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Emergencies and First Aid - Bleeding

Bleeding

While a minor cut will eventually stop bleeding, a severe injury may require elevation and direct pressure on the wound. The goals of first-aid treatment are to control bleeding and prevent infection. If disposable surgical gloves are readily available, use them.

 

Butterfly Bandages

 

Direct Pressure for Bleeding and Pressure Points for Bleeding

 

How to Stop a Nosebleed

 
 

Emergencies and First Aid - Birth of the Placenta

Birth of the Placenta

The placenta, which has provided the fetus with nourishment, is attached to the umbilical cord and is delivered about 20 minutes after the baby. Do not pull on the cord; delivery of the placenta occurs on its own. You can help by gently massaging the womanÂ’s lower abdomen. The uterus will feel like a hard round mass.

Massaging the abdomen helps the uterus contract, which also helps stop bleeding. After the placenta is delivered, place it in a plastic bag to take with the woman and baby to the hospital. It is normal for more bleeding to occur after delivery of the placenta. Continue gently massaging the womanÂ’s lower abdomen.

Emergencies and First Aid - Butterfly Bandage

Butterfly Bandage

 

Standard bandages come in a variety of shapes and sizes. The butterfly bandage shown here is used to hold together the edges of a cut.
 
 

Emergencies and First Aid - Direct Pressure to Stop Bleeding

Direct Pressure to Stop Bleeding

A wound that is deep, bleeding heavily, or has blood spurting from it (caused by bleeding from an artery), may not clot and may not stop bleeding.

Immediate care
Call out for someone to get help, or call 911 yourself. Elevate the wound and apply direct pressure.

When You Visit Your Doctor - Benign Prostatic Hyperplasia (BPH)

Benign Prostatic Hyperplasia (BPH), or Enlarged Prostate

Questions to Discuss With Your Doctor:

  • Over the past month, how often have you had a sensation of not emptying your bladder completely after you finished urinating?
  • Over the past month, how often have you had to urinate again less than two hours after you finished urinating?
  • Over the past month, how often have you found you stopped and started again several times when you urinated?
  • Over the past month, how often have you found it difficult to postpone urination?
  • Over the past month, how often have you had a weak urinary stream?
  • Over the past month, how often have you had to push or strain to begin urination?
  • Over the past month, how many times did you most typically get up to urinate from the time you went to bed at night until the time you got up in the morning?
  • If you were to spend the rest of your life with your urinary condition just the way it is now, how would you feel about that?
  • Have you had blood in your urine, or urinary tract infections?
  • Have you ever had surgery on your prostate, bladder, or kidneys?
  • Do you have gastrointestinal problems such as diverticulitis or constipation?
  • Do you have diabetes?
  • Does anyone in your family have diabetes?
  • Have you been unusually thirsty or had unintentional weight loss?
  • Have you ever had a stroke or nervous system disease?
  • Have you ever had a back injury or back surgery?
  • What medications are you taking (prescription and over-the-counter)?
  • What do you know about medical and surgical treatment options used in the treatment of benign prostatic enlargement?
  • Do you know the side effects that can occur with medications?
  • Do you know the complications associated with surgery?
  • Do you know how much benefit you can expect from each type of treatment?
  • Do you know the risks of waiting, and doing nothing at all?

Your Doctor Might Examine the Following Body Structures or Functions:

  • Abdominal examination
  • Neurological examination
  • Digital rectal examination
  • Genital examination

Your Doctor Might Order the Following Lab Test or Studies:

  • Urinalysis (for glucose, red blood cells, white blood cells, and bacteria)
  • Blood tests (for kidney function and prostate-specific antigen or PSA)
  • Cystoscopy
  • Ultrasound of the bladder after you urinate (post void residual)
  • Ultrasound of the kidneys
  • Pelvic CT scan
 

When You Visit Your Doctor - Erectile Dysfunction or Impotence

Erectile Dysfunction or Impotence

Questions to Discuss with Your Doctor:

  • Do you smoke cigarettes?
  • Have you been screened for other medical problems such as high cholesterol, high blood pressure, heart disease, and diabetes?
  • Do you exercise regularly? How much? How often?
  • Do you have a neurologic disease or sickle-cell disease?
  • Are you taking any medications (prescription or over-the-counter)?
  • Has your erectile dysfunction worsened since starting any new medications?
  • What effect is your erectile dysfunction having on your relationship? Your self-esteem?
  • How long have you had erectile problems?
  • Do you have erectile problems sometimes or all of the time?
  • Have you ever had any psychologically stressful sexual experiences?
  • Are you less interested in sex (diminished libido)?
  • Are you having difficulty achieving an erection or sustaining it?
  • Do you ever awaken with early morning or nocturnal erections?
  • Do you have pain with erections?
  • Penile bumps or lumps?
  • History of penile trauma?
  • History of pelvic surgery?
  • What are your goals in receiving treatment?
  • What therapies have you tried?
  • Do you know how much benefit you can expect from medical therapies?
  • Do you know the side effects and important drug interactions?

Your Doctor Might Examine the Following Body Structures or Functions:

  • Genital examination
  • Rectal examination
  • Pulses in the groin and feet
  • Neurologic examination

Your Doctor Might Order the Following Lab Tests or Studies:

  • Blood tests (complete blood count or CBC, glucose, cholesterol panels, thyroid function tests, prolactin level)
  • Blood testosterone level (if libido is decreased)
  • Nocturnal penile tumescence (NPT)
  • Neurologic testing (nerve condition studies)
  • Your doctor may decide to do some vascular tests to establish whether the arteries that supply blood to the penis during erections are narrowed.
 

Natural disasters and terrorist attacks

The devastation left in the wake of recent natural disaster and terror attacks provides graphic evidence of just how destructive they can be. Residents can be forced to evacuate from their homes at a moment's notice in an atmosphere of panic and chaos, and many of them will not be able to return for months. In light of these potential disasters and their aftermath, it has become clear that preparation for the unknown is of the utmost importance.

No matter where you live in the United States, you are vulnerable to some sort of natural disaster such as a blizzard, earthquake, flood, hurricane, or tornado. In addition, terrorist attacks on America are also possible. Both natural disasters and terrorist attacks can disrupt power, communication, and transportation for days or even longer.

Testosterone, prostate cancer, and balding: Is there a link?

We can thank the Greeks for the name doctors apply to male hormones. Androgen comes from the words meaning "man-maker," and it's a well-chosen term. Testosterone is the most potent androgen, and it does make the man. It's responsible for the deep voice, increased muscle mass, and strong bones that characterize the gender, and it also stimulates the production of red blood cells by the bone marrow.

In addition, testosterone has crucial, if incompletely understood, effects on male behