VISITAS RECIENTES

AUTISMO TEA PDF

AUTISMO TEA PDF
TRASTORNO ESPECTRO AUTISMO y URGENCIAS PDF

We Support The Free Share of the Medical Information

Enlaces PDF por Temas

Nota Importante

Aunque pueda contener afirmaciones, datos o apuntes procedentes de instituciones o profesionales sanitarios, la información contenida en el blog EMS Solutions International está editada y elaborada por profesionales de la salud. Recomendamos al lector que cualquier duda relacionada con la salud sea consultada con un profesional del ámbito sanitario. by Dr. Ramon REYES, MD

Niveles de Alerta Antiterrorista en España. Nivel Actual 4 de 5.

Niveles de Alerta Antiterrorista en España. Nivel Actual 4 de 5.
Fuente Ministerio de Interior de España

viernes, 9 de junio de 2023

CURSO GRATUITO: Comunicación de crisis relacionada con la seguridad de las vacunas y de la vacunación: orientaciones técnicas by OPS/PAHO

 


Comunicación de crisis relacionada con la seguridad de las vacunas y de la vacunación: orientaciones técnicas

Entrar para crear cuenta para hacer el curso de forma gratuita


Introducción al Curso

Las crisis relacionadas con las vacunas y la vacunación requieren una respuesta de comunicación diferente a las estrategias comunicacionales para promover los beneficios y la importancia de las vacunas en general. Este curso presenta las orientaciones técnicas necesarias para desarrollar un plan de comunicación adecuado para manejar las crisis relacionadas con la seguridad de las vacunas y de la vacunación. Estas orientaciones les serán útiles a los actores relevantes de nivel gerencial en el área de la inmunización y de la seguridad de las vacunas y la vacunación. Y también servirán a los equipos de preparación y respuesta a dichas crisis de seguridad para optimizar el desarrollo de planes comunicacionales que ayuden a recuperar, mantener o fortalecer la confianza en las vacunas, la vacunación y el programa de inmunizaciones en general. Los diferentes módulos recogen una fase (preparación, implementación y evaluación) con acciones sugeridas y herramientas de apoyo para preparar, implementar y evaluar una respuesta comunicacional a la crisis.

Propósito

Describir orientaciones técnicas que doten a los profesionales de la teoría y los pasos necesarios para desarrollar un plan de comunicación adecuado para manejar las crisis relacionadas con la seguridad de las vacunas y de la vacunación,

Objetivos

Identificar una crisis relacionada con una vacuna o la vacunación.

Reconocer las diferentes etapas del abordaje de la crisis para desarrollar una estrategia de comunicación adecuada.

Destinatarios

El curso está dirigido a:

gestores y profesionales de salud en los ministerios de salud y los programas ampliados de inmunización que son responsables por la respuesta comunicacional de situaciones de crisis en relación a la seguridad de las vacunas y la vacunación.

trabajadores de los ministerios de salud o programas ampliados de inmunizaciones en la región.

Modalidad del Curso

El curso está abierto y disponible en el Campus Virtual de Salud Pública (CVSP) de la OPS/OMS. Al tratarse de un curso de autoaprendizaje, los participantes pueden regular sus tiempos y momentos de dedicación. Se considera un tiempo estimado de 30 minutos por módulo, dependiendo del nivel de conocimiento del participante sobre los ESAVI. 

Número de horas que certifica el curso

Se requiere un estimado de 2 horas para completar el curso.

Estructura del Curso

Clip Introductorio:

Módulo 1: Fase de preparación.

Módulo 2: Fase de Implementación: ¿Cómo responder a una crisis?

Módulo 3: Fase de Evaluación: ¿Cómo evaluar la respuesta a una crisis?

Módulo 4: Resumen: las diferentes fases ante una comunicación de crisis.

Evaluación y Certificación

Al finalizar los cinco módulos, los participantes deberán realizar el examen final, que consiste en un cuestionario de 15 preguntas de opción múltiple. El Examen final está diseñado para ofrecer a los participantes múltiples oportunidades de responder correctamente hasta que obtengan la puntuación necesaria de al menos un 70%.

