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CPR. General Knowledge

"WILL HAVE 4 MINUTES TO ACT BEFORE THE BRAIN RESOURCE TOTAL LEFT WITHOUT OXYGEN"

FOR WHOM IS INDICATED THE CARDIOPULMONARY CEREBRAL RESUSCITATION (RCPC)?

• drowning.
• electrocuted.
• Sudden Death.
• acute coronary event.

"the RCPC is the set of techniques that aim to address situations where the victim was found in cardiopulmonary arrest"

CHAIN \u200b\u200bOF EMERGENCY

External Defibrillator.

is one that must be activated when a person suffers a cardiac arrest and must follow this order ne.

1. Emergency Alert System: means calling the emergency services in your country to alert the fact (in my country is 171 - Venezuela)
2. basic cardiopulmonary resuscitation is provided by those present at the where is the victim site. Defibrillation
3. Early: in developed countries have external defibrillators are used to return the heart to normal rhythm.
4. cardiopulmonary resuscitation: is reserved for qualified personnel, the medical team in general.

PRIORITIES.

A = Airway (including the opening and the permeability of the airway) in no case should move your head because you do not know if there may be damage to vertebrae when the person for any collision or fall.

BE HEAD TILT BACK AND FORWARD elevate the jaw to avoid choking with his tongue.

THE LANGUAGE IN 80% OF PEOPLE unconscious IS THE MOST COMMON CAUSE OF AIRWAY OBSTRUCTION IN A VICTIM OF RELAXATION OF THE MUSCLES OF THE ECONOMY.

B = ventilation should be seen as the thorax (chest) of the victim expands and contracts with the breath, this can be compromised by these neumorotax or hemothorax.

1. before breathing ENSURE THAT THE VICTIM IS NOT BREATHING.
2. MUST BE CAREFUL TO GIVE PART BECAUSE THE AIR VENTS ALSO HAPPENS TO THE STOMACH AND IF YOU GIVE unzipped TIME MAY RETURN THE GAS WITH PART OF GASTRIC JUICE, CAUSING BREATHING AND CHOKING HAZARD ACID.
fans should
3. THE LAST OF 1.5 TO 2 SECONDS EACH ONE OF THEM.
4. NOT GIVE ANY REASON FOR WATER AND FOOD TO THE VICTIM UNTIL YOU GET QUALIFIED AND INSURED THIS VICTIM.
5. IN THIS SECTION APPLY VOS

• see that the chest expands and contracts with breathing.
• hear when approaching our ear to the mouth and nose of the victim who is breathing.
• feel the air from the victim on the neck when we get to hear his breathing.

C = Circulation: correct is to look at the skin capillary refill.

IF THERE ARE IN CIRCULATION CADIORESPIRATORIO-STOP BREATHING IF WE in respiratory arrest.

• is important not to despair in the case of open wounds that show blood, always, always must first maintain the openness and permeability of the airways to prevent the victim to suffocate and die . Only
• in wars where open wounds are more traumatic and dangerous, they are treated first in which the airway.

COMPRESSION VS insufflator.

• CURRENTLY USED 30 COMPRESSION IS FOR 2 FANS 5 cycle, commencing with insufflation (air word of mouth) and ends with (air word of mouth)
• IMPORTANCE compressions is that they are RESPONSIBLE FOR WEIGHING THE BLOOD BRAIN.
• IN CHILD, ADULT AND INFANT MUST APPLY THE SAME FOR MEASURE 30 COMPRESSIO two breaths.
• pediatric patients SE REALIZAN LAS COMPRESIONES CON UNA SOLA MANO (niño).
• CON LACTANTE SE USAN 2 DEDOS PARA LAS COMPRESIONES.
• EN UN RECIEN NACIDOP SE ABRAZA EL TORAX CON AMBAS MANOS PARA LAS COMPRESIONES DEPRIMIENDO EL PECHO LIJERAMENTE.

RECORDAR .

1. No interrumpir la RCPC por ningun motivo hasta que llegue el personal calificado, si esçta cansado, intercambie con otra persona que pueda continuar con las compresiones y ventilaciones.
2. Debe evitar hacer rebotar las manos sobre el esternon o le causara daños internos a la victima.
3. Terminado el primer cycle, the victim should be reassessed every minute and repeat the ABC priorities.

TIPS FOR compressions.

