When to Call 911

Stroke... Remember the First 3 Letters

What's Good For You

First Aid Kits

DoS/DoD Feasibility Study

Women & Heart Attacks  NEW

 

When to Call 911

In a medical crisis, every second counts. Below are examples of symptoms that constitute a medical emergency. Call 911 right away if you or a companion experiences any of them. Doing so could save a life!

REMEMBER: Call 911 anytime you think someone could suffer serious harm or possible die without receiving fast medical help


 

STROKE:  Remember The 1st Three Letters... S.T.R.

STROKE  IDENTIFICATION: 
During  a BBQ, a friend stumbled and took a little fall - she assured everyone that  she was fine (they offered to call paramedics) and just tripped over a brick because of her new shoes. They got her cleaned up and got her a new plate of food - while she appeared a bit shaken up, Ingrid went about enjoying herself the rest of the evening. Ingrid's husband called later telling everyone that  his wife had been taken to the hospital - (at 6:00 pm,  Ingrid passed away.) She had suffered a stroke at the BBQ. Had they known how to identify the signs of a stroke, perhaps Ingrid would be with us today. Some  don't die. They end up in a helpless, hopeless condition  instead.   It only takes a  minute to read this...  
 
A neurologist says that if he can get to a stroke victim within 3 hours  he can totally reverse the effects of a stroke...totally. He said the trick  was getting a stroke recognized, diagnosed, and then getting the patient  medically cared for within 3 hours, which is  tough.  

RECOGNIZING  A STROKE 
Thank God for the sense to remember the "3" steps, STR .  Read and  Learn!  
 
Sometimes  symptoms of a stroke are difficult to identify.  Unfortunately, the lack  of awareness spells disaster. The stroke victim may suffer severe brain damage when people nearby fail to recognize the symptoms of a  stroke.
 
Now  doctors say a bystander can recognize a stroke by asking three simple  questions:


S  *        Ask the  individual to SMILE.
T  *        Ask the person  to TALK to  SPEAK  A SIMPLE SENTENCE (Coherently,  i.e.,  It is sunny out today)
R  *        Ask him or her  to RAISE  BOTH ARMS.

[NOTE:  Another 'sign' of a stroke is this:  Ask the person to 'stick' out their  tongue... if the tongue is 'crooked', if it goes to one side or the other that is also an indication of a stroke]

If  the victim has trouble with ANY ONE of these tasks, call
9-1-1  immediately and describe the symptoms to the dispatcher.


 

What's Good for You? Print and attach to your refrigerator.