Para obtener el certificado de aprobación, el participante debe reunir los siguientes requerimientos:

Conocer el contenido de todos los módulos

Completar los ejercicios satisfactoriamente

Aprobar el Examen final

Los participantes que satisfagan estos requisitos y completen la encuesta de calidad del Campus Virtual de Salud Pública (CVSP) podrán descargar su certificado de aprobación del curso expedido por la Organización Panamericana de la Salud.

ENTRAR AL CURSO

Última actualización: 05/Ene/2023

martes, 6 de junio de 2023

Dia Internacional del Paramédico (Técnico en Emergencias Medicas/Sanitarias) International Day of the Paramedic (Emergency Medical/Health Technician). 8 junio 2023

¿Eres paramédico? Si es así, ¡nos encantaría saber más sobre quién eres, qué haces y dónde lo haces!


Estamos recopilando estudios de casos que muestran la diversidad de funciones de los paramédicos para respaldar nuestro tema para 2023 #WhatParamedicsDo.


Internacional del Paramédico (Técnico en Emergencias Medicas/Sanitarias) International Day of the Paramedic (Emergency Medical/Health Technician). 8 junio 2023

Si desea participar, todo lo que necesita hacer es descargar y completar nuestro breve formulario de estudio de caso y enviárnoslo, junto con su foto. Estos estudios de casos pueden estar en formato escrito o de video, lo que más le convenga. Encontrará el formulario aquí:

 Are you a paramedic? If so, we’d love to hear more about who you are, what you do and where you do it!


We are collating case studies which showcase the diversity of paramedic roles to support our theme for 2023 #WhatParamedicsDo.


If you’d like to take part, all you need to do is download and complete our short case study form and submit it to us, together with your photo. These case studies can be in a written or video format – whatever suits you best. You’ll find the form here:

www.internationalparamedicsday.com/case-studies

www.internationalparamedicsday.com/case-studies

lunes, 5 de junio de 2023

PROLONGED CASUALTY CARE WORKING GROUP CONSENSUS STATEMENT

PROLONGED CASUALTY CARE WORKING GROUP CONSENSUS STATEMENT



DOWNLOAD pdf 

MARC2

H3-PAWS-L

Massive Hemorrhage/MASCAL

Airway

Respirations

Circulation

Communication

Hypothermia/Hyperthermia

Head Injury

Pain Control

Antibiotics

Wounds (+ Nursing/Burns)

Splints

Logistics


MARC2

H3-PATAS-L

Hemorragia masiva/MASCAL

Vías respiratorias

Respiraciones

Circulación

Comunicación

Hipotermia/Hipertermia

Lesión craneal

Control de dolor

antibióticos

Heridas (+ Enfermería/Quemados)

férulas

Logística

Please Read...

The Prolonged Casualty Care (PCC) guideline
http://emssolutionsint.blogspot.com/2022/01/the-prolonged-casualty-care-pcc.html

Conjuntos de habilidades de TCCC por nivel de competencias/ TCCC Skill Sets by Responder Level TACTICAL COMBAT CASUALTY CARE
http://emssolutionsint.blogspot.com/2022/06/conjuntos-de-habilidades-de-tccc-por.html

Curso TCC-LEFR Tactical Casualty Care for Law Enforcement First Responders by Dr. Peter Pons, MD Marca Registrada en EUA
https://emssolutionsint.blogspot.com/2017/09/curso-tcc-lefr-tactical-casualty-care_4.html

domingo, 4 de junio de 2023

HELICOPTER COURSE. HELIKOPTERKURS by International SOS



HELICOPTER COURSE

15.06.2023 | 9:00 - 15:00 | Kokstadflaten 31, 4th floor, Kokstad

Many people experience uneasiness, discomfort or worries when flying a helicopter to and from work in the North Sea. International SOS has developed a helicopter course to help offshore workers master the helicopter ride better.

The course is led by both an experienced helicopter pilot and a psychologist. During the course, you will learn about helicopters, helicopter flying and how air traffic is organised.

You will also learn about your own reactions and get concrete coping strategies to get a better experience of the helicopter ride.

The course itself is suitable for everyone, including those who want to gain more knowledge about helicopter flying and psychological coping strategies.


Price per participant NOK 7,990

To participate in the course at Kokstad on 15 June, please register below.

There are few places available, so don't wait too long to sign up.

Welcome to the course!

