"Cough CPR". AHA position

The American Heart Association does not endorse "cough CPR," a coughing procedure widely publicized on the Internet. As noted in the 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care, “cough CPR” is not useful for unresponsive victims and should not be taught to lay rescuers.

During a sudden arrhythmia (abnormal heart rhythm), it may be possible for a conscious, responsive person to cough forcefully and repetitively to maintain enough blood flow to the brain to remain conscious for a few seconds until the arrhythmia is treated. Blood flow is maintained by increased pressure in the chest that occurs during forceful coughs. This has been mislabeled "cough CPR," although it's not a form of traditional resuscitation.

Why isn't "cough CPR" appropriate in CPR training courses? should not be taught in lay-rescuer CPR courses because it is generally not useful in the prehospital setting. In virtually all lay-rescuer CPR courses, the finding that signals an emergency is the victim's unresponsiveness. Unresponsive victims will not be able to perform "cough CPR."

Are there situations when "cough CPR" is appropriate?“Cough” CPR may be considered in settings such as the cardiac catheterization laboratory where patients are conscious and constantly monitored (for example, with an ECG machine). A nurse or physician is also present who can instruct and coach the patients to cough forcefully every one to three seconds during the initial seconds of a sudden arrhythmia. However, as this is not effective in all patients, it should not delay definitive treatment.

AHA Recommendation The best strategy is to be aware of the early warning signs for heart attack and cardiac arrest and respond to them by calling 9-1-1. If you're driving alone and you start having severe chest pain or discomfort that starts to spread into your arm and up into your jaw (the scenario presented in the Internet article), pull over and flag down another motorist for help or phone 9-1-1 on your mobile phone.

Link http://www.heart.org/HEARTORG/Conditions/More/CardiacArrest/Cough-CPR_UCM_432380_Article.jsp#.TyOM1Fyn_44

Snake Bite Emergency

Coghlan`s Snake Bite Kit
A complete, compact kit for the treatment of snake bite using the constrictor/suction method. Kit includes detailed instructions, three pliable suction cups, easy to use with one hand lymph constrictor, scalpel, and antiseptic swab. Measures only 5.7cm in length, weighs only 28g.

Items in above mentioned kit are meant for cutting and sucking!! WTF!
No where in the world is it recorded to use the cut and suck method. NOT even 

for Professional Rescuers!!

It is important to remember the following when treating or responding to a snake bite invenomation!!!

Snake Bite Invenomations - Symptoms depend on the type of venom injected:

Most adder venom (such as from puffadders) is toxic to tissue (cytotoxic), especially blood vessels. It causes extreme pain, swelling of the limb and blistering. An untreated bite may cause death due to loss of blood, dehydration and secondary infection.
Mamba and cobra venom are toxic to the nervous system (neurotoxic). Symptoms include “pins and needles”, dizziness, poor co-ordination, slurred speech, excessive salivation and drooping eyelids. This is followed by difficulty in breathing.
Boomslang and vine snake venom are toxic to blood cells and the blood loses its ability to coagulate (haemotoxic). Early symptoms include headaches, nausea, diarrhoea, lethargy, mental disorientation, bruising and bleeding at the site and all body openings.

The FIRST-AID Treatment for Snake Bite Invenomations are as follows, and only as follows!!

First Aid for snakebite

DON'TS:

-Don't use antivenom except in a hospital environment. Some patients react against antivenom and may go into anaphylactic shock, a serious condition that requires emergency medical treatment. Antivenom also needs to be kept refrigerated, injected correctly (into the bloodstream, not the muscle, and not into the bite site), and given in sufficiently large quantities to be effective.

