EDEN Out-Patient & Dental centre

04/06/2023

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01/09/2021

Your patient with multi-system trauma has an ETCO2 = 22 mm Hg and a normal blood pressure. What could be happening?

A newly published study from the Journal of Trauma and Acute
Care Surgery provides great insight into another great use of end-tidal CO2 in trauma patients.

This was a retrospective, observational cohort study evaluating
trauma patients who were intubated and ventilated by Seattle Fire Department paramedics in the prehospital setting as part of their resuscitative care. The study EXCLUDED patients who were:
1. Younger than 18 years,
2. Not intubated with an ETT
3. Did not have continuous ETCO2 waveform data
4. Could not be matched with the in-hospital trauma registry based on the available demographic data.

The primary outcome was hemorrhagic shock, defined as transfusion of at least 1 unit of any blood component in the ED along with either an initial ED systolic BP less than or equal to 90 mm Hg or an initial ED shock index greater than 0.9.

What were the results?
Patients in hemorrhagic shock had lower median ETCO2 values (26.5 mm Hg vs. 32.5 mm Hg; p < 0.001) than those not in hemorrhagic shock. Patients with prehospital ETCO2 less than 25 mm Hg were 3.0 times (adjusted odds ratio = 3.0; 95% confidence interval, 1.1–7.9) more likely to be in hemorrhagic shock upon ED arrival than patients with ETCO2 ≥ 25 mm Hg.

What's the main takeaway?
Incorporating ETCO2 assessment into prehospital care for trauma patients could support decisions regarding prehospital blood transfusion, and triage to higher-level trauma centers, and trauma team activation.

Read the full study here: http://ow.ly/ygeK50G1Kcp

10/09/2016

What Causes Enuresis?
Doctors don't always know the exact cause of nocturnal enuresis. They do have some theories, though, on what may contribute to someone developing the condition:

Hormonal problems. A hormone called antidiuretic hormone, or ADH, causes the body to produce less urine at night. But some people's bodies don't make enough ADH, which means their bodies may produce too much urine while they're sleeping.
Bladder problems. In some people with enuresis, too many muscle spasms can prevent the bladder from holding a normal amount of urine. Some teens and adults also have relatively small bladders that can't hold a large volume of urine.
Genetics. Teens with enuresis often have a parent who had the same problem at about the same age. Scientists have identified specific genes that cause enuresis.
Sleep problems. Some teens may sleep so deeply that they don't wake up when they need to p*e.
Caffeine. Using caffeine causes a person to urinate (p*e) more.
Medical conditions. Medical conditions that can trigger secondary enuresis include diabetes, urinary tract abnormalities (problems with the structure of a person's urinary tract), constipation, and urinary tract infections (UTIs). Spinal cord trauma, such as severe stretching of the spinal cord resulting from a fall, sports injury, auto accident, or other event may also play a role in enuresis, although this is rare.
Psychological problems. Some experts believe that stress can be associated with enuresis. It's not uncommon to feel stressed out during the teenage years, and things such as divorce, the death of a friend or family member, a move to a new town and adapting to a new school and social environment, or family tension can feel overwhelming.
Doctors don't know exactly why, but more than twice as many guys as girls have enuresis. It is often seen in combination with ADHD.

06/08/2014

welcome all for Dental services, :extraction, full mouth scaling, filling, root canal treatment, diagnosisa n check up.

18/04/2014

you're all invited for the medical camp. come and interact with our qualified doctors ask as many questions. stay safe and healthy

16/04/2014

Top Ten tips for Better Health

The following tips will not only make you look better and feel better, but they will also keep you from developing long-term serious health problems.

Cover up in the sun
UV rays are penetrating the earth's atmosphere all year long. It's important to wear protection at all times to protect yourself from excessive sun exposure.
Cut out fat
Dairy products such as cheese, milk and cream should be eaten in low fat versions.Butter and sauces in sandwiches should be kept to a minimum, if possible. And try to avoid fried or fast food, as they have a high amount of fatty acids in them.
Don't smoke
Give up smoking as soon as you can. Smoking not only causes lung cancer, but its also recently been linked to many other illnesses. Research has shown that smoking reduces life expectancy by seven to eight years. So try giving up the next one.
Drink alcohol in moderation
Recent studies have shown that a glass of red wine a day can help protect against heart disease. But if you drink excessively, you will have health problems such as liver and kidney disease and cancer in later life.
Eat Healthy
Make sure you eats lots of fruit and vegtables each and every day. Even try adding a multivitamin to your daily routine. You'll soon see the difference.
Get active
One of the best ways to stay healthy is to exercise. It's recommended to do 30 minutes of cardio exercise 3 times a week. This even includes going for a walk with the dog, or even running around with the children.
Keep stress in check
Getting stressed out is bad for your health. If you are stressed in the work place you are more likely to cause an accident and injure yourself or even fall ill.
Positive outlook
It has been scientifically proven that a person with a positive outlook on life will be healthier than someone who doesn't.When you smile your brain releases small amounts of serotonin that give your body a good feeling. So next time your sad, smile.
Relax
Relaxation has actually become a medical treatment. It's very important to relax in the evenings after working. Try find somewhere that you feel comfortable, and just kick back. It can be anywhere from a chair, to a bubble bath.
Ways to increase your daily excercise
Walk to the shops rather than taking the car. Try taking the stairs whenever possible. If you get two or more buses, can you walk one of the journeys? Or even get off the bus or train a stop earlier.