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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

jueves, 6 de julio de 2023

Slishman Traction Splint tm by RESCUE ESSENTIALS


Slishman Traction Splint tm STS By Rescue Essentials

EMS Training | Femoral Traction Splinting with Dr. Sam Slishman. Inventor. 18 julio 2023 https://emssolutionsint.blogspot.com/2023/07/ems-training-femoral-traction-splinting.html #DrRamonReyesMD

Slishman Traction Splint tm Developer at EMSWORLD 2012

Slishman Traction Splint Training Video

Product Description and Benefits:
The STS was developed by Dr. Sam Slishman at the University of New Mexico to overcome many of the the design limitations of conventional traction splints. The innovative STS design has the traction mechanism positioned at the patient’s hip. Femur traction is applied through the extension of the pole segments creating a pushing force on the ankle strap instead of pulling distally from the foot. This innovative design change provides a number of outstanding benefits over conventional traction splints:

1. The STS Does Not Extend Beyond the Foot
    The traction splint stays anatomically contained from the patient's hip to ankle and  
    thus does not extend outside backboards, litters, and stretchers. This greatly reduces
    the risk of the splint being struck while extricating patients in space restrictive
    environments resulting in further injury to the patient.

2. Rapid Patient Application
    The unique design of the STS makes it the fastest splint to apply on the market. No poles
    to assemble or mechanisms to set up. When you need to immobilize the patient quickly
    for rapid extrication the STS won’t slow you down.

3. The STS is Not Contraindicated in Lower Leg Injury or Amputation
    While other traction splints are contraindicated with lower leg injury or amputation, the
    STS’s unique design allows the ankle strap to be alternately positioned proximal to
    the calf. This allows femur traction to still be applied and leaves the lower leg
    accessible for other splinting or bandaging.

4. Lightweight and Compact
    The STS weighs only 21 ounces and is 23” W x 3” H in size. It takes up little space
    in vehicles or aircrafts and can easily be strapped to trauma bags and backpacks. 

5. One Size Fits All
    The STS works with both adults and peds. No need to carry two different splints. If  
    your agency requires you to carry two traction splints, two STS splints can be
    carried for bi-lateral splinting.

6. Traction Mechanism Accessible During Transport
    If traction adjustment is needed while enroute, the STS traction adjustment is
    accessible at the patient’s hip, not jammed up against the door or airframe at the
    patient's foot.

7. Radiolucent

8. Lifetime Warranty

Dimensions: 23" W x 3" H x 3" D
Weight: 1.32 lbs
Slishman Traction Splint tm at EMSWORLD 2012


Slishman Traction Splint tm in Trauma Course, Dominican Republic









Slishman Traction Splint tm at EMSWORLD 2012



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 

EMS Training | Femoral Traction Splinting with Dr. Sam Slishman. Inventor. Fecha y hora18 julio 2023

 

EMS Training | Femoral Traction Splinting with Dr. Sam Slishman. Inventor. Fecha y hora18 julio 2023 


miércoles, 5 de julio de 2023

La terapia con testosterona no aumentó los eventos cardiovasculares mayores. Testosterone Therapy Did Not Increase Major Cardiovascular Events

La terapia con testosterona no aumentó los eventos cardiovasculares mayores. Testosterone Therapy Did Not Increase Major Cardiovascular Events

Dirigirse al articulo original 

https://jamanetwork.com/journals/jama/fullarticle/2806851

¿Parestesia?

 

parestesia De para- y el gr. αἴσθησις aísthēsis 'sensación'.

1. f. Med. Sensación o conjunto de sensaciones anormales, y especialmente hormigueo, adormecimiento o ardor que experimentan en la piel ciertos enfermos del sistema nervioso o circulatorio.

https://dle.rae.es/parestesia

#DiccionarioMédicoMSP | Algunas personas pueden experimentar sensaciones de hormigueo, como si tuvieran alfileres o agujas en la piel. Otros pueden sentir una sensación de entumecimiento, como si la piel estuviera adormecida. También se puede presentar como una sensación de ardor, picazón o incluso dolor leve.

