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Treatment of Skin Infections
Treatment of Anal Fissure
Treatment of Migraine Treatment
Piles Treatment (Non Surgical)
Sexually Transmitted Disease (Std) Treatment
Treatment of H.I.V
Treatment of Joint And Muscle Problems
Liver Problems Treatment
Hiv Prophylaxis Post Exposure
Irritable Bowel Syndrome (Ibs) Treatment
Viral Fever Treatment
Management of Surrogacy
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When it comes to accidents and other such traumatic incidents, a concise approach is needed to assess and manage the person’s injuries. The immediate response to an accident is known as basic life support and can be performed by anyone, but advanced trauma life support must be performed by a certified medical practitioner. The main objective of trauma life support is to address the greatest threat to life first.
Trauma life support has three stages primary survey, secondary survey and tertiary survey. A primary survey is the first part of proving trauma life support. This should be addressed in a series of steps that follows the mnemonic, ABCDE.
- Assess the airways: If the person is able to talk, his airways are clear. Hence call out to the person and try to get a verbal response. If the patient is unconscious, make him lie down on the floor with the chin tilted back. Open the mouth and check for any obstructions. Fluids such as blood or vomit that is obstructing the airways may be suctioned out. In case the airway is still obstructed, an endotracheal tube may be inserted.
- Breathing and ventilation: Check for chest movement that may indicate breathing. If present, tracheal deviation and subcutaneous emphysema should be identified. An inspection of the chest can help identify penetrating injuries, bruising, tracheal deviations and a flail chest segment.
- Circulation: Look out for hypovolemic shock that may be caused by excessive bleeding. This bleeding can be controlled by applying direct pressure on the wound. Establish two intravenous lines and administer crystalloid solution to the patient. If the person still does not respond, administer type specific blood or O negative blood to the person.
- Disability assessment: A basic neurological assessment can be made by alerting the person, verbal stimuli and its response or unresponsiveness. Towards the end of the primary survey, the Glasgow coma scale can be used to determine the patient’s level of consciousness.
- Exposure control: While the patient’s clothes will need to be completely removed, protect him from hypothermia by covering him with warm blankets. Warm intravenous fluids before administering them and maintain a warm environment.
Once the patient’s vital signs are turning normal, the medical practitioner can start the secondary survey. This involves a head to toe medical examination and understanding of family medical history. X-rays of the injury sites may also be taken. If at any point, the person’s condition begins to deteriorate, a primary survey should be repeated. As soon as possible, the patient must be shifted off the hard spine board and placed on a firm mattress. This is followed by a tertiary survey, which helps identify injuries that may have been missed earlier and other related problems.
While intercourse is perceived as an act of pleasure and joy, for many people, due to various reasons (physical and psychological) it may not be the case. There are multiple sexual problems in males and females, some of which are extremely common. However, given the private nature of the topic, not many come up for a frank discussion with the doctor. The problem goes unsolved, leading to a lot of stress in the relationships and even broken relationships at times. Read on to know 3 most common sexual problems in males and females.
- Impotence: Inability to attain and/or maintain an erection is extremely common. Performance anxiety, stressful relationships, and hormone imbalance are the most common causes for this.
- Ejaculation disorders: When the male is not able to hold the erection long enough, it is termed as premature ejaculation. When there is an ejaculation of sperms back into the bladder, it is retrograde ejaculation. Slow release of sperms is referred to as inhibited ejaculation. There is no defined time period for these conditions, and it depends on the couple.
- Low libido: A reduced desire for and in sexual activity, this can be due to physical or psychological factors. Hormonal imbalance, anxiety, depression, high blood pressure, and relationship issues are some causes attributable to this condition.
Treatment: Though medications and hormones can definitely come to the rescue, the first and most effective mode would be counselling. Psychological reasons should be addressed for relieving the problem through counselling and sex education. Hormone replacements, vacuum devices, and penile implants can also be used to manage these. The partner should be involved too to achieve a healthy sexual life.
Women: The sexual problems seen in women are slightly different than in males.
- Low libido: This is far more common in women than in men. This is related to multiple factors like hormonal (menopausal), stressful relationships, painful sex, pelvic pain and infections.
- Anorgasmia: This is an inability to achieve orgasm and is more common in females than in men. This also feeds into lower libido.
- Dyspareunia: This can be due to pelvic area infections, urinary tract infections and vaginal dryness. This again leads to decreased libido.
Treatment: This again involves a combination of medications, hormonal therapy, and counselling. If there are infections or inflammation in the pelvic tract, they need to be treated. Vaginal dryness can be managed with lubricants. Hormone replacement can be done where required. However, like in males, involving the partner and having a frank discussion is the most effective way to resolve this issue. Women are still quite conservative and may not be very forthcoming to talk about this. However, this remains the most effective method to improve the quality of sex life.
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