apples

Protects your heart

prevents constipation

Blocks diarrhea

Improves lung capacity

Cushions joints

apricots

Combats cancer

Controls blood pressure

Saves your eyesight

Shields against Alzheimer's

Slows aging process

artichokes

Aids digestion

Lowers cholesterol

Protects your heart

Stabilizes blood sugar

Guards against liver disease

avocados

Battles diabetes

Lowers cholesterol

Helps stops strokes

Controls blood pressure

Smoothes skin

bananas

Protects your heart

Quiets a cough

Strengthens bones

Controls blood pressure

Blocks diarrhea

beans

Prevents constipation

Helps hemorrhoids

Lowers cholesterol

Combats cancer

Stabilizes blood sugar

beets

Controls blood pressure

Combats cancer

Strengthens bones

Protects your heart

Aids weight loss

blueberries

Combats cancer

Protects your heart

Stabilizes blood sugar

Boosts memory

Prevents constipation

broccoli

Strengthens bones

Saves eyesight

Combats cancer

Protects your heart

Controls blood pressure

cabbage

Combats cancer

Prevents constipation

Promotes weight loss

Protects your heart

Helps hemorrhoids

cantaloupe

Saves eyesight

Controls blood pressure

Lowers cholesterol

Combats cancer

Supports immune system

carrots

Saves eyesight

Protects your heart

Prevents constipation

Combats cancer

Promotes weight loss

cauliflower

Protects against Prostate Cancer

Combats Breast Cancer

Strengthens bones

Banishes bruises

Guards against heart disease

cherries

Protects your heart

Combats Cancer

Ends insomnia

Slows aging process

Shields against Alzheimer's

chestnuts

Promotes weight loss

Protects your heart

Lowers cholesterol

Combats Cancer

Controls blood pressure

chili peppers

Aids digestion

Soothes sore throat

Clears sinuses

Combats Cancer

Boosts immune system

figs

Promotes weight loss

Helps stops strokes

Lowers cholesterol

Combats Cancer

Controls blood pressure

fish

Protects your heart

Boosts memory

Protects your heart

Combats Cancer

Supports immune system

flax

Aids digestion

Battles diabetes

Protects your heart

Improves mental health

Boosts immune system

garlic

Lowers cholesterol

Controls blood pressure

Combats cancer

kills bacteria

Fights fungus

grapefruit

Protects against heart attacks

Promotes Weight loss

Helps stops strokes

Combats Prostate Cancer

Lowers cholesterol

grapes

saves eyesight

Conquers kidney stones

Combats cancer

Enhances blood flow

Protects your heart

green tea

Combats cancer

Protects your heart

Helps stops strokes

Promotes Weight loss

Kills bacteria

honey

Heals wounds

Aids digestion

Guards against ulcers

Increases energy

Fights allergies

lemons

Combats cancer

Protects your heart

Controls blood pressure

Smoothes skin

Stops scurvy

limes

Combats cancer

Protects your heart

Controls blood pressure

Smoothes skin

Stops scurvy

mangoes

Combats cancer

Boosts memory

Regulates thyroid

aids digestion

Shields against Alzheimer's

mushrooms

Controls blood pressure

Lowers cholesterol

Kills bacteria

 

 


Be Prepared

Courtesy of WebMD

Almost everyone will need to use a first aid kit at some time. Take the time to prepare a kit to have available for home and travel. First aid kits may be basic or comprehensive. What you need depends on your medical training and your distance from professional medical help. Ready-made first aid kits are commercially available from chain stores or outdoor retailers. But you can make a simple and inexpensive first aid kit yourself.

Home and Travel First Aid Kits

Home first aid kits are usually used for treating these types of minor traumatic injuries:

  • Burns
  • Cuts
  • Abrasions (scrapes)
  • Stings
  • Splinters
  • Sprains
  • Strains

First aid kits for travel need to be more comprehensive because a drug store may or may not be accessible. In addition to personal medical items, the kit should contain items to help alleviate the common symptoms of viral respiratory infections such as these:

  • Fever
  • Nasal congestion
  • Cough
  • Sore throat

It should also contain items to treat these ailments:

  • Cuts
  • Mild pain
  • Gastrointestinal problems
  • Skin problems
  • Allergies

How to Make a First Aid Kit

Try to keep your first aid kit small and simple. Stock it with multi-use items. Almost anything that provides good visibility of contents can be used for a household first aid kit.

  • If your kit will be on the move, a water-resistant, drop-proof container is best.
  • Inexpensive nylon bags, personal kits, fanny packs, or makeup cases serve very well.
  • You do not need to spend a lot of money on a fancy "medical bag." Use resealable sandwich or oven bags to group and compartmentalize items.
  • Put wound supplies in one bag and medications in another.

How to Use a First Aid Kit

Make sure you know how to properly use all of the items in your kit, especially the medications. Train others in your family to use the kit. You may be the one who needs first aid! Pack and use barrier items such as latex gloves to protect you from bodily fluids of others. Check the kit twice a year and replace expired medications. Find out the phone number of your regional poison control center at the American Association of Poison Control Centers Web site and keep the number with your kit.

Where to keep your first aid kit

  • The best place to keep your first aid kit is in the kitchen. Most family activities take place here. The bathroom has too much humidity, which shortens the shelf life of items.
  • The travel kit is for true trips away from home. Keep it in a suitcase or backpack or drybag, depending on the activity.
  • A first aid kit for everyday use in the car should be just like the home first aid kit. For that matter, you could keep similar kits in your boat (inside a waterproof bag), travel trailer, mobile home, camper, cabin, vacation home, and wherever you spend time.

What to Put in Your Household Kit

You can buy all items for your first aid kits at a well-stocked drug store. Ask the pharmacist for help in selecting items.

Home kit: A household first aid kit should include these items:

  • Adhesive tape
  • Anesthetic spray (Bactine) or lotion (Calamine, Campho-Phenique) - For itching rashes and insect bites
  • 4" x 4" sterile gauze pads - For covering and cleaning wounds, as a soft eye patch
  • 2", 3", and 4" Ace bandages - For wrapping sprained or strained joints, for wrapping gauze on to wounds, for wrapping on splints
  • Adhesive bandages (all sizes)
  • Oral antihistamines - diphenhydramine (Benadryl causes drowsiness) or loratadine (Claritin doesn’t cause drowsiness) - for allergic reactions, itching rashes. Avoid topical antihistamine creams because they may worsen the rash in some people.
  • Exam gloves - For infection protection, and can be made into ice packs if filled with water and frozen
  • Polysporin antibiotic cream - To apply to simple wounds
  • Nonadhesive pads (Telfa) - For covering wounds and burns
  • Pocket mask for CPR
  • Resealable oven bag - As a container for contaminated articles, can become an ice pack
  • Safety pins (large and small) - For splinter removal and for securing triangular bandage sling
  • Scissors
  • Triangular bandage - As a sling, towel, tourniquet
  • Tweezers - For splinter or stinger or tick removal