For more information about the course, please click here or contact Kristin Hammerstad

or Tone Brekke Karlsen


Official WEB

PDF 


HELIKOPTERKURS

15.06.2023 | 9:00 - 15:00 | Kokstadflaten 31, 4.etg, Kokstad


Mange opplever uro, ubehag eller bekymringer når de skal fly helikopter til og fra jobb i Nordsjøen. International SOS har utviklet et helikopterkurs som skal hjelpe offshorearbeidere å mestre helikopterturen bedre.


Kurset ledes av både en erfaren helikopterpilot og en psykolog. I løpet av kurset vil du lære om helikopter, helikopterflyging og hvordan lufttrafikken er organisert. 


Du vil også lære om egne reaksjoner og få konkrete mestringsstrategier for å få en bedre opplevelse av helikopterturen. 


Selve kurset passer alle, også de som ønsker å få mer kunnskap om helikopterflyging og psykologiske mestringsstrategier.


Pris per deltaker 7990,- 

For å delta på kurset på Kokstad den 15. juni, vennligst registrer deg under. 

Det er få tilgjengelige plasser så ikke vent for lenge med påmelding. 

Vel møtt til kurs! 

For mer informasjon om kurset, vennligst klikk her eller kontakt Kristin Hammerstad

eller Tone Brekke Karlsen



sábado, 3 de junio de 2023

Administración de Medicamentos, dosificación correcta

 


#ImagenDelDíaMSP | La cantidad de insulina de la izquierda es de 2 unidades y es necesaria cuando una persona con diabetes tipo 1 ingiere alrededor de 30 gramos de carbohidratos. La cantidad de insulina a la derecha es de 10 unidades y es suficiente para ser fatal en cuestión de 3 horas.


Ésta es la diferencia entre la vida y la muerte. No hay mucho margen de error, por lo que la dosificación correcta de insulina es muy importante.

Darle a un paciente demasiada insulina puede reducir demasiado el azúcar en la sangre y provocar niveles peligrosamente bajos de azúcar en la sangre, lo que puede causar convulsiones y coma, porque el cerebro depende principalmente de la glucosa (azúcar) en la sangre como combustible.

Crédito: Medicina Apasionante

#MSP: El lugar donde médicos, profesionales de la salud y pacientes pueden entrar. #MSPLíderesPioneros

#MSPLegadoQueInspira

McSwain Third Thursday Trauma Talk: Prehospital Blood: What You Should Know. Randi Schaefer, DNP, RN, ACNS-BC, CEN. Thursday, June 15th at 8:00pm CDT

 




McSwain Third Thursday

Trauma Talk


Randi Schaefer, DNP, RN, ACNS-BC, CEN

JUNE THIRD THURSDAY TRAUMA TALK

Topic: Prehospital Blood: What You Should Know


When: Thursday, June 15th at 8:00pm CDT (What is CDT Time? 


Where: Virtual on Zoom


Free of Charge


https://mcswaintraumaeducation.com/trauma-talks/


Randi Schaefer, DNP, RN, ACNS-BC, CEN
Dr. Randall M. Schaefer (Lieutenant Colonel, US Army, Retired), DNP, RN, ACNS-BC, CEN, served 20 years as an Emergency/Trauma Nurse in operational units and fixed facilities in clinical and staff officer roles. She deployed three times in support of Operation Iraqi Freedom and Operation Inherent Resolve. She implemented Walking Blood Banks and Prehospital Blood Programs during her deployments at the unit and strategic levels. In 2016, during her time at Ft Hood, her vigorous patient and clinician advocacy resulted in a hospital policy allowing for the storage of Emergency Release Blood Products in the Trauma Room for immediate use. This effort decreased the time from recognizing the need for an emergency blood transfusion to the time of the actual transfusion.

Upon retirement from Active Duty in 2017 until 2021, she worked at the Southwest Texas Regional Advisory Council (STRAC) as the Director of Research for the Combat Casualty Care Research Program (CCCRP) funded RemTORN grant. She was the program manager for developing and implementing the country’s first multi-institutional, multi-disciplinary Regional Whole Blood Program, comprised of 18 ground EMS agencies, ten helicopter EMS bases, and numerous hospitals throughout South Texas. She developed a comprehensive program onboarding process for EMS agencies as they navigated the process of carrying prehospital whole blood. She presented the work at over a dozen conferences, including EMS World, Special Operations Medical Association (SOMA), Air Medical Transport Association, and Military Health Systems Research Symposium (MHSRS). She is the lead author or co-author of ten publications regarding prehospital blood or low titer O-positive whole blood (LTOWB).

