Saturday, November 22, 2014

By Christa Jarvis


Trauma: Many accidents cause injuries: fractures, dislocations, sprains, wounds, burns, drowning. Toxicology: many situations resulting from accidental or intentional poisoning (suicide attempt, murder, drug use): food poisoning by gas emanation, drug by drug, alcohol, poisoning (duodenal switch surgery in Mexico). The establishment of a social emergency is also an attempt to answer.

For hospital emergency, a key component is to summon the services of prehospital medicine (usually an ambulance may be land, air or naval) for help by calling the appropriate phone number for emergencies. For EU member states and 112 different numbers in other countries such as the popular 911 in Americas. Emergency operators generally operate through a protocol of questions to determine if you can perform an outpatient treatment or assess the need to send a particular medical resource your help. Not the same a clinic than a hospital, many people confuse it

Disaster Medicine is a branch of medicine for accidents or disasters involving mass casualties: train crash, earthquake, bomb ... The disaster is defined as inadequate relief needs and the resources available (outdated means). It requires organization and a "doctrine" different from the usual emergency medicine.

For citizens, an emergency is a sudden and unexpected situation that threatens the life of person. However, some situations are impressive indeed benign, and others go unnoticed as they are alarming; for example, some signs of myocardial infarction or stroke may seem benign. This underlines the importance of counseling and guidance services medicosanitary emergency regulation (such as the ambulance). And early detection of risk situations by private physician or by patient himself or his entourage. This emphasizes the importance of first aid training, where they learn to recognize the warning signs and to address the regulatory services (call, in what situations, and what to say).

In 1958, a trainer has to prepare a portable kit doctors and rescue workers to disaster management, and management of mass casualties. Realistic moldings mimic almost all types of injuries caused by armed struggle or nuclear explosion. In picture, the trainer shows a blood bag to simulate bleeding (arterial or venous pressure as the pocket). Pressure in right place is to stop the flow or the spray of blood. Military and civilian leaders of all the United States have been trained.

This type of behavior undermines the effectiveness of system, the "real" emergencies may be supported with delay because of size of system, personal and fatigue generated by this workload is detrimental to quality of care. Note that this behavior is also a miscalculation for the patient, because it might be better to sit at home (until the arrival of doctor on call or opening a private practice the next day) rather to wait for emergencies, with the inconvenience and risk of catching diseases others.

However, do not overlook the importance of medical advice in certain situations (see above). Moreover, the poor cannefit of universal health coverage (CMU) which allows them to have free care without advance payment, including in private practices. If situations are still variables from one department to another, the current trend is that any call outside working hours and days 15 through the center, including for the doctor on duty, or when the seeks an ambulance. Some standards associations constantly care (SOS Doctors) are entitled to receive calls directly, subject to an interconnection with the center 15 (direct telephone line).

But nothing prevents a patient to bypass the pre-hospital system to go to emergency departments of hospitals or private clinics, which are therefore those presenting spontaneously, as well as those brought by emergency services above. Medicine is the link between the outside of hospital and other hospital departments (surgery, radiology, pulmonology, cardiology, neurology ...), but also the relationship between these services for distress unexpected and sudden.




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