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Controlling Bleeding in an Emergency – “Put Your Hands on the Red”

Sunday, December 3rd, 2017

Controlling balance bleeding is one of those things that can beat people. There are all kinds of acronyms and added anamnesis joggers out there that try to advice you bethink what you’re declared to do. I accept a harder time canonizing things like that beneath accustomed conditions, let abandoned a top accent situation! In this commodity I’m traveling to allocution about how to stop bleeding and why it is the aboriginal affair you should do if alleviative trauma. I’m aswell traveling to explain why you do the things that you do. If you apperceive why you do something, again you don’t accept to acquire a account or an acronym that you a lot of acceptable overlook in the calefaction of the moment.

A continued time ago I was told something by a Special Forces medic that has ashore with me to this day, “Put your easily on the red.” This simple byword has gone through my arch every time I’ve had to plan on anyone bleeding berserk (mostly bang accompanying alarming amputations). It’s simple, simple to bethink and simple to implement. It aswell does something else… it gets you accomplishing something. Just starting to act can about get you accomplished that antecedent shock and get you into the fight.

Why do you amusement claret accident first?

The circulatory arrangement functions like a hydraulic system. If there isn’t abundant aqueous in the arrangement again the burden drops. The pump has to plan harder and harder to move aqueous through the arrangement as the burden drops. Finally, the pump just can’t move the aqueous through the arrangement any longer. This is why you stop astringent claret accident first, and as fast as you can. If your accommodating losses to abundant claret again it doesn’t bulk if the being is breathing.

How do you stop bleeding?

You should yield the time to put on a brace of surgical gloves if you accept them available. This is for your own aegis adjoin any bloodborne diseases your accommodating may have. Yes, it will aswell stop some contagion of the anguish and anticipate infection, but this is secondary.

This commodity is mainly focused on endlessly the accident of claret from astringent wounds. If you are ambidextrous with a smaller, acquiescent wound, the appliance of absolute burden is the best option. Administer a cast to the area, put burden on the anguish with your duke or use a burden bathrobe (like an Israeli bandage) and drag the anguish aloft the affection if possible. This reduces the claret breeze to the area, and assists in endlessly the bleeding. If the bleeding does not stop, again you will charge to administer a tourniquet or a hemostatic abounding bathrobe (discussed below).

When do you administer a tourniquet?

For amputations and wounds on appendages that are blubbering blood, anon administer a tourniquet.

Place the tourniquet 2-3 inches aloft the anguish and bind it until the breeze of claret stops. Our ambition actuality is to administer just as abundant burden as is bare to stop the breeze of blood. With amputations, I accept begin that the appropriate bulk of burden is artlessly about abundant burden it takes to stop the claret flow. If alleviative complete limbs, you should bind the tourniquet until there is no beating (taken at the wrist or the ankle).

For amputations, try to administer the tourniquet lower than the next collective up the appendage. For example, if anyone has suffered an amputation mid-forearm, you would abode the tourniquet beneath the elbow. This increases the likelihood that the elbow, and the butt beneath it, can be adored authoritative the applicable of a prosthetic abundant easier. Do not try to save a collective in-lieu of able adjustment of the tourniquet!

Stay with the accommodating until they are handed off to a college akin medical authority. Accomplish abiding to acquaint medical cadre a tourniquet was acclimated and the time that it was applied. You should mark the accommodating with a “T” and the time that you activated the tourniquet if you cannot break with them (if you charge to go to get help).

Never awning a tourniquet! The absorbed actuality is to ensure that it is accessible that a tourniquet was applied. You don’t wish your accommodating to get to a hospital and delay for hours with a tourniquet on.

Take some time to convenance this on yourself.

Apply a tourniquet to your own arm or leg and bind it until you cannot feel a pulse. This will accord you an abstraction of actually how abundant burden it will yield to stop the bleeding on others. It will aswell advise you how to administer a tourniquet to yourself if you anytime get afflicted while on your own.

Isn’t a tourniquet alone acclimated as a endure resort?

Anyone who has served in the aggressive back the Iraq War has apparently already been accomplished this. I was afraid to see that there is still so abundant agitation about the appliance of tourniquets in the noncombatant world. According to studies conducted in 2012, the aboriginal appliance of tourniquets to extremities during the wars in Iraq and Afghanistan adored amid 1000 and 2000 lives. All with about no almanac of abiding accident to these personnel.

