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HOUSTON METHODIST WEST HOSPITAL MEDICAL GUIDE 201

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Medical Guide 2014

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Page 1: Houston Methodist West Hospital

HOUSTON METHODIST WEST HOSPITALMEDICAL GUIDE 201

Page 2: Houston Methodist West Hospital
Page 3: Houston Methodist West Hospital

Heart Attack 3

PAIN, in one form or another, always accompanies aheart attack. It can be anything from a mild ache to unbear-able pressure. When severe, pain is often felt as being con-stricting and vicelike.

Pain may even be described as a band being tightened

around the chest. Pain also often includes the burning or bloated sensation that usually accompanies indigestion.Pain may be continuous and then might subside – DO NOT IGNORE it if it does. It could be in any one or acombination of the locations shown below.

EARLY WARNING SIGNS OF A HEART ATTACK

Localized justunder the

breastboneor in larger

area of mid-chest orentire upper

chest.

Commoncombinationmid-chest,neck and

jaw

Mid-chestand insidearms: leftarm andshoulder

more frequentthan right

Upperabdomen

where mostoften mis-taken for

indigestion

Larger area of

chest, neck,jaw and

inside arms.

Lower center

neck, toboth sidesof upperneck andjaw fromear to ear

Inside right arm from

armpit to belowelbow, inside

left arm towaist, left armand shouldermore frequent

than right.

Betweenshoulderblades

Early warning signsNone of the symptoms below is conclusive proof

of a heart attack. The more signs and symptoms pre-sent, the more likely it is that the patient is undergo-ing a heart attack.

Chest discomfort Difficulty breathingSweating (cold) WeaknessNausea and vomiting Paleness

Anxiety and denial

How to survive a heart attackYou can best help – possibly save a life – if you

know in advance:

The nearest emergency center equipped to handle cardiac emergencies

How to do CPR

How to get medical help (call 911)

Knowing these things, you should:

Help the victim to the most comfortableposition - usually sitting, with legs up and bent atthe knees.

Phone for medical help.

Loosen clothing around the neck and midriff.

Be calm and reassuring; keep the patient calm.

If the victim is a known cardiac patient, havehim take three NITROGLYCERIN tablets with-in 10 minutes, approximately one tablet everythree minutes. If the pain persists ...

Comfort the victim and be prepared to initiatethe ABCs of EMERGENCY ACTION.

RISK FACTORS THATCANNOT BE CHANGED

HereditySex RaceAge

RISK FACTORS THATCAN BE CHANGED

Cigarette smoking

High blood pressure

High blood cholesterol

Diabetes

Excessive weight

Exercise

Stress

How to cut the riskStudies show that the danger of heart attack and stroke

increases with the number of risk factors present.

YOU ARE IN CONTROL!Practice prudent heartliving to reduce your risk of heart attack and stroke.

HealthyLIVINGyyHealthyHealthyHHHeHeaealaltlththyhyLIVINGLILIVIVVININGGKatyA Katy Times Publication April 2014

INSIDE: Checking in with Melissa Wilson, the FOX 26 medical reporter

b iness makes healthier eating a whole lot easier

GOOD DENTAL

HYGIENE MATTERS:

Taking care of your teeth

can help keep other

health problems at bay

June 2014

HealthyLIVINGyyJune 2014

HealthyHealthHHHeHeaealaltlththyhyLIVINGLLIVVIVININGNGKaty

A Katy Times Publication

INSIDE: Yes, it’s possible to eat healthy at Katy restaurants

KATY'S WONDER Stephanie Tapia helps people live healthy lifestyles

PHOTO BY CAROLINE IRIS PHOTOGRAPHY

OCT 9 & DEC 11, 2014Health news and features.

Bi-Monthly Magazine in 2015

Publication of the

HealthyLIVINGP bli ti f th

HealthyHealthyHHHeHeaealaltlththhyhyyhyLIVINGLIVININGGKatyLOOK FOR THE

UPCOMING EDITION OF

Page 4: Houston Methodist West Hospital

4 Cardiopulmonary Resuscitation (CPR) ADULT CPR

Establish unresponsiveness and call out forhelp. Place victim on a hard surface.

Open the airway using the Head Tilt-Chin Lifttechnique. Establish the breathlessness (look, lis-ten and feel for air exchange).

Give two slow breaths (1 to 1 1/2 seconds perbreath). Breaths are given with a pause betweenfor the rescuer to take a breath and to observe ifthe victim has exhaled.

Check for pulse (carotid pulse). If absent,phone for medical help.

Finding correct hand placement is important.With the middle and index fingers of one hand,find the notch where the ribs meet the breastbone(sternum). Place the mid-dle finger on the notch withthe index finger next to it.

Place the heel of the otherhand on the sternum next toand above your index finer.At this point, move yourfingers from the notch andplace this hand directly ontop of the hand that isalready on the sternum sothat both hands are paralleland directed away fromyou. Do not compress overthe ribs!

Compress the chest 15times at a depth of 1 1/2 to 2 inches at a rate of 80to 100 times per minute, while counting outloud, “one and two and three . . .”

