دانلود کتاب Emergency Care For Hazardous Materials Exposure

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Cover\nTHE SHIP’S MEDICINE CHEST AND MEDICAL AID AT SEA\nDedicated to American Merchant Mariners and others who risk their lives at sea.\nDisclaimer\nTable of Contents\nHistorical Background\nEditorial Board and Other Contributors\nForeword\nIntroduction and How to Use This Book\nSMC-1 History, Physical Examination and Basic Supportive Care\n Introduction\n Creating the Sickbay Environment\n Communication\n Initial Assessment\n Problem - Focused Health History\n Physical Examination\n The pulse\n Respiratory rate\n Skin:\n Head and Neck:\n Ears, Nose and Throat:\n mouth and throat\n Eyes:\n Chest and Lungs:\n Heart:\n Abdomen:\n Musculoskeletal system:\n Neurological:\n Genitalia:\n Assessment Summary:\n Fluid Therapy\n Dehydration\n Treatment of Dehydration\n Hypothermia and Hyperthermia\n Hypothermia\n Hyperthermia\n Stages of Hyperthermia:\n Heat Exposure:\n Heat Cramps:\n Heat Exhaustion:\n Heat Stroke:\n Pain\n Assessment of Pain\n Interventions\n Medication Administration\n Equipment for Parenteral Injections:\n Preparation of Medication:\n Subcutaneous Injections\n Intramuscular Injections\n Intravenous Infusions or Injections\n Recording\n Checking the IV for Complications\n Wound Care\n Universal Precautions\n Assessment\n Control of Bleeding\n Principles of Bandaging.\n Splinting\n Compression Bandages\n Kinds of Wounds\n Infection Control\n Methods Of Wound Closure\n Record Keeping/Flow Charting\nSMC-2 Communicable Disease Prevention\n Introduction\n Communicable Diseases\n Infectious Agents\n Disease Incidence (Occurrence)\n Chain of Transmission\n Reservoirs or Sources of Infection\n Portals of Entry and Exit\n Modes Of Transmission\n Host Immunity and Resistance\n Prevention of Communicable Diseases\n Vaccination\n Reservoir Eradication\n Interrupting Disease Transmission\n Inactivating Infectious Agent\n Personal Hygiene\n Safe Food Practices\nSMC-3 Ship Sanitation\n Introduction\n Food Sanitation\n The Food Handler\n Food Service Facilities, Equipment, and Utensils\n Food Selection and Procurement\n Food Storage\n Food Preparation and Handling\n Sanitation of Equipment, Utensils and Food Preparation Areas\n Potable Water\n Potable Water Tanks\n Potable Water Hoses\n Pest Management\n Pesticides\n Rodents\n Flies\n Mosquitoes\n Roaches\n Lice, Bedbugs, and Fleas\n Pests in Stored Products\n Garbage\n Laundry\n Barbershops\n Habitability\n Thermal Stress\n Hazardous Materials\n Respiratory Protection\n Confined/Enclosed Spaces\n Recommended References\nSMC-4 Substance Abuse\n CHAPTER 4 SUBSTA N C E A B U S