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Bangkok's First Ambulance Lane Is Now Open!

Bangkok has the unfortunate distinction of being ranked as one of the most traffic congested cities in the World, with an estimated 500+ new cars added daily. (read more...)
Submitted 06.10.2016


Lower Cholesterol WITHOUT Medication, Just Look To The Sun…Sunflower That Is!

Current medical treatment for High Cholesterol is to prescribe “Statin” medications.

While “Statin” medications have proven to be effective in the fight against atherosclerosis by lowering total serum cholesterol levels, there is supporting evidence that for some individual these types of medication may have a negative effect on the Liver. Thus potentially being harmful and even Life threatening.

Is there a non-medication alternative? There certainly is.

sunflowerLook no further than the Sun, Sunflower that is!

Cardiovascular Benefits provided from the Sunflower kernels natural source of Vitamin E. Sunflower kernels are able to naturally boost your health due to its significant source of Vitamin E, Magnesium and Selenium, each having specific benefits. Let’s focus on vitamin E.

Sunflower kernels are a rich source of Vitamin E, the primary fat-soluble antioxidant occurring in the human body.

So, how does this antioxidant contribute to the prevention of Cardiovascular disease, or atherosclerosis.

Vitamin E is a main antioxidant that is actually found in cholesterol particles. As an antioxidant Vitamin E combats free radicals from oxidizing cholesterol. It is only after cholesterol has been through the oxidation process that it is able to “stick” to the vessel walls causing the onset of atherosclerosis, the leading cause of blocked arteries, heart attack, or ischemic stroke.

*Quickly though with all this talk of oxidation, what in the world is it? A brief medical definition is: a chemical reaction in which oxygen reacts with another molecule, compound or atom producing a new substance, a free radical. These free radicals are the primary cause of cellular damage causing many illnesses and cancers.

With Vitamin E specifically preventing the oxidation of cholesterol, it helps prevent or reduce the buildup of plaque in the blood vessels, that if allowed to build up over time may cause a severe reduction of blood or even a complete blockage of blood flow.

Increasing your intake of natural Vitamin E you will reduce your risk of developing atherosclerosis and ischemic stroke without medications.

Adding Sunflower kernels (Raw is best!) to your daily intake gives you a healthy snack packed with a powerful antioxidant punch!

Don’t forget, there is Selenium and Magnesium with additional benefits. But that’s another health article coming soon.
Submitted 02.08.2016


American Red Cross and American Heart Association Updated First Aid Guidelines

The American Red Cross and American Heart Association announced changes to guidelines for administering first aid. Among the most noteworthy revisions are new and updated recommendations for the treatment of bleeding; recognition of stroke; recovery position; anaphylaxis (severe allergic reaction) and treatment of hypoglycemia (low blood sugar) in diabetics.

The 2017 First Aid Guidelines reaffirm previous recommendations and highlight ways we can help save more lives from illness and injury. Anyone can provide first aid, and everyone should. The Guidelines integrate the latest science to create evidence-based recommendations for training and preparation. Everyone should learn how to initiate first aid and act quickly when it is needed.

Bleeding updates

The revised guidelines stress the importance of stopping severe bleeding as a critical first aid skill. Almost all bleeding can be controlled by steady, direct, manual pressure, with or without a gauze or cloth dressing over the wound. The guidelines recommend pressing hard and holding steady pressure for at least five minutes without lifting dressings to see if the bleeding has stopped. While direct pressure is still the first line of defense, the guidelines acknowledge the important role tourniquets and hemostatic agents play in stopping life-threatening bleeding when standard measures fail or are not possible.

Tools now available and recommended to first aid providers include tourniquets for severe bleeding on a leg or arm. For open wounds not on an extremity, the guidelines suggest use of a hemostatic dressing, which is coated with a special agent to enhance clotting and help stop bleeding when correctly applied and combined with direct pressure. Hemostatic dressings are readily available online and at pharmacies.

Hypoglycemia in diabetics

Early treatment of hypoglycemia (low blood sugar) while the patient is still conscious and still able to follow instructions can prevent progression to more serious hypoglycemia that would require more advanced treatment. To avoid lay responders from giving too much or too little sugar, the new guidelines recommend use of glucose tablets purchased at a retail pharmacy. Glucose tablets have been shown to be more effective at resolving symptoms of hypoglycemia than dietary forms of sugar. If glucose tablets are not available, food sources such as sucrose candies, dried fruit, or orange juice can still be used.

