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June 27, 2010

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Heat Exhaustion & Heat Stroke

Sweat evaporates from the skin to cool the body. If this personal cooling system does not work right or fails to work, heat exhaustion or a heat stroke can occursHeat exhaustion is a warning that the body is getting too hot. With a heat stroke, body organs start to overheat. They will stop working if they get hot enough. I it is not treated, a heat stroke can result in death.

These signs and symptoms can occur suddenly with little warning: Heat stroke

  • Very high temperature (104ºF or higher).
  • Hot, dry, red skin. No sweating.
  • Deep breathing and fast pulse. Then shallow breathing and weak pulse.
  • Confusion. Hallucinations.
  • Convulsions.
  • Loss of consciousness.
  • June 25, 2010

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    Donut Bandage

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    The Donut Bandage is used to put pressure around an impaled object without putting pressure on the object itself. Attach with roll or gauze or tap

    June 24, 2010

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    What is heat rash?

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    Heat rash (prickly heatClick here to see an illustration.) is a red or pink rash usually found on body areas covered by clothing. It can develop when the sweat ducts become blocked and swell and often leads to discomfort and itching. Heat rash is most common in babies, but may affect adults in hot, humid climates.

    What causes heat rash?

    In babies, heat rash can be caused by well-meaning parents who dress their baby too warmly, but it can happen to any baby in very hot weather. A baby should be dressed as an adult would be to be comfortable at the same temperature and activity level. Babies’ hands and feet may feel cool to your touch but that does not mean they need to be dressed too warmly in hot weather.

    What are the symptoms of heat rash?

    Heat rash looks like dots or tiny pimples. In young children, heat rash can appear on the head, neck, and shoulders. The rash areas can get irritated by clothing or scratching, and, rarely, a secondary skin infection may develop.

    How is heat rash diagnosed?

    Heat rash can usually be identified by its appearance and does not usually require medical attention. However, if doesn’t go away after 3 or 4 days, or if it appears to be getting worse, or if your child develops a fever, contact your health professional right away.

    When you or your child has a rash, it is important to watch for signs of infection, including:

    • Increased pain, swelling, redness, or warmth around the affected area.
    • Red streaks extending from the affected area.
    • Drainage of pus from the area.
    • Swollen lymph nodes in the neck, armpit, or groin.
    • Fever of 100° F (37.8° C) or higher, or chills with no other known cause.

    If any of these symptoms develop, contact your health professional immediately.

    What is the treatment for heat rash?

    Most prickly heat rashes heal on their own. The following steps can help relieve symptoms.

    • Start by removing or loosening clothing and move him or her to a cool, shady spot.
    • Let the skin air-dry instead of using towels.
    • If your baby’s skin is irritable to touch, calamine lotion or hydrocortisone cream may be used with your health professional’s approval.
    • Avoid ointments or other lotions because they can irritate the skin.

    The following tips can help prevent future episodes of the rash:

    • Dress your child in as few clothes as possible during hot weather.
    • Keep the skin cool and dry.
    • Keep the sleeping area cool.

    After the rash is gone, gradually expose your child to warmer temperatures so that his or her skin can acclimate.

    June 23, 2010

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    In allergic individuals, peanuts are a well recognised cause of severe and rapidly occurring symptoms, such as vomiting, diarrhoea, urticaria, angioedema (swelling of the face, throat or skin), acute abdominal pain, exacerbation of atopic eczema, asthma and anaphylactic shock. If untreated, anaphylactic shock can result in death due to obstruction of the upper or lower airway (bronchiospasm) or hypotension and heart failure. This happens within minutes to hours of eating the peanuts. The first symptoms may include sneezing and a tingling sensation on the lips, tongue and throat followed by pallor, feeling unwell, warm and light headed.

    Severe reactions may return after an apparent resolution of 1-6 hours. Asthmatics with peanut sensitivity are more likely to develop life threatening reactions. Peanuts are the most likely food to provoke fatal anaphylaxis in children and adults but many other foods (including tree nuts, seeds (e.g. sesame, sunflower), cow milk, eggs, fish and shellfish) can also precipitate this.

    June 22, 2010

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    Problems Backpacks Can Pose

    Although many factors can lead to back pain — increased participation in sports or exercise, poor posture while sitting, and long periods of inactivity — some kids have backaches because they’re lugging around their entire locker’s worth of books, school supplies, and assorted personal items all day long. But most doctors and physical therapists recommend that kids carry no more than 10% to 15% of their body weight in their packs.