E\n INTRODUCTION\n THE ALCOHOLS\n ALCOHOL IN THE BODY\n MANAGEMENT OF PATIENTS WITH ALCOHOL-INDUCED DISORDERS\n ALCOHOL INTOXICATION\n ALCOHOL WITHDRAWAL\n ALCOHOL DEPENDENCE AND ALCOHOL ABUSE\n DRUGS OF ABUSE\n OPIOID-RELATED DRUGS\n Treatment of Opioid Intoxication and Dependence\n SEDATIVE-, HYPNOTIC- AND ANXIOLYTIC- RELATED DRUGS\n AMPHETAMINE-RELATED DRUGS\n HALLUCINOGENS\n CANNABIS\n COCAINE\n INHALANTS\n SUMMARY\nSMC-5 Dental Care and Emergencies\n CHAPTER 5 DENTAL C A R E A N D E M E R G E N C I E S\n INTRODUCTION\n DENTAL DISEASES THAT MAY PRESENT AS DENTAL EMERGENCIES\n ACUTE NECROTIZING ULCERATIVE GINGIVITIS\n ALVEOLAR OSTEITIS (\"DRY SOCKET\")\n APHTHOUS ULCER\n AVULSED TOOTH / DISPLACED TOOTH\n DISPLACED TOOTH\n CARIES\n FRACTURED TOOTH OR CROWN\n GINGIVITIS (ACUTE PAINFUL)\n PERIAPICAL ABSCESS\n PERICORONITIS\n PERIODONTAL ABSCESS\n PULPITIS\n SUGGESTED DENTAL MATERIALS TO HAVE STOCKED IN YOUR SICKBAY\n SUGGESTED MEDICATIONS TO HAVE STOCKED IN YOUR SICKBAY:\nSMC-6 Personal Preventive Practices\n CHAPTER 6 PERSONAL P R E V E N T I V E P R A C T I C E S\n INTRODUCTION\n HABITS FOR HEALTH\n HABIT 1: QUIT SMOKING\n HABIT 2: THINK ACTIVE!\n HABIT 3: EAT FOR NUTRITION\n HABIT 4: MAINTAIN MENTAL HEALTH AND MINIMIZE CHRONIC STRESS\n HABIT 5: MAXIMIZE PERSONAL SAFETY\n HABIT 6: MANAGE SUFFICIENT, RESTFUL SLEEP\n HABIT 7: GET PROFESSIONAL PREVENTIVE CARE WHEN ASHORE\nSMC-7 Ship\'s Women Health\n CHAPTER 7 WOMEN’S HEALT H\n INTRODUCTION\n Heart Health\n Cancer Screening\n Breast Self-Examination\n INFORMATION ON DISEASES, SYMPTOMS AND CONDITIONS\n Vaginal Discharge and/or Itching\n Tampon Safety\n Bleeding Between Menstrual Periods\n Missed Periods\n Difficult Menstrual Periods\n Menopause\n Osteoporosis\n Management of Recurrent Urinary Tract Infection\n SEXUAL CONTACT\n VIOLENCE AGAINST WOMEN\n NUTRITION AND WOMEN’S SPECIAL NEEDS\n Calcium\n Iron\n Calories and Weight Control\n Eating Disorders\n PREVENTIVE HEALTH CARE: YOUR ROLE\nSMC-8 Responding to Potential Bioterrorism\n CHAPTER 8 R E S P O N D I N G TO P O T E N T I A L B I O L O G I C A L , C H E M I C A L A N D N U C L E A R / R A D I O L O G I C A L T E R R O R I S M A G E N T S\n INTRODUCTION\n HISTORY OF BIOLOGICAL AGENTS\n BIOLOGICAL AGENTS\n DISTINGUISHING BETWEEN NATURAL AND INTENTIONAL DISEASE OUTBREAKS\n BACTERIAL AGENTS\n ANTHRAX (INHALLATION)\n BRUCELLOSIS\n GLANDERS AND MELIOIDOSIS\n PLAGUE\n Q FEVER\n TULAREMIA\n VIRAL AGENTS\n SMALLPOX\n VENEZUELAN EQUINE ENCEPHALITIS (VEE)\n VIRAL HEMORRHAGIC FEVERS (VHF)\n BIOLOGICAL TOXINS\n BOTULINUM\n RICIN\n STAPHYLOCOCCAL ENTEROTOXIN B (SEB)\n T-2 MYCOTOXINS\n CHEMICAL AGENTS\n MUSTARD\n NERVE AGENTS\n CYANIDE\n DETECTION\n