Recovery position

If the person is unresponsive and breathing normally, without any suspected spine, hip or pelvis injury, turn the victim to a lateral side-lying position. Studies show some respiratory improvement in this position compared to a supine, or faceup, position. In addition to the change from the supine position, the modified HAINES position is no longer recommended due to lack of scientific evidence.

Anaphylaxis

Under the revised guidelines for treating anaphylaxis (severe allergic reaction), if symptoms persist beyond the initial dose and arrival of advanced care will exceed 5-10 minutes, the first aid provider may give a second epinephrine injection from a prescribed auto-injector.

Recognition of stroke

Approximately 800,000 Americans have a stroke each year, leaving them at risk for long-term disability. Early recognition of stroke through the use of a stroke assessment system decreases the interval between the time that the incident occurs and the time it takes for that person to arrive at a hospital and receive specific treatment. This faster time to treatment may reduce the damage and disability from a stroke. This is the first time that the guidelines have examined the science behind inclusion of a stroke identification system into all first aid courses.

Use of aspirin with heart attacks

The updated guidelines clarify that aspirin should be used when helping someone suspected of having a heart attack, characterized by symptoms such as chest pain accompanied by nausea, sweating and pain in the arm and back. If the first aid provider is unclear on whether this is a heart attack or simply someone experiencing non-cardiac related chest pain or discomfort, then aspirin should not be given. Additionally, the updated guidelines emphasize that there is no need to distinguish between enteric versus non-enteric coated aspirin as long as the aspirin is chewed and swallowed.
Submitted 16.10.2015


Wearable Cardioverter Defibrillator Life-vestWearable Cardioverter Defibrillator Life-vest

The innovative and lightweight wearable cardioverter defibrillator (WCD) is specifically designed for patients with increased risks of sudden cardiac arrest (SCA). Wearing an external cardiac defibrillator allows physicians valuable time to assess long-term arrhythmic risk and activate appropriate health care plans.

The cardioverter defibrillator is an easy to wear shoulder strap permitting patients to return to their daily activities with additional protection from sudden cardiac death (SCD).

The non-invasive halter-style shoulder strap harness consists of a garment and a monitor. The garment is meant to be worn under clothing. Its function is detecting arrhythmias and delivering treatment shocks. Worn around the waist or using a shoulder strap, the monitor records abnormal arrhythmias.

WCD’s continuously monitor patients’ heart rhythms and delivers a treatment shock if a life-threatening rhythm is detected. Timely defibrillation typically takes less than a minute and often restores a normal heart rhythm. Timely defibrillation is the single most important factor in saving an SCA victim’s life.

The biggest advantage of wearing a cardioverter defibrillator is avoiding the need for bystander intervention. Incredibly, wearable cardioverter external defibrillators have a 98 percent first treatment shock success rate for resuscitating patients from SCA.

The WCD may be prescribed for patients at high risk of SCA following a heart attack, before or after bypass surgery or stent placement, as well as for those with cardiomyopathy or congestive heart failure that places them at particular risk.

The WCD is a therapeutic option, listed along with implantable cardioverter defibrillators (ICDs), in the ACC/AHA/ESC Guidelines for the Management of Patients with Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death. It is also a Class I recommendation in the International Society for Heart and Lung Transplantation Guidelines for the Care of Cardiac Transplant Candidates.
Submitted 03.08.2015


First Aid Training in Shanghai

It's not uncommon to hear about Chinese onlookers who watch a fellow citizen fall to the ground but don't stop to lend a helping hand. Besides the worry that a person offering help could be blackmailed, a major reason bystanders are so passive is they have no idea how to administer first aid.

A pilot project teaching first-aid skills in local primary and high schools was launched in late January 2014 which included training in cardiopulmonary resuscitation (CPR) skills under the instruction of physicians from the emergency department of Ruijin Hospital. Fifty local primary and high schools will join the project, which will train students, as well as PE teachers and school clinic staff.

First-aid skills are basic skills that many students are taught in developed countries. However, these important, life-saving skills have long been neglected by Chinese educators. During the first half of 2013, five students drowned and four students died suddenly in Shanghai, according to statistics from the Shanghai Youth Protection Office. If these students had received first-aid treatment, some of them may have survived.

Statistics show that the number of deaths from heart attacks in China is roughly 544,000 every year, the highest number in the world. Heart attacks don't just strike the elderly. The proportion of young and middle-aged people who die of heart attacks is growing.

