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torturing-characters-101 · 3 years ago

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maybe this is a little vague, but how long would it take for a coma patient to die after their life support is withdrawn?

Very interesting question. It depends on what life support measures are being implemented, and how dependent on them the person is.

Life support is a range of different machines and therapies designed to keep a person alive. This ranges from something called ECMO, which effectively takes over for the heart and lungs for temporary periods, to simply a tube that goes from the nose to the stomach to deliver food and water to a person who cannot eat or drink.

As stated above, the most intensive life support is ECMO, which is essentially a machine that takes over the functions of the heart and lungs temporarily- oxygenating blood outside the body and circulating it. This is usually used in open heart surgery, though it can be used in some ICUs for longer periods of time. Assuming the person is entirely dependent on ECMO (as in, they do not have heart or lung function on their own), they would begin to die within minutes of ECMO being withdrawn.

Next down might be something like a ventilator. Ventilators have different modes that allow a person who has some respiratory function on their own to continue exercising it while being supported mechanically.

For example, someone may be on a ventilator only to provide extra pressure to overcome the resistance from a tube that goes from their mouth to their lungs to hold open their airway, and sometimes it adds pressure to make it easier for the person to pull in breaths. This person can probably breathe on their own for an indeterminate amount of time and would not necessarily die if the ventilator was withdrawn, though they may have trouble keeping their airway open or they may tire out easily trying to breathe.

Another vent setting involves the patient breathing as much as they can, and the ventilator serving as a backup. If the person doesn't take a breath in a set number of seconds, the ventilator gives them one. This person may survive for a while afterwards, but would likely eventually die due to high levels of carbon dioxide in their blood. It might be any time between an hour or less to several days before the person's death.

The highest setting on most vents still allows the patient to initiate breaths, but every breath they take is assisted to ensure it is a complete breath, and the machine also delivers a set number of breaths every minute. Someone who is dependent on this mode may pass within minutes of being taken off the vent and likely wouldn't live more than an hour or so, dying from lack of oxygen or buildup of carbon dioxide.

Another life support device is a cooling blanket. When certain parts of the brain are damaged (such as the parts that are damaged after a long period without oxygen), the person cannot control their own temperature, and they tend to get extremely overheated by their own metabolism. Temps can get into the 110's *F, which kills pretty quickly. Fever-reducing drugs are not effective. This would also be someone who could last anywhere from an hour or so to a couple of days, though their brain would quickly become more and more damaged during this time.

The least intensive form of life support would be the provision of food or water through an NG tube- a tube that goes from the nose to the stomach and allows medications and tube feed (water and basic nutrition) to be delivered to the stomach. If this is withdrawn and IV fluids are not provided, the person may live a week or more before dying of dehydration. If they are, for some reason, given IV fluids, they may live months.

Note that a person may be on a combination of modalities (like it would be weird for someone to be on a ventilator without an NG tube).

-Ross ( @macgyvermedical)

#whump reference #writing reference #whump #ventilators #ECMO #life support #NG tube

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fertilitydostofficial · 4 years ago

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Naturopathy At Home: Nature’s Path To Curing Infertility

Are you and your partner trying to conceive? Do you wish to combat infertility without any strong medications? If yes, then Naturopathy can be the way for you. Naturopathy is a school of medication that completely relies on naturally occurring, organic ingredients to help combat an array of health conditions. Several studies conducted have shown that Naturopathy has tremendous benefits with regards to improving fertility in both males and females. Do you wish to know more about Naturopathy and its working with regards to Infertility? This article has all the details you need to know about Naturopathy and its functioning.

Naturopathy: Exploring the details

“Naturopathy is an Alternative & Complementary medicine that employs an array of scientific practices like fasting, diet therapy, colour therapy, mud therapy, massage therapy, hydrotherapy, and physiotherapy and magneto therapy.” Naturopathy advocates lifestyle change. Even though the term ‘Naturopathy’ is newly recognized, the principles have roots in the traditional medical systems of Ayurveda, Chinese medicine, Native American, and Greek systems. Naturopathy benefits are scientifically proven and can be used for a wide array of conditions. Naturopathy at home is an evolving concept that has gained popularity.

Fertility Dost is India’s leading platform for infertility and our range of programs include holistic approaches to infertility including Naturopathic and Ayurvedic Medicine For Male Infertility, counselling, Yoga and so on.

Infertility- Why Does It Occur?