DECONTAMINATION\n PATIENT ISOLATION PRECAUTIONS\n Standard Precautions\n Airborne Precautions\n Droplet Precautions\n Contact Precautions\n NUCLEAR RADIATION\n TYPES OF RADIATION\n Alpha Particles\n Beta Particles\n Gamma Rays\n X-Rays\n Neutron Particles\n LIMITING EXPOSURE\n MEDICAL TREATMENT\n PERSONAL PROTECTIVE EQUIPMENT (PPE) AND RADIATION\n EFFECTS OF EXPOSURE\n GLOSSARY OF MEDICAL TERMS\n SUMMARY\n FIGURE 1. SOURCES OF INFORMATION ON NATURAL AND MANMADE DISASTERS\nSMC-9 Legal Issues of Shipboard Medicine\n CHAPTER 9 - LEGAL I S S U E S O F S H I P B O A R D M E D I C I N E\n INTRODUCTION\n DUTIES OF THE OWNER OF THE VESSEL\n DUTIES OF THE MASTER OF THE SHIP\nSMC-10 Immersion Hypothermia, Near-Drowning and Water Survival\n CHAPTER 10_I M M E R S I O N H Y P O T H E R M I A , N E A R - DROWNING AND WAT E R S U RVI VAL\n INTRODUCTION\n PHYSIOLOGICAL RESPONSES TO COLD-WATER IMMERSION\n Normal:\n Mild hypothermia:\n Moderate hypothermia:\n Severe hypothermia:\n Stage 1: Initial Immersion: the Cold Shock Response:\n Stage 2: Short-Term Immersion: Impaired Performance:\n Stage 3: Long-term immersion: hypothermia:\n RESCUE AND MANAGEMENT OF HYPOTHERMIA\n Near-Drowning\n Water Survival\n REFERENCES:\nApp. A - STCW Code\n APPENDIX A - S TA N D A R D S O F T R A I N I N G, C E R T I F I C AT I O N A N D WAT C H K E E P I N G F O R S E A FA R E R S ( S T C W C O D E )\n INTRODUCTION\n OCCUPATIONAL SAFETY, MEDICAL CARE AND SURVIVAL\n IMPLEMENTATION\n NMC Policy Letter 9-99\n COMPETENCY IN ELEMENTARY FIRST AID\n COMPETENCY AS MEDICAL FIRST AID PROVIDER\n COMPETENCY AS A PERSON IN CHARGE OF MEDICAL CARE\n COMPETENCY AT THE MANAGEMENT LEVEL\nApp. B - Elementary First Aid\n APPENDIX B - S TA N D A R D S O F C O M P E T E N C E F O R SEAFA R E R S D E S I G N AT E D TO P R O V I D E ELEMENTARY F I R S T A I D\n STANDARDS – SECTION A-VI/1-3 OF STCW CODE\n STANDARD OF COMPETENCE FOR SEAFARERS DESIGNATED TO PROVIDE ELEMENTARY FIRST AID\n Coast Guard Assessment Guidelines for TABLE A-VI/1-3 Specification for minimum standard of competency in Elementary First Aid\nApp. C - Medical First Aid\n APPENDIX C - S TA N D A R D O F C O M P E T E N C E F O R P E R S O N S D E S I G N AT E D TO P R O V I D E M E D I C A L F I R S T A I D\n STANDARDS - SECTION A-VI/4-1 OF STCW CODE\n TABLE A-VI/4-1 of STCW CODE STANDARD OF COMPETENCE FOR SEAFARERS DESIGNATED TO DESIGNATED TO PROVIDE MEDICAL FIRST AID\n TABLE A-VI/4-1 SPECIFICATION OF MINIMUM STANDARD OF COMPETENCE FOR PERSONS DESIGNATED TO PROVIDE MEDICAL FIRST AID sterile techniques.