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.

In addition to purely medical terms, medicine requires logistics (having the right equipment and the right people at the right time and the right place) and cooperation with other organizations, which will be designed to accommodate the patient or who can advise the emergency in its approach. This may involve concepts of telemedicine (transmission of patient data, possibly vital parameters and image diagnosis).

Those trained to perform first aid can act within limits of their knowledge, while waiting for the next level of support. Those who can not perform first aid can also help by staying calm and being with the injured or ill person. A common complaint of emergency services personnel is the propensity of people to accumulate around the victim and the scene of accident, which usually does not help the patient stresses (which can hurt a lot), and obstructs smooth functioning of emergency services.

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.

In 1958, a trainer has to prepare a portable kit doctors and rescue workers to disaster management, and management of mass casualties. Realistic moldings mimic almost all types of injuries caused by armed struggle or nuclear explosion. In picture, the trainer shows a blood bag to simulate bleeding (arterial or venous pressure as the pocket). Pressure in right place is to stop the flow or the spray of blood. Military and civilian leaders of all the United States have been trained.

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.

However, do not overlook the importance of medical advice in certain situations (see above). Moreover, the poor cannefit of universal health coverage (CMU) which allows them to have free care without advance payment, including in private practices. If situations are still variables from one department to another, the current trend is that any call outside working hours and days 15 through the center, including for the doctor on duty, or when the seeks an ambulance. Some standards associations constantly care (SOS Doctors) are entitled to receive calls directly, subject to an interconnection with the center 15 (direct telephone line).

But nothing prevents a patient to bypass the pre-hospital system to go to emergency departments of hospitals or private clinics, which are therefore those presenting spontaneously, as well as those brought by emergency services above. Medicine is the link between the outside of hospital and other hospital departments (surgery, radiology, pulmonology, cardiology, neurology ...), but also the relationship between these services for distress unexpected and sudden.




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