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Dr K K Aggarwal

First aid for poisonous bites and stings

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , , , , | | Comments Off on First aid for poisonous bites and stings

People often panic if they have been bitten or stung. You should tell the patient that many snakes, spiders, insects and sea creatures are harmless and that even the bites and stings of dangerous animals often do not cause poisoning.

Keep the patient calm and still. Moving the bitten or stung limb speeds up the spread of venom to the rest of the body. Fear and excitement also make the patient worse. The patient should be told not to use the limb and to keep it still and below the level of the heart. The limb may swell after a while, so take off the patient’s rings, watch, bracelets, anklets and shoes as soon as possible. A splint and a sling may help to keep the limb still.

Adhere to the following:

  • Do not cut into the wound or cut it out.
  • Do not suck venom out of the wound.
  • Do not use a tourniquet or tight bandage.
  • Do not put chemicals or medicines on the wound or inject them into the wound (for e.g., potassium permanganate crystals).
  • Do not put ice packs on the wound.
  • Do not use proprietary snake bite kits.
  • The patient should lie on one side in the recovery position so that the airway is clear, in case of vomiting or fainting.
  • Do not give the patient anything by mouth – no food, alcohol, medicines or drinks. However, if it is likely to be a long time before the patient gets medical care, give the patient water to drink to stop dehydration.
  • Try to identify the animal, but do not try to catch it or keep it if this will put you, the patient or others at risk. If the animal is dead take it to hospital with the patient, but handle it very carefully, because even dead animals can sometimes inject venom.
  • As soon as possible, take the patient to a hospital, medical dispensary, or clinic where medical care can be given. The patient should not walk but should keep as still as possible. If there is no ambulance or car, carry the patient on a stretcher or trestle, or on the crossbar of a bicycle.
  • Antivenom should only be given in a hospital or medical center where resuscitation can be given, because the patient may have an allergic reaction. If available, antivenom should be used if there is evidence of severe poisoning. It should not be used when there are no signs of poisoning.

First aid for poisonous bites and stings

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , , | | Comments Off on First aid for poisonous bites and stings

People often panic if they have been bitten or stung. You should tell the patient that many snakes, spiders, insects and sea creatures are harmless and that even the bites and stings of dangerous animals often do not cause poisoning. Keep the patient calm and still. Moving the bitten or stung limb speeds up the spread of venom to the rest of the body. Fear and excitement also make the patient worse. The patient should be told not to use the limb and to keep it still and below the level of the heart. The limb may swell after a while, so take off the patient’s rings, watch, bracelets, anklets and shoes as soon as possible. A splint and a sling may help to keep the limb still. Avoid doing the following:

  • Do not cut into the wound or cut it out.
  • Do not suck venom out of the wound.
  • Do not use a tourniquet or tight bandage.
  • Do not put chemicals or medicines on the wound or inject them into the wound (for e.g., potassium permanganate crystals).
  • Do not put ice packs on the wound.
  • Do not use proprietary snake bite kits.
  • The patient should lie on one side in the recovery position so that the airway is clear, in case or vomiting or fainting.
  • Do not give the patient anything by mouth – no food, alcohol, medicines or drinks. However, if it is likely to be a long time before the patient gets medical care, give the patient water to drink to stop dehydration.
  • Try to identify the animal, but do not try to catch it or keep it if this will put you, the patient or others at risk. If the animal is dead take it to hospital with the patient, but handle it very carefully, because even dead animals can sometimes inject venom.
  • As soon as possible, take the patient to a hospital, medical dispensary, or clinic where medical care can be given. The patient should not walk but should keep as still as possible. If there is no ambulance or car, carry the patient on a stretcher or trestle, or on the crossbar of a bicycle.
  • Antivenom should only be given in a hospital or medical Centre where resuscitation can be given, because the patient may have an allergic reaction. If available, antivenom should be used if there is evidence of severe poisoning. It should not be used when there are no signs of poisoning.