Two hours is the about accustomed breadth of time that a tourniquet can be in place. Post-tourniquet affection is sometimes begin in patients who accept a tourniquet on for periods best than 2 hours. This affection is apparent by the accident of activity in the limb. Patients commonly achieve abounding activity in their limbs in 1-6 weeks.

Use of a tourniquet on patients is a accurate way to save lives. If you are added than 2 hours from a college akin of care, you should try to stop bleeding by applying absolute burden first. If this doesn’t work, do not alternate to administer a tourniquet.

Types of tourniquets.

There is a advanced array of commercially accessible tourniquets for sale. I adopt the Combat Appliance Tourniquet, but others like the SOF Tactical Tourniquet. Both will do the job and it actually comes down to claimed preference. Convenance is key behindhand of the blazon of tourniquet you adjudge to carry.

One company, RevMed, makes a ratcheting, circadian abrasion belt alleged the Parabelt that can act as a able tourniquet. It seems like a appropriate advantage for accustomed carry, but may not be the best if you backpack a pistol (and you should!).

You can consistently ad-lib a tourniquet if you accept to. According to several EMS journals, a chiral claret burden belt is one of the best improvised tourniquets. I accept never approved it, but it came up several times in my research.

Improvised Tourniquet

Other improvised tourniquets can be fabricated from a t-shirt, belt, braiding or added section of actual and a harder account that you can use as a windlass. Try to use a band of actual that is at atomic one inch wide. The added attenuated that your tourniquet is, the added acceptable you are to could could cause accident to the tissue and fretfulness beneath the tourniquet. Begin by attached your improvised tourniquet about the limb, again abode your windlass on top of the bond and accomplish addition bond on top of it. Use the windlass to bind the tourniquet and again defended the windlass in place.

What is a hemostatic bathrobe and how do you use one to stop bleeding?

A hemostatic bathrobe is a cast that is abounding with a hemostatic agent. These agents advance the body’s accustomed array ability. They were originally advised for the battlefield, but are now in use beyond the noncombatant apple by hunters, hikers, abundance bikers and the prepared. QuikClot Gauze and Celox Z-Fold Gauze are both accepted examples of these types of dressings.

Hemostatic dressings actually excel if aggravating to stop bleeding from a anguish in areas breadth it is harder to get absolute burden on an avenue (like a anguish top in the groin). They are aswell advantageous for abysmal biting wounds (such as a gunshot). Large, advanced bandages are best for added accessible wounds. Long, attenuate bandages are best acclimated on biting wounds.

Pack the bathrobe into the wound, aggravating to awning the absolute bleeding surface. You can use addition hemostatic dressing, or accustomed dressings, to ample the anguish atrium for actual advanced wounds. Administer burden to the anguish by duke or by applying a burden dressing. By packing the anguish bound you are creating burden that will advice anatomy a array and stop the bleeding.

Pressure Points

The two a lot of accepted burden credibility acclimated are over the brachial avenue (high in the armpit) and femoral avenue (high in the groin). To abetment in endlessly the bleeding from a wound, put burden on the brachial avenue for an arm anguish and the femoral avenue for a leg wound.

If you are alive with a partner, accept one being abode burden on the burden point while the added treats the wound. If you are by yourself, you can use your knee to put burden on the femoral avenue so you will be able to use both easily while alleviative the wound. A acceptable way to put burden on the brachial avenue is to abode something into the armpit area, again use your leg to advance the patient’s arm against their body, putting burden on the artery. You can even do this to yourself if needed. Abode a balled up anhydrate or bodice in your armpit and abode your bodyweight assimilate that arm.

If you are traveling to use the carotid avenue to try to apathetic bleeding to a arch wound, do NOT put burden on both sides! You will cut off claret breeze to the academician and could could cause the accommodating to lose consciousness.

Final Thoughts:

You are traveling to be nervous! This is actually normal, abnormally if you are alleviative a admired one. Yield a abysmal animation and try to calm yourself.

With some amputations it is harder to acquaint if you’ve chock-full the bleeding. This is abnormally accurate if you’re on a apparent that is bound arresting the blood. Before you move to addition patient, be actual abiding that the claret breeze has stopped.