-Don't cut and suck the wound, or use suction cup devices or electric shocks
-Don't give the patient anything to eat or drink
-Don't rub potassium permanganate into the wound or soak the limb in home remedies

Don't try to catch and kill the snake


DO'S:

-Get everyone well away from the snake.
-Try to obtain a clear description of the snake. However, this isn't essential, and you shouldn't waste time looking for it. The symptoms will give the doctor a good idea of the kind of snake (neurotoxic etc.), and the severity of the bite.
-Stay calm, and reassure the person who has been bitten. Fear and anxiety cause an increase in heart rate, and thus a more rapid spread of venom throughout the body.
-For neurotoxic and haemotoxic snake bites, it may help to wrap a crepe or pressure bandage firmly around the area of the bite, covering the entire limb (from fingertip to armpit; from toe to groin). Apply hand pressure at the site of the bite until a bandage or strips of fabric can be obtained.
Keep the person as still as possible and immobilise the affected limb by binding splints (e.g. straight branches) to either side of the limb.
If a snake spits into someone's eyes, rinse with large amounts of water, preferably by holding the head under a running tap. This will also require treatment at hospital: a drop of antivenom is placed in the eye.
Observe the person closely and record any symptoms and the time taken for them to appear.
If the patient stops breathing, you will need to breathe for them until they can get expert medical help.

A complete, compact kit for the treatment of snake bites using the constrictor/suction method. Kit Contains: detailed instructions, 3 pliable suction cups, easy-to-use with one hand lymph constrictor, scalpel, and antiseptic swab.

Weight: 1 oz (28 g)

Instructions Download pdf

Related Information
Deadly Dilema: Do Snake-Bite Kits Help

Snake antivenoms in southern Africa

Many thanks 

Michel Botha from Petroria South Africa   & The Group on Facebook Remote Medical Rescue

New Google Public Alerts. For Emergency

 

Link to Google Public Alerts

1. What is Google Public Alerts?

   Google Public Alerts is Google’s new platform for disseminating emergency messages such as evacuation notices for hurricanes, and everyday alerts such as storm warnings. We’re starting by showing relevant weather, public safety and earthquake alerts from US National Oceanic and Atmospheric Administration (NOAA), the National Weather Service, and the US Geological Survey (USGS) when you search on Google Maps.
   Google Public Alerts is a project of the Google Crisis Response team, supported by Google.org, which uses Google's strengths in information and technology to build products and advocate for policies that address global challenges. We hope Google Public Alerts provides the public with information it needs to make better decisions in times of crisis.
   This is a new product and we’re learning all the time about when and how we should show this important information. While we can’t guarantee that you’ll see every alert when searching on Google Maps we’re doing our best to show what’s important when you need it, and hope that Google Public Alerts is a useful additional source of information. We’re working hard to improve what you see and appreciate your feedback which you can provide using the “Feedback” links on alert details pages and on www.google.org/publicalerts.
   

2. Why is Google building a public alerting service?

   We want to make it easy for people to find critical emergency information during a crisis through the online tools they use every day. By incorporating public alert data from authoritative sources in to Google Maps, we aim to simplify the process of searching for emergency information.
   

3. What kinds of alerts does Google Public Alerts show?

   Google Public Alerts currently shows weather, public safety and earthquake alerts from US National Oceanic and Atmospheric Administration (NOAA), the National Weather Service, and the US Geological Survey (USGS).
   

4. How does Google decide which alerts are available?

   The Google Public Alerts service uses alerts provided by our authoritative, trusted partners. What alert you see (if any) depends on what alerts are active at a given location, on their severity, and on what you search for and where. To see all alerts go to the Google Public Alerts homepage.
   

5. How does Google work with official alerting services like the National Oceanic and Atmospheric Administration (NOAA)?

   Google partners with alert providers to show relevant alerts to Google users. The US National Oceanic and Atmospheric Administration, the National Weather Service, and the US Geological Survey provide alert feeds and our goal is to enable Google users to see them when they’re relevant. We’ve also built an Alert Hub that aggregates alerts and allows others to develop ways to re-distribute them online.
   