First aid for poisonous bites and stings

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , , , , | | Comments Off on First aid for poisonous bites and stings

People often panic if they have been bitten or stung. You should tell the patient that many snakes spiders insects and sea creatures are harmless and that even the bites and stings of dangerous animals often do not cause poisoning. Keep the patient calm and still. Moving the bitten or stung limb speeds up the spread of venom to the rest of the body. Fear and excitement also make the patient worse. The patient should be told not to use the limb and to keep it still and below the level of the heart. The limb may swell after a while so take off the patient s rings watch bracelets anklets and shoes as soon as possible. A splint and a sling may help to keep the limb still. Avoid doing the following Do not cut into the wound or cut it out. Do not suck venom out of the wound. Do not use a tourniquet or tight bandage. Do not put chemicals or medicines in the wound or inject them into the wound for e.g. potassium permanganate crystals . Do not put ice packs on the wound. Do not use proprietary snake bite kits. The patient should lie on one side in the recovery position so that the airway is clear in case or vomiting or fainting. Do not give the patient anything by mouth no food alcohol medicines or drinks. However if it is likely to be a long time before the patient gets medical care give the patient water to drink to stop dehydration. Try to identify the animal but do not try to catch it or keep it if this will put you the patient or others at risk. If the animal is dead take it to hospital with the patient but handle it very carefully because even dead animals can sometimes inject venom. As soon as possible take the patient to a hospital medical dispensary or clinic where medical care can be given. The patient should not walk but should keep as still as possible. If there is no ambulance or car carry the patient on a stretcher or trestle or on the crossbar of a bicycle. Antivenom should only be given in a hospital or medical Centre where resuscitation can be given because the patient may have an allergic reaction. If available antivenom should be used if there is evidence of severe poisoning. It should not be used when there are no signs of poisoning.

First Aid in Burns

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , , , , , , | | Comments Off on First Aid in Burns

Patients with severe thermal burns are at significant risk of death and major morbidity. Look for evidence of respiratory distress and smoke inhalation injury a common cause of death in the acute burn victim. Laryngeal edema can develop suddenly and unexpectedly. Burn depth and size determine fluid resuscitation and the need for transfer. Vascular collapse from burn shock is a critical component. Rapid aggressive fluid resuscitation to reconstitute intravascular volume and maintain end organ perfusion is crucial. The fluid requirement during the initial 24 hours of treatment is 4 mL kg of body weight for each percent of total body surface area burned given IV. Superficial burns are excluded from this calculation. One half of the calculated fluid need is given in the first 8 hours the remaining half is given over the subsequent 16 hours. It is important to monitor urine output. Hourly urine output should be maintained at 0.5 mL kg in adults. Burn patients may be exposed to carbon monoxide and require immediate treatment with high flow oxygen. Cool and clean wounds but avoid inducing hypothermia. Remove any jewelry and any hot or burned clothing and obvious debris not densely adherent to the skin. Irrigation with cool water may be used. Topical antibiotics are applied to all non superficial burns. Give opioids morphine to treat pain and give tetanus prophylaxis.

First aid for poisonous bites and stings

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , , , | | Comments Off on First aid for poisonous bites and stings

People often panic if they have been bitten or stung. You should tell the patient that many snakes, spiders, insects and sea creatures are harmless and that even the bites and stings of dangerous animals often do not cause poisoning.

Keep the patient calm and still. Moving the bitten or stung limb speeds up the spread of venom to the rest of the body. Fear and excitement also make the patient worse. The patient should be told not to use the limb and to keep it still and below the level of the heart. The limb may swell after a while, so take off the patient’s rings, watch, bracelets, anklets and shoes as soon as possible. A splint and a sling may help to keep the limb still.

Avoid doing the following:

• Do not cut into the wound or cut it out.

• Do not suck venom out of the wound. • Do not use a tourniquet or tight bandage.

• Do not put chemicals or medicines on the wound or inject them into the wound (for e.g., potassium permanganate crystals).

• Do not put ice packs on the wound.

• Do not use proprietary snake bite kits.