The initial four-minute period after an attack of SCA is called the "golden four minutes." Every minute that defibrillation is postponed, the success rate of CPR drops 7 to 10 percent. Only a quarter of patients can be rescued if CPR is conducted five minutes after SCA. There is very little chance of survival if CPR is conducted more than 10 minutes after SCA.

In the US, nearly 20 million citizens receive first-aid training every year. The success rate of emergency treatment of SCA victims outside a hospital is between 5 and 8 percent in developed countries. In contrast, the success rate is less than 1 percent in China.

Shanghai has developed into one of the most advanced cities in the nation. Local educators should not just focus on their students' academic grades. Basic survival skills are just as important to a student's all-round development and may one day help to save a life.
Submitted 06.02.2014


Mobile Device Sensors

Will mobile device sensors revolutionise healthcare? The phone in your pocket could help power a revolution in healthcare that allows your doctor to spot problems – and intervene – no matter where you are in the world.

Dr. Leslie Saxon wants to be able to measure anybody’s heartbeat, no matter where they are in the world. The cardiologist, from the University of Southern California, specialises in the diagnosis and treatment of heart disease using wearable and implanted devices. She believes that networked gadgets, such as an iPhone fitted with a heartrate monitor, could be the start of a revolution in healthcare that allows your doctor to spot problems - and intervene – even if they are thousands of miles away.
Submitted 09.01.2013


In Case of Emergency - I.C.E.


AB-CABSEFR Guidelines Changes to AB-CABS

Recent PADI Training Bulletins and EFR The Responder newsletters announced that greater emphasis on early and effective chest compressions was the main aim of the 2010 ILCOR (International Liaison Council on Resuscitation) Guidelines. You will notice that the traditional ABCs order of priority care in EFR courses has been expanded to the new order of AB-CABS, continuing the steps into a Cycle of Care (rather than the patient’s lifeline).

The AB portion of AB-CABS reminds emergency responders to check if the patient’s Airway is open and if he is Breathing normally. If not, the responder moves rapidly into delivering Chest Compressions, opening the Airway and then Breathing for the patient (30:2). If he is breathing normally, then the responder can move further in the Cycle of Care, i.e., the S to check for Serious Bleeding, Shock and Spinal Injury.

Part II: Regional Resuscitation Councils and Organisations

Regional resuscitation councils and organisations use agreed on ILCOR emergency protocols for their specific regions. The following entities distribute guidelines for the listed regions;


British Red Cross say teach Children

Children should learn first aid skills to help friends who become dangerously drunk, the British Red Cross has said. The Red Cross wants to promote a broad range of first aid skills, but says the affects of alcohol are a key concern.

A member from the British Red Cross, said: "We need to ensure that every young person, irrespective of whether they have been drinking, has the ability and confidence to cope in a crisis."

Children can learn skills including the recovery position, to avoid someone choking on their own vomit, and resuscitation techniques. As well as learning about alcohol-related problems, the campaign aims to help teach children how to help people with asthma attacks, head injuries, choking and epileptic seizures.
Submitted 13.09.2010


Convenient Approved Programs for a Confident Workforce

All too often, it is an accident, illness or disaster that demonstrates how important it is to prepare our employees for medical emergencies. In fact, emergencies strike with little warning, and you are either prepared - or not.

Every company needs to consistently reappraise its emergency preparedness;


Emergency First Response Workplace Courses

The Emergency First Response First Aid at Work (Asia Pacific) programme is WorkCover NSW approved and includes CPR, AED and First Aid at Work training. We specialise in providing companies like yours with a complete, ongoing solution to maintaining emergency preparedness and meeting CPR and first aid training standards in the workplace.

For your convenience, it is possible to arrange our instructors to come to your facility to train your staff. Alternately you may find it more cost and schedule effective for us to train some of your employees as Emergency First Response Instructors. We can also help you with placing AEDs in your facility and training your employees to use them.
Submitted 23.07.2010


Innovative Instruction Methods

Based on modern instructional system design, our courses offer delivery flexibility, including independent study options that optimise scheduling which makes the best use of instructor-to-student contact time. Many companies find this provides the best learning results with the fewest schedule disruptions. Of course, Emergency First Response courses work perfectly if conventional classroom presentations work well for you.

Ready to Get Started? The time to prepare for an emergency is now because, unfortunately, we never know when an emergency will arise. Contact your nearest Emergency First Response Training Organisation. Click for our Course Finder.
Submitted 11.05.2010


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