6. I can already see weather on Google Maps or on another site. Why do I need this?

   We’re just getting started, but over time Google Public Alerts will become even more unique as a platform for disseminating many different kinds of emergency alerts, beyond just weather. We’re working hard to make this information appear across many more of Google’s services when it’s relevant.
   

7. Why don't I see any alerts when I search on Google Maps?

   What alert you see (if any) depends on what you search for and where, as well as on the severity of any alerts that might be active at a given location. To see all alerts go to the Google Public Alerts homepage.
   

8. Will you be putting Google Public Alerts on Google Web Search?

   We’re excited to have released a way to show you the alerts from various agencies on Google Maps. We hope this is just the beginning and we plan on making relevant alerts visible on other Google products in the future.
   

9. How do I report inaccurate or inappropriate content?

   Please use the send feedback link on the bottom right of our Google Public Alerts homepage or on the details page for an individual alert. Make sure to give us as much detail as you can.
   

10. The National Weather Service is great, but why don’t you have alerts from my city or state agency?

    We’re just getting started! We’re beginning with a few key partners but plan on expanding this service where there’s relevant data.
    There are a couple of things you can do to make it more likely you’ll see locally produced alerts, including contacting your local emergency management agency and asking them to follow the steps outlined below to get their data in the right format and to let us know they’d like to be included.
    

11. Why are you using the Common Alerting Protocol (CAP)?

    CAP is an international standard for publishing and sharing alerts. We need to use a common standard, otherwise we have no consistent way to automatically receive and re-use alerting information. We strongly encourage all agencies to adopt international standards like CAP for sharing public alerts, and publish them securely using open web formats like Atom and RSS.

12. I'm from a Public Safety agency and I'd love to see our alerts on Google Public Alerts. How do I make that happen?

    Google is starting with US-based alerts, then adding international content. We're being careful about the sources and quality of alerts and when we show them to our users. We are still learning the best way to do this with new sources. Contact us if you are interested in participating. You can get a head start by following these 4 steps:
    
    • Get your alerts into the Common Alerting Protocol (CAP 1.2) standard. Here are some resources we created to help you with this process. Most commercial alert publishing tools support CAP already.
    • Validate that you've set-up your feeds correctly and that your CAP is correct.
    • Subscribe your alerts to Alert Hub and check that they're working.
    • Let us know when you're ready so we can start on the next steps.

10 PAÍSES QUE MAS VISITAN NUESTRO BLOG

10 PAÍSES QUE MAS VISITAN NUESTRO BLOG México, España, Colombia, Perú, Argentina, Venezuela, Rep. Dominicana, Chile, Estados Unidos y Ecuador. Gracias por su apoyo,,, http://emssolutionsint.blogspot.com/

The Chameleon by EMSled / Bici-Camilla

Link to the official Web

Back Raft Novedad: Dispositivo de estabilización de la columna sobre la camilla de trauma

Enlace pagina oficial de BACK RAFT


Tema Relacionado: en formato pdf

Pre-Hospital Care Management of a Potential
Spinal Cord Injured Patient: A Systematic Review
of the Literature and Evidence-Based Guidelines



Publicado por
DR. RAMON REYES DIAZ, MD, DMO, EMT-T

http://emssolutionsint.blogspot.com/

Skype drtolete

facebook.com/drtolete

www.eeii.org

COLCHON DE VACIO INMOVILIZACION

Pre-Hospital Care Management of a Potential
Spinal Cord Injured Patient: A Systematic Review
of the Literature and Evidence-Based Guidelines

BOAT CREW SEAMANSHIP MANUAL

BOAT CREW SEAMANSHIP MANUAL
“Train, Maintain, Operate”
COMDTINST M16114.5C

Dispositivo de Extracción de Personas en Emergencia Vital (DEPEV)

Ampliar información en el Enlace

Erradican el Polio en la India

Fuente 20minutos.es 

La erradicación de la polio en India acerca al fin de la enfermedad en el mundo

• A falta de unos test, la poliomielitis ya no existe en India.
• Quedaría erradicarla de Pakistán, Afganistán y Nigeria, donde es endémica.
• Europa está libre de polio desde el 2005. 