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

#MSPLegadoQueInspira

Hipertensión: una enfermedad social que necesita soluciones sociales. Hypertension—A Social Disease in Need of Social Solutions

 


La figura presenta un marco para la centralidad de los determinantes sociales de la salud en relación con la hipertensión. Existen asociaciones potenciales entre múltiples factores (antropométricos, conductuales, clínicos y de salud mental) y determinantes sociales para exacerbar la hipertensión. Tales factores ocurren dentro del marco del racismo estructural y su contexto social, económico e histórico concomitante.

lunes, 3 de julio de 2023

5 Maneras de garantizar la seguridad de sus empleados LGBTQ+ en viajes de negocios

 

Para conmemorar el #PrideMonth23 nos complace anunciar la publicación de nuestro renovado módulo LGBTQ+, diseñado con el asesoramiento de Stonewall. El módulo abarca los factores culturales y los desafíos exclusivos de cada ubicación que podrían presentar posibles riesgos para los viajeros #LGBTQ

A continuación, se detallan cinco recomendaciones importantes para que las corporaciones fomenten la seguridad de sus empleados LGBTQ+ mientras viajan: 

In el mundo actual en constante evolución, es imperativo reconocer las diversas necesidades de los viajeros y la importancia de la seguridad en los viajes LGBTQ+. International SOS, la empresa de servicios médicos y de seguridad líder en el mundo, se complace en anunciar el lanzamiento de su módulo LGBTQ+ actualizado para celebrar el Mes del Orgullo. El microaprendizaje se diseñó con el asesoramiento de Stonewall UK, una organización benéfica de derechos LGBTQ+. Su objetivo es equipar a las personas y organizaciones con el conocimiento y las herramientas necesarias para promover la inclusión y salvaguardar a la comunidad LGBTQ+ durante sus viajes de negocios.

El módulo LGBTQ+ actualizado cubre las actitudes sociales, los prejuicios y los desafíos específicos del destino que podrían representar riesgos potenciales para los viajeros LGBTQ+. También cubre las diversas normas de inmigración y seguridad aeroportuaria, las leyes y prácticas locales con respecto a la importación de ciertos medicamentos, así como orientación sobre cómo acceder a un apoyo seguro. El curso también estará disponible en francés, alemán, italiano, español, coreano, japonés y chino simplificado.

Comentarios de Laurent Fourier, director ejecutivo, servicios de suscripción de salud y seguridad en International SOS

La discriminación y la violencia siguen siendo problemas críticos para la comunidad LGBTQ+. Los riesgos que enfrenta la fuerza laboral LGBTQ+ pueden variar según el destino al que viajen y pueden verse influenciados por factores, incluido el estatus legal y los niveles de tolerancia social. Las organizaciones deben ser conscientes de que la experiencia de viaje puede ser muy diferente para su fuerza laboral LGBTQ+ y deben preparar adecuadamente a sus empleados para los riesgos previsibles de salud y seguridad en los viajes.

El módulo LGBTQ+ ofrece recursos valiosos para la investigación previa al viaje, que incluye información sobre las costumbres, creencias y actitudes locales hacia las personas LGBTQ+ en varias regiones. Esto ayuda a las organizaciones a cumplir con su deber de diligencia en la protección de su diversa fuerza de trabajo móvil.

Los cinco mejores consejos para que las organizaciones promuevan la seguridad de su fuerza de trabajo itinerante LGBTQ+:

Fomente la investigación y la preparación previas al viaje: brinde a todos los viajeros acceso a información LGBTQ+ y consejos previos a la partida. La información relevante debe incluir la aplicación local de los derechos LGBTQ+, las leyes restrictivas, así como las actitudes sociales en el destino del viaje.