What to Put in Your Travel Kit

Travel kit: A travel first aid kit may contain these items:

  • Adhesive tape

  • 4" x 4" sterile gauze pads

  • Antacid - For indigestion

  • Antidiarrheal (Imodium, Pepto-Bismol, for example)

  • Antihistamine cream

  • Antiseptic agent (small bottle liquid soap) - For cleaning wounds and hands

  • Aspirin - For mild pain, heart attack

  • Adhesive bandages (all sizes)

  • Diphenhydramine (Benadryl) or loratadine (Claritin)- Oral antihistamine

  • Book on first aid

  • Cigarette lighter - To sterilize instruments and to be able to start a fire in the wilderness (to keep warm and to make smoke to signal for help, for examples)

  • Cough medication

  • Dental kit - For broken teeth, loss of crown or filling

  • Exam gloves

  • Small flashlight

  • Ibuprofen (Advil is one brand name)

  • Insect repellant

  • Knife (small Swiss Army–type)

  • Moleskin - To apply to blisters or hot spots

  • Nasal spray decongestant - For nasal congestion from colds or allergies

  • Nonadhesive wound pads (Telfa)

  • Polysporin antibiotic ointment

  • Oral decongestant

  • Personal medications and items

  • Phone card with at least 60 minutes of time (and not a close expiration date) plus at least 10 quarters for pay phones and a list of important people to reach in an emergency

  • Plastic resealable bags (oven and sandwich)

  • Pocket mask for CPR

  • Safety pins (large and small)

  • Scissors

  • Sunscreen

  • Thermometer

  • Tweezers

Anatomy of a First Aid Kit

Courtesy of the American Red Cross

A well-stocked first aid kit is a handy thing to have. To be prepared for emergencies, keep a first aid kit in your home and in your automobile. Carry a first aid kit with you or know where you can find one when you are hiking, biking, camping or boating. Find out the location of first aid kits where you work.

First aid kits come in many shapes and sizes. You can buy one from a drug store, the RedCross.org store, your local American Red Cross chapter may sell them, or you can make your own kit. Some kits are designed for special activities such as hiking, camping or boating. Whether you buy a first aid kit or put one together, make sure it has all the items you may need. Include any personal items, such as medications and emergency phone numbers, or other items your physician may suggest. Check the kit regularly. Make sure the flashlight batteries work. Check expiration dates and replace any used or out-of-date contents. The contents of a first aid kit can be dangerous in the hands of young children. Store your first aid kit in a secure place out of the reach of young children.

Here are suggestions for the contents of a first aid kit:

 

·         Activated Charcoal (use only if instructed by Poison Control Center)

·         Adhesive Tape

·         Antiseptic Ointment

·         Band-Aids (assorted sizes)

·         Blanket

·         Cold Pack

·         Disposable Gloves

·         Gauze Pads and Roller Gauze (assorted sizes)

·         Hand Cleaner

·         Plastic Bags

·         Scissors and Tweezers

·         Small Flashlight and Extra Batteries

·         Syrup of Ipecac (use only if instructed by Poison Control Center)

·         Triangular Bandage


U.S. Department Of State and DOD Announce Pilot Project on Electronic Health Record System Feasability

The Department of Defense (DoD) and the Department of State (DoS) announced they have reached an agreement to begin a pilot project to determine if the DoD electronic health record system, AHLTA is a feasible system for DoS to adopt as its electronic health record system of the future.

DoS selected AHLTA over other electronic medical records because of its robust functionality, proven reliability in remote and austere environments, and compliance with tough DoD security standards.
While operating AHLTA in remote areas under austere communication conditions, DoD healthcare providers routinely record and transmit patient healthcare information from overseas areas of operation to medical treatment facilities in the United States, a requirement that DoS has with its overseas facilities.

"This collaboration and the prospect of extending the reach of our worldwide health information technology network is an important step in building a universal healthcare information delivery system, Dr. William Winkenwerder Jr., assistant secretary of defense for health affairs said. "AHLTA has transformed the way we practice medicine in DoD. We look forward to sharing our implementation experience and the benefits AHLTA provides with another federal department and a new global healthcare partner."

