y sufrir dolencias intestinales lo achacaban al estrés del viaje o a infecciones contraidas al viajar a destinos exóticos o desconocidos. Pero Stephan R. Vavricka y sus colegas han demostrado que es la falta de oxígeno a 2.500 o más metros por encima del nivel del mar la que provoca la inflamación del tejido digestivo. Sus conclusiones se han publicado en la revista especializada Journal of Crohn's and Colitis


Fuente: Muy Interesante

jueves, 21 de enero de 2016

First Response and Autism By On the Scene and Informed PDF for EMS

First Response and Autism By On the Scene and Informed PDF for EMS 

First Response and Autism By On the Scene and Informed PDF for EMS



On the Scene and Informed: Autism Information for First Responders

Austim Information for First Responders Publication Thumbnail
If you are a first responder, chances are very good that you will respond to an emergency situation involving someone with an ASD. As you prepare to meet the needs of your community residents, it will be essential to understand what autism is, recognize what is really happening in a situation involving someone with an ASD, and understand how to modify response techniques to avoid unfortunate and unnecessary outcomes.
_______________________________________
Publication Year: 
2013
Publisher: 
OPWDD



Link to download the document in PDF for free 


Autismo

Kaylien, Directed by Zoe Saldana - Zoe Saldana



Dr. Ramon Reyes Diaz, MD in Facebook 

miércoles, 20 de enero de 2016

Radically Invasive Projectile (R.I.P.) "Bala más mortal del mundo"… ESTO es lo que hace. ¡ATERRADOR!

The G2 Research: Radically Invasive Projectile (R.I.P) redefines State of The Art in personal defense ammunition. Visit our website @ www.g2rammo.com


The G2 Research: Radically Invasive Projectile (R.I.P) redefines State of The Art in personal defense ammunition. Visit our website @ www.g2rammo.com


Radically Invasive Projectile (R.I.P.)



Guidelines for the Treatment of Malaria, 3rd edition. By World Health Organization WHO 2015

Guidelines for the Treatment of Malaria, 3rd edition. By World Health Organization WHO 2015 

Edición en español en el enlace

Geneva: World Health Organization.
ISBN-13: 978-92-4-154912-7

martes, 19 de enero de 2016

AIR AMBULANCE TAIWAN AIR FORCE. video

AIR AMBULANCE TAIWAN AIR FORCE. video

AIR AMBULANCE TAIWAN AIR FORCE. video
S-70C helicopter

AIR AMBULANCE TAIWAN AIR FORCE. video


AIR AMBULANCE TAIWAN AIR FORCE. video


Air Heroes 2: Accidents fuel dedication to rescue work

Zambulance Especial Ambulance. Zambia


Zambulance


What is a Zambulance?
The Zambulance is an affordable transport option for remote areas in developing countries.
In several developing countries, people die from treatable diseases simply because they cannot reach health centers when they need it most.  Bicycle ambulances are a proven solution to this transport barrier in remote areas where current methods of transport are insufficient in speed, safety, cost, or availability. Since July 2005, Jessica Vechakul has been collaborating with Disacare Wheelchair Center in Lusaka to develop the Zambulance,  a bicycle ambulance that can be locally produced from common steel and bicycle components.
The Zambian Ministry of Health and the WHO have ordered over 50 Zambulances for health centers all over Zambia.  Independent home-based care and hospice programs have also orderedZambulances.  Within one month, over 50 patients were transport between home and health centers by a single Zambulance. Given the versatility of the Zambulances for people of all ages and health conditions, it has the potential to be a live-saving technology worldwide. 
StatCounter - Free Web Tracker and Counter



trailerThe Stretcher:
To facillitate transport of the patient through narrow passages, the stretcher is removable from the trailer.  The body of the stretcher is made from sheet metal because it is more durable and easier to clean than high-quality fabrics. The sheet metal’s inherent flexibility also provides suspension.  A larger chain secures the angle of recline of the backrest in place once the angle of recline is adjusted. A canopy  frame made out of rebar is welded to the stretcher’s backrest to provide a frame for a waterproof canvas to be strapped on as rain and sun protection for the patient.

The Trailer:
A hand tow bar, made out of rebar, allows for easy steering when the bicycle is not attached.  Sheet metal mudguards and fenders protect the patient from debris and the trailer wheels.  The low center of gravity makes this trailer more stable and safer.  The trailer can also be sold separately with a cargo box to transport goods.
stretcher

hitchThe Bicycle Clamp and Hitch:
The hitch attaches the trailer near the bicycle’s rear axle by clamping onto the seat stay and chain stay.  The bicycle clamp is made only using welded angle iron, flat bar, nuts and bolts.  This simple bicycle hitch can accommodate for slightly different angles between the chain stay and seat stay of common bicycles. The nut and bolt hitch is a univeral joint, allowing for three axes of rotation: pitch, roll, and yaw.  Thus, the ambulance can travel on highly uneven terrain without off-balancing the rider or tipping the trailer. 