Eduque a los empleados sobre las precauciones de seguridad: brinde orientación específica LGBTQ+ sobre riesgos y mitigación a los empleados que viajan para permitirles tomar decisiones informadas sobre su seguridad y la de sus colegas. Esto puede incluir conciencia sobre la etiqueta de vestimenta, evitar áreas de alto riesgo y ser consciente de exhibir muestras públicas de afecto o exponer su información personal.

Asegúrese de comprender las políticas de inmigración locales y la seguridad del aeropuerto: los viajeros transgénero pueden experimentar dificultades para ingresar a un país si sus documentos de identificación no coinciden con su presentación actual. En algunos casos, puede ser útil hablar con un profesional médico antes del viaje para evaluar si una carta de respaldo que brinde una explicación podría facilitar la entrada.

Ofrecer recomendaciones de alojamiento seguro: la falta de leyes contra la discriminación podría facilitar la capacidad de rechazar alojamiento. Proporcione a los empleados una lista de alojamientos que tengan un compromiso comprobado con la seguridad e inclusión LGBTQ+.

Comunique las políticas inclusivas LGBTQ+ y los contactos de emergencia: asegúrese de que los empleados conozcan sus derechos y los recursos disponibles para ellos. Esto ayuda a los viajeros LGBTQ+ a sentirse apoyados y saber dónde buscar ayuda cuando sea necesario.

Escuche el podcast de International SOS para conocer las implicaciones de seguridad para la comunidad LGBTQ+, cómo mantenerse a salvo durante las celebraciones y cómo diferirá la situación entre países y continentes: https://www.internationalsos.com/podcast/pride-month


n today’s ever-evolving world, it is imperative to recognise the diverse needs of travellers and the significance of LGBTQ+ travel safety. International SOS, the world's leading medical and security services company, is delighted to announce the release of its refreshed LGBTQ+ module in celebration of the Pride Month. The microlearning was designed with advice from Stonewall UK, an LGBTQ+ rights charity. It aims to equip individuals and organisations with the knowledge and tools necessary to promote inclusivity and safeguard the LGBTQ+ community during their business travels.


The refreshed LGBTQ+ module covers destination-specific societal attitudes, biases and challenges that could pose as potential risks to LGBTQ+ travellers. It also covers varying immigration and airport security regulations, local laws and practices regarding the import of certain medications, as well as guidance on accessing safe support. The course will also be available in French, German, Italian, Spanish, Korean, Japanese and Simplified Chinese.


Laurent Fourier, CEO, Health & Security Subscription Services at International SOS comments

Discrimination and violence remain critical issues for the LGBTQ+ community. The risks faced by the LGBTQ+ workforce may vary based on the destination to which they travel and may be influenced by factors, including the legal status and the levels of social tolerance. Organisations should be aware that the travel experience can be very different for their LGBTQ+ workforce and must adequately prepare its employees for foreseeable health and travel security risks.


The LGBTQ+ module offers valuable resources for pre-trip research, including insights on local customs, beliefs, and attitudes towards LGBTQ+ individuals in various regions. This helps organisations fulfil their Duty of Care in safeguarding their diverse mobile workforce.


Top Five Tips for Organisations to Promote the Safety of Their LGBTQ+ Travelling Workforce:

Encourage pre-trip research and preparation – provide all travellers with access to LGBTQ+ information and pre-departure advice. Relevant information should include the local application of LGBTQ+ rights, restrictive laws, as well as the societal attitudes at the travel destination.

Educate employees on safety precautions – provide LGBTQ+ specific guidance on risks and mitigation to travelling employees to enable them to make informed decisions about their safety and that of their colleagues. This may include awareness on dress etiquette, avoiding high-risk areas and being mindful of exhibiting public displays of affection or exposing their personal information.

Ensure understanding of local immigration policies and airport security –transgender travellers may experience difficulties entering a country if their identification documents do not match their current presentation. In some instances, it may help to speak to a medical professional ahead of travel to assess whether a supporting letter providing explanation could facilitate entry.

Offer safe accommodation recommendations – lack of anti-discrimination laws might facilitate an ability to refuse accommodation. Provide employees with a list of accommodation that have a proven commitment to LGBTQ+ safety and inclusivity.