This ground breaking federal partnership is the first of its kind and allows both departments to partner in ways unforeseen even a few years ago. If all goes according to plan, the DoS anticipates AHLTA will eventually be used to support DoS beneficiaries abroad, many of whom seek treatment at both DoS and DoD facilities.

DoD personnel receiving care in U.S. embassies will now have continuity of their lifelong medical record. DoS medical personnel will have access to vital medical information globally at the point of care, improving quality and reducing health care costs.
In addition, domestic deployment of AHLTA will allow DoS much better real-time access to quality measures and epidemiological surveillance, both crucial issues facing healthcare managers.

"We here at State view this as win-win, insofar as we can tap into the development expertise and prior deployment experience that the DoD has invested in AHLTA, and for the first time DoD will begin to electronically capture the healthcare encounters their personnel receive at our embassies abroad. In addition, the taxpayer wins whenever governmental bodies work together rather than reinventing expensive wheels," Dr. Laurence Brown, DoS medical director.

AHLTA provides a comprehensive, computer-based patient record for all military health beneficiaries, regardless of their location. It ensures healthcare providers have instant access to invaluable medical information about their patients. AHLTA was developed by incorporating commercial-off-the-shelf technologies, integrating and fine tuning them to perform the complex functions that a comprehensive electronic health record system provides.

"AHLTA is the result of an extraordinary partnership among the military services, federal employees, contract personnel and our industry partners working together to build systems that not only make healthcare safer and information more accessible, but have the potential to literally save lives," said Carl Hendricks, chief information officer of the Military Health System.

In August 2005, more than one million individuals lost their paper medical records as a consequence of Hurricane Katrina. But all MHS beneficiaries who fled the storm and checked into medical treatment facilities hundreds of miles from their Gulf Coast homes received seamless care because providers were able to access their EHR.

AHLTA ensures valuable, life-saving beneficiary information is always accessible and records are durable, complete, accurate and legible-a major advancement over the paper record. Implementation of AHLTA began in January 2004 was completed in December 2006 and supports more than 9.1 million beneficiaries worldwide.


Women and heart attacks (Myocardial infarction)

 

Did you know that women rarely have the same dramatic symptoms that men  have when experiencing heart attack...you know, the sudden  stabbing pain in the chest, the cold sweat, grabbing the chest & dropping to the floor that  we see in the movies. Here is the story of one woman's experience with a heart attack.

 

"I had a completely unexpected heart attack at about 10:30 pm with NO   prior exertion; NO prior emotional trauma that one would suspect might've brought it on. I was sitting all snugly & warm on a cold evening, with my purring  cat in my lap, reading an interesting story my friend had sent me, and  actually thinking,” A-A-h, this is the life, all cozy and warm in my soft, cushy Lazy Boy with my feet propped up." A moment later, I felt that awful sensation of indigestion, when you've been in a hurry and grabbed a bite  of sandwich and washed it down with a dash of water, and that hurried bite seems to feel like you've swallowed a golf ball going down the esophagus in slow motion and it is most uncomfortable. You realize you shouldn't have gulped it down so fast and needed to chew it more thoroughly and this time drink a glass of water to hasten its progress down to the stomach. This was my initial sensation---the only trouble was that I hadn't taken a bite of anything since about 5:00 p.m.

 

After that had seemed to subside, the next sensation was like little  squeezing motions that seemed to be  racing up my SPINE (in hind-sight, it was  probably my aorta spasming), gaining speed as they continued racing up and under my sternum (breast bone, where one presses rhythmically when  administering CPR). This fascinating process continued on into my throat and branched out into both jaws.

 

"AHA!! NOW I stopped puzzling about what was happening--we all have read  and/or heard about pain in the jaws being one of the signals of an MI  happening, haven't we?  I said aloud to myself and the cat, "Dear God, I think I'm having a heart attack!" I lowered the foot rest, dumping the   cat from my lap, started to take a step and fell on the floor instead. I   thought to myself "If this is a heart attack, I shouldn't be walking into the next room where the phone is or anywhere else........but, on the other hand, if   I don’t, nobody will know that I need help, and if I wait any longer I may   not be able to get up in moment."

 

"I pulled myself up with the arms of the chair, walked slowly into the next room and dialed the Paramedics... I told her I thought I was having a heart attack due to the pressure building under the sternum and radiating into my jaws. I didn't feel hysterical or afraid, just stating the facts. She said  she was sending the Paramedics over immediately, asked if the front door was near to me, and if so, to unbolt the door and then lie down on the floor where they could see me when they came in.

 

"I then laid down on the floor as instructed and lost consciousness, as I don’t