If you download any of the materials on this site, please e-mail your name, mailing address, phone number, and information about your group to the e-mail address shown above. Any feedback or information about modifications or specific needs are encouraged.
We would greatly appreciate it if you could fill in the Community Surveys and Record Book and send it back to us so we can keep track of how the Zambulance is used.
Production Manual: detailed engineering drawings and instructions on how to make a Zambulance
New Chain Hook Design: this feature was updated since the creation of the production manual
New Hitch Design: this feature was updated since the creation of the production manual
Record Book: charts for keeping track of the Zambulance's use and maintainence needs
User Manual: pictures and instructions about how to use and maintain the Zambulance
Community Surveys: questions for the health center, patient, and care takers to obtain feedback
Management Committee: recommended organization structure for managing the Zambulance use

Design of Bicycle Ambulances for Zambia: Jessica Vechakul's MIT masters thesis describes reasons for design decisions.

ARCHIVES
OLD Record Book: charts for keeping track of the Zambulance's use and maintainence needs
OLD User Manual: pictures and instructions about how to use and maintain the Zambulance

StatCounter - Free Web Tracker and Counter
 Jessica Vechakul is currently a Mechanical Engineering graduate student at MIT. She has worked on several appropriate technology projects. Please see her resume for details.
The following programs and classes at MIT have helped to shape Jessica's path in Develepment:
D-lab is a series of undergraduate courses offered at MIT to teach students about development.
University to University (U2U) is a partnership that allows students from MIT, Harvard, and the University of Zambia to work together on development projects.
IDEAS is a design competition that encourages innovative projects that make a positive impact on the world. Jessica's team won an IDEAS prize in 2005 with the bicilavadora, or pedal-powered washing machine.
MIT's Public Service Center (PSC) provides support and opportunities for MIT students to do community service.
StatCounter - Free Web Tracker and CounterStatCounter - Free Web Tracker and Counter

sábado, 16 de enero de 2016

República Dominicana registra cada hora y 22 minutos un accidente con víctimas

República Dominicana registra cada hora y 22 minutos un accidente con víctimas

SD. En el 2014, cada una hora y 22 minutos en la República Dominicana se produjo un accidente con víctimas de tráfico, donde en un 61% de los casos estuvo involucrada una motocicleta.
Mientras que en los casos que hubo víctimas mortales participaron en un 64%.
El promedio mensual de víctimas en motores alcanzó la cifra de 607 ese año, equivalente a una media de 100 motoristas fallecidos por mes, mientras que de lesionados alcanzaron 507.
El registró de víctimas tuvo un saldo de 7,278 en 5,583 siniestros, aunque se experimentó una disminución en el número de fallecidos de 0.3% respecto al año anterior.
La información está contenida en la nueva edición del libro “Indicadores de Siniestralidad Vial en República Dominicana”, que consiste en una investigación y análisis de la seguridad vial en el país, elaborado por Mario Holguín y Hugo Beras, durante un acto encabezado por el Procurador General de la República, Francisco Domínguez Brito.
El indicador relativo a los lesionados cerró el 2014 con un valor de 128.37 heridos por cada 100,000 habitantes, 50.97% superior al 2013. Plantea que la tasa de mortalidad por siniestros viales en ese año se precipitó 1.35 fallecidos por cada 100,000 habitantes respecto al año anterior, al colocarse en 39.4 decesos por centenar de pobladores, sin alcanzar el valor del 2012. Establece que el riesgo de un vehículo estar envuelto en un siniestro en la red viaria aumentó un 4% en el 2014 con relación al 2013, alcanzando el valor de 300.03 por cada 100,000 vehículos.
El índice de motorización social decreció en el 2014 un 4% respecto al año anterior, de forma que actualmente la cifra es de 2.91 habitantes por vehículo frente a 3.03 en el 2013.
En cuanto a la totalidad de las motocicletas (1,803,328 unidades), el 56.5% tiene más de 20 años de uso, una relación que pudiera ser mucho mayor por la gran cantidad de motocicletas ilegales que transitan en el territorio nacional. En lo referente al parque vehicular del país, la DGII cerró el 2014 con un registro de 3,398,662 unidades, donde el 53.1% es de motocicletas.
Vías rápidas interurbanas
En las vías rápidas interurbanas del país se registraron 4,688 víctimas, la mayor cantidad en el 2014 que en cualquier otro tipo de infraestructura. El informe indica que, incluso, en parqueos residenciales se reportaron incidentes. De las 1855 muertes producidas en todo el territorio nacional, de acuerdo al subregistro de AMET, la localidad más afectada fue la Provincia Santo Domingo con 242 víctimas mortales. Sin embargo, el Distrito Nacional acumuló la mayor cantidad de víctimas (fallecidos + lesionados) por la misma causa al reportar un total de 3,687 afectados.

