Dr. Suchita Pisat

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.

1. 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.
2. 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.
3. 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.
4. 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.
5. 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. If you wish to discuss about any specific problem, you can consult a general physician.

A Urinary Tract Infection(UTI) can occur in any part of the urinary tract including the kidneys, ureters, bladder or urethra. The causes of a UTI can be many, with bacteria being the most common cause. In fact, UTIs are generally more common among women as they have shorter urethras, which make it easier for the UTI causing bacteria to pass through to the bladder.

The symptoms of UTI vary depending on the area of your urinary tract that has been infected. These symptoms are:

Lower urinary tract infection:

1. Bladder cystitis, in which the lining of bladder and urethra become inflamed and irritated

2. Dysuria, which is a burning sensation during urination

3. A frequent or intense urge to urinate, even though little comes out when you do

4. Urinary urgency, which is the sensation of having to urinate urgently

5. Cloudy, dark bloody or strange-smelling urine

6. Cramping or pressure in lower abdomen or lower back

7. Pelvic pain in women particularly in the center of the pelvis and around the area of pubic bone

8. Mild fever or chills indicating that the infection may have reached your kidneys

Upper urinary tract infection:

1. Fairly high fever with fatigue

2. Shaking chills with a feeling of discomfort

3. Nausea and vomiting

4. Flank Pain, which is pain in the back or side, usually on only one side at about waist level

Since pregnant women are at an increased risk of contracting UTIs, their urine should be checked during prenatal visits to prevent unrecognized infection that can cause pregnancy complications.

Backache is a very common complaint during pregnancy and a lot of pregnant women believe it is an inevitable part of being pregnant. But if we understand the reasons why it happens, then we can take remedial measures to help ourselves.

1) Majority of backache happens due to wrong posture and improved posturewill reduce the stress on your back. As the pregnancy advances, the growing baby bulk pushes the center of gravity forwards. This enhances the natural curve of the back and puts the back muscles under more stress.

One must try to walk tall and keep the stomach tucked in towards the back (as far as comfortable) while standing and walking. Always bend from your knees and not waist to pick up something from below (even your baby). Avoid sudden twisting movements from the waist,instead turn the whole body sideways to reach the object.

2) Try to improve upon the strength of the back muscles by gradually including theendurance exercises in your daily regimen. One can safely do almost all kinds of exercises till the fifth month of pregnancy but always have a word with your doctor before starting.

3) Always take your supplements (calcium, Vitamin D as prescribed by your doctor because nature tends to draw calcium from mother's bones and divert it towards the baby. So any kind of deficiency will be more harmful for the mother rather than the baby.

4 Use a medium -firm mattress and a good pillow to sleep. Very soft or very firm (Orthopedic) mattresses may not be very comfortable during pregnancy.

5) During early pregnancy one can sleep in any posture including sleeping on your tummy if this makes you more comfortable. After the 6th month of pregnancy it is better to sleep preferably on your side with a small cushion placed between your knees A gentle back massage is very soothing at times. Drink plenty of water and other liquids so you don't have urinary infections or constipation which may also sometimes cause backache.

Top surprising benefits of Namaz

Health benefits of Ablution/Wudu/Wuzzo

Wudu (Ablution) with water where one washes his hands, face, and feet region leads to preventing germs from the body thus promotes good health.
Ablution (Wuzzo) stimulates biological active spots similar to Chinese Reflexo-Therapy, which has beneficial therapeutic effects on the hands, face and feet region.
Ablution helps to relax the nervous system and eases tension, stress and anxiety.
Washing hands five times a day (excluding washing before dietary intake) before Namaz means an effective way to keep germs away from the body.
Hand washing is an efficient way to prevent spread of germs.
Gargling during ablution (Wudu) is very important as it helps to remove germs, allergens and dust particles.
Gargling with plain water reduces the chances of common cold to a greater extent thereby contribute to health and hygiene. Gargling also reduces viral respiratory infections. Gargling ensures reduction in bad breath too.
Nose cleansing during Wuzzo removes dusts, allergens and contaminated matter. Nose cleaning with plain water helps to minimize the infections such as flu, sinusitis,
cold and chest infections.
Nasal cleaning with water overcomes nasal congestion and clear sticky matter in the nose.
Nasal cleaning helps to treat allergic rhinitis, good for nasal dryness and improves breathing.
Face washing during ablution is very beneficial for refreshing as well as improving the facial complexion.
Face washing reduces the impact of oily skin and retarded the growth of acne, pimples, wrinkles, and other facial spots.
Ears cleaning during ablution are quite effective to prevent wax accumulation. Cleaning ear with wet fingers five times a day is also good to remove dust and germs from the outer region of the ears.
Washing the feet during Wuzo helps to cleaning dirts, fungus. It also acts like as acupressure while fingers are passing through the bottom area of the toes. Rubbing the toes with fingers is also good in case of diabetes and removing pain from the body. As lots of accu points are present in the upper and lower parts of toe regions and pressing these during ablution is helpful in curing of pain like back pain, arthritis, joints pain, etc.
Offering Namaz (Sala'at) has many benefits such as spiritual, religious, physical, mental, social, economical, social, etc.
Namaz is highly beneficial to activate all the seven Chakras as per the Yogic philosophy
Namaz and Yoga