Communicate LGBTQ+ inclusive policies and emergency contacts – ensure that employees are aware of their rights and the resources available to them. This helps LGBTQ+ travellers to feel supported and know where to seek assistance when required.

Listen to International SOS podcast to learn the security implications for the LGBTQ+ community, how to keep yourself safe during the celebrations, and how the situation will differ between countries and continents: https://www.internationalsos.com/podcast/pride-month


https://okt.to/gmvwRq

#InternationalSOS #LGBTQMonth #securityawareness #TravelProfessionals #AssistanceServices

domingo, 2 de julio de 2023

World Wide Hospital Ships

USNS Mercy


World Wide Hospital Ships

Sometimes it is difficult to understand the scope of American military power relative to that of the rest of the world. This graphic illustrates America's Hospital Ships, and those of the rest of the world. Each image is an accurate depiction of the ship as seen from the side, all to a common scale.
Many centuries before our era, the Athenian fleet included a vessel called 'Therapia,' while in the Roman fleet was a ship bearing the name 'Aesculapius.' Their names have been taken by some authors as indicating that they were hospital ships. All we know with certainty is that at the beginning of the XVIIth century it became customary for naval squadrons to be accompanied by special vessels entrusted with the task of taking the wounded on board after each engagement. It was, however, not until the second half of the XIXth century that the practice really developed. During the Crimean War, more than 100,000 sick and wounded were repatriated to England on board hospital transports. Thereafter, no military expedition was ever undertaken without the necessary ships being assigned to evacuate soldiers from the combat area and give them the medical treatment they might require.
During the First World War, hospital ships were used to an increasing extent, despite the serious disputes and grave incidents which arose between the belligerents in this regard and to which we have already referred. In most instances, passenger liners were converted for use as medical transports. When the Second World War came, hospital ships specially designed for the purpose were built, and consequently the accommodation for patients was greatly improved. Because bases were far apart and hospitals on land in short supply in the Pacific war theater, the American forces brought into service ships which were really floating hospitals, able to give complete medical and surgical treatment.
The international legal definition of a Hospital Ship is found in "Convention (II) for the Amelioration of the Condition of Wounded, Sick and Shipwrecked Members of Armed Forces at Sea" done in Geneva, 12 August 1949. For brevity the second of the four Geneva Conventions done at that time is called "the Second Convention". Article 22 of this Convention states "Military hospital ships, that is to say, ships built or equipped by the Powers specially and solely with a view to assisting the wounded, sick and shipwrecked, to treating them and to transporting them, may in no circumstances be attacked or captured, but shall at all times be respected and protected, on condition that their names and descriptions have been notified to the Parties to the conflict ten days before those ships are employed. The characteristics which must appear in the notification shall include registered gross tonnage, the length from stem to stern and the number of masts and funnels." Article 41 stipulates that "Under the direction of the competent military authority, the emblem of the red cross on a white ground shall be displayed on the flags, armlets and on all equipment employed in the Medical Service. Nevertheless, in the case of countries which already use as emblem, in place of the red cross, the red crescent or the red lion and sun on a white ground, these emblems are also recognized by the terms of the present Convention."
And Article 43 requires that "All exterior surfaces shall be white. One or more dark red crosses, as large as possible, shall be painted and displayed on each side of the hull and on the horizontal surfaces, so placed as to afford the greatest possible visibility from the sea and from the air." The essential thing is that it should be as clear as possible that the vessel is a hospital ship. Similarly, the reference to "dark red" obviously does not mean that a ship on which the red crosses were of another shade would not be protected. This is merely a recommendation intended to increase the effective security of a floating hospital by providing a better colour contrast. It is clear from the records that the lack of an up-to-date system of marking, visible at a great distance, was the cause of most of the attacks made on hospital ships during the Second World War.