She is the CEO and Clinical Consultant of Schaefer Consulting, LLC. Her area of focus is taking her clinical and operational experiences to help improve patient outcomes and make life a little easier for the clinical staff still at the bedside.

Dr. Schaefer received her Bachelor of Science in Nursing from the University of San Francisco, her Master of Science in Nursing from Widener University, and her Doctor of Nursing Practice from the University of Texas Health-San Antonio. Her doctoral project collaborated with the San Antonio Fire Department, “Increasing prehospital transfusion rates in patients experiencing hemorrhagic shock: A quality improvement initiative.”


posted by Dr. Ramon Reyes, MD 


Please READ

viernes, 2 de junio de 2023

¿Por qué lloramos en los aviones, durante el vuelo?. Why do we cry on airplanes, during the flight?




Why do we cry on airplanes?
By Starre Vartan, CNN
Updated 11:34 PM EDT, Tue May 23, 2023

Video in link from CNN

Unlike just 25 years ago, it’s now hard to find someone who hasn’t been on a plane.

It’s a unique travel experience that human beings didn’t do in significant numbers until quite recently. So it’s no wonder it does some strange and unexpected things to us, including bringing us to tears.

The reporting is anecdotal, but there’s plenty of it: Virgin Atlantic even did a survey in 2011 that found “over half of respondents (55%) agreed their emotions become heightened when on a flight and 41% of men surveyed said they hid under blankets to hide their tears.”

When we fly, we are more likely to cry – but why?

Psychological factors
The first reason is simple: We bring ourselves with us. That includes the myriad mental-health issues we carry.

“At every age level, across genders, religions, races and backgrounds, many people have one of the baseline mental illnesses, from claustrophobia to agoraphobia, and other various manifestations of anxiety – they’re ubiquitous,” says Dr. Robert L. Quigley, senior vice president and regional medical director of International SOS & MedAire.

“The stresses of travel are enough to trigger anyone who has a baseline mental health challenge,” he says.

Travel psychology: Why do we visit the same places over and over again?
Few would argue that flying isn’t stressful: Getting to the airport in time, the intense scrutiny of security, then boarding the plane and ensuring you squeeze all your belongings and your body into small spaces – as quickly as possible – is a challenge.

If you’re traveling solo, you’re locked inside a small space with a group of strangers for the duration of your flight. These circumstances put many on edge.

And then there’s the reason for your travel. Did you just say goodbye to a loved one or are you flying to a job interview or a place you have never been to? All of these things are stressful for even the most even-keeled people. Add in even a mild anxiety problem (anxiety is the most common mental illness, affecting almost 20% of the population) and it doesn’t seem so curious why people might find themselves in tears once aloft.

The physical part
Planes are also particular – and often, particularly uncomfortable – environments.

The ever-smaller seats and minimized legroom doesn’t just lead to painful hips and knees.

“The smaller seating arrangement increases anxiety – your basic physical boundaries are encroached,” says Dr. Jodi De Luca, a Colorado-based licensed clinical psychologist and expert on altitude and emotions.

“It’s not comforting to fly anymore. Our basic needs – food and drink, blankets and pillows, aren’t provided for. You’re even limited to how much you can bring on-board to comfort yourself,” she adds.

And then there’s the cabin pressure, usually maintained at a level of 5,000-8,000 feet, which can have very real physical effects, depending on the person.

Innovative aviation ideas shortlisted for 2023's Crystal Cabin Awards
“There’s a plethora of evidence that you go into a relative state of hypoxia [oxygen deficiency] when you’re in flight,” said Quigley.

The affects, she says, may not be realized by passengers.

“One person might feel weepy, another sleepy – hypoxia affects people in different ways. There may even be hormones triggered by hypoxia – it’s all idiosyncratic.”

Add these inputs together and it not surprising we cry at 36,000 feet. We feel physically weird, we have little control over our circumstances, and we may feel vulnerable.

Feeling this way, we might turn to in-flight movies, but anyone who has cried over a terrible rom-com – yes, that was me sniffling along to “How to Lose a Guy in 10 Days” – knows that sometimes media can work against reducing emotional feelings.