Infertility in females and male may be due to physical defects, physical debility and functional faults.

In females it may be due to ovulation disorder, uterine or cervical abnormalities, fallopian tube damage or blockage, endometriosis, primary ovarian insufficiency, pelvic adhesion etc. And also physical debility can result due to poor health because of some chronic diseases, constipation (accumulation of waste material again). Decrease in the function of glands, lack of normal menstrual cycle, obesity and yet other factors which can contribute to female infertility.

Psychological factors like emotional stress, tension, mental depression, anxiety and fear may also result in psychosomatic sterility.

In male infertility, the underlying cause may be due to poor lifestyle, overexposure to certain environmental factors and unhealthy food habits leading to abnormal sperm production & problems with delivery of sperm. Naturopathy infertility treatment has been around for ages and has gained popularity in recent times. Naturopathy for getting pregnant has been one of the most common forms of the treatment opted by several couples who wish to avoid strong medications.

The World Of Naturopathy: The Principles

Naturopathy can be viewed as a way of life as opposed to just a form of medication. That being said, Naturopathy follows a set of principles with regards to the functioning.

1. The healing power of nature is powerful- all healing comes from within and the body heals itself. Naturopathy is to help ease this natural process.

2. Treat the cause rather than the effect- seek the underlying cause of disease rather than suppress symptoms. Symptoms are viewed as expressions of the body’s imbalances on all levels i.e. physical, mental, emotional and spiritual.

3. ‘First do no harm’- one of Hippocrates' principles is to not to do any kind of harm during the treatment and try to create a balance within the body by utilizing natural substances and therapies.

4. Treat the person as a whole entity- A holistic viewpoint of the total body that goes beyond single body system treatments. This approach results in a therapeutic approach in which no disease is incurable.

5. Regard the physician as a teacher- Naturopaths are first and foremost teachers that educate, empower and motivate the person to take responsibility for his or her own health by assessing and adopting lifestyle changes.

6. Prevention is the best cure- By understanding the underlying lifestyle imbalances and understanding body systems a person can prevent many disease processes and arrest them in advance with minimal intervention.

(Insert in box)- Do you wish to consult a Naturopathic specialist for your infertility issues? Contact us to book your first free consultation session now with Fertility Dost(Best IVF Center in Bangalore).

Treatment modalities in Naturopathy

In the traditional and authentic approach to natural medicine, therapies are done without the use of any drugs and by avoiding all procedures that interfere with natural functions or have harmful side-effects.

Every living cell has an intelligence of its own and has enough resources to overcome temporary disabilities caused by internal and external circumstances. The ideal way to communicate with the cells and aid the self-healing process is to do so using the elements from which the cells are made up of; these elements are Earth, Water, Fire, Air and Space.

Naturopathy is considered as a primary care that can treat everyday problems with certain methods and application:

I. Nutrition- The diet is the foundation of Naturopathic medicine. The most important role in maintaining good health and in the prevention of disease is of Natural diet. The basic underlying cause of all the diseases are accumulation of waste materials through years of wrong food habits, improper combination of various foods and faulty time of food. In Naturopathy the food is classified as acidic or alkaline, live or dead food, eliminative, soothing, constructive, vegetarian or non-vegetarian, liquid, fruit, mono fruit diet, etc creating a sort of Naturopathic diet chart. Naturopathy gives more emphasis on raw food instead of cooked food. Having the right food at the right time with the right combination. If food is properly selected, rationally combined, and judiciously consumed, it will keep the body away from disease by supplying the alkaline elements in organic form. The preference of food in Naturopathy diet is with their natural properties which will help health and protect the body from external influences and diseases.

If people learn to select the right food, combine with right foods and balance their food suitable to age, occupation, climate, it would make a lot of difference in their health. Naturopathy believes that ‘food has a greater influence on the mind, everything we eat and drink is transported by the blood which reflects in the nervous system.

II. Herbal medicine- plants have been used for thousands of years and have known benefits for balancing body systems. Most naturopaths recognize the need for conventional drugs only for emergency medicine and for short-term use but work with natural substances to restore harmony and balance.

III. Acupuncture- acupressure: stimulating the “chi” by opening pathways of energy to restore balance.

IV. Hydrotherapy- using hot/cold pack, hip bath, immersion bath, spinal bath, sitz baths, steam bath, saunas, whirlpools, poultices, castor oil packs, mud packs, herbal packs and enemas to maintain health and preventive disease.