Give two full breaths after each group of 15 compressions.

Deliver four cycles of 15 compressions and two ventilations fol-lowed by 15 compressions.

Check for return of pulse and spontaneous breathing. If absent,resume with two ventilations followed by 15 compressions.

Continue CPR until victim is revived or qualified help arrives.

IMPORTANTKeep up CPR until help arrives to relieve you. Remember, youare doing the breathing for the victim. IRREVERSIBLE BRAIN DAMAGE AND/OR DEATHCAN OCCUR WITHIN 4-6 MINUTES IF RESCUEBREATHING IS NOT PERFORMED.

Open airway

Give two slow breaths

Chest compressions

Place hands oversternum, not the

Check for breathing

Infants and childrenEstablish unresponsiveness and call

out for help.

Open airway and establish breathless-ness (look, listen and feel).

Give two slow breaths covering thenose and mouth

Repeat lung inhalations 20 times perminute, one ventilation every four sec-onds, 15 lung inflations per minute, for the CHILD.

Give two slow breaths

Compression position for infants

Check for brachial pulse.

Use your index finger and forefinger for infant CPR.

G.F.A.I., the copyright owner, the Loewen Group, Inc., and orany other organization making this guide available to you,assumes no responsibility for the accuracy of the informationcontained within the guide. If you have any questions, pleaseconsult a physician or emergency services authorities.

3701 El ConlonLas Vegas, NV 89102

(702) 362-0733

INFANTTo find correct placement, usetwo or three fingers one inchbelow the nipple, on the center ofthe breastbone. Compress thechest 1/2 inch to 1 inch fivetimes between ventilation at arate of 100 times per minute.

CHILD (less than 9 years old)

Same as for adult. Compress thechest 1 to 1 1/2 inches at a rate of80 to 100 times per minute.

Give one ventilation after eachfive compressions.

Continue CPR uninterrupteduntil victim is revived or quali-fied help arrives.

HealthyLIVINGyyHealthyHHHeHeaealaltlththyhyLIVINGLILIVIVVININGKatyA Katy Times Publication April 2014

INSIDE: Checking in with Melissa Wilson, the FOX 26 medical reporter

b iness makes healthier eating a whole lot easier

GOOD DENTAL

HYGIENE MATTERS:

Taking care of your teeth

can help keep other

health problems at bay

June 2014

HealthyLIVINGyyJune 2014

HealthyHHHeHeaealaltlththyhyLIVINGLLIVVIVININGNGKaty

A Katy Times Publication

INSIDE: Yes, it’s possible to eat healthy at Katy restaurants

KATY'S WONDER Stephanie Tapia helps people live healthy lifestyles

PHOTO BY CAROLINE IRIS PHOTOGRAPHY

OCT 9 & DEC 11, 2014Health news and features.

Bi-Monthly Magazine in 2015

Publication of the

HealthyLIVINGP bli ti f th

HealthyHHHeHeaealaltlththythhythyhyLIVINGLIVININGGKatyLOOK FOR THE

UPCOMING EDITION OF

Page 5: Houston Methodist West Hospital

BREAKINGNEW GROUNDIN HEALTH CARE. AND IN KATY.

Announcing our latest commitment to innovation and to the community:

an $85 million expansion of Memorial Hermann Katy Hospital.

Over the next two years, we are making incredible changes. Including a 100,000-square-foot professional office

building and a 229,000-square-foot patient tower. Additional surgery suites, intensive and intermediate care

units, an expanded Emergency Center, sports medicine, diagnostic imaging, endoscopy and women’s services,

including a neonatal intensive care unit and new postpartum and labor & delivery suites. Expect cutting-edge

technologies and world-class care. For Katy and for your health.

memorialhermann.org

Page 6: Houston Methodist West Hospital

6 Drowning/Toothache/Earache

F r cavity,c bit

soak solution.

jaw,w f Aspirin

h relieve temporarily. aspossible.

Never move an injured person before an experi-enced ambulance team or physician examines thevictim, unless you must in order to remove him fromdanger. Begin the ABCs of EMERGENCY ACTION.

Pulling the victim to safety

P v f theexcessive mov t you

move person.

Lifting the victim to safetyf safety All

w Keepvictim.

Prompt treatment requires diagnosis of the underly-ing cause. Consult a physician.

F r do eleva severalpillo wa ov and

head.

blow Don’ blow c

Don’ prescribeddoctor r nasal

relieve Che mayrelieve symptoms.

If absolutely necessary, an injured person may be pulled by holding himunder the shoulders.

Toothache

One of the major causes of death in America isdrowning. Because they have stopped breathing,drowning victims can die within 4-6 minutes.

Beg RESCUE BREATHING r inwater ev sever have elapsed.

follo ABCs of EMERGENCYACTION. Move of

neck.

Have f help.

Don’ a w victim’ lungs.

y ven tw a c anda Maneuv rescue

breathing.

EVEN IF THE VICTIMS SEEMS ALL RIGHT, INSISTHE/SHE BE SEEN AT AN EMERGENCY FACILITY.NEAR DROWNING CAN BE FATAL HOURS AFTERTHE INCIDENT OCCURS.