• The patient should lie on one side in the recovery position so that the airway is clear, in case or vomiting or fainting.

• Do not give the patient anything by mouth – no food, alcohol, medicines or drinks. However, if it is likely to be a long time before the patient gets medical care, give the patient water to drink to stop dehydration.

• Try to identify the animal, but do not try to catch it or keep it if this will put you, the patient or others at risk. If the animal is dead take it to hospital with the patient, but handle it very carefully, because even dead animals can sometimes inject venom.

• As soon as possible, take the patient to a hospital, medical dispensary, or clinic where medical care can be given. The patient should not walk but should keep as still as possible. If there is no ambulance or car, carry the patient on a stretcher or trestle, or on the crossbar of a bicycle.

• Antivenom should only be given in a hospital or medical Centre where resuscitation can be given, because the patient may have an allergic reaction. If available, antivenom should be used if there is evidence of severe poisoning. It should not be used when there are no signs of poisoning.

First aid for poisonous bites and stings

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , , | | Comments Off on First aid for poisonous bites and stings

People often panic if they have been bitten or stung. You should tell the patient that many snakes, spiders, insects and sea creatures are harmless and that even the bites and stings of dangerous animals often do not cause poisoning. Keep the patient calm and still. Moving the bitten or stung limb speeds up the spread of venom to the rest of the body. Fear and excitement also make the patient worse. The patient should be told not to use the limb and to keep it still and below the level of the heart. The limb may swell after a while, so take off the patient’s rings, watch, bracelets, anklets and shoes as soon as possible. A splint and a sling may help to keep the limb still. Avoid doing the following:

• Do not cut into the wound or cut it out.

• Do not suck venom out of the wound.

• Do not use a tourniquet or tight bandage.

• Do not put chemicals or medicines on the wound or inject them into the wound (for e.g., potassium permanganate crystals).

• Do not put ice packs on the wound.

• Do not use proprietary snake bite kits.

• The patient should lie on one side in the recovery position so that the airway is clear, in case or vomiting or fainting.

• Do not give the patient anything by mouth – no food, alcohol, medicines or drinks. However, if it is likely to be a long time before the patient gets medical care, give the patient water to drink to stop dehydration.

• Try to identify the animal, but do not try to catch it or keep it if this will put you, the patient or others at risk. If the animal is dead take it to hospital with the patient, but handle it very carefully, because even dead animals can sometimes inject venom.

• As soon as possible, take the patient to a hospital, medical dispensary, or clinic where medical care can be given. The patient should not walk but should keep as still as possible. If there is no ambulance or car, carry the patient on a stretcher or trestle, or on the crossbar of a bicycle.

• Antivenom should only be given in a hospital or medical Centre where resuscitation can be given, because the patient may have an allergic reaction. If available, antivenom should be used if there is evidence of severe poisoning. It should not be used when there are no signs of poisoning.

First Aid in Burns

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , , | | Comments Off on First Aid in Burns

  • Patients with severe thermal burns are at significant risk of death and major morbidity.
  • Look for evidence of respiratory distress and smoke inhalation injury, a common cause of death in the acute burn victim.
  • Laryngeal edema can develop suddenly and unexpectedly.
  • Burn depth and size determine fluid resuscitation and the need for transfer.
  • Vascular collapse from burn shock is a critical component.
  • Rapid, aggressive fluid resuscitation to reconstitute intravascular volume and maintain end–organ perfusion is crucial.
  • The fluid requirement during the initial 24 hours of treatment is 4 mL/kg of body weight for each percent of total body surface area burned, given IV. Superficial burns are excluded from this calculation. One-half of the calculated fluid need is given in the first 8 hours; the remaining half is given over the subsequent 16 hours.
  • It is important to monitor urine output. Hourly urine output should be maintained at 0.5 mL/kg in adults.
  • Burn patients may be exposed to carbon monoxide and require immediate treatment with high–flow oxygen.
  • Cool and clean wounds, but avoid inducing hypothermia.
  • Remove any jewelry and any hot or burned clothing and obvious debris not densely adherent to the skin.
  • Irrigation with cool water may be used.
  • Topical antibiotics are applied to all non superficial burns.
  • Give opioids (morphine) to treat pain and give tetanus prophylaxis.

