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Electrical injuries can present with a variety of problems, including cardiac or respiratory arrest, coma, blunt trauma, and severe burns of several types. It is important to establish the type of exposure (high or low voltage), duration of contact, and concurrent trauma. Low-voltage AC injury without loss of consciousness and/or arrest These injuries are exposures of less than 1000V and usually occur in the home or office setting. Typically, children with electrical injuries present after biting or chewing on an electrical cord and suffer oral burns. Adults working on home appliances or electrical circuits can also experience these electrical injuries. Low-voltage AC may result in significant injury if there is prolonged, tetanic muscle contraction. Low-voltage AC injury with loss of consciousness and/or arrest In respiratory arrest or ventricular fibrillation that is not witnessed, an electrical exposure may be difficult to diagnose. All unwitnessed arrests should include this possibility in the differential diagnosis. Query EMS personnel, family, and coworkers about this possibility. Inquire if a scream was heard before the patientโs collapse; this may be due to involuntary contraction of chest wall muscles from electrical current. High-voltage AC injury without loss of consciousness and/or arrest Usually high-voltage injuries do not cause loss of consciousness but instead cause devastating thermal burns. In occupational exposures, details of voltage can be obtained from the local power company. High-voltage AC injury with loss of consciousness and/or arrest This is an unusual presentation of high-voltage AC injuries, which do not often cause loss of consciousness. History may need to come from bystanders or EMS personnel. Direct current (DC) injury These injuries typically cause a single muscle contraction that throws the victim away from the source. They are rarely associated with loss of consciousness unless there is severe head trauma, and victims can often provide their own history. Conducted electrical devices Conducted electrical weapons (CEWs) such as tasers are weapons used by law enforcement that deliver high-voltage current that is neither true AC or DC but is most like a series of low-amplitude DC shocks.[16] They can deliver 50,000 V in a 5-second pulse, with an average current of 2.1 mA.[17] Though they have been temporally associated with deaths in the law enforcement setting, conducted electrical devices (CEDs) in healthy volunteers have been shown to be safe without evidence of delayed arrhythmia or cardiac damage as measured by troponin I.[18, 17] One study of their use in 1201 law enforcement incidents showed mostly superficial puncture wounds from the device probes, and significant injuries only from trauma subsequent to shock, not from the device itself. Of 2 deaths in custody, neither was related to CEW exposure.[19]
A needle is inserted into a joint for two main indications: aspiration of fluid (arthrocentesis) for diagnosis or for relief of pressure, or injection of medications. In practical terms, most injections into joints consist of a glucocorticoid, a local anesthetic, or a combination of the two. Occasionally saline is injected into the joint to diagnose a joint injury. This topic will review the basic technique of inserting a needle into a joint and the main indications for intraarticular steroid injections. The same techniques apply for injection of the less commonly used hyaluronate viscosupplementation agents into knees, hips, and perhaps shoulders.
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Como Mantener Una Erecciรณn, Vitaminas Para Hombre, Remedio Para Impotencia Masculina.--- http://erecciones-increibles.good-info.co --- Por quรฉ los medicamentos para la disfunciรณn erรฉctil no son la respuesta, Probablemente has visto los comerciales de Viagra, Cialis, y los otros medicamentos populares utilizados en el tratamiento de la disfunciรณn erรฉctil. Las grandes empresas farmacรฉuticas estรกn constantemente bombardeando con anuncios, tanto en la televisiรณn y en lรญnea, exagerando los beneficios de su clase mรกs reciente de "medicamentos maravillosos". Son tan populares que muchas personas que ni siguiera tienen disfunciรณn erรฉctil tratan de conseguir algunas de las pastillas para un "uso recreativo" ocasional. ยฟAlguna vez te has preguntado por quรฉ las empresas farmacรฉuticas apuntarรญan a TI en sus anuncios? Despuรฉs de todo, no puedes conseguir estos medicamentos sin receta, asรญ que mostrarte un anuncio sobre estas drogas parece ilรณgico. Pero cuando lo piensas, comienza a tener mรกs sentido... La primera vez que empieces a experimentar problemas con tu desempeรฑo sexual, es casi seguro que le pedirรกs a tu doctor una de las drogas que has visto en TV. Entonces, por supuesto, una vez que ves que la " pastilla mรกgica" funciona para ti, estรกs enganchado. ยกTienen un nuevo cliente de por vida! El problema verdadero aquรญ es que las grandes compaรฑรญas farmacรฉuticas NO tienen absolutamente