Remember: Do not leave the victim alone under any circumstances.

Earache

Use the ABCs of EmergencyAction for drowning victims.

HealthyLIVINGyyHealthyHealthyHHHeHeaealaltlththyhyLIVINGLILIVIVVININGKatyA Katy Times Publication April 2014

INSIDE: Checking in with Melissa Wilson, the FOX 26 medical reporter

b iness makes healthier eating a whole lot easier

GOOD DENTAL

HYGIENE MATTERS:

Taking care of your teeth

can help keep other

health problems at bay

June 2014

HealthyLIVINGyyJune 2014

HealthyHealthHHHeHeaealaltlththyhyLIVINGLLIVVIVININGNGKaty

A Katy Times Publication

INSIDE: Yes, it’s possible to eat healthy at Katy restaurants

KATY'S WONDER Stephanie Tapia helps people live healthy lifestyles

PHOTO BY CAROLINE IRIS PHOTOGRAPHY

OCT 9 & DEC 11, 2014Health news and features.

Bi-Monthly Magazine in 2015

Publication of the

HealthyLIVINGP bli ti f th

HealthyHealthyHHHeHeaealaltlththyhyLIVINGLIVININGGKatyLOOK FOR THE

UPCOMING EDITION OF

Page 7: Houston Methodist West Hospital

Broken Bones/Sprains 7In most cases, broken bones are not life-threaten-

ing. If you suspect a person of having a broken bone,keep him calm and call for help.

Victims should not be moved, unless they are inimmediate danger of further injury.

Examine the injury site for:Severe pain upon touchSwellingDeformityPulse beyond the injury siteBone ends either through or below the skin

Then:Phone for medical help.Keep the injured site immobilized until help arrives. If you

must move the victim, splint the injured limb above and belowthe suspected fracture.

Never straighten out a fractured bone. A medical person isqualified for this critical treatment.

The victims should not be walking. Keep the victim flat on thefloor, or in bed until he is examined by medical personnel.

Leg splint

Arm splint

Newspaper splint

Fainting

Sprains are injuries to soft tissues surroundingjoints, with stretching and sometimes tearing of lig-aments, muscles, tendons and blood vessels.Ankles, fingers, wrists and knees are most common-ly affected.

If the sprain seems severe, or if you have reason to suspect afracture, splint the part and treat it as you would a fracture.

To minimize swelling, elevate and apply cold compresses.Cold helps contract blood vessels and tends to reduce swellingand pain.

In mild sprains, keep the injured part immobilized and raisedfor at least 24 hours, continuing the cold application.

If swelling and pain persist, get medical help.

Lie the person flat, with his head down and his feet raisedslightly. Loosen clothing at the neck and chest.

Give him plenty of air. Most times a fainting victim will comearound right away. If the victim does not respond immediately,implement the ABCs of EMERGENCY ACTION and phone formedical help.

A patient who merely feels faint should sit in a chair and lowerhis head between his knees, or lie down with his feet higher thanhis head.

Shock

Shock can accompany severe injury, emotionaltrauma, extensive infection and heart attack.

The patient is pale, his skin is cold and clammy, his breathingquick and irregular and his pulse fast. He should be lying downwith his head low and hips and legs raised if uninjured.

Keep him/her warm.

Phone for help immediately.

Give the victim reassurance and keep him calm and quiet untilmedical assistance arrives.

HealthyLIVINGyyHealthyHealthyHHHeHeaealaltlththyhyLIVINGLILIVIVVININGKatyA Katy Times Publication April 2014

INSIDE: Checking in with Melissa Wilson, the FOX 26 medical reporter

b iness makes healthier eating a whole lot easier

GOOD DENTAL

HYGIENE MATTERS:

Taking care of your teeth

can help keep other

health problems at bay

June 2014

HealthyLIVINGyyJune 2014

HealthyHealthHHHeHeaealaltlththyhyLIVINGLLIVVIVININGNGKaty

A Katy Times Publication

INSIDE: Yes, it’s possible to eat healthy at Katy restaurants

KATY'S WONDER Stephanie Tapia helps people live healthy lifestyles

PHOTO BY CAROLINE IRIS PHOTOGRAPHY

OCT 9 & DEC 11, 2014Health news and features.

Bi-Monthly Magazine in 2015

Publication of the

HealthyLIVINGP bli ti f th

HealthyHealthyHHHeHeaealaltlththhyhyyhyLIVINGLIVININGGKatyLOOK FOR THE

UPCOMING EDITION OF

Page 8: Houston Methodist West Hospital

8 Electric Shock/Vital SignsCommon household current can cause cardiac

arrest. Known as electrocution, which is fatal in themost severe state, electric shock can be deadly.

Be cautiousaround all elec-trical appliancesand wiring.Keep small chil-dren away fromelectrical powercords and outlets.

If a person hascome in contactwith or touchedelectricity,

DO NOTTOUCH THEVICTIM UNTIL ALL POWER AROUND YOU HAS BEEN TURNED OFF.

Turn off electrical power at plugs, circuit breakers or in fuse box.