\n Coast Guard Assessment Guidelines for TABLE A-VI/4-1 of STCW Code Specification for minimum standard of competency in Medical First Aid\nApp. D - Medical Care on Board Ship\n APPENDIX D - S TA N D A R D O F C O M P E T E N C E F O R SEAFA R E R S D E S I G N AT E D TO TA K E C H A R G E O F M E D I C A L C A R E O N B O A R D S H I P\n STANDARD - SECTION A-VI/4-2 OF STCW CODE\n TABLE A-VI/4-2 STANDARD OF COMPETENCE FOR SEAFARERS DESIGNATED TO TAKE CHARGE OF MEDICAL CARE ON BOARD SHIP\n TABLE A-VI/4-2 SPECIFICATION OF MINIMUM STANDARD OF COMPETENCE\n Coast Guard Assessment Guidelines for TABLE A-VI/4-2 of STCW Code Specification Of Minimum Standard Of Competence For Persons In Charge Of Medical Care\nApp. E - Personal Safety and Social Resp\n APPENDIX E - S TA N D A R D O F C O M P E T E N C E F O R SEAFA R E R S D E S I G N AT E D TO P R O V I D E PERSONAL S A F E T Y A N D S O C I A L R E S P O N S I B I L I T I E S\n STANDARD - SECTION A-VI/1-4 OF STCW CODE\n STANDARD OF COMPETENCE FOR SEAFARERS DESIGNATED TO PROVIDE PERSONAL SAFETY AND SOCIAL RESPONSIBILITIES\n Coast Guard Assessment Guidelines for TABLE A-VI/1-4 Specification for minimum standard of competency in Personal Safety and Social Responsibility\nApp. F - Additional Health Care Provider Capabilities\n APPENDIX F - A D D I T I O N A L H E A LT H C A R E P R O V I D E R CAPA B I L I T I E S\n INTRODUCTION\n EMERGENCY INTERVENTION\n PATIENT ASSESSMENT\n BASIC LIFE SUPPORT AND VENTILATION:\n VENTILATION EQUIPMENT AND OXYGEN THERAPY:\n HEMORRHAGE AND GENERAL EMERGENCIES:\n SHOCK:\n GENERAL INJURIES:\n FRACTURES, DISLOCATIONS AND SPRAINS:\n HEAD INJURIES AND MEDICAL EMERGENCIES:\n INJURIES TO THE EYE, EAR AND THROAT:\n CHEST INJURIES AND MEDICAL EMERGENCIES:\n ALLERGIES AND ANAPHYLACTIC REACTIONS:\n ABDOMEN AND GENERAL EMERGENCIES:\n HEART DISEASE:\n ENVIRONMENTAL EMERGENCIES:\n PSYCHIATRIC CONDITIONS:\n SUBSTANCE ABUSE\n CLINICAL SICKCALL\n HEAD:\n VISION:\n EAR:\n SINUS/NOSE:\n THROAT:\n NECK:\n RESPIRATORY/THORAX/ CIRCULATORY:\n SKIN CONDITIONS:\n ABDOMEN/REPRODUCTIVE:\n DIABETES:\n MUSCULAR SKELETAL:\n UPPER EXTREMITIES:\n LOWER EXTREMITIES:\n PSYCHOLOGICAL CONDITIONS:\n WELLNESS\n ADMINISTRATION\n PATIENT AFFAIRS\n SUPPLY AND FISCAL MANAGEMENT\n BASIC INSTRUCTION\n SAFETY AND ENVIRONMENTAL HEALTH\nApp. G - Sickbay and Medicine Chest\n APPENDIX G - S I C K B AY A N D M E D I C I N E C H E S T\n INTRODUCTION\n MEDICAL EQUIPMENT\n DIAGNOSTIC\n FURNITURE\n CONSUMABLE SUPPLIES\n Bandages:\n Sponges/Pads/Dressing:\n Splints/Walking Aids:\n Adhesive Tape:\n Ear Plugs:\n Miscellaneous:\n MEDICAL/SURGICAL SUPPLIES/SETS\n Scissors/Blades:\n Gloves:\n Catheters:\n Intravenous Sets:\n Syringe/Needle:\n Medical/Surgical Sets:\n Sutures:\n Diagnostic Instruments:\n Miscellaneous Medical/Surgical Instruments