“There’s something special about crying on board an airplane,” says Stephen Groening, Professor of Cinema and Media at the University of Washington in Seattle, who has studied how inflight entertainment might have unique effects on travelers.

In a study on the subject, Crying while Flying: The Intimacy of Inflight Entertainment, he posits that “the technological apparatus of inflight entertainment generates a culture of intimacy [by creating] a relationship of extreme proximity between passenger and media form.”

Groening thinks it might be the combination of stressors and the closeness of the media that conspire to bring us to tears.

The role of alcohol
What goes better with a film than a glass of wine? Alcohol may help reduce the anxiety of flying for some people, but it can also have a host of negative effects: It can exacerbate dehydration, which is already affecting most travelers due to the cabin pressure.

The physical and psychological effects of drinking plus cabin pressure are additive, says Quigley. So if you quaff a cocktail while flying, the two can exacerbate each other.

“Alcohol can make you more emotional – so can hypoxia,” says Quigley.

DeLuca doesn’t advise drinking while flying and points out that it’s dangerous to combine medication for anxiety with alcohol.

“You can go into respiratory failure,” she says.

Flight attendants share their air travel secrets
So what can you do if you feel emotional when you fly? One option is just to cry it out, as long as you can do so without upsetting other passengers. Everyone cries differently, it may be that you can shed tears in a private way.

But keep in mind that you are in public, says De Luca. She advises travelers to consider their own well-being as well as the others around them. So if you feel tears coming on, consider finding a private place to cry (which she admits is a challenge on most planes).

To avoid the tears, “If you are traveling with someone, talk your feelings out,” De Luca advises as a first line of defense. If you are solo, she suggests distracting yourself, “So the brain is forced to think instead of feel – do a crossword or Soduku, play a video game or play mental games using the alphabet.”

Here's the real reason to turn on airplane mode when you fly
Some find meditation podcasts – Insight Timer and Tara Brach offer dozens for free – helpful for calming and relaxing a racing or emotional mind.

Self-regulate what you are watching or listening to, and avoid media that would normally make you feel emotional, De Luca suggests.

That’s easier than ever – and may even change how often crying while flying happens.

“The thing that has changed about inflight entertainment is that people are bringing their own devices on board more often now. So we may see a decline in crying on board because people are choosing what to bring on a plane,” rather than selecting from pre-chosen options, says Groening.

Some are skeptical that people cry more at altitude.

Dr. Paul Wicks published a study that showed people cried at the same rate they did at home, and called the whole concept we cry more while flying a “pseudo-phenomena.”

Memory might be a play here too. We might also be that we remember the times we’ve cried on a plane better than other occasions we’ve shed tears.

“Crying by yourself isn’t memorable to you the way crying on a plane is,” said Groening.

Either way, it couldn’t hurt to pack extra tissues.

This story was originally published in 2019 and has been updated.


Dr Robert L. Quigley, Senior Vice President and Regional Medical Director of International SOS & MedAire, joined CNN to explain the reasons and triggers of why many cry while traveling.

Read more: https://okt.to/P5JgvY

#TravelTrends2023

Here's Why In-Flight Movies Make You Cry Like a Baby

TRAVEL
Here's Why In-Flight Movies Make You Cry Like a Baby
By Matt Meltzer
Published on 11/30/2017 at 10:00 PM

Turns out a lot of people cry more at in-flight movies
Fortunately for my sense of self-worth, I have company as a dude who goes to pieces over a Clint Eastwood movie. Virgin America conducted a highly scientific study on its Facebook page a few years back that found 41% of men admit to crying at movies on airplanes. And 55% of people admit feeling heightened (sorry) emotions while flying. In response, Virgin began including “emotional health warnings” before some particularly loaded films on their flights. Among those: Gran Torino.

Anecdotally, I found way more people than expected experienced the same thing.

“Once during Mamma Mia!, I began sobbing uncontrollably loud, and was convinced the turkey sandwich I was eating had listeria,” says Tara, an expectant mother at the time. “I began sobbing because I thought I’d never get to sing songs to my daughter the way Meryl Streep was doing. I also once started crying during a Cheerios commercial on a flight, so I guess it doesn’t take much to set me off.”

Maybe you can chalk that one up to hormones. But this would not be the case for Kevin, a stocky 250-pound real estate broker who admitted to tearing up during a showing of Free Willy.