USE A DRY STICK OR BOARD to move a downed power line that is touching the victim.

DO NOT TOUCH THE VICTIM UNTIL ALL WIRE IS OFF EVERY PART OF THE BODY.

Phone for help.

Initiate the ABCs of emergency action if necessary.

Electric burnsDifficult to detect. A person with a severe electri-

cal shock may have badly burned underlying tissue,although the surface skin shows little.

Look for entrance and exit wounds.

If the victim is unconscious:Begin the ABCs of EMERGENCY ACTION and phone formedical help.

If the victim is conscious: Seek prompt medical attention, because unattended electricalburns can lead to serious complications.

Chemical burnsDry chemicals should be brushed off before flush-

ing with water.Wash it with ample cool running water (place the person in a

cool shower if possible).

Remove contaminated clothing.

Seek prompt medical attention.

Power outlets can be deadly to curious children.

TemperatureSevere factors affect temperature, pulse and respiration. A few

are: age, health or fitness, emotion and time of day. Temperaturesin infants and children are slightly higher.

Adult normalsTemperature98.6 F (37 C)

Pulse 60-80 pulses per minute

Respiration 12-14 breaths per minute

Blood pressureNORMAL BORDERLINE HIGH

Systolic 139 or less 140-159 160 or more

Diastolic 89 or less 90-94 95 or more

Systolic - Maximum pressure in blood vessels when heart beats.

Diastolic - Minimum pressure in blood vessels when heart relaxes between beats.

Any animal bite that breaks the skin should bewashed immediately with soap and water, then cov-ered with a sterile dressing.DOG BITES

Confine the animal or get the owner’s name and address.

Report the incident to your local Rabies and Animal ControlCenter.

Always consult a doctor.

INSECT AND SNAKE BITESRemove the stinger if visible. Use a scraping action.

Apply a cold compress or a cold pack wrapped in a towel.

Apply a constricting band above the bite if the bite is on an armor a leg.

Keep the victim calm.

Capture the insect or animal if possible.

Phone for medical help.

If the victim displays trouble breathing or complains of itchingand a thickness of the tongue, he may be having an allergic reaction.

* Be prepared to initiate the ABCs of EMERGENCY ACTION.

Bites

HealthyLIVINGyyHealthylthyHHHeHeaealaltlththyhyLIVINGLILIVIVVININGKatyA Katy Times Publication April 2014

INSIDE: Checking in with Melissa Wilson, the FOX 26 medical reporter

b iness makes healthier eating a whole lot easier

GOOD DENTAL

HYGIENE MATTERS:

Taking care of your teeth

can help keep other

health problems at bay

June 2014

HealthyLIVINGyyJune 2014

HealthylthHHHeHeaealaltlththyhyLIVINGLLIVVIVININGNGKaty

A Katy Times Publication

INSIDE: Yes, it’s possible to eat healthy at Katy restaurants

KATY'S WONDER Stephanie Tapia helps people live healthy lifestyles

PHOTO BY CAROLINE IRIS PHOTOGRAPHY

OCT 9 & DEC 11, 2014Health news and features.

Bi-Monthly Magazine in 2015

Publication of the

HealthyLIVINGP bli ti f th

HealthyHealthyHHHeHeaealaltlththhyhyyhyLIVINGLIVININGGKatyLOOK FOR THE

UPCOMING EDITION OF

Page 9: Houston Methodist West Hospital

Bleeding 9

HealthyLIVINGyyHealthyHe lthyHHHeHeaealaltlththyhyLIVINGLILIVIVVININGKatyA Katy Times Publication April 2014

INSIDE: Checking in with Melissa Wilson, the FOX 26 medical reporter

b iness makes healthier eating a whole lot easier

GOOD DENTAL

HYGIENE MATTERS:

Taking care of your teeth

can help keep other

health problems at bay

June 2014

HealthyLIVINGyyJune 2014

HealthylthHHHeHeaealaltlththyhyLIVINGLLIVVIVININGNGKaty

A Katy Times Publication

INSIDE: Yes, it’s possible to eat healthy at Katy restaurants

KATY'S WONDER Stephanie Tapia helps people live healthy lifestyles

PHOTO BY CAROLINE IRIS PHOTOGRAPHY

OCT 9 & DEC 11, 2014Health news and features.

Bi-Monthly Magazine in 2015

Publication of the

HealthyLIVINGP bli ti f th

HealthyHealthyHHHeHeaealaltlththhyhyyhyLIVINGLIVININGGKatyLOOK FOR THE

UPCOMING EDITION OF

To control bleeding, use direct pressure over the area of the wound.

Use sterile gauze pad if one is available, or a sanitary napkin. Aclean handkerchief and even yourbare hand will do the job.

Apply firm, direct pressure for 5 to15 minutes. Most bleeding will stopwithin a few minutes.

If there is bleeding from a foot,hand, leg or arm, use gravity to helpslow the flow of blood. Elevate thelimb so that it is higher off theground than the victim’s heart.

If bleeding cannot be stopped byusing direct pressure or by elevatingthe injured area, you may have toslow the supply of the bloodusing pressure points.