17. There is great correlation between Namaz and Yoga. Yoga rejuvenates the mechanism of body and mind. Yoga Therapy, a refreshing process as well as a cost-effective solution; try to find out the very root cause of diseases. It helps to restore harmony among various components of lifestyle- physical, social, emotional, spiritual, mental and psychological. The basic concept of Yoga is to relish and cherish the life with exhilarating excitement. The system provides psychological and emotional well-being. Being drugless therapies, it enhances sustainable and functional ability of the body. The same case is also with Namaz. Yoga and Namaz is certainly a substitute of stress and disease free personality.

Namaz is the finest form of meditation

18. Namaz is one of the best forms of meditation or Dhyan from Yogic point of view where the person unilaterally surrenders to Allah. Meditation is defined as the uninterrupted flow of mind towards a particular object. Namaz is one of the best stress buster and tension reliever modules. Namaz (Sala'at) is the perfect example of meditation where the performer thinks only and only about Allah. Thus, Namaz provides the ultimate satisfaction and peace to the mind thus save you from many diseases and disorders. It enhances your concentration and reduces the level of depression. Namaz helps to develop positive milieu around the Namazi.

Namaz and physical health benefits

19. Namaz has multiple many health and fitness benefits. Some of the important physical health benefits are as follow:

Namaz is one of the important means for health, happiness and harmony.
Offering regular Namaz keeps one fit and healthy by burning extra calories thereby losing weight. Namaz is one of the effective ways for weight loss as well as to control obesity.
Namaz stretches your muscles and helps to provide tone body.
It is good to overcome arthritis as Namaz is good to enhance flexibility of the body and reduces stiffness.
Namaz is a good source to balance Anabolic and Catabolic biochemical process of the body.
Namaz is good for heart, brain, above all for the entire body.

Standing posture in Namaz (Qiya'm) ensures proper blood flow the lower portion of the body. It is also good in strengthening the leg muscles.
Health benefits of Ruk'u

20. The forward bending position of Namaz (Ruk'u) is good for your lower vertebral column. It helps to ease your back pain as per Yogic philosophy. Doing Ruku properly helps to control backache and vertebral column related diseases. Namaz Ruku is effective in developing flexibility to shoulder, elbowm wrist, knees and ankle regions. Ruku exerts abdominal pressure thereby eases constipation and peristaltic movements. During Ruku, the kidney experiences a sort of massage thus helpful to kidney problems.

Health benefits of Sajdah

21. During Sajdah, one sit in Vajrasana, a very important yoga pose from health point of view. Vajrasana strengthens the thigh and calf muscles. It is good for digestion and keeps your spine firm and erect. Sajdah is very beneficial in the proper functioning of brain, lungs, body muscles, joints and entire vertebral column. Sajdah helps to maintain smooth blood to the brain region, and also stimulates the master gland pituitary gland as well as the pineal gland. Sajdah reduces the chances of brain hemorrhage and headache due to smooth blood flow to the head region. While performing Sajdah, the toes are experiencing acupressure which is good for better health of the body, especially for body pains.

Health benefits of Sala'm (Neck Yoga)

22. Salam is the excellent form of neck and upper vertebra exercise. Namaz's Salam is the Griva-sakti-vikasaka (Strengthening the Neck) of Yogic Sukshma Vyayama, which is helpful in loosening the neck joints and also helps to relax the shoulder and upper back muscles. Salam helps to refresh all the nerves passes through the neck, thus good in case of headache and contend migraine.