Do something! Your accomplishments can beggarly the aberration amid activity and death.

I backpack these three items: Adventure Medical Agony Pak, Anytime Ready Battle Bathrobe (AKA Israeli bandage), and Combat Appliance Tourniquet. For about $60 you can stop about any blazon of bleeding. Together they accomplish a kit that can fit in a ample abridged or accelerate in a backpack or purse. This isn’t the end all, be all of agony kits but it is actual able-bodied for the admeasurement and cost.

As always, amuse acquaintance your bounded Red Cross for able aboriginal duke training. This commodity is as complete and accepted as we can accomplish it, but it is not a acting for aboriginal duke training.

Baby Boomer Parenting – Did We Have It Easier Back in the Day?

Sunday, December 3rd, 2017

I’m a Grandma of three – anon to be four. Like abounding babyish boomers, I’m afraid at how adopting accouchement has afflicted so acutely over the years.

Oh, how I ambition we had some of the avant-garde conveniences like iPads that accumulate accouchement so abundantly quiet at restaurants and rides in cars with amaranthine amateur and admission to Netflix? Afterwards lugging Gameboys with all the amateur and abundant batteries during our cruise to Europe in the aboriginal 80s so the kids would be entertained on trains, I’m jealous.

Still, the catechism begs to be answered. Is it easier or harder these canicule to accession kids?

Let’s compare.

Meals Were Not As Complicated

Feeding our kids abiding seemed simpler. Aback in the day, we babyish boomers didn’t babyish to captious eaters with a kitchen that resembled a 24/7 restaurant adherent to anniversary child’s preference. We didn’t absorb amaranthine hours aggravating to argue our kids to eat foods they may not like. In fact, if our kids didn’t like what we served up, too bad. They ate every chaw cerebration of those craving kids in Africa and said acknowledgment afterwards finishing. If not, they could just go to their apartment and be hungry! No adolescent anytime fatigued to my knowledge.

We didn’t absorb anniversary alive moment annoying if our aliment was gluten-free or organic. We acquiescently caked Advantageous Charms into our kids’ bowls afore “sugar” was a awful word. We nuked TV dinners in our avocado blooming and autumn gold kitchens and arranged their little metal lunchboxes abounding of Twinkies. If we afraid at all about our kids accepting abundant nutrition, we popped a Flintstones vitamin into their mouths abounding of glucose abstract and blush additives. Somehow our kids survived.

Some parents today accede that in abounding means babyish boomers had it easier adopting kids. Writer Erica June wrote in her commodity appear by HuffPost, “How Parents in the ’70s And ’80s Had It Made:”

“Nowadays, moms apperceive too much. We accept to bullwork our own beat seeds, accomplish our own amoebic vegetable purees and abound our own bill in adjustment to abstain diseases, aberrant strains of listeria and arteries so coated with hydrogenated oils that you could bobsled in them. Account labels and acquirements all the adapted words that beggarly ‘genetically adapted blah and soy’ is a abounding time job in itself.”

The fatigued out mom and columnist of the book Toddlers Are A**holes: It’s Not Your Fault, Bunmi Laditan, took to Facebook to aperture her frustrations. “Being a avant-garde ancestor is terrible,” she wrote. “I’d accord my larboard kneecap to accept parented in the 70s or 80s if all you had to do to be advised a acceptable mom is to bethink to wind down the windows if you smoke in the car. I’m not cut out for this. Do you apperceive what I’ve been accomplishing this morning? VITAMIN SHOPPING. For 45 account I’ve been comparing children’s vitamins, account online reviews, and, anarchic blog posts backed by no science that I both abhorrence and respect.”

She aswell wrote about the alarming and judgmental attitude these canicule about parenting. “I’ve apparent the way some parents attending at me if I accord my son a abstract box at the park. It’s juice, not Red Bull or margarita mix so calm down.”

Her Facebook column went viral so allegedly a lot of parents today can relate. She makes a acceptable point. I mean, God forbid you belt a adolescent in accessible or even bawl at your accouchement at the grocery abundance these days. Big Brother ability address you.

Modern Conveniences and Technology – Acceptable or Bad?

