Sunday, November 23, 2014

Guide To Duodenal Switch Surgery In Mexico

By Christa Jarvis


Trauma: Many accidents cause injuries: fractures, dislocations, sprains, wounds, burns, drowning. Toxicology: many situations resulting from accidental or intentional poisoning (suicide attempt, murder, drug use): food poisoning by gas emanation, drug by drug, alcohol, poisoning (duodenal switch surgery in Mexico). The establishment of a social emergency is also an attempt to answer.

Canada and the United States, centered on the patient's need definition used instead: for example, an emergency is defined as any perception of an emergency by a person, may risk endangering its survival or survival a member. With thanks to project start HOPE Medicine in Costa Rica is a growing specialty that gradually strong positions in various health centers around the country.

Disaster Medicine is a branch of medicine for accidents or disasters involving mass casualties: train crash, earthquake, bomb ... The disaster is defined as inadequate relief needs and the resources available (outdated means). It requires organization and a "doctrine" different from the usual emergency medicine.

The principles of chain of life apply to emergency in which the patient has no breathing and heartbeat. This involves the four stages of early access, early CPR, early defibrillation and early advanced life. The mobilization and evacuation of a victim requires special knowledge and skills, and unless the situation is particularly dangerous, and is likely to further damage the patient should be left to professionals, emergency medical and fire service.

Within a hospital staff is generally adequate to meet this average emergency. The accident and emergency physicians are trained to handle most emergency and maintain certifications in CPR (Cardiopulmonary Resuscitation) and ALS (Advanced Life Support). In disasters most hospitals have protocols to quickly summon the staff and the service is not.

This type of behavior undermines the effectiveness of system, the "real" emergencies may be supported with delay because of size of system, personal and fatigue generated by this workload is detrimental to quality of care. Note that this behavior is also a miscalculation for the patient, because it might be better to sit at home (until the arrival of doctor on call or opening a private practice the next day) rather to wait for emergencies, with the inconvenience and risk of catching diseases others.

In Argentina, the SAE (Society of Emergency Argentina) is the main organization of emergency medicine. There are several programs in medicine residency. It is also possible to achieve certification as a specialist in medicine certifying a number of years of medical care and attending a university graduate school.

In addition to general medical and specialized skills implemented in context of medicine are the anesthetics: a number of problems can occur under anesthesia (especially due to anesthesia), for example during an operation or a medical examination; but the treatment of urgency is also frequently use anesthesia (to allow painful care or causing reflex rejection) and resuscitation (maintenance and restoration of vital functions).




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