    To help understand how heavy backpacks can affect a kid’s body, it helps to understand how the back works. The spine is made of 33 bones called vertebrae, and between the vertebrae are discs that act as natural shock absorbers.

    When a heavy weight, such as a backpack filled with books, is incorrectly placed on the shoulders, the weight’s force can pull a child backward. To compensate, a child may bend forward at the hips or arch the back, which can cause the spine to compress unnaturally. The heavy weight might cause some kids to develop shoulder, neck, and back pain.

    June 19, 2010

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    Helmet Basics

    P_whichBike_buttonBicycle helmet use should not be optional for anyone in your family, no matter where you are or how short the ride. In many states it’s the law.

    Here’s why: Most bike accidents involve a head injury, so a crash could mean permanent brain damage or death for someone who doesn’t wear one while riding. In fact, each year in the United States, about half a million kids are seriously injured in bicycle-related accidents, and most of those injuries could have been avoided if a helmet was worn.

    Here are some things to keep in mind when buying a helmet:

    • Pick bright colors that are visible to drivers and other cyclists.
    • Look for a helmet that’s well ventilated.
    • Make sure that the helmet has a CPSC or Snell sticker inside. These indicate that the helmet meets standards set by the Consumer Product Safety Commission (CPSC) or the Snell Memorial Foundation, a nonprofit group that tests helmet safety.
    • Make sure your child’s helmet fits correctly and can be adjusted.

    P_helmet-fitYou should be able to get help finding a well-fitting helmet and adjusting it properly at any bicycle store.

    When kids wear a helmet, make sure that the straps are fastened. Also make sure they don’t wear any other hat underneath it.

    Be sure to replace any helmet made before 1999. If your child hits any surface hard while wearing a helmet, replace it — helmets lose their capacity to absorb shock after taking serious hits.

    A few bike helmets can be used as protection for other activities, but in general, they’re best suited to biking. Most helmets are made for one specific type of activity — for example, special helmets also are made for inline skating, baseball, and snowmobiling.

    Kids should not wear any helmet when they’re on a playground or climbing a tree — there is a risk of strangulation from the chin strap during these types of activities.

    June 17, 2010

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    What are the different kinds of casts?

    A cast, which keeps a bone from moving so it can heal, is essentially a big bandage that has two layers — a soft cotton layer that rests against the skin and a hard outer layer that prevents the broken bone from moving.

    These days, casts are made of either:

    • plaster of paris: a heavy white powder that forms a thick paste that hardens quickly when mixed with water. Plaster of paris casts are heavier than fiberglass casts and don’t hold up as well in water.
    • synthetic (fiberglass) material: made out of fiberglass, a kind of moldable plastic, these casts come in many bright colors and are lighter and cooler. The covering (fiberglass) on synthetic casts is water-resistant, but the padding underneath is not. You can, however, get a waterproof liner. The doctor putting on your child’s cast will decide whether a fiberglass cast with a waterproof lining is appropriate.

    How is a cast put on?

    First, several layers of soft cotton are wrapped around the injured area. Next, the plaster or fiberglass outer layer is soaked in water. The doctor wraps the plaster or fiberglass around the soft first layer. The outer layer is wet but will dry to a hard, protective covering. Doctors sometimes make tiny cuts in the sides of a cast to allow room for swelling.

    Can plaster of paris casts get wet?

    Absolutely not! A wet cast may not hold the bone in place because the cast could start to dissolve in the water and could irritate the skin underneath it, possibly leading to infection. So your child shouldn’t swim and should use a plastic bag or special sleeve (available online or sometimes at pharmacies) to protect the cast from water. And instead of a shower, your child may need to take a sponge bath.

    Can synthetic (fiberglass) casts get wet?

    Although the fiberglass itself is waterproof, the padding inside a fiberglass cast is not. So it’s still important to try to keep a fiberglass cast from getting wet. If this is a problem, talk to the doctor about getting a waterproof liner. Fiberglass casts with waterproof liners let kids continue bathing or even go swimming during the healing process. Although the liner allows for evaporation of water and sweat, it’s still fragile. Also, only certain types of breaks can be treated with this type of cast. Your doctor will determine if the fracture may be safely treated with a waterproof cast.

    June 13, 2010

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    Nosebleeds Overview

    Nosebleeds can be dramatic and frightening. Fortunately, most nosebleeds are not serious and usually can be managed at home, although sometimes medical intervention may be necessary. Nosebleeds (epistaxis) are categorized based on where they originate, and are described as either anterior (originating from the front of the nose) or posterior (originating from the back of the nose).