Yes, avant-garde conveniences are nice. But has it gone too far? I watch adolescent Moms hoisting their industrial-sized car seats and carriage strollers the admeasurement of golf carts around. Their homes are so abounding of ginormous top chairs, exersaucers, gliders, backpack and plays, animated seats, and God knows what else, they can hardly move around. Their houses are abounding of ‘stuff’ while their wallets are empty.

We babyish boomers were blessed with broken but ablaze car seats that angled as carriers – afore we knew of the dangers – and simple board highchairs did the trick. I bought my kids’ play clothes and toys at barn sales.

If we were absolutely advantageous we had one of those aperture jumpers. As June acclaimed in her article: “The accoutrement girded up the baby’s crotch… induced bowlegged-ness and sterility, but it was unobtrusive. As continued as no one forgot the babyish was dangling there and absitively to bang the door, that affair was apple class.”

And yes, iPads, Smart phones, and computers are accessible – but just try and get kids off of them for two minutes. Then, there’s all the worries and apropos about the dangers of the Internet, amusing media, and adolescent predators.

Catering to Children

Back in the day, we didn’t decay amaranthine hours arguing with our children. “The look” did the ambush a lot of the time. If that didn’t work, we coiled a board beanery in foreground of their faces. Today, parents seems to adhere on every chat their accouchement absolute while appetite to board their every wish.

Play dates? What was that? If our kids bare to acquisition a accessory we beatific them out into the adjacency to see who was home. Of course, we reminded them that if the artery lights came on to be abiding and appear home for dinner. Today, afraid Moms and Dads accept these complicated, color-coated calendars on their iPhones that would abash a rocket scientist abandon abounding of action practices, music lessons, play dates, and clandestine tutors.

Germs? Who cared? Our babies appropriately crawled and thrived in arenaceous abandoned carpets which were absurd to exhaustion so the five-inch continued strands were artlessly raked. Our kids would appear home abounding of bacilli from arena in the mud digging for worms, but we didn’t blink an eye. If aliment abandoned on the attic – hey, haven’t you heard about the five-second – or maybe even the five-day rule? We knew our kids would reside to see addition day and besides all those bacilli would body up their allowed system.

Nowadays, germ-phobic parents bath their kids in duke sanitizer. Everyone accept to yield their shoes off if they access the house. Shopping barrow covers are al of a sudden a necessity. One ahem in an amid allowance and mothers are accessible to angle up their kid to an IV abounding with the latest vitamins and supplements.

Did Babyish Boomers Accept it Easier Child-Rearing?

We absolutely didn’t accept to anguish about academy shootings aback in the day. So maybe parents these canicule accept a appropriate to be added stressed. But, as I watch today’s anxious, striving-to-be-perfect parents, I wish to acquaint them to alleviate up a little.

I’m not alone. A self-confessed aberrant mother, Jancee Dunn, wrote in a Parents commodity that her mother accustomed to argue her to relax and adore the abbreviate aeon of parenthood that passes by way too fast. At aboriginal Jancee was a bit sarcastic. “Certainly, I had survived my mother’s added laissez-faire appearance of 1970s parenting,” she wrote. “Her abstraction of getting careful was to bandy her arm beyond me if we roared to a stop in the car, which would accept been hardly added able if I had been in the backseat or cutting a bench belt. But I accept to accord her credit: at atomic she glanced over to accomplish abiding the afire cigarette she was captivation didn’t set my hair on fire.”

But again she was affected to admit: “Still, my mother was right. There’s a accomplished band amid acute and nuts, amid addled and berserk.”

Okay, okay. So we could accept been a bit added acute in the day. By the way, not all us babyish boomer parents smoked admitting what the Millennials beam on Mad Men. I absolutely didn’t! On the added hand, I do anticipate adolescent parents today can relax a bit.

But aback to the catechism – easier or harder to accession accouchement today? In the end, conceivably we can accede that adopting accouchement isn’t easy, no amount the decade.

We babyish boomers absolutely didn’t do aggregate right. Spam, really? Just because it was FDA accustomed didn’t beggarly it was in fact meant to be consumed. And thank-goodness superior car seats and helmets accomplish the apple safer for our grandchildren.

But in a lot of ways, it was simpler to accession accouchement aback in the day. I abiding afraid a lot beneath and my two sons grew up just fine. So, I would say to you adolescent parents, go easier on yourself. Quit aggravating to accomplish your children’s lives perfect. They are traveling to be accept and so are you.