The diagram on the rightshows the locations of majorarteries that may be com-pressed against the bone tostop blood flow.

Feel for the victim’spulse at the pressure point andpress until you feel no pulse.

Because pressing these areascan completely stop the supply ofblood, do so only in extreme emergencies. Alternate betweenusing pressure points and direct pres-sure every couple of minutes until helparrives.

Internal bleedingThe warning signs for internal bleeding are coughing up or vomiting up blood or “coffee ground” material, passing bloodin urine or stool, or passing black tarlike bowel movements. All require medical attention!

Have the victim lie on his back and elevate his feet. Have him breathe deeply.

Do not let the victim take any medication until seen by a doctor.

Phone for medical help or take the victim to the nearest emer-gency facility.

Head InjuriesSpecial care must be taken when

trying to stop any scalp bleedingwhen there is a suspected skull frac-ture. Bleeding from the scalp can bevery heavy even when the injury isnot too serious.

Don’t press too hard. Be extremelycareful when applying pressure overthe wound, so that bone chips from apossible fracture will not be pressedinto the brain.

Protect the victim from any unnecessary movement because ofthe possibility of neck injury.

Phone for medical help.

Do not give alcohol or pain medications.

NosebleedHave the patient sit quietly and lean forward.

Have him pinch the soft part of the nose for 5 - 10 minutes.

If the bleeding persists, obtain medical help.

If no severe head injury issuspected, a clean ban-dage may be gently appliedafter bleeding stops.

Pressure Points

After bleeding stops, youmay apply a clean bandage.

Direct pressure over the wound can stop bleeding.

Page 10: Houston Methodist West Hospital

10 BurnsMinor burns

Such as ones caused by fire, covering a small part of the body:

Treat with cold running water, or an ice pack,applied for 20-30 minutes to relieve swellingand pain.

Don’t use grease of any kind. Cold running wateris recommended.

SunburnIf the skin is reddened, but not blistered:

Apply approved burn spray for relief of pain.

If skin is blistered or extensively burned:Cover it with a dressing wet with cold water.

Do not re-expose burned skin until healing iscomplete.

Severe or extensive sunburn requires promptmedical aid.

Remember, prevent sunburn! Use a sunscreen andlimit exposure.

Serious burnsRequire prompt professional care.

Phone for medical help.

Victim should be wrapped in clean wet sheet ortowel moistened at room temperature.

Don’t attempt to clean the burn or remove clothingor other particles attached to the burned area.

Victim should be kept lying down and in a calmstate of mind.

Chemical burnsDry chemicals should be brushed off before flush-

ing with water.

Wash it with ample cool running water (place theperson in a cool shower if possible).

Remove contaminated clothing.

Seek prompt medical attention.

Electric burnsDifficult to detect. A person with a severe electri-

cal shock may have badly burned underlying tissue,although the surface skin shows little.

Look for entrance and exit wounds.

If the victim is unconscious:

Begin the ABCs of EMERGENCY ACTION andphone for medical help.

If the victim is conscious:

Seek prompt medical attention, because unattendedelectrical burns can lead to serious complications.

Shock can accompany severe injury, emotionaltrauma, extensive infection and heart attack.

The patient is pale, his skin is cold and clammy, his breathing isquick an irregular and his pulse fast. He should be lying downwith his head low and hips and legs raised if uninjured.

Keep him/her warm..

Phone for help immediately.

Give the victim reassurance and keep him calm and quiet untilmedical assistance arrives.

MenFeet Inches Weight5 2 112-1415 3 115-1445 4 118-1485 5 121-1525 6 124-1565 7 128-1615 8 132-1665 9 136-1705 10 140-1745 11 144-1796 0 148-1846 1 152-1896 2 156-1946 3 160-1996 4 164-204

WomenFeet Inches Weight4 10 92-1194 11 94-1225 0 96-1255 1 99-1285 2 102-1315 3 105-1345 4 108-1385 5 111-1425 6 114-1465 7 118-1505 8 122-1545 9 126-1585 10 130-1635 11 134-1686 0 138-173

Desirable weights to cut heart attack risk

HealthyLIVINGyyHealthylthyHHHeHeaealaltlththyhyLIVINGLILIVIVVININGKatyA Katy Times Publication April 2014

INSIDE: Checking in with Melissa Wilson, the FOX 26 medical reporter

b iness makes healthier eating a whole lot easier

GOOD DENTAL

HYGIENE MATTERS:

Taking care of your teeth

can help keep other

health problems at bay

June 2014

HealthyLIVINGyyJune 2014

HealthyltHHHeHeaealaltlththyhyLIVINGLLIVVIVINNGINGNGKaty

A Katy Times Publication

INSIDE: Yes, it’s possible to eat healthy at Katy restaurants

KATY'S WONDER Stephanie Tapia helps people live healthy lifestyles

PHOTO BY CAROLINE IRIS PHOTOGRAPHY

OCT 9 & DEC 11, 2014Health news and features.