    • Anterior nosebleeds make up more than 90% of all nosebleeds. The bleeding usually originates from a blood vessel on the nasal septum. Anterior nosebleeds are usually easy to control, either by measures that can be performed at home or by a doctor.
    • Posterior nosebleeds are much less common than anterior nosebleeds. They tend to occur more often in elderly people. The bleeding usually originates from an artery in the back part of the nose. These nosebleeds are more complicated and usually require admission to the hospital and management by an otolaryngologist (an ear, nose, and throat specialist).

    One out of every seven people will develop a nosebleed at some time in their lives. Nosebleeds tend to occur more often during winter months and in dry, cold climates. They can occur at any age, but are most common in children aged 2-10 years and adults aged 50-80 years. For unknown reasons, nosebleeds most commonly occur in the morning hours.

    June 7, 2010

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    Under normal conditions, we all lose some body water every day in our sweat, tears, urine, and stool. Water also evaporates from our skin and leaves the body as vapor when we breathe. We usually replace this body fluid and the salts it contains with the water and salts in our regular diet.

    Sometimes, however, kids lose abnormally large amounts of water and salts through fever (more water evaporates from the body when body temperature is increased), diarrheavomiting, or long periods of exercise with excessive sweating. Some illnesses might also prevent them from taking fluids by mouth. If they’re unable to adequately replace the fluid that’s been lost, kids can become dehydrated.

    Recognizing Dehydration

    If your child has fever, diarrhea, or vomiting, or is sweating a lot on a hot day or during intense physical activity, you should watch for signs of dehydration, which can include:

    • dry or sticky mouth
    • few or no tears when crying
    • eyes that look sunken into the head
    • soft spot (fontanelle) on top of baby’s head that looks sunken
    • lack of urine or wet diapers for 6 to 8 hours in an infant (or only a very small amount of dark yellow urine)
    • lack of urine for 12 hours in an older child (or only a very small amount of dark yellow urine)
    • dry, cool skin
    • lethargy or irritability
    • fatigue or dizziness in an older child

    Preventing Dehydration

    The best way to prevent dehydration is to make sure kids get plenty of fluids when they’re sick or physically active — they should consume more fluids than they lose (from vomiting, diarrhea, or sweating).

    How you keep a child adequately hydrated can depend on the circumstances. For example, a child with a sore throat may become dehydrated due to difficulty drinking or eating. Easing the pain with acetaminophen or ibuprofen may help, while cold drinks or popsicles can soothe a burning throat while also supplying fluids.

    June 6, 2010

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    First aid is the assistance given to an injured or sick person in need of urgent medical assistance. First aid applies to a broad range of medical situations and consists both of specific knowledge and skills (for example, what to do for each type of injury or illness) and the ability to assess a situation and make appropriate decisions (such as when to call for emergency medical assistance).

    Preparedness is a key element of first aid. While every home, auto, and boat should be equipped with a basic emergency kit that includes first aid supplies and a first aid manual, special circumstances may necessitate more advanced or specific degrees of preparation for an emergency. For example, residents of certain geographic areas where natural disasters (such as hurricanes, earthquakes, tornados, floods, landslides, or tsunamis) may occur should prepare for emergencies by assembling disaster preparedness kits such as earthquake kitsflood kits, and evacuation kits.

    Travelers should also prepare to administer first aid in the region they plan to visit. In many developed countries, this may amount to packing a standard first aid kit and manual with your belongings. Medicines to prevent motion sickness and advanced awareness about the management of traveler’s diarrhea are also helpful to travelers. In the developing world or in remote regions, a travel medicine kit should include medicines and supplies that may not be available for purchase as well as any specific products (such as insect repellant to prevent mosquito and tick bites) needed for your destination. It’s also important for travelers in foreign countries to learn how to access emergency services by telephone.

    Being prepared to administer effective first aid can also involve learning specific skills such as cardiopulmonary resuscitation (CPR) or abdominal thrusts to assist chokingvictims. First aid may be required for medical emergencies such as heart attackstroke, orseizures as well as for minor medical conditions like nosebleedand mild allergic reactions. Environmental injuries (sunburnpoison ivyheat exhaustionfrostbitebee orinsect stings) and traumatic injuries (strains, sprains,burnspuncture wounds, and cutsas well as more severe internal injuries) are other situations where first aid skills can be invaluable.

    Regardless of your level of skill or degree of first aid training, if you find yourself in a true medical emergency, always call 911 for emergency medical assistance immediately.Likewise, if you are involved in any medical situation that is beyond your personal abilities to provide first aid, you should never hesitate to summon emergency medical assistance right away.

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