THE USE OF MEDICAL OXYGEN IN EMS

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ISSN-1059-6518

Volume 26 Number 4

By Frank Hubbell, DO

Illustrations By T.B.R. Walsh

MEDICAL OXYGEN (O2):

To be used on anyone who is exhibiting signs and symptoms of hypoxia:

 

Shortness of breath

Increase or decrease in respiratory rate

– Adult: respiratory rate less than 10 or greater than 30

– Child (1 year – 12 years old): respiratory rate less than 15 or greater than 30

– Infant (0 – 12 months old): respiratory rate less than 25 or greater than 50

Increase in heart rate.

Change in level of consciousness.

Change in skin color: pallor or cyanosis.

 

 Never, ever withhold oxygen from someone who appears to need it.

The following is needed to provide supplemental oxygen to a patient:

✔  O2 tank

✔  Regulator

✔  Delivery device – O2 mask

 

 Medical Oxygen Storage Tanks:

Come in various sizes.

Are identified by color– either the entire tank is green or the curved part of the tank, “the shoulder,” is green

Have an identifying yellow, diamond shaped label on the tank that is marked U.S.P. and Oxygen

Full tanks contain 2000 PSI of pressure and must be handled properly.

 

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CENTIPEDES and MILLIPEDES

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CENTIPEDES and MILLIPEDES

 

By Frank Hubbell, DO

Illustrations by T.B.R. Walsh

This is a short article to compare and contrast Centipedes and Millipedes. Centipedes are venomous and can cause a painful bite, while Millipedes have no venom and pose no danger to humans.

Centipedes:    Millipedes:

KINGDOM                Animalia        Animalia

PHYLUM                  Arthropoda    Arthropoda

SUBPHYLUM          Myriapoda      Myriapoda

CLASS                      Chilipoda         Diplopoda

CENTIPEDES:centipede

These are not Arachnids; they are Chilipoda.

They are predatory – eat insects, worms, and millipedes.

They have a pair of legs for each segment, 20 to over 300 pairs.

They have a pair of venom claws on the front segment, and they do produce venom used to killed and subdue their prey.

Size: 4mm (1/4”) to 30cm (12”).

8000 species of centipedes.

They have a venomous sting that is painful but not dangerous.

The only danger is the risk of an allergic reaction or anaphylaxis.

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SCORPIONS and The WORLD OF ARACHNIDS

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ISSN-1059-6518

The WORLD OF ARACHNIDS

 Dangerous to Humans

By Frank Hubbell, DO

Illustrations by T.B.R. Walsh

KINGDOM – Animalia

PHYLUM – Arthropoda

SUBPHYLUM – Chelicerada

CLASS – Arachnida

Arachnids:

They are joint-legged invertebrate animals.

They have eight legs, the front two may be modified into fangs or jaws.

There are over 100,000 named species.

There are 11 Orders of Arachnida:

Potentially dangerous to humans:

Araneae – spiders

Scorpiones – scorpions

Acari – ticks and mites

Harmless to humans:

Scolifugae – camel spiders, wind scorpions, sun spiders, solifuges

Opiliones – harvestmen (daddy longlegs)

Amblypygi – tailless whipscorpions and whip spiders

Palpigradi – micro whipscorpions

Pseudoscorpion – pseudoscorpion, bookscorpion, or false scorpion

Ricinulei – ricinuleids or hooded tick spiders

Schizomida – schizomids or shorttailled whipscorpion

Thelyphonida – whiptailed scorpion, vinegaroons, uropygids

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Japanese Encephalitis

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ISSN-1059-6518

Travel Immunizations

Japanese Encephalitis

By Frank Hubbell, DO

Japanese Encephalitis (JE) is more correctly known as Japanese B Encephalitis.

It is a virus in the family Flaviviridae.

The reservoirs in nature that harbor the JE virus are pigs and herons.

The vector for JE is the mosquito – Culex tritaeniorhynchus & C. vishnui.

JE is not contagious, in that it cannot be transferred from human-to-human. It has to be spread by the Culex mosquito vector.

The incubation period from mosquito bite to symptoms is 5  – 15 days.

The vast majority of those infected are asymptomatic.

Only 1 in 250 cases develops into encephalitis.

Still JE is the leading cause of encephalitis in Asia with 30,000 – 50,000 cases per year.

One in four patients that develop JE encephalitis will die. There is a 25% fatality rate caused by brain damage.

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