Bi-Monthly Magazine in 2015

Publication of the

HealthyLIVINGP bli ti f th

hyhyHealthyHHHeHeaealaltlthltthylththyhyLIVINGLIVININGGKatyLOOK FOR THE

UPCOMING EDITION OF

Page 11: Houston Methodist West Hospital

Seizures/Diabetic Coma/Insulin Reaction 11 A person with a seizure generally exhibits these

tendencies: limbs jerk, eyes may roll upward, breath-ing may become heavy, with drooling or even frothingat the mouth.

BREATHING MAY STOP in some seizures, or the victim maybite his/her tongue so severely that it blocks the AIRWAY. (Do notplace any object other than approved seizure control devices intothe victim’s mouth.)

During the seizureThere is little you can do to stop it.

Let the seizure run its course. Help the victim LIE DOWN TO AVOID INJURY.

Keep him/her from hitting furniture with sharp edges.

Loosen restrictive clothing.

DO NOT USE FORCE OR TRY TO RESTRAIN A SEIZURE VICTIM.

After the seizureCheck to see if the victim is breathing.

Check to see if the victim has a pulse. If both are absent, havesomeone phone for help and begin CPR.

Check to see if the victim is wearing a MEDIC ALERT tag orbracelet. It describes emergency medical requirements. Personswith seizures usually wear this tag or bracelet.

Medical alert information

If someone becomes confused, incoherent orunconscious for no apparent reason, he may be a dia-betic who is having an insulin reaction or going into adiabetic coma.

TAKE ACTION! A diabetic reaction is a true emergency.

Begin the ABCs of EMERGENCY ACTION.

Phone for medical help.

Look for MEDIC ALERT IDENTIFICATION

DIABETIC COMASymptoms may come on gradually. The diabetic’s

skin will be flushed and dry, his tongue dry, his behav-ior drowsy, his breathing rapid and deep, and hisbreath will have a fruity odor like acetone or nailpolish remover.

INSULIN REACTION

An insulin reaction is the result of a too-rapid dropin the diabetic’s blood sugar level. Symptoms comeon rapidly.

The diabetic is sweating and nervous, his breathodor is normal, the tongue is moist, his pulse rapid,his breathing shallow. He may be hazy and faltering.If he is conscious and can swallow, give some form ofsugar (sugar packet, fruit juice, candy or sweet softdrinks).

Most people who have chronic problems have someform of identification describing their condition, asshown below. Be sure to look for the identificationaround neck or wrist, in wallet or in purse.

Cancer Symptoms

The Seven Warning Signals of Cancer Are:

1 Change in bowel or bladder habits

2 A sore that does not heal.

3 Unusual bleeding or discharge.

4 Thickening or lump in breast or elsewhere.

5 Indigestion or difficulty in swallowing.

6 Obvious change in wart or mole.

7 Nagging cough or hoarseness.

HealthyLIVINGyyHealthyH lthyHHHeHeaealaltlththyhyLIVINGLILIVIVVININGKatyA Katy Times Publication April 2014

INSIDE: Checking in with Melissa Wilson, the FOX 26 medical reporter

b iness makes healthier eating a whole lot easier

GOOD DENTAL

HYGIENE MATTERS:

Taking care of your teeth

can help keep other

health problems at bay

June 2014

HealthyLIVINGyyJune 2014

HealthyltHHHeHeaealaltlththyhyLIVINGLLIVVIVININGNGKaty

A Katy Times Publication

INSIDE: Yes, it’s possible to eat healthy at Katy restaurants

KATY'S WONDER Stephanie Tapia helps people live healthy lifestyles

PHOTO BY CAROLINE IRIS PHOTOGRAPHY

OCT 9 & DEC 11, 2014Health news and features.

Bi-Monthly Magazine in 2015

Publication of the

HealthyLIVINGP bli ti f th

hyhyHealthyHealthHHHeHeaealaltlththyhyLIVINGLIVININGGKatyLOOK FOR THE

UPCOMING EDITION OF

Page 12: Houston Methodist West Hospital

12 Fire and Smoke/SuicideSmoke is your enemy

Being trapped in a fire presents major problems: Burning by thefire itself and damage to the body from the heat it generates areobvious hazards. Avoiding the area involved is about the onlyprotection possible.

The real culprit is smoke. It insidiously kills because smokecontains carbon monoxide, a product of combustion. The carbonmonoxide has an affinity for the hemoglobin in the blood, dis-placing and rejecting oxygen, leading to asphyxiation. If the lat-ter is not quickly treated, irreparable damage or death occurs.Smoke also contains toxinsthat are released when plasticsand other materials burn, andthese enter the blood stream,causing severe tissue damageor death.

If caught in a fire, avoidpanic. Breathing through amoist cloth will help.

Smoke rises, so lying face-down on the floor is of value.

Breaking a window seemslogical, but it should be doneonly if a large opening can be made in the one end of the room todraw out smoke and a small opening in another area where thevictim can obtain fresh air.

IF DOOR IS NOT HOT, OPEN CAUTIOUSLY.

WALK to the nearest safe stairway.

Do not use elevator.

If smoke is present, stay low.

WALK DOWN stairway. DONOT RUN.Go up only as a lastresort.