And Items:\n Miscellaneous:\n Patient Transport:\n Linens:\n EMS EQUIPMENT AND SUPPLIES\n Thomas Aeromedical Pack Tt-890\n Supplemental Equipment For Thomas Aeromedical Pack Tt-890\n Obstetrics Kit, Small Portable\n Oxygen/Resuscitation Equipment\n Litters And Stretchers\n First Aid Kit, Life Raft\n First Aid Kit, Carry Bag\n INJURY DRESSING STATIONS (IDS)\n Injury Dressing Station Supplies\n PORTABLE MEDICAL LOCKERS (PML).\n DECONTAMINATION LOCKER.\n ANTIDOTE LOCKER\n PHARMACEUTICALS.\n Analgesics:\n Antibiotics / Anti-Infectives:\n Anti-Inflammatory:\n Asthma:\n Cardiac / Antihypertensive:\n Contraceptive / Gynecological:\n Gastrointestinal:\n Hormonal Products:\n Immunizations:\n Miscellaneous:\n ITEMS LISTED BELOW ARE USED TO TREAT EXPOSURE TO NERVE AGENTS:\n Ophthalmics:\n Otics:\n Psychotropics / Neurological:\n Topicals:\n Vitamins:\n DENTAL SUPPLIES AND EQUIPMENT\n ENVIRONMENTAL HEALTH\n ENVIRONMENTAL HEALTH EQUIPMENT AND SUPPLIES.\nApp.H - Infectious Diseases\n A P P E N D I X H I N F E C T I O U S D I S E A S E S\n INTRODUCTION\n BEHAVIOR AND INFECTIOUS DISEASE TRANSMISSION\n SEXUALLY TRANSMITTED DISEASES\n Urethral Discharge (Urethritis)\n Painful Testicle (Epididymitis)\n Genital Ulcer\n Chancroid\n Genital Warts\n Lymphogranuloma Venereum (LGV)\n Pruritus (Itching)\n Vaginal Discharge\n Lower Abdominal Pain\n Counseling\n Partner Notification\n Referral\n Sexual Practices\n Exposed, but Asymptomatic, Individuals\n Prevention\n HUMAN IMMUNODEFICIENCY VIRUS INFECTION/ ACQUIRED IMMUNODEFICIENCY SYNDROME (HIV/AIDS)\n SEXUAL ASSAULT AND RAPE\n TATTOOING\n ANTHRAX (CUTANEOUS)\n CHICKENPOX (VARICELLA)\n CHOLERA\n DENGUE FEVER (BREAKBONE FEVER)\n DIPHTHERIA\n GASTROENTERITIS/DIARRHEAL ILLNESSES\n HEPATITIS, VIRAL\n HEPATITIS A (HAV)\n HEPATITIS B (HBV)\n DELTA HEPATITIS (HDV)\n HEPATITIS C (HCV)\n INFLUENZA (FLU)\n LEGIONNAIRES’ DISEASE (LEGIONELLOSIS)\n MALARIA\n MEASLES (RUBEOLA)\n MEASLES, GERMAN (RUBELLA)\n MENINGOCOCCAL DISEASE\n MONONUCLEOSIS, INFECTIOUS\n MUMPS (EPIDEMIC PAROTITIS)\n PLAGUE\n BUBONIC PLAGUE\n PNEUMONIC PLAGUE\n SEPTICEMIC PLAGUE\n POLIOMYELITIS\n RABIES (HYDROPHOBIA)\n RHEUMATIC FEVER\n RELAPSING FEVER (TICK-AND LOUSE-BORNE RELAPSING FEVER)\n SCARLET FEVER\n SHINGLES\n TETANUS (LOCKJAW)\n TUBERCULOSIS\n TYPHOID FEVER (ENTERIC FEVER)\n TYPHUS FEVER\n UNDULENT FEVER (BRUCELLOSIS, MALTA FEVER OR MEDITERRANEAN FEVER)\n WHOOPING COUGH (PERTUSSIS)\n YAWS\n YELLOW FEVER\nApp I - Medical References\n A P P E N D I X I M E D I C A L R E F E R E N C E RECOMMENDAT I O N S\n INTRODUCTION\n CLINICAL MEDICAL REFERENCES\n PHARMACY REFERENCES\n DENTAL REFERENCE\n ENVIRONMENTAL HEALTH REFERENCES\n WEBSITE RECOMMENDATIONS