• Slide your finger along the costal margin of the victim up to the xiphoid process at its junction with the costal margin of the contralateral hemithorax, place two fingers from that point and there above the heel of the hand.
• Take the fingers of the hand that is on the chest with his free hand to minimize injury to organs and ribs.
• a depression in adults of about 5 cm will be sufficient.
• In Children 1-8 years a depression of 3 cm will be enough (not to exceed)
• in infants (under 1 year) with a depression about 2 to 2.5 cm is sufficient.

ERRORS resuscitation.

• Cross hands in front of chest.
• Bend elbows while doing compressions.
• Massage the chest instead of compressing.
• Meserce on the patient.

HOW TO CALCULATE THE BLOOD PRESSURE WITHOUT INSTRUMENTS?

This is as follows: if you do not get the radial pulse, you go to the carotid and femoral and where you get you will get an estimated blood pressure readings, depending on its intensity.

• Radial Pulse: 90 systolic.
• Femoral Pulse: 80 systolic.
• Carotid pulse: 60-30 of systolic.

MAY BE LESS THAN 30 CRASH.

SAFETY DEVICES.

• diaphragms.
• Barreras.
• Ambu.

WHO DO NOT ATTEMPT RESUSCITATION IN MIND THE FOLLOWING.

• parts lividity in decline.
• Rigor Mortis.
• Decapitation. Decomposition
• .
• Hemicorporectomia (amputation of half of the body)
• complete incineration.
• Esviceración heart.

ONLY YOU REMEMBER THESE PROCEDURES APPLY TO PEOPLE WHO ARE IN A SITUATION THAT REQUIRES THE RCPC, DO NOT PRACTICE IN HEALTHY PERSONS.

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Vaginal Infections.

There is no subject more uncomfortable for women who have to speak of vaginal infections, so it has to do with our doctor, this is because many fear being labeled as muejres "hogs" to which this happens because the genitalia are cleaned; afraid to be seen as careless women, be viewed with disgust.

The truth is that 9 of every 10 women will suffer from a vaginal infection during their lifetime and that they in most cases are not caused by poor hygiene, on the contrary, many of them occur by extensive and indiscriminate use of soap solutions that come to alter the natural ph of the area as intimate and delicate.

What should the vaginal discharge?
The role of vaginal discharge is clean and lubricate the inside of the vagina and its alteration is shown pathologic conditions.

• Odorless
• is white and thick when they're in your fertile days.
• is clear and sticky like egg white when you're fertile.
• With a little salty smell

RISK FACTORS FOR GETTING AN INFECTION VAGINAL.

• TO HAVE Sex with men who do not wash the foreskin smegma WHERE (ALSO CALLED THE "CHEESE" IN THE WHITE serum ESA glans penis) VAGINAL INFECTIONS CAN CAUSE OF LOW COMMITMENT.
• USE synthetic underwear.
• USE VERY TIGHT JEANS THAT USUALLY BOTHER TO TIGHTEN AND INTERNAL VAGINAL ESTRUCTRUCTURAS (ovaries, etc.) ENGAGING THE PROPER OPERATION OF THESE.

• EXCESSIVE USE OF STRONG SOAPS THAT ARE NOT LISTED FOR USE VAGINAL
• NOT WASH WELL BETWEEN VAGINAL LIPS AFTER SEX.
• ALSO poor hygiene is a determining factor.
• NOT TOWEL DRY WELL WITH THE VAGINA AND BETWEEN THE LIPS (BUT WITH DELICAZA) AS MOISTURE CAN CONTRIBUTE TO THE MUSHROOM APARCION.
• GO TO BEACH OR POOL AND SPEND TOO MUCH TIME WITH THE BOTTOM damp or wet bathing suit which would increase microorganism PROLIFERATION IN THAT AREA. BATHING THEN YOU ARE NOT PUT Lingerie CLEAN, DRY AND COMFORTABLE.