A wet rag over the mouth and crawl-ing on the floor can help preventdeath by smoke inhalation.

Feel the door for heatbefore opening.

Eye injuriesChemical burns

Chemical burns of the eye are treated by immedi-ate flushing of the affected eye for a minimum of20 minutes.

Wash the contaminated eyeaway from the unafflicted eye.

After washing, bandage botheyes closed.

Reassure the victim.Phone for medical help or

take the victim to anEmergency Center (damagemay have been done to the del-icate eye tissue involved).

Foreign objectsConjunctival and corneal injuries are the most com-

mon injuries caused by foreign bodies. Lack of treat-ment can lead from impairment to total loss of vision.

Flush affected eye with water.

Bandage the unaffected eye as well as the injured eye to pre-vent further injury.

Seek medical attention as soon as possible

The majority of people who die each year from suicide arenot known to be mentally disordered, depressed, or in treat-ment for emotional problems. Any threat of suicide shouldbe taken seriously. A person contemplating suicide willprobably exhibit three main symptoms. They are:

ve..

.Blocking or reducing any or these factors can substantiallyreduce the likelihood of suicide.What to do if you think someone is contem-plating suicide:

wish to die and the suicide method they have planned.t leave the victim alone if the ve expressed a desire

to harm themselves or exhibited any of the symptoms above.y easy access they have to things they

could use to harm themselves.gency

Rooms have a mental health professional on call.

Wash contaminated eye

HealthyLIVINGyyHealthylthyHHHeHeaealaltlththyhyLIVINGLILIVIVVININGKatyA Katy Times Publication April 2014

INSIDE: Checking in with Melissa Wilson, the FOX 26 medical reporter

b iness makes healthier eating a whole lot easier

GOOD DENTAL

HYGIENE MATTERS:

Taking care of your teeth

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June 2014

HealthyLIVINGyyJune 2014

HealthytHHHeHeaealaltlththyhyLIVINGLLIVVIVINNINGGNGKaty

A Katy Times Publication

INSIDE: Yes, it’s possible to eat healthy at Katy restaurants

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OCT 9 & DEC 11, 2014Health news and features.

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Page 13: Houston Methodist West Hospital

Cold Exposure/Heat Exposure 13Cold exposure is accelerated by a combina-

tion of low temperature, wind, humidity, wetskin or clothes, duration of exposure, physicalcondition and the effects of drugs or alcohol.Symptoms include shivering, numbness, lowbody temperature, drowsiness, muscularweakness and loss of coordination.

HypothermiaHandle the victim very carefully, and be prepared to begin the

ABC’s of EMERGENCY ACTION.

Move the victim to a warm place as soon as possible.

Remove wet or frozen clothing.

Rewarm the victim using dry cloths and warm blankets.

If concious, give warm non-alcoholic liquid.

Obtain medical attention as soon as possible.

FrostbiteFreezing of the body tissues. The fingers,

hands, toes and feet are the most commonlyaffected. The skin is flushed, and as frostbitedevelops, the area will change to a white orgrayish-yellow. Pain is sometimes felt. Theaffected part feels intensely cold and numb.Blisters may appear.

Cover the affected part. Handle very carefully and DO NOTMASSAGE IT.

Move the victim to a warm place as soon as possible.

Rewarm the affected part rapidly by immersing in warm water100 degrees to 105 degrees.

Give the victim warm non-alcoholic liquid.

Once rewarmed, have the victim exercise the affected partcarefully, and obtain medical attention.

If thre is a chance that the affected part could refreeze duringtransport to a medical facility, do not attempt thawing.

Heat crampsDue to the loss of body salt and fluids.

Cool the victim by moving him to a cool environment.

Give salt, one teaspoonful to a quart of water or Gatorade, toreplace body salts.

Keep the victim quiet and cool.

Have the victim evaluated by a physician.

Heat exhaustionDue to the loss of body fluids and a breakdown of

the body’s cooling mechanism.

Move to a cool environment.

Attempt to cool the victim down.

Replace fluids and salts by giving a solution of one teaspoonfulof salt in a quart of water or Gatorade.

Phone for medical help.

Heat strokeA profound disturbance of the heat-regulato-

ry mechanism characterized by high body tem-perature and collapse and sometimes by con-vulsions, coma and death.

Move the victim to a cool environment.

Cool the victim by applying cool towels or sheets to his body.

Phone for medical help.

Lay the victim flat and elevate his legs 8-12 inches.

Keep victim cool until help arrives.

Be prepared to initiate the ABCs of EMERGENCY ACTION.

Whiplash

What to do?Apply an ice pack wrapped in a towel to the affected area

immediately. Twelve minute applications every hour are consid-ered to be the most appropriate. Continue this procedure for 48hours. In most cases it may be used longer.

After 48 hours, moist heat in the form of hot packs or even hotmoist towels would be mandatory.

If the pain lasts for over 48 hours, call your doctor. If the painprevents you from moving your neck, or if you have any numb-ness, tingling or weakness in your arms or legs, CALL 911.