V. Yoga therapy- therapeutic yoga is an inherently holistic approach, simultaneously working on the body, mind and spirit utilizing poses, breathing techniques and meditation to benefit and improve overall health.

VI. Counselling on lifestyle modification-understanding what you may be doing to cause your symptoms and help you make changes in your lifestyle.

VII. Physical Medicine- which involves massages therapeutic touch, reiki, ultrasound, magnet and light therapy.

Even though Naturopathic principles are as old as history, they are as new as tomorrow because nature and truth never changes. Any system that cured people years ago will help people today, and we can now scientifically validate and explain the clinical success of these approaches.

What Are The Treatment Modalities in Naturopathy?

Structural defects can be ascertained through physical examination and radiology and can be set right by surgery. Physical debility and the functional faults of organic nature can be cured by simple and effective methods of natural treatment. These methods include hygienic living, optimum nutrition and following the laws of nature.

Fasting is the best remedy for the treatment of disorders resulting from toxin accumulation in the system. A short fast of two or three days should be undertaken at regular intervals by women who are unable to bear children. The bowels should be cleansed by a warm water enema during the period of fasting and afterwards when necessary. This will have a beneficial effect not only on the digestive system but also on the surrounding organs of the urinary and genital system.

Diet is the most important factor in the treatment of Infertility it should consist of three basic health building food groups namely (i) seeds, nuts and grains, (ii) vegetables and (iii) fruits. About 70 to 80% of the diet should consist of foods in their natural uncooked states, because cooking destroys much of the nutritional values of the food.

Excessive fat, spicy foods, strong tea, coffee, white sugar, white flour, refined cereals, flesh foods, greasy or fried foods should be avoided. Smoking or drinking habits must be completely given up.

Certain remedies have also been found useful in the treatment of Infertility unless organic defects or congenital deformities.

Other helpful measures in overcoming Infertility are mud packs and cold water treatment like hip bath and wet girdle-pack. These treatments will greatly improve internal circulation in the genital organs and will relieve them of all kinds of inflammation and other abnormalities. Mud packs may be applied to the abdomen and sexual organs.

For a hip bath, a common tub may be used. The tub may be filled with sufficient water to cover the hips, when a person sits inside it. The cold hip bath should be taken for 10 minutes at a water temperature of 50 0 to 65 0F. For wet girdle pack, a thin underwear wrung in cold water should be worn. Over this, a thick dry cotton or woollen underwear should be worn. All cold treatments should be suspended during menstruation.

Certain yoga asanas which help tone up the gonads should be practised regularly for overcoming Infertility These asanas are sarvangasana, matsyasana, ardhamatsyendrasana, paschimottanasana, and shalabhasana.

All these practices along with the above mentioned remedies with adherence to clean habits, proper rest and relaxation helps to overcome Infertility.

Are you keen on knowing more about the use of Naturopathy in improving fertility? Call now to book your first free consultation session with Fertility Dost

For More Information: IVF Articles, Best IVF Center in Gurgaon, How To Boost My Ovulation

Must Read: Seed Cycling Success Stories

#Seed Cycling Success Stories #How To Boost My Ovulation #Best IVF Center in Gurgaon #ivf articles

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scottmaymon-blog · 5 years ago

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Restore Your Health through Functional Medicine

If you struggle with a complex health problem and face chronic pain, then it’s high time to get in touch with Pure Body Health. This is a reliable clinic offering Functional Medicine Tempe and bringing excellent results. The specialists will explore the root causes of your illness and create a personalized plan in order to treat you. Run by Drs. Sarah Stone and Scott Maymon, this clinic offers specialized care and ensures to give each person a unique approach. These doctors are professional and help you restore your maximal health using the least amount of medicine. They offer a wide range of services including Sports Medicine, Pain Management, Environmental Health, General Medicine, Pain Management, Oxygen Therapies, Women’s and Men’s Health, Weight loss, Medical Aesthetics, LLLT, PEMF, acupuncture, Quantum Neurology, Neuro-emotional technique, NET, IV therapies, PRP, prolotherapy, fat loss, and detox.

Check out this Functional Medicine Tempe and restore your health. These physicians will help you overcome your health obstacles. This team believes no two people are alike and the same disease can affect each person in a different way. They first do a thorough workup to analyze and diagnose, then create a special plan for each person. Functional Medicine Tempe can help you will change your lifestyle and become the best version of you through core lifestyle modification of diet, sleep, stress management, exercise, hydration, and more.