• CUANDO LA MUJER ESTA MESTRUANDO TIENE MAYORES PROBABILIDADES DE CONTRAER UNA INFECCION VAGINAL, ASI QUE ES RECOMENDABLE CAMBIARTE LA TOALLA CADA 4 A 6 HORAS DEPENDIENDO DE LA INTENSIDAD DEL FLUJO Y LAVARTE LOS GENITALES CON AGUA FRESCA PARA ARRASTRAR LA SUCIEDAD DE ADELANTE HACIA ATRAS.
• LAS DUCHAS VAGINALES PUEDEN EMPEORAR UNA INFECCION VAGINAL YA EXISTENTE QUE SE MANTENGA OCULTA (SIN PRESENTAR SINTOMAS) DE IGUAL MANERA ESTAN CONTRAINDICADAS YA QUE LA VAGINA TIENE SU pH NORMAL QUE NO DEBE SER ALTERADO.
• CIERTOS DETERGENTES QUE UTILIZAS PARA LAVAR TU ROPA PUEDEN IRRITARTE ASI QUE SE CUIDADOSA CON EL QUE UTILIZAS PARA LAVAR TU ROPA INTIMA.
• use sanitary towels or DAILY TO CONTROL FLOW NORMAL deodorizing or AROMAS DON SAY REDUCE THE AROMA.
• recently been shown that the saliva in the vagina may weaken immunity MUCOSA TO BE YOUR MUSHROOMS.

What symptoms may indicate that I have a vaginal infection?

• yellowish discharge and odor
• itchy labia.
• Vaginal pain or irritation when having sex.
• vaginal burning.

How can I protect myself from a vaginal infection?

• Go to your gynecologist at least once a year (2 times if you are sexually active) to make the pap smear.
• Use panties or cotton panties because they let your skin breathe naturally.
• Use soap only those solutions Dermatologist approved in your country referred to wash the outer lips of the vagina (NOT THE USES TO CLEAN THE INSIDE BECAUSE alter the pH)
• ask your partner to wash your genitals before having RELATIONS AND USE OF CONDOMS.
• IS BEST TO AVOID THE ORAL SEX WITH PEOPLE YOU DO NOT HAVE ENOUGH CONFIDENCE (AVOID SEX WITH PERSONS WELL would be best).
• Avoid douching.

• AUTOMEDICARTE with eggs EVITA AND NOT KNOW WHAT YOU HAVE AND HOW YOU CAN ALTER.
• If you have to wear tight clothing is using it for short periods.

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Sudden Infant Death Syndrome (SIDS)

sometimes called "crib death" is the sudden death of a baby under 1 year of age which the cause of death remains unexplained after a thorough investigation including an autopsy.


90% of these deaths occur between 2 and 6 months of age, increasing the appearance of new cases in the winter months.


Several risk factors such as the black race, male sex, babies from secondhand smoke and low birth weight are linked to SIDS. Often in these cases the mothers are young, poor and unmarried, have received little or no prenatal care, have been ill during pregnancy, smoking and / or drugs, who have fathered a baby in the last year. It is also likely that parents are young and smokers.

adverse socioeconomic circumstances also worsen the risk of SIDS, although the syndrome also affects infants of the privileged classes.

What are the causes of SIDS?

The condition is not contagious and is caused by choking or vomiting.

One theory suggests a neurological abnormality, perhaps an alteration in brain chemistry. The estudion point to difficulties in the regulation of respiratory control in the transition from sleep to wakefulness and wake up and be able to turn his head to avoid drowning.


researchers in Italy have found a strong correlation between SIDS and unusual abnormalities in heart rhythm, which can be identified by an electrocardiogram.

Some research strongly supports the connection with smoking parents as almost 30% of deaths could be avoided if mothers did not smoke.

RISK FACTORS

• BOTH PARENTS ARE SMOKING OR WHAT IS ONE AND EXPOSE THE MOTHER DURING PREGNANCY TO CIGARETTE SMOKE.
• BABIES SMOKING turned out to be liabilities of a close relative or caregiver.
• PUT BABY TO SLEEP ON YOUR STOMACH, AND YOUR NOSE AND MOUTH MAY BE COVERED BY THE MATTRESS and expiring SUFFOCATION.
• A MATTRESS TOO SOFT WHERE THE BABY FACE is blocked.
• EXCESS OF SHEETS AND PILLOWS THAT CAN GET TO PRODUCE HEAT OR SUFFOCATION.
• SUBSEQUENT BIRTHS WITH LESS THAN ONE YEAR OF DISTANCE BETWEEN THEM TO AVOID THE MOTHER'S SYSTEM CAN RECOVER AND MAINTAIN ADEQUATE TO RECEIVE ANOTHER PREGNANCY Baaj appropriate requirements.
• PREMATURE BABY, IN THESE CASES, THE RISK FACTORS IN 5o%
• POOR PRENATAL CARE
• BACKGROUND OF ANOTHER CHILD DIED FROM SIDS
• MULTIPLE BIRTHS
• DRUGS DURING PREGNANCY
• OVERWEIGHT DURING PREGNANCY AND preeclampsia.
• babies who are not breastfed (A JOINT POWER AND FORMULA MILK MAY HELP REDUCE THIS RISK)
• TODAY MOST OF THE DOCTORS AND NURSES believe that babies have less likelihood of dying from this rare condition lie on your back (face up) or sideways.