G.F.A.I. assumes no responsibility for the accuracy of the information contained in the guide. If you have any questions, please consult a physician or emergency services authorities.Group Four Advertising, Inc. (702) 362-0733

HealthyLIVINGyyHealthyH tHHHeHeaealaltlththyhyLIVINGLILIVIVVININGKatyA Katy Times Publication April 2014

INSIDE: Checking in with Melissa Wilson, the FOX 26 medical reporter

b iness makes healthier eating a whole lot easier

GOOD DENTAL

HYGIENE MATTERS:

Taking care of your teeth

can help keep other

health problems at bay

June 2014

HealthyLIVINGyyJune 2014

HealthyHHHeHeaealaltlththyhyLIVINGLLIVVIVININGNGKaty

A Katy Times Publication

INSIDE: Yes, it’s possible to eat healthy at Katy restaurants

KATY'S WONDER Stephanie Tapia helps people live healthy lifestyles

PHOTO BY CAROLINE IRIS PHOTOGRAPHY

OCT 9 & DEC 11, 2014Health news and features.

Bi-Monthly Magazine in 2015

Publication of the

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HealthyHHHeHeaealaltlththythhythyhyLIVINGLIVININGGKatyLOOK FOR THE

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Page 14: Houston Methodist West Hospital

14 Drug Overdose/PoisonsIf a foreign substance is ingested, call your local

poison center or 911 immediately.

The only fluid that should beadministered by mouth beforecontacting a physician or poisoncenter is water.

Neutralization is no longer rec-ommended for any toxic inges-tion. The heat caused by mixingan acid and base in the stomachcould cause more harm than theeffect of the initial poison itself.

Individual treatments for specific categories of poison is nolonger recommended as the details of each poison exposure bestdetermines the most prudent course of action.

Here’s how you can help:

When a substance is swallowed, give the personwater only, until instructed to do otherwise

In the case of skin contact, wash the area with cool or tepid water for 20 minutes.

In case of inhalation, move the victim to fresh air for 20 minutes.

Take the product or empty bottle to the phonewith you so you can read the label to the staff at thepoison center. Be sure to tell them.

what was taken how much was takenwhen it was taken the age and weight of the victim

Types of overdose may include prescription drugs,vitamins, heart medication, alcohol, laxatives, etc.Any time medication is taken without a doctor’s pre-scription or is taken without following directions, anoverdose has occurred.

Take action. Begin the ABCs of EMERGENCYACTION and phone for medical help.

Until help arrivesObserve the victim.

Cover the victim warmly.

Do not administer liquor or stimulants.

Do not induce vomiting in the following situations:

When the victim is unconscious.

When a caustic substance (lye, drain cleaner,acid or bleach) has been ingested.

When petroleum product or any product madefrom petroleum distillates has been ingested(including insecticide, gasoline or kerosene).

When the victim is pregnant.

If the victim is drowsy or sleepy.

Remember that drugs do not last indefinitely. Theymay lose their potency, or they may evaporate toconcentrations that can be harmful.

To prevent deterioration, keep all bottles tightly stoppered.Keep medications in a cool, dry, preferably dark place.

Don’t keep any drugs left over from a previous illness unlessadvised to do so by the doctor. Discard any drug that has changedcolor or consistency or becomes cloudy. Especially avoid the useof old iodine, eye drops, nose drops, cough remedies and oint-ments.

KEEP ALL MEDICINES, INCLUDINGNON-PRESCRIPTION DRUGS SUCH AS ASPIRIN,OUT OF THE REACH OF CHILDREN.

Medicine warning To induce vomitingGive syrup of Ipecac only upon the advice

of doctor or poison control center.

Dosage for Syrup of Ipecac:

CHILD(1-8 years) 15 cc’s followed by large quanti-ties of clear fluids.

ADULT (8 years and older) - 30-45 cc’s followed bylarge quantity of clear fluids.

ALWAYS REMEMBER –if the ingested agent is from a container, takethe container, with the label intact, to the medical facility treating the patient.

HealthyLIVINGyyHealthyH lthHHHeHeaealaltlththyhyLIVINGLILIVIVVININGKatyA Katy Times Publication April 2014

INSIDE: Checking in with Melissa Wilson, the FOX 26 medical reporter

b iness makes healthier eating a whole lot easier

GOOD DENTAL

HYGIENE MATTERS:

Taking care of your teeth

can help keep other

health problems at bay

June 2014

HealthyLIVINGyyJune 2014

HealthyHHHeHeaealaltlththyhyLIVINGLLIVVIVININGNGKaty

A Katy Times Publication

INSIDE: Yes, it’s possible to eat healthy at Katy restaurants

KATY'S WONDER Stephanie Tapia helps people live healthy lifestyles

PHOTO BY CAROLINE IRIS PHOTOGRAPHY

OCT 9 & DEC 11, 2014Health news and features.

Bi-Monthly Magazine in 2015

Publication of the

HealthyLIVINGP bli ti f th

HealthyHHHeHeaealaltlthltthylththhyhyyhyLIVINGLIVININGGKatyLOOK FOR THE

UPCOMING EDITION OF

Page 15: Houston Methodist West Hospital
Page 16: Houston Methodist West Hospital