First Aid in Burns

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , | | Comments Off on First Aid in Burns

  • Patients with severe thermal burns are at significant risk of death and major morbidity.
  • Look for evidence of respiratory distress and smoke inhalation injury, a common cause of death in the acute burn victim.
  • Laryngeal edema can develop suddenly and unexpectedly.
  • Burn depth and size determine fluid resuscitation and the need for transfer.
  • Vascular collapse from burn shock is a critical component.
  • Rapid, aggressive fluid resuscitation to reconstitute intravascular volume and maintain end–organ perfusion is crucial.
  • The fluid requirement during the initial 24 hours of treatment is 4 mL/kg of body weight for each percent of total body surface area burned, given IV. Superficial burns are excluded from this calculation. One–half of the calculated fluid need is given in the first 8 hours, and the remaining half is given over the subsequent 16 hours.
  • Monitor urine output is important.
  • Hourly urine output should be maintained at 0.5 mL/kg in adults.
  • Carbon monoxide and cyanide: Burn patients may be exposed to carbon monoxide, requiring immediate treatment with high–flow oxygen.
  • Cool and clean wounds, but avoid inducing hypothermia.
  • Remove any jewelry and any hot or burned clothing and obvious debris not densely adherent to the skin.
  • Irrigation with cool water may be used.
  • Topical antibiotics are applied to all non superficial burns.
  • Give opioids (morphine) to treat pain and give tetanus prophylaxis.

First aid for poisonous bites and stings

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , , | | Comments Off on First aid for poisonous bites and stings

People often panic if they have been bitten or stung. You should tell the patient that many snakes, spiders, insects and sea creatures are harmless and that even the bites and stings of dangerous animals often do not cause poisoning.

Keep the patient calm and still. Moving the bitten or stung limb speeds up the spread of venom to the rest of the body. Fear and excitement also make the patient worse. The patient should be told not to use the limb and to keep it still and below the level of the heart. The limb may swell after a while, so take off the patient’s rings, watch, bracelets, anklets and shoes as soon as possible. A splint and a sling may help to keep the limb still.

Avoid doing the following:

  • Do not cut into the wound or cut it out.
  • Do not suck venom out of the wound.
  • Do not use a tourniquet or tight bandage.
  • Do not put chemicals or medicines in the wound or inject them into the wound (for e.g., potassium permanganate crystals).
  • Do not put ice packs on the wound.
  • Do not use proprietary snake bite kits.
  • The patient should lie on one side in the recovery position so that the airway is clear, in case or vomiting or fainting.
  • Do not give the patient anything by mouth – no food, alcohol, medicines or drinks. However, if it is likely to be a long time before the patient gets medical care, give the patient water to drink to stop dehydration.
  • Try to identify the animal, but do not try to catch it or keep it if this will put you, the patient or others at risk. If the animal is dead take it to hospital with the patient, but handle it very carefully, because even dead animals can sometimes inject venom.
  • As soon as possible, take the patient to a hospital, medical dispensary, or clinic where medical care can be given. The patient should not walk but should keep as still as possible. If there is no ambulance or car, carry the patient on a stretcher or trestle, or on the crossbar of a bicycle.
  • Antivenom should only be given in a hospital or medical Centre where resuscitation can be given, because the patient may have an allergic reaction. If available, antivenom should be used if there is evidence of severe poisoning. It should not be used when there are no signs of poisoning.

First aid for poisonous bites and stings

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , , | | Comments Off on First aid for poisonous bites and stings

People often panic if they have been bitten or stung. You should tell the patient that many snakes, spiders, insects and sea creatures are harmless and that even the bites and stings of dangerous animals often do not cause poisoning.