ningรบn interรฉs en curarte de la disfunciรณn erรฉctil. Prefieren ver que estรกs enganchado en su medicamento muy costoso para siempre. Esos son ingresos mensuales garantizados para ellos, pero para ti, no es una cura, sino una soluciรณn alternativa y una carga financiera. No cometas el error de pensar que los tratamientos para disfunciรณn erรฉctil son la รบnica clase de medicamento con los que hacer esto. Las grandes farmacรฉuticas estรกn en el negocio de vender soluciones temporales en lugar de curas permanentes. Esta es la รบnica cura comprobada para la disfunciรณn erรฉctil que es 100% segura y natural, y combina un secreto ancestral de los amantes mรกs viriles del mundo con ciencia moderna y revolucionariaโฆ Ingresa ahora a: http://erecciones-increibles.good-info.co
Dieta Iposodica Per Acufeni, Agopuntura Efficacia Contro Acufeni, Ronzio Orecchie Nel Silenzio---- http://acufeni-cura.plus101.com/ --- I sintomi dell'acufene, I sintomi dell'acufene possono causare molti fastidi e problemi a chi ne soffre. Inoltre anche i sintomi possono causare confusione. Prendiamo un esempio per capire meglio. Stai conducendo una vita perfetta, vai al lavoro e torni a casa ogni giorno, ma improvvisamente incominci a sentire strani rumori all'orecchio. Ovviamente credi che ci sia una sorgente di tali rumori. Stranamente nessun altro sembra sentirli. Puoi spaventarti e pensare che quei rumori provengano dal tuo corpo, cosรฌ vai dal dottore. Dopo qualche esame il dottore conferma che รจ tutto a posto. Il problema รจ che tu i rumori continui a sentirli. Incominciano a darti sui nervi e ti influenzano nel lavoro. E ancora peggio, i rumori sembrano farsi piรน forti la notte, privandoti del tuo prezioso sonno. Si tratta di acufene. I rumori che senti sono i sintomi principali e possono essere di vario tipo. Puoi sentire strani scricchilii, ronzii, brusii, fischi o sibili all'orecchio. Non รจ mai lo stesso per tutti. Alcuni li sentono di tanto in tanto, altri per tutto il tempo. alcuni raccontano di forti attacchi. Ed altri sono stremati da trapanamenti costanti. Ma una cosa รจ certa - molte persone negli USA e altrove hanno gli acufeni. Quindi non sei davvero l'unico in queste condizioni. La maggior parte dei sintomi dell'acufene non sono altro che rumori fantasma Molte persone sono confuse se non riescono ad indivuare la fonte del rumore alle orecchie. Alcuni si spaventano. Spesso queste persone sono messe in ridicolo da chi non sente quei rumori. Ma per chi soffre di acufeni i suoni sono assolutamente reali. Di fatto sono rumori fantasma, una percezione delle orecchie. Vi sono eccezioni. In almeno un caso il rumore puรฒ essere reale. In altre parole c'รจ una effettiva fonte del rumore che senti. Questo รจ l'acufene pulsatile. In questo caso sei in grado di sentire il battito del tuo cuore e ciรฒ ti puรฒ far impazzire perchรจ lo senti in continuazione. Vi รจ un'altra differenza. C'รจ sicuramente piรน di una persona che sente questi rumori e questo รจ il tuo dottore. Avrร bisogno di uno strumento di ascolto per sentirli. Prendi nota - non รจ come sentire il cuore con uno stetoscopio. in questo caso il dottore utilizza uno strumento di ascolto per sentire il rumore all'orecchio, non nel petto. Che cosa causa l'acufene pulsatile? Potresti sentire il tuo cuore in caso di pressione alta, danni alle arterie e anche cambiamenti della circolazione del sangue. A volte, una grande dose di stress, ansia o depressione puรฒ causare questa situazione. Non Importa Quale Sia La Causa, Tipo O Gravitร Del Tuo Acufene, Puoi Iniziare Ad Utilizzare Questo Efficare Sistema PROPRIO ORA Ed Ottenere Un Sollivo E Una Liberazione Permanente ISTANTANEA Dai Tuoi Acufeni! inserisci ora: http://acufeni-cura.plus101.com/
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Urinary incontinence โ the loss of bladder control โ is a common and often embarrassing problem. The severity ranges from occasionally leaking urine when you cough or sneeze to having an urge to urinate that's so sudden and strong you don't get to a toilet in time. If urinary incontinence affects your daily activities, don't hesitate to see your doctor. For most people, simple lifestyle changes or medical treatment can ease discomfort or stop urinary incontinence
Urinary incontinence is the unintentional loss of urine. Stress incontinence happens when physical movement or activity โ such as coughing, sneezing, running or heavy lifting โ puts pressure (stress) on your bladder. Stress incontinence is not related to psychological stress. Stress incontinence differs from urge incontinence, which is the unintentional loss of urine caused by the bladder muscle contracting, usually associated with a sense of urgency. Stress incontinence is much more common in women than men. If you have stress incontinence, you may feel embarrassed, isolate yourself, or limit your work and social life, especially exercise and leisure activities. With treatment, you'll likely be able to manage stress incontinence and improve your overall well-being.
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