Malaise medical therapy: Difference between revisions
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==Overview== | |||
The following step depends on the [[organization of the emergency medical assistance]]. Some countries provide free medical advice by phone (e.g., [[SAMU]] in France): it is then useful to call this service to know what to do. Otherwise, it is useful to contact the usual [[general practitioner]] of the person, to get his or her advice, or any medical or paramedical professional at least. The bystander who calls must mention all the elements collected so far. When it is not possible to contact the individual's primary-care physician, it is then necessary to assess the situation in order to decide whether it is necessary to call an [[ambulance]]. | |||
==Medical Therapy== | |||
Some specific situations require specific actions: | |||
* the person is a casualty of an accident: the malaise is likely to be related to a physical trauma, the person should only be touched by professionals, except immediate danger (e.g. fire hazard, bleeding that must be stopped…); this is a life threatening situation (even if the casualty is conscious), which requires an immediate call for help; | |||
* in case of chest pain or respiration difficulties, the most comfortable position is usually seated or half seated (back at 45°), because the weight pulls the [[viscera]] down, allowing the [[lung]]s to develop downwards (pushing the [[diaphragm (anatomy)|diaphragm]]), and it reduces the blood pressure inside the chest ([[pulmonary hypertension]]); | |||
* in case of stomach pain, the most comfortable position is often with the thighs perpendicular to the body (this relaxes the [[human abdomen|abdominal muscles]]); this can be done with a lying person by lifting the legs and placing them on a chair, the bystander can also kneel besides the person and support his or her legs; | |||
* when the person has a medical treatment for this situation, it is necessary to help this person taking the medication; this includes sugar for some diseases; otherwise, a non medical bystander should never propose food, drink or any medication; | |||
* a pregnant woman should be laid on her left side, in order to release the pressure on the [[inferior vena cava]]); | |||
* the person falls [[Unconsciousness|unconscious]]: this is a life threatening situation which requires immediate action ([[recovery position]] if the person breathes, [[cardiopulmonary resuscitation]] otherwise); | |||
An important point is to watch the person until he or she recovers or the arrival of the ambulance, for the situation is likely to worsen. | |||
''See also [[First aid]] and [[Emergency action principles]].'' | |||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
{{WikiDoc Help Menu}} | {{WikiDoc Help Menu}} | ||
Revision as of 14:19, 3 April 2013
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Please help WikiDoc by adding more content here. It's easy! Click here to learn about editing.
Overview
The following step depends on the organization of the emergency medical assistance. Some countries provide free medical advice by phone (e.g., SAMU in France): it is then useful to call this service to know what to do. Otherwise, it is useful to contact the usual general practitioner of the person, to get his or her advice, or any medical or paramedical professional at least. The bystander who calls must mention all the elements collected so far. When it is not possible to contact the individual's primary-care physician, it is then necessary to assess the situation in order to decide whether it is necessary to call an ambulance.
Medical Therapy
Some specific situations require specific actions:
- the person is a casualty of an accident: the malaise is likely to be related to a physical trauma, the person should only be touched by professionals, except immediate danger (e.g. fire hazard, bleeding that must be stopped…); this is a life threatening situation (even if the casualty is conscious), which requires an immediate call for help;
- in case of chest pain or respiration difficulties, the most comfortable position is usually seated or half seated (back at 45°), because the weight pulls the viscera down, allowing the lungs to develop downwards (pushing the diaphragm), and it reduces the blood pressure inside the chest (pulmonary hypertension);
- in case of stomach pain, the most comfortable position is often with the thighs perpendicular to the body (this relaxes the abdominal muscles); this can be done with a lying person by lifting the legs and placing them on a chair, the bystander can also kneel besides the person and support his or her legs;
- when the person has a medical treatment for this situation, it is necessary to help this person taking the medication; this includes sugar for some diseases; otherwise, a non medical bystander should never propose food, drink or any medication;
- a pregnant woman should be laid on her left side, in order to release the pressure on the inferior vena cava);
- the person falls unconscious: this is a life threatening situation which requires immediate action (recovery position if the person breathes, cardiopulmonary resuscitation otherwise);
An important point is to watch the person until he or she recovers or the arrival of the ambulance, for the situation is likely to worsen.
See also First aid and Emergency action principles.