Pain Management Tempe AZ can help you live your life free of pain. Pure Body Health is committed to offering natural therapies. Chronic pain can occur because of emotional stress, environmental insults, improper diet/nutrition, inadequate rest, hydration and more. Pain Management Tempe AZ has physicians who place special attention to correcting injury patterns and biomechanics. They will offer such services that can prevent pain reoccurrence. Just contact this team for an appointment and let these specialists take care of your health in the best possible way.

Pure Body Health also offers Sports Medicine Tempe and aims to deliver services based on each patient’s needs. Your doctor will work with you to create a solid health foundation so that you can prevent disease and recover better. The sports medicine doctors are ready to help each problem. Different therapies will be applied that will help your body heal more efficiently. You can be sure to overcome your stubborn injury and improve your health fast. As a result, you can become the athlete you have always wanted to be. Just get this Sports Medicine Tempe and Pure Body Health will offer you the best results!

#Pain Management Tempe AZ

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disastermedicineer-blog · 8 years ago

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Biological Disaster

Biological disaster -------------------- ( BDLS & ADLS)

Factors that compose the "chain of infection" 1. Infectious agent - the greater virulence,invassiveness & pathogenicity --> the greater possibility organism will cause infection

2. Reservoirs - the infectious agent normally lives & multiply , can reproduce itself & transmitted to susceptible host

3. Portal of exit - biological agent leave the reservoir

4. Mode of transmission - mechanism which infectious agent is spread - can be airborne,droplet , direct & indirect physical contact, fecal oral transmission , vector mediated transmission

5. Portal of entry - infectious agent enter host through skin,mucous membrane, lung. GIT, genito urinary , placenta , invasive procedure

6. Susceptible host - influence by factors: 1, hod defense characteristic 2. Medical condition immunocompramised 3. Malnutrition 4. Pregnancy 5. Age 6. Increase exposure risk 7. Behavior factors

Biological disaster --------------------- Epidemic: - illness that occur in higher number that expected within a country & region.

Pandemic: - worldwide epidermic disease - 3 condition: 1. New disease emerges to a population has little or no immunity. 2. Disease is infectious for humans 3. Disease spreads easily among humans

Bioterrorism Criminal act that causes illness, both law enforcement & public health authorities have responsibility to responds .

Intention use of biological agent to harm human or living organism. - inexpensive - easy to produce - easy to disguised - difficult to defend

Potential BT threats ---------------------- Category A: high priority agents - easily disseminated - high mortality - causes public panic - require public health for special action

Eg antarax,botulism,plaque,small pox & tularemia, viral haemorrhagic fevers

Category B: second priority agents - moderate easy to disseminate - moderate morbidity & low mortality - require enhancement of CDC

Eg brucelosis Clostridium perfrongens E. coli Meliodosis Q fever Viral encephalitis

Category C: third priority - easily available - easily produced or disseminated - potential for high morbidity & mortality Eg Nipah virus, SARS

Situational awareness & detection ---------------------------------------- - high index of suspicious - usually multiple report - simultaneously outbreak of different diseases in same locale - large number of casualties in hours to days

Clue for bioterrorism attack -------------------------------- 1. Increase in unexplained deaths 2. Unusual age distribution of patient - severe illness 20-50 years

3. Unusual seasonality 4. Unusual manusfestation of disease or occurrence of animal die off - antarax: inhalation

Clinical decision making ---------------------------- Characteristic clinical symptoms of selected potential BT agents

1. CXR: Widening mediastinum - anthrax

2. Symmetrical flaccid paralysis - botulism

3. Hemoptypsis - pneumonic plaque

4. Pox like rash - small pox

5. Diarrhoea - cholera - shigelosis

Transmission based infection control ------------------------------------------- (I) Droplet precaution ------------------------ - transmitted by large particle droplet >5um - through cough, sneeze, talk or resp care procedure.

Rx 1. 3 feet away 2, surgical mask or respiratory care procedure

(II) contact precaution -------------------------- - transmitted by direct contact with patient or indirect contact with potentially contaminated surfaces

Rx Wear gloves Gown Remove gown before enter Wash hand

(iIi) Airborne precaution ---------------------------- - limit transmission airborne droplet <5um of evaporated droplet containing microorganism that remain suspended in air for long time or dust particles.