Keep the patient calm and still. Moving the bitten or stung limb speeds up the spread of venom to the rest of the body. Fear and excitement also make the patient worse. The patient should be told not to use the limb and to keep it still and below the level of the heart. The limb may swell after a while, so take off the patient’s rings, watch, bracelets, anklets and shoes as soon as possible. A splint and a sling may help to keep the limb still.

Avoid doing the following:

  • Do not cut into the wound or cut it out.
  • Do not suck venom out of the wound.
  • Do not use a tourniquet or tight bandage.
  • Do not put chemicals or medicines on the wound or inject them into the wound (for e.g., potassium permanganate crystals).
  • Do not put ice packs on the wound.
  • Do not use proprietary snake bite kits.
  • The patient should lie on one side in the recovery position so that the airway is clear, in case or vomiting or fainting.
  • Do not give the patient anything by mouth – no food, alcohol, medicines or drinks. However, if it is likely to be a long time before the patient gets medical care, give the patient water to drink to stop dehydration.
  • Try to identify the animal, but do not try to catch it or keep it if this will put you, the patient or others at risk. If the animal is dead take it to hospital with the patient, but handle it very carefully, because even dead animals can sometimes inject venom.
  • As soon as possible, take the patient to a hospital, medical dispensary, or clinic where medical care can be given. The patient should not walk but should keep as still as possible. If there is no ambulance or car, carry the patient on a stretcher or trestle, or on the crossbar of a bicycle.
  • Antivenom should only be given in a hospital or medical Centre where resuscitation can be given, because the patient may have an allergic reaction. If available, antivenom should be used if there is evidence of severe poisoning. It should not be used when there are no signs of poisoning.

First Aid in Burns

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , , | | Comments Off on First Aid in Burns

  1. Patients with severe thermal burns are at significant risk of death and major morbidity.
  2. Look for evidence of respiratory distress and smoke inhalation injury, a common cause of death in the acute burn victim.
  3. Laryngeal edema can develop suddenly and unexpectedly.
  4. Burn depth and size determine fluid resuscitation and the need for transfer.
  5. Vascular collapse from burn shock is a critical component.
  6. Rapid, aggressive fluid resuscitation to reconstitute intravascular volume and maintain end–organ perfusion is crucial.
  7. The fluid requirement during the initial 24 hours of treatment is 4 mL/kg of body weight for each percent of TBSA burned, given IV. Superficial burns are excluded from this calculation. One–half of the calculated fluid need is given in the first eight hours, and the remaining half is given over the subsequent 16 hours.
  8. Monitor urine output is important
  9. Hourly urine output should be maintained at 0.5 mL/kg in adults.
  10. Carbon monoxide and cyanide – Burn patients may be exposed to carbon monoxide, requiring immediate treatment with high–flow oxygen.
  11. Cool and clean wounds, but avoid inducing hypothermia.
  12. Remove any jewelry and any hot or burned clothing and obvious debris not densely adherent to the skin.
  13. Irrigation with cool water may be used.
  14. Topical antibiotics are applied to all non superficial burns.
  15. Give opioids (morphine) to treat pain and give tetanus prophylaxis.

First aid for poisonous bites and stings

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , , | | Comments Off on First aid for poisonous bites and stings

People often panic if they have been bitten or stung. You should tell the patient that many snakes, spiders, insects and sea creatures are harmless and that even the bites and stings of dangerous animals often do not cause poisoning.

Keep the patient calm and still. Moving the bitten or stung limb speeds up the spread of venom to the rest of the body. Fear and excitement also make the patient worse. The patient should be told not to use the limb and to keep it still and below the level of the heart. The limb may swell after a while, so take off the patient’s rings, watch, bracelets, anklets and shoes as soon as possible. A splint and a sling may help to keep the limb still.