• EFE. 13.01.2012 - 10.25h

El fin de de la polio está cerca. En el último año no ha habido ningún niño infectado por poliomielitis en India y si esta realidad se mantiene en seis semanas podría considerarse que esa enfermedad ya no es endémica en ese país. Esa circunstancia abre la puerta a su erradicación total en el mundo.

De hecho, expertos de la Organización Mundial de la Salud (OMS) se han mostrado "considerablemente optimistas" sobre la posibilidad de acabar con la polio. "Ahora sabemos que se puede lograr biológicamente. No tenemos dudas de que podemos conseguirlo porque sabemos como hacerlo", asegura Chris Wolff, responsable de la OMS sobre la polio en India.

Optimistas pero cautos

Pero los expertos son cautos y no indican cuándo podría ocurrir la erradicación de la enfermedad, dado que aún quedan otros tres países (si descontamos India) donde la polio es endémica: Pakistán, Afganistán y Nigeria.

La transmisión del virus de la polio es fecal-oral entre las personasLo que se ha logrado ahora -aunque debe confirmarse en seis semanas, cuando todos los test biológicos hayan concluido- es que ya no exista un virus endémico en India.

El último caso detectado fue el de una niña de dos años que se infectó el 13 de enero del 2011. Desde entonces, no ha habido ninguna otra persona que haya quedado paralizada a causa del virus de la poliomielitis, por lo que los responsables de la OMS consideran que la cepa autóctona ha desaparecido. La transmisión del virus de la polio es fecal-oral entre las personas, no se trasmite a través de los animales y no sobrevive en el exterior.

Se expandía desde la India

La importancia de la erradicación de la India es de enormes proporciones porque hasta la fecha era considerada el epicentro mundial de la poliomielitis: no solo infectaba a su población sino que era fuente de casos detectados en países tan remotos como Angola, la República Democrática del Congo o la Federación Rusa.

El control en India permitirá reducir su expansión mundialUna persona contraía el virus en India y, desarrollada o no la enfermedad, viajaba a otro país e infectaba a un tercero, que a su vez la expandía en una zona de baja vacunación. Por ejemplo: Europa está libre de polio desde el 2005, pero en el pasado se han detectado casos en Reino Unido, Holanda o las repúblicas caucásicas cuyo virus provenía de India.

El control en India permitirá, por tanto, reducir la expansión mundial de la enfermedad. No obstante, el virus sigue extendiéndose, y en el último años se han detectado focos en China proveniente de Pakistán (China estaba exenta de polio desde 1999), y de Nigeria ha viajado a varios países de África Occidental y África Central.

Más cantidad de infartos en navidad

Enlace 20minutos.com

• Le siguen el 26 de diciembre y el 1 de enero.
• El estrés, las discusiones familiares y los excesos en la comida y en la bebida son los responsables.
• Los médicos recomiendan vigilar la dieta.

Cuida tu corazón en estas fiestas navideñas. El consejo lo dio este jueves la Fundación Española del Corazón (FEC). Y es que las estadísticas avalan su recomendación.

En el mes de diciembre, las muertes por fallo cardiaco se disparan un 8% respecto a noviembre, que es, a su vez, el segundo mes de mayor riesgo. Los peores días son el 25 de diciembre, Navidad, la jornada que más fallecimientos registra por esta causa en todo el año, seguido del 26 de diciembre y del 1 de enero.

El estrés, las discusiones familiares y los excesos con la comida y la bebida son los grandes responsables de los fallos cardiovasculares durante estas fechas, por ello la FEC recomienda vigilar especialmente nuestra dieta en estos días.

Otra de las causas que desencadenan este aumento de defunciones por motivos cardiovasculares es la mala costumbre de posponer la visita al médico en Navidad o la falta de constancia en la toma de medicamentos ya que estos días solemos salirnos de la rutina diaria.