Rx N95 Powered air purifying respirators m Negative pressure room with minimum six air exchanges per hour - exhaust direct outside or high efficient particulate air filtration

If source unknown: Contact precaution & N95 or better respiratory

Triage -------- Goal - prevent 2' transmission through implementation non medical strategy

Triage model SEiRV - Susceptible: person not yet exposed but susceptible

- exposed: susceptible & have in contact with infected person, they maybe infected but not contagious

- infectious: symptomatic & contagious

- removed: no longer transmit disease as they survived or died

- vaccinated : prophylactic medication intervention to protect them from infection

Rx Self protective measures Designated evacuation areas ABCs

Clinical assessment & diagnosis ------------------------------------ Fbc ABG Nasal swab for culture & pcr Blood for bacterial culture & pcr Serum for serological studies Sputum for c&s Blood & urine Tox Throat swab for viral culture, Pcr & enzyme linked immunosorbent assay Environment samples

Theurapeutic intervention Established diagnosis Prompt therapy Eg antarax & plaque / treatment within 24H ( longer - grim prognosis)

Biological agent - specific issues ( I) Anthrax ------------- Causative agent: bacillus anthracis

Site of infection : 1. Cutaneous 2. Inhalation 3. GIT

Incubation period: 1-7 days ( as long as 12/7)

Presentation Small itchy papule or vesicles 2nd day : ulcer Usually on exposed area of body Non render swelling around ulcer Small vesicles may surround ulcer Then black scab or ESCAR x 2/52 80-90% resolves LN + Fever +

Inhalation antarax Incubation: 2-43/7

Presentation *** classical : fever & respiratory distress + shock + widening mediastinum

Flu like illness - fever - fatique - cough - sob - headache - anorexia

Then Sudden increase in fever Respiratory distress Diaphoresis Shock

CXR Widening mediastinum Inflitrates Pleural effusion

GI anatarx Ingestion contaminated meat Nausea Vomiting Bloody diarrhoea

Ix Blood culture - gram positive bacilli

Gram stain Sputum CXR: widening mediastinum

Rx IV ciprofloxacin 400mg bd Or IV doxycycline 100mg bd

Standard barrier precaution only No need airborne precaution

Mneumonic: AB CD ( Anthrax bacillus cipro doxy )

Botulism Causative: toxin by C.botulinum One of the most poisonous substance known

Clinical features Onset: 12-36Hv

1. Bulbar palsy 2. Blepharoptosis 3. Bluring vision 4. Dry mouth 5. Difficulty speaking 6. Trouble swallowing

( descending pattern paralysis) " descending type of paralysis"

No fever Not confused Not obtunded Rapid onset Severity depends on amount toxin absorbed

7. Descending symmetrical skeletal muscle paralysis 8. Respiratory muscle paralysis

Diagnosis " clinical presentation" Confirmatory : blood toxin assay

Treatment ----------- Supportive - intensive care + close monitoring respiratory failure & feeding

May take 1-3/12 for the toxin to resolved. Hence; need ventilatiry support if intubated.

Antitoxin - only stop the progression paralysis but will not reverse the existing paralysis.

No prophylaxis

Standard precaution for infectious control. - no person to person transmission

Pneumonia plaque -------------------- Causative agent: Y. pestis

Highly fatal Person to person

Via flea vector

Route; aerosolization ( common)

Clinical features ------------------ Incubation period: 1-6/7

Classical: fever + chills + intense swelling LN in one area.

But if terrorist attack with spray: Fever , cough ---> rapid pneumonia

1. Abrupt onset high fever 2. Chills 3. Malaise 4. SOB 5. Cough with bloody sputum 6. Sepsis 7. Nausea 8. Vomiting 9. Diarrhoea 10. Severe rapidly progressive pneumonia

Diagnosis CXR: pathchy infiltrates Culture blood & sputum Gram stain : safety pun bipolar staining

Rx IM Streptomycin iM /IV gentamicin

Pregnant: gentamicin preferred

Prophylaxis Doxycycline Or Ciprofloxacin

Infectious control: Droplet precaution for 48H - must be 3 feet away

Mneumonic: PSG Department Plaque streptomycin gentamicin droplet precaution

SARS ------- Causative agent ------------------- SARS associated coronavirus

Clinical features ----------------- IP: 2-7 days

1. Flu like prodromal 2. Fever with chills & rigors 3. Headache 4. Muscle aches 5. May hv diarrhoea

Day 3-7: Cough SOB

Diagnosis

Probable SARS: Severe respiratory illness Unknown etiology Epidemiology of exposure Lab criteria used to confirm