“I don’t know bro,” he tells me. “Free Willy is pretty emotional.”

A travel writer named Haley confides: “Two weeks ago I started bawling during Fast and the Furious 8. The guy next to me looked over and said, ‘You’ve gotta be kidding me’ and made fun of me for at least 10 minutes.”

Haley told of another time an older lady said she was too old to be crying at How to Train Your Dragon. Haley is 25.

“I ended up becoming friends with a couple because I was just straight-up ugly crying on a flight home from Australia,” Sonia, a hotel concierge, tells me. “They asked if I was OK and I told them, 'Yes, I’m just watching Moana.'"

A psychiatrist friend offers some insight, but not after his wife called him out for plane-crying at Inside Out and Monsters Inc.

“Being on an airplane means you’re traveling, and that often has some kind of sentimental value,” he says. “So if you think about it you are really primed to be more emotional. Traveling can increase oxytocin levels, especially when traveling with loved ones. It’s the same reason couples have more sex on vacation.”

Why you cry like a baby
Jason Hoffman/Thrillist
The stress of flying fries your nerves
Nobody flying economy class in 2017 will describe air travel as “fun.” Even with TSA Precheck and Group 1 boarding, the stress of flying can grind down anyone’s emotional stability.

“By the time you sit down you’ve probably been stressed all day,” says Dr. Randi Mackintosh, a Tallahassee, Florida psychiatrist. “A lot has been building up. When you get up in the air, it might be the first time you’re realizing how the stress is impacting you.”

Between rushing through traffic, endless check-in lines, and the shuffle through TSA with a 45-pound duffel bag on your shoulder, just getting to a plane can put you at wits’ end. Sitting down and throwing on a mild animated feature might seem like a good way to decompress. But when Carl Fredricksen’s house starts lifting into the air, all that pent-up stress comes flying out through your tear ducts. And then you have to make up a lie to explain why daddy is welling up at Up!.

When Elijah Wolfson considered this question in an Atlantic essay, he noted the catharsis that simply settling into an airplane seat might represent. “You’ve finally reached the end of what was likely a full day of getting to the airport, and could have been weeks of preparing, or even years of an important life phase culminating in an end and new beginning,” he wrote. In a state like that, it’s no wonder a mushy-ass Cheerios commercial could tip an otherwise with-it person into a teary puddle.

The sky is a lonely place
Flying is kind of like the loneliness people describe while driving the 405 in LA: surrounded by people, but completely alone. Your seat becomes your own little universe, and because you have no distractions, you’re more apt to feel emotions you might not otherwise. With nothing to distract you, you’re completely engulfed in the movie and all the emotions it’s trying to elicit.

“Our feelings get neglected when we have distractions like work, catching up with friends, or email,” says Mackintosh. “Our distractions are minimized when flying and we’re forced to focus on the issues we’ve been dealing with or putting aside.”

Andy, an editor with an online publication, says emotions he doesn’t think about on the ground bloom when he’s watching movies in the air.

“If I’m going to see my family for the first time in a while, I‘ll be extra emotional already and shit sets me off,” he says. “Or if I miss my kid -- kid stuff gets me worked up.”

That solitude plays right into the hands of filmmakers. T.J. Martin, whose credits include one of the best documentaries of 2017 in LA 92 and the 2011 Oscar-winning documentary Undefeated, about a high school football team from the poor side of Memphis, says people tell him all the time they bawled their eyes out when they watched that film mid-flight.

“People on planes are listening on headphones,” he says. “For a filmmaker, that’s almost preferable to a theater because it creates such an immersive experience. I want to create a way to replicate the way I felt when I experienced something. The intention isn’t to make someone cry, necessarily. But in some cases, the isolation of being on a plane helps create that experience.”

For the record, right after Gran Torino I watched Undefeated. It did not end well for my last shreds of dignity.

Why you cry on a plane
Jason Hoffman/Thrillist

At 30,000 feet, there's nowhere to hide
Though that smug little curtain at the front of the cabin might suggest otherwise, when we fly, we are all equal. We’re just a couple of hundred people in a big flying tube completely at the mercy of pilots and physical laws. Which means no matter how tough or how rich you are, you have to take a temperature of your own mortality.

“Whoever we are on the ground is all stripped away,” Mackintosh says. “We’re in a vulnerable position up there, and even people who are comfortable flying have some concern. And when we’re vulnerable, all our emotions get heightened.”