There is nonetheless no hard and fast precise definition of a "Hospital Ship" and some vessels listed on the Hospital Ship International (HSI) Fleet Registry are not included here, while some vessels included here are not on the HSI list. The HSI list is an attempt at a comprehensive inventory of medical / health care purpose vessels / craft that are flagged, registered, homeported and/or operate mainly under specific nations or organizations. Ths HSI list characterizes the Italian San Giorgio class small dock landing ships as "not technically a hospital ship this vessel was designed with the purpose of being if necessary converted rapidly into one especially for disaster relief(especially earthquakes)." But this is the case with all amphibious landing ships.
Currently, hospital ships may be conveniently partitioned into five types:
  1. YH - Hospital Launches - A number of countries -- including at least Bolivia, Brazil, Camaroon, Chile, Peru, and Thailand -- operate small Hospital Launches that provide medical assistance to local populations living on rivers or lakes. These riverine and lacustrine craft are not sea going, and may be operated by either the country's Navy or some other governmental department. Two of the Brazilian vessels carry the traditional green cross markings of a civilian hospital ship.
  2. AHL - Small Medical Support Ships - At least three countries - India, Indonesia, and Mexico - operate ocean-going military vessels that are equiped to provide humanitarian assistance medical services, while also serving a domestic sovereignty presence function. These ships do not primarily function as hospital ships, nor are they hospital ships under international law. Of these ships, the Indian and Mexican ships are neither white nor provided with distinctive markings. The Indonesia vessel is not white, and though it is marked by a large red cross, it is also armed, which disqualifies it from protection as a hospital ship under interntational law.
  3. APH - Personnel Transport, Evacuation - Three countries - Germany, the United Kingdom, and China - operate large multi-purpose amphibious support ships that can provide for both combat casualty evecuation and humanitarian assistance medical support. These ships do not primarily function as hospital ships, nor are they marked as hospital ships under international law.
  4. AH - Civilian Hospital Ships - There are currently two entirely civilian hospital ships. The Labor Ministry in Spain operates the Juan de la Cosa to support the Spanish fishing fleet at sea. And Mercy Ships International operates the non-governmental M/V Africa Mercy which provides medical assistance in ports of call in Africa.
  5. AH - Hospital Ships - Three countries - Russia, China, and the United States - currently operate Hospital Ships. The three Russian vessels of the Ob'b class have been largely inactive in recent years, though they have been proposed for commercial charter. The United States operates two very large hospital ships of the T-AH-19 Mercy class. In the 1990s China converted two or three Qiongsha-class Attack Transports into hospital ships, and may have recently purchased an Ob'-class ship from Russia. PLA's first new large Hospital Ship was launched in Guangzhou on 29 August 2007. In August 2008 the Type 920 Hospital ship was reported to have successfully conducted a sea trial. This is the world's second largest hospital ship, after the two American ships, providing China with a major new capability to support amphibious operations.

YH - Hospital Launches

Bolivia - TNBH-01 Javier Pinto Telleria
Bolivia - TNBH-401 Julian Apaza
Brazil - U-16 Doutor Monte Negro
Brazil - U-18 Oswaldo Cruz
Brazil - U-19 Carlos Chagas
Peru - BAP CurrarayChile - PMD 74 Cirujano VidelaPeru - BAP PunoPeru - BAP Morona


AHL - Small Medical Support Ships

India - INS Jamuna
India - INS Nirdeshak
India - INS Nirupak

Mexico - El ZapotecoIndonesia - KRI 517 Teluk EndeAPH - Personnel Transport, Evacuation

Germany - FGS Berlin
Germany - FGS Frankfurt am Main
United Kingdom - RFA Argus
China - Shichang

AH - Civilian Hospital Ships

USA - M/V Africa Mercy
Spain - Juan de la Cosa


AH - Hospital Ships

USA -T-AH 20 ComfortRussia - AH Yenisei
Russia - AH Irtysh
Russia - AH Svir
China - AH Nanyi
China - AH Nanyi
China - AH Nanyi
China - AH Type 320
China - AH Type 920
USA -T-AH 19 Mercy


http://www.globalsecurity.org/military/world/hospital-ships.htm


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..