Suspected SARS: Moderate respiratory illness Unknown etiology Epidemiology for exposure Lab criteria to confirm

Moderate respiratory illness - temp > 100.4'c - respiratory findings 1. Cough 2. Sob 3. Hypoxia

Severe respiratory illness - moderate respiratory illness + one findings as below: 1. X-ray: pneumonia 2. Respiratory distress syndrome 3. Autopsy: pneumonia or RDS w/o cause

Epidemiology - exposure to SARS in travel within 10/7 to area with current,documented or suspected SARS.

Treatment No proven Tx Antibiotic to cover CAP & atypical pathogens

Prophylaxis No known

Infection control - standard precaution ( hand wash) - contact precaution ( gown & gloves) - airborne precaution ( -ve pressure room & N95) - eye protection

Smallpox ----------- Mortality rate 30%

Clinical features IP: 7-17 days

Prodromal ( more severe than chicken pox) ( look sick before rashes appear) - lasting 2-3/7 - fever - myalgia - prostration - nausea - vomiting - delirium

Rash ( all same stages of maturity) ( more rounded) ( more in face & extremities while chicken pox more in trunk ) ( chicken pox less on palm & soles) ( start periphery then go centrally) " outside to inside" " all same stage"

- start on face & extremities including palm & soles Then spread to trunk ( macular --> papular--> vesicles--> pustules ) - form,deep & umbilicated - rash scan over 1-2/52 resulting in scars

Diagnosis 1. Clinical recognition 2. History 3. Confirmatory test in CDC

Treatment Vaccination small pox - very effective if within 3/7 exposure

Supportive care Daily eye rinsing Adequate hydration & nutrition Start penicillase resistant antibiotic if : 1. Secondary infected 2. Bacterial endangers the eyes 3. Eruption very dense & widespread

Specific therapy No specific therapy If corneal lesions: topical isoxuridine

Cidofovir

Infection control ------------------ Airborne & contact precaution Treated in negative pressure room

Tularemia ------------- Agent Francisella tularensis

Spread: Ticks or biting flies Direct bite by rabbits

Clinical features ------------------ Classical; fever + tender papule --> ulcer with eschar + tender LN

If terrorist by spray; fever + shock + pneumonia

IP: 3-5/7

1. Acute febrile illness with prostration 2. Conjunctivitis or skin ulcer with regional adenopathy 3. X-ray: pneumonia (80%)

Diagnosis ----------- Blood C&S Gram -ve coccobacillus

Treatment ------------ IV streptomycin + gentamicin

Alternative: Doxycycline Ciprofloxacin Chromphenicol

Prophylaxis Doxycycline Ciprofloxacin X 14/7

Infection control ------------------ - not spread from person to person - standard precaution. - no need any isolation - notification immediately

Viral haemorrhaguc fever ----------------------------- Examples 1. Filovirus Ebola Marburg

2. Arenavirus Lassa Machupo

Transmitted Infected animal or arthopods

Mortality rate Ebola: 90%

Clinical features ------------------- IP: 2-21/7

Presentation: 1. Non specific prodromal 2. Hypotension 3. Relative bradycardia 4. Rapid breathing 5. Conjunctivitis 6. Pharyngitis 7. Generalized bleeding problems - mucous membrane haemorrhage - shock - hematemesis - hemoptypsis - hematochezia

2 haemorrhagic symptoms in severely ill patient with t >101F <3/52 with no other alternate diagnosis

Diagnosis ----------- High index suspicious Thrombocytopenia Leukopenia aST raised Lab detection of antigen & antibodies

Treatment ------------ Supportive Ribavirin

Prophylaxis ---------------- None

Isolation ----------- Contagious after contact blood & bodily fluids

Liquid impervious protective coverings ( leg & shoe coverings) + double gloves

N95 or better

Face shield Googles

Negative pressure room

Clinical consideration for pediatric casualties ---------------------------------------------------- More vulnerable - breathes more per min than adults - skin thinner & larger surface area ratio

- small fluid reserve - some agents have shorter incubation period in children - present with different symptoms - preventive & theurapeutic regime not studiesbin infant & children

#Biological #CBRNE #TOPCOM

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