Sheer altitude might also play a role. A 1988 study found that the decreased oxygen and mild hypoxia one experiences at altitudes has a severe effect on moods. The same triggers that lead to full-blown fights over seat-reclining. This can not only lead to slap fights over seat-reclining and heartfelt applause when a pilot makes a routine landing in a rainstorm. It can also lead to guiltless sobbing at The Big Sick.

The high of travel is over, and your brain is crashing
Travel is often done for emotional reasons. There are obvious ones, like seeing a long-distance romantic partner or family living thousands of miles away. But it can be as simple as a bachelor party or traveling to your alma mater for a football game. Or just the simple thrill of seeing somewhere new and experiencing different things.

The rush your brain gets from anticipating a trip, then living it, can throw your neurotransmitters out of whack, and getting on a plane home can be a massive letdown. It might not cause you to cry as soon as you board -- but then you see the toys hold hands as they slide hopelessly toward a fiery end in the final scenes of Toy Story 3. Forgive your exhausted brain for hitting the cry button.

Alcohol might play a part
Another thing about vacations: Sometimes we indulge in vices we don’t when we’re at home. That’s not to say that your weekend trip to Buffalo was a like a weekend at Andy Dick’s. It’s just saying that, maybe, possibly, you drank a little more on vacation than you do at home. Or may have indulged in other substances. Or connected with a stranger you’ll never see again. The hangovers, comedowns, and emotional voids that come with that can seriously mess with your brain, and make Seabiscuit winning a few bucks for degenerate gamblers seem like the most miraculous moment in cinema.

“Alcohol is a depressant, and the body reacts as if we’re depressed when we drink,” says Mackintosh. “So consuming a lot of it means you’re more likely to express a sad emotion, like crying.”

Even a couple of glasses of wine are enough to set you off, since alcohol can feel like it hits harder at altitude. We’re not going to preach to you about how much you should drink while flying, but if you don’t want to cry, maybe lay off the pinot grigio.

Not everyone gets all weepy at in-flight movies, and despite all the anecdotal evidence nobody has ever seriously studied the phenomenon. But if you think you’re weird the next time you’re flying from Atlanta to Phoenix and you start crying at the reprise of “Rainbow Connection” at the end of The Muppet Movie, know you’re not alone. Though that probably wouldn’t stop Walt Kowalski from calling you a sissy.

Sign up here for our daily Thrillist email and subscribe here for our YouTube channel to get your fix of the best in food/drink/fun.

Matt Meltzer is a contributing writer to Thrillist who has absolutely never cried at The Muppets. Except that once. Follow him on Instagram @meltrez1.

URGENCIAS PEDIATRIA Protocolos de Atención Pre-Hospitalaria pdf GRATIS 2017 by Osakidetza. España

URGENCIAS PEDIATRIA  Protocolos de Atencion PreHospitalaria pdf GRATIS 2017 by Osakidetza. España



DESCARGA










Mas temas de Pediatria en pdf 
http://emssolutionsint.blogspot.com/2018/07/pediatria.html





AED Automatic External Defibrillator . UN compacto, economico y seguro https://emssolutionsint.blogspot.com/2019/08/aed-automatic-external-defibrillator-un.html

DESCARGA MANUAL PDF en Español 

Dr Ramon REYES, MD,
Por favor compartir nuestras REDES SOCIALES @DrRamonReyesMD, así podremos llegar a mas personas y estos se beneficiarán de la disponibilidad de estos documentos, pdf, e-book, gratuitos y legales..

Grupo Biblioteca/PDFs gratis en Facebook

https://www.facebook.com/groups/PDFgratisMedicina #DrRamonReyesMD

Facebook
https://www.facebook.com/DrRamonReyesMD

Instagram
https://www.instagram.com/drramonreyesmd/

Pinterest
https://www.pinterest.es/DrRamonReyesMD/

LinkedIn
https://www.linkedin.com/in/drramonreyes/

Twitter
https://twitter.com/eeiispain

Blog
http://emssolutionsint.blogspot.com/2016/12/dr-ramon-reyes-diaz-md-emt-t-dmo.html

TELEGRAM
Group https://t.me/joinchat/GRsTvEHYjNLP8yc6gPXQ9Q