All About Positive Health

Many times people hurry to do something or complete some task.I call it busy for nothing.As for example people drive in a great speed in busy roads even without a head protection.Somebody runs in a busy and mechanized area to reach first.Specially if it is done in a work site of industry accidents are bound to to happen.One person ran to escape from being drenched in rain and fell down in front of a running train wagon and lost his arm .This is a typical story.And thousands happen on the road and in industries everyday.

A dis-articulated or amputated human body part can be re-implanted.This has some prerequisites.Apart from the resuscitation of the victim care should be taken to preserve the amputated  part.A special solution is available to preserve the parts till one reaches the dedicated hospital with in a time frame.But those solutions are not available in rural set up.And consequently the amputated part decays.

But as we know cells do survive for certain time ,approximately 6 hours without oxygen.So when such parts preserving solutions are not available some indigenous fluid may work for some time.The part is to be cleaned with normal saline or a ringers solution.And kept in a clean sterile container if available, dipped in ringers solution widely available in medicine stores.That container be kept surrounded by ice packs .Then can be transported to a nearest hospital where the facility of parts re-implantation is available.

But the best is prevention of accidents and that is possible if one is slow and steady.

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Burn from fire,electrical short circuit ,lightning,steaming water and Other boiling materials like oil and tar etc. are common .These are commonly accidental but may be suicidal or homicidal.These are usually fatal.
Fist aid is important to save or minimize the effect.Obviously the victim is to be removed from the site to a safer place rich in air flow.The mouth and nose should be cleaned first so that the victim can take breath.At the same time water should be put on the person for at least 10 minutes to minimize the blister formation and reduce feeling of pain.
Dehydration and blood loss are the killer factors.So next treatment depends on type of burn.Patient now is to be shifted to a hospital where administration of fluid will be possible to combat dehydration.Blood is not required at the first step.Burn is classified basing on the Rule of nine of Wallace for clinical assessment and treatment.The most important is electrolyte containing fluid administration.
The victim then is to be relieved of pain.Commonly an occlusive dressing is applied with antibiotic creams and a layer of soaking pads.Burn more than 10% in children and more than 30% in adult are risky .
After the burn some patients can be subjected to skin grafting and some may be differed to a later date waiting for a healthy granulation to come up.
A burn patient should be treated in isolation.

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The climate GOD, at last become happy to make the mankind in this part of India feel the cool of Rainy season.It is pleasant now.To-day is a holiday but emergency section in hospital is on as usual. Now it is in news that Govt. want to double the salary of doctors willing to work in remote localities. I do not know whether this will yield any result.Basic question is not only salary.It all about infrastructure and other facilities.In remote areas there is no good residence facility,if one is there it may not be electrified and if that is there no provision of water supply.Something will be in shortfall.If all these are there no good facility (school) for study of their children.If all of the above are there there will be lack of proper equipments for smooth  professional work and growth.  After completion of study one doctor always wants to utilize his knowledge in treating patients and in want of the facility he draws  flak. Also there is no full proof transfer policy,Policy for career progression, policy for promotion and above all low payment in comparison to other less stressful jobs.
  It is not that the so called think thaks do not know it ,it is their mental set up not to give better facility to doctors . Govt. should short out these problems before relying too much  only on hiking the pay to draw doctors to remote areas.
All these are causes for why I left Orissa Govt. service.