Fuente: Diariolibre.com

domingo, 10 de enero de 2016

¿Qué es Gogirl? / ¿Ya sabes qué es GoGirl? Conoce todo acerca de este dispositivo urinario femenino

¿Qué es Gogirl? / ¿Ya sabes qué es GoGirl? Conoce todo acerca de este dispositivo urinario femenino
¿Qué es Gogirl? / ¿Ya sabes qué es GoGirl? Conoce todo acerca de este dispositivo urinario femenino
GoGirl es un Dispositivo Urinario Femenino (DUF) que permite a las mujeres orinar de pie. GoGirl es una solución fácil, cómoda e higiénica para cuando no queda más remedio que utilizar uno de esos desagradables baños públicos, o simplemente no existen.

GoGirl es fácil de guardar en tu bolso, en un bolsillo o en la gaveta de tu auto. Es algo que debes tener para viajes o si practicas deportes; y es grandioso para todos los días –No vas a tener que volver a hacer piruetas en los baños públicos poco higiénicos.

Aunque el concepto puede ser nuevo para ti, miles de mujeres alrededor del mundo han usado estos dispositivos urinarios por años. GoGirl está hecho con silicona médica hipoalergénica y flexible que permite una perfecta adaptación al cuerpo, una gran facilidad de limpieza y una gran durabilidad. Puedes deshacerte de él después de usarlo o limpiarlo y reutilizarlo cuantas veces quieras. Luego de practicar un par de veces vas a sentir usar GoGirl como algo natural.



¿Qué es Gogirl? / ¿Ya sabes qué es GoGirl? Conoce todo acerca de este dispositivo urinario femenino

¿Qué es Gogirl? / ¿Ya sabes qué es GoGirl? Conoce todo acerca de este dispositivo urinario femenino

¿Qué es Gogirl? / ¿Ya sabes qué es GoGirl? Conoce todo acerca de este dispositivo urinario femenino

Animales más venenosos del mundo Nº 4 Acténida Brasileña



Acténida Brasileña, araña del banano, Phoneutria nigriventer
4. Acténida Brasileña: Posee el veneno más potente de todas las mordeduras de araña. Es tan grande que su pata mide 10 centímetros. Afortunadamente este arácnido tiene dificultades para inyectar el veneno al ser humano, por lo que causa pocas muertes.


Publicado por
DR. RAMON REYES DIAZ, MD, DMO, EMT
Skype drtolete
19543249506

sábado, 9 de enero de 2016

Statement is first to address cardiac arrest during pregnancy By AMERICAN HEART ASSOCIATION NEWS

Statement is first to address cardiac arrest during pregnancy  By AMERICAN HEART ASSOCIATION NEWS