Avoid doing the following:

  • Do not cut into the wound or cut it out.
  • Do not suck venom out of the wound.
  • Do not use a tourniquet or tight bandage.
  • Do not put chemicals or medicines on the wound or inject them into the wound (for e.g., potassium permanganate crystals).
  • Do not put ice packs on the wound.
  • Do not use proprietary snake bite kits.
  • The patient should lie on one side in the recovery position so that the airway is clear, in case or vomiting or fainting.
  • Do not give the patient anything by mouth – no food, alcohol, medicines or drinks. However, if it is likely to be a long time before the patient gets medical care, give the patient water to drink to stop dehydration.\
  • Try to identify the animal, but do not try to catch it or keep it if this will put you, the patient or others at risk. If the animal is dead take it to hospital with the patient, but handle it very carefully, because even dead animals can sometimes inject venom.
  • As soon as possible, take the patient to a hospital, medical dispensary, or clinic where medical care can be given. The patient should not walk but should keep as still as possible. If there is no ambulance or car, carry the patient on a stretcher or trestle, or on the crossbar of a bicycle.
  • Antivenom should only be given in a hospital or medical Centre where resuscitation can be given, because the patient may have an allergic reaction. If available, antivenom should be used if there is evidence of severe poisoning. It should not be used when there are no signs of poisoning.

First Aid in Burns

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , , , | | Comments Off on First Aid in Burns

  1. Patients with severe thermal burns are at significant risk of death and major morbidity.
  2. Look for evidence of respiratory distress and smoke inhalation injury, a common cause of death in the acute burn victim.
  3. Laryngeal edema can develop suddenly and unexpectedly.
  4. Burn depth and size determine fluid resuscitation and the need for transfer.
  5. Vascular collapse from burn shock is a critical component.
  6. Rapid, aggressive fluid resuscitation to reconstitute intravascular volume and maintain end–organ perfusion is crucial.
  7. The fluid requirement during the initial 24 hours of treatment is 4 mL/kg of body weight for each percent of TBSA burned, given IV. Superficial burns are excluded from this calculation. One–half of the calculated fluid need is given in the first eight hours, and the remaining half is given over the subsequent 16 hours.
  8. Monitor urine output is important
  9. Hourly urine output should be maintained at 0.5 mL/kg in adults.
  10. Carbon monoxide and cyanide – Burn patients may be exposed to carbon monoxide, requiring immediate treatment with high–flow oxygen.
  11. Cool and clean wounds, but avoid inducing hypothermia.
  12. Remove any jewelry and any hot or burned clothing and obvious debris not densely adherent to the skin.
  13. Irrigation with cool water may be used.
  14. Topical antibiotics are applied to all non superficial burns.
  15. Give opioids (morphine) to treat pain and give tetanus prophylaxis.

First Aid in Burns

By
Filed Under Wellness | Tagged With: , , , , | | Comments Off on First Aid in Burns

1. Patients with severe thermal burns are at significant risk of death and major morbidity.

2.Look for evidence of respiratory distress and smoke inhalation injury, a common cause of death in the acute burn victim.

3.Laryngeal edema can develop suddenly and unexpectedly.

4.Burn depth and size determine fluid resuscitation and the need for transfer.

5.Vascular collapse from burn shock is a critical component.

6.Rapid, aggressive fluid resuscitation to reconstitute intravascular volume and maintain end-organ perfusion is crucial.

7.The fluid requirement during the initial 24 hours of treatment is 4 mL/kg of body weight for each percent of TBSA burned, given IV. Superficial burns are excluded from this calculation. One-half of the calculated fluid need is given in the first eight hours, and the remaining half is given over the subsequent 16 hours.

8.Monitor urine output is important

9.Hourly urine output should be maintained at 0.5 mL/kg in adults.

10.Carbon monoxide and cyanide – Burn patients may be exposed to carbon monoxide, requiring immediate treatment with high-flow oxygen.

11.Cool and clean wounds, but avoid inducing hypothermia.

12.Remove any jewelry and any hot or burned clothing and obvious debris not densely adherent to the skin.

13.Irrigation with cool water may be used.

14.Topical antibiotics are applied to all non superficial burns.

15.Give opioids (morphine) to treat pain and give tetanus prophylaxis.