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Ovulation.

Some women feel a slight pain during ovulation, called mittelschmerz because it usually occurs in an intermediate stage between the two menstruation. Ovulation is also usually accompanied by a rise of basal temperature, which can be monitored to determine when is released oocyte.

some women because of a low concentration of gonadotrophins, ovulation does not occur in these cases you can use any agent that stimulates the release of gonadotropins and, consequently, ovulation. While these drugs are effective, often produce multiple eggs, so the risk of multiple pregnancy is 10 times higher than women in the general population.

ovulation induction is due to a strong release of luteinizing hormone to peak about 36 hours before ovulation and extends throughout the day. The wave of luteinizing hormone (LH) is followed by a slight increase in the secretion of follicle stimulating hormone (FSH) in the luteal phase as a result of negative feedback of progesterone and estrogen secretion by the corpus luteum.

Ovulation occurs 14 days before the onset of menstruation, so it is important to note that the woman is the first day home the mesntruacion until next start of the next menstrual period and so you'll know how many days your cycle lasts MENTSRUAL, which is the first day of menstruation until the first day of the next, usually many women cycle is 28 days (not indicative if your Cilo is 27, 30, 31 days you are abnormal), it is important to note that 14 days before your next period you will be on your fertile day, ie the day when ovulating and can be and has a HIGH CHANCE of getting pregnant.

need remember that

• the oocyte (the egg is the "little egg" so to speak, the product of fertilization with sperm that make the baby) takes 24 hours to degenerate if is not fertilized.
• MATURATION OF SPERM begins at puberty (as boys in puberty from 13 to 16, are capable of getting a woman pregnant)
• DURING Ovulation Increase the amount of cervical mucus becomes less viscous, thereby facilitating sperm transport.
• HAVE SPERM RECOVERED MOBILE BLISTER UTERINE (fertilization occurs PLACE) 5 minutes after being deposited with the uterine orifice. HOWEVER NEED SOME SPERM TO 45 MINUTES TO COMPLETE TRAVEL SSU.
• ESPERMATOZ OIDES only 200 reached the site of fertilization (UTERINE BLISTER)
• THE SPERM newly fertilized need to go through a training period of 7 hours before fertilizing the egg. THE SPERM SAMPLES NOT QUALIFIED MORPHOLOGICAL CHANGES BUT ARE MORE ACTIVE.
  
• MOST HUMAN SPERM SURVIVES NO MORE THAN 48 HOURS IN THE FEMALE GENITAL, BUT BEFORE THAT TIME CESE EXPECTED, SOME OF THEM MAY BE HIDING IN THE FOLDS OF THE NECK TO MUCOSA AND CAUSE gradually released FERTILIZATION AND PREGNANCY.
• IS THEREFORE RECOMMENDED FOR WOMEN DO NOT HAVE SEX 4 DAYS BEFORE THE FERTILE AND 2 DAY AFTER THIS AS A MEASURE OF CAUTION TO AVOID UNWANTED PREGNANCY, AND THAT EVERY WOMAN CAN CYCLE vary for different factors.

I always recommended to protect oral contraceptives and condoms to prevent sexually transmitted diseases.

CONSULTATION ALWAYS TO YOUR DOCTOR, KNOW THE ANSWER TO ALL YOUR QUESTIONS

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forecast for this year: There will be no immigration reform

A week ago I had the opportunity to dine with a senior official of the Democratic National Committee of the United States. My first question of the night was: "Congressional Democrats, immigration reform drive in 2010?

The answer was: No. Still the focus remains on health care reform, and this bill has beaten the Democrats so that there is not much available to invest political capital in reforming immigration laws and / or possible amnesty.

not be discouraged. Many groups such as AILA (American Immigration Lawyers Association), among others, continue to drive reform migratoria por medio de reuniones con varios congresistas y otros funcionarios del gobierno de los EEUU.

Les mantendremos informados.

Visite nuestra página de internet hoy: http//www.inmigracionpuertorico.com.