Cardiac arrest can happen during pregnancy. And until now, there was no comprehensive statement defining the problem and outlining the many things women and their families, bystanders, emergency medical services professionals and emergency room medical staff need to know when a pregnant woman experiences this often deadly event.
The American Heart Association on Tuesday released the first comprehensive recommendations addressing the complicated issue of cardiac arrest during pregnancy. Thescientific statement was published in the AHA’s journalCirculation.
One thing that isn’t clear is how often it occurs. One study suggests that one in 12,000 pregnant women admitted for delivery in the U.S. experience cardiac arrest, the abrupt loss of heart function caused by a malfunction in the heart’s electrical system. But that number most likely underestimates the problem because it doesn’t include pregnant women who have a cardiac arrest outside of the hospital, according to the statement’s lead author Farida Mary Jeejeebhoy, M.D., a cardiologist at the University of Toronto and William Osler Health System in Brampton, Canada.
It appears cardiac arrest and other causes of death during pregnancy are on the rise and have been for decades, Jeejeebhoy said. A reason could be that, increasingly, women who have risk factors for heart disease are becoming pregnant. They’re older, might have diabetes, high blood pressure, obesity or high cholesterol.
“And women with more chronic health problems, such as chronic kidney disease, seizure disorders and lung disease (such as asthma) are entering into pregnancy,” Jeejeebhoy said. “It may not be the disease that puts the mother at risk, but rather the inadequate treatment of the underlying health problem because people are afraid to treat them because they’re pregnant.”
On top of existing health problems, there are potential pregnancy complications such as preeclampsia and gestational diabetes, which can make an already risky situation worse.
Given these complex issues, women with chronic health problems who become pregnant should ideally receive care at centers that specialize in high-risk pregnancy, Jeejeebhoy said.
In the U.S., the most common causes of maternal cardiac arrest include bleeding, heart failure, amniotic fluid embolism — when the fluid around the baby enters the mother’s bloodstream and causes an allergic reaction — and sepsis, a severe infection. Nearly six out of 10 pregnant women who have an in-hospital cardiac arrest survive, according to research.
There are steps bystanders can take to help pregnant women who go into cardiac arrest, according to the statement. The first is to call 911 and tell the operator that the woman in cardiac arrest is pregnant. This will alert the emergency medical system to take special measures such as sending additional EMS providers and taking the patient to a hospital that can perform an emergency C-section if necessary.
The next step is to start CPR, with chest compressions performed in the same way as for a woman who’s not pregnant, pushing hard and fast at the center of the chest at a rate of at least 100 compressions per minute. CPR in a pregnant woman should be done in cycles of 30 compressions and two breaths.
It is also safe to use an automated external defibrillator, or AED, if one is available.
Bystanders should not be afraid they might hurt the unborn baby, Jeejeebhoy said.
“Shock from a defibrillator and chest compressions will not harm the fetus,” she said. “The fetus will likely not survive if the mother does not receive these life-saving measures.”
If revived, the pregnant woman should be placed on her left side to improve blood flow to the heart and therefore to the fetus.
The statement also provides detailed recommendations for the various levels of care that a pregnant woman and newborn receive from EMS and hospital staff.
Women who have chronic health problems or underlying illnesses should be counseled about the risks of pregnancy before becoming pregnant, according to the statement. Those at risk who become pregnant should receive care from specialists in obstetric medicine.
The statement also provides an early-warning score chart for healthcare providers that can predict when a pregnant patient might have a cardiac arrest.
“It is very important that all hospitals have a response plan for cardiac arrest in pregnancy,” she said. “We need specialized training programs for the management of cardiac arrest in pregnancy. These [management programs] are only available few and far between.”


Maternal Deaths
Pregnancy-related death rates rose in the U.S. during the past several decades, from 7.2 deaths per 100,000 live births in 1987 to 17.8 deaths per 100,000 births in 2011. Although the reason for the overall increase is unclear, research shows an increasing number of pregnant women have conditions such as high blood pressure, diabetes and chronic heart disease, putting them at higher risk for complications.
Maternal deaths per 100,000 live births
  • 1987 – 7.2 deaths
  • 1988 – 9.4 deaths
  • 1989 – 9.8 deaths
  • 1990 – 10 deaths
  • 1991 – 10.3 deaths
  • 1992 – 10.8 deaths
  • 1993 – 11.1 deaths
  • 1994 – 12.9 deaths
  • 1995 – 11.3 deaths
  • 1996 – 11.3 deaths
  • 1997 – 12.9 deaths
  • 1998 – 12 deaths
  • 1999 – 13.2 deaths
  • 2000 – 14.5 deaths
  • 2001 – 14.7 deaths
  • 2002 – 14.1 deaths
  • 2003 – 16.8 deaths
  • 2004 – 15.2 deaths
  • 2005 – 15.4 deaths
  • 2006 – 15.7 deaths
  • 2007 – 14.5 deaths
  • 2008 – 15.5 deaths
  • 2009 – 17.8 deaths
  • 2010 – 16.7 deaths
  • 2011 – 17.8 deaths
In 2011, cardiovascular disease accounted for the highest percentage of pregnancy-related deaths.
  • Cardiovascular disease – 15.1%
  • Non-cardiovascular disease – 14.1%
  • Infection/sepsis – 14%
  • Hemorrhage – 11.3%
  • Cardiomyopathy – 10.1%
  • Thrombotic pulmonary embolism – 9.8%
  • Hypertensive disorder of pregnancy – 8.4%
  • Amniotic fluid embolism – 5.6%
  • Cerebrovascular accident – 5.4%
  • Anesthesia complications – 0.3%
Source: Centers for Disease Control and Prevention
http://blog.heart.org/statement-is-first-to-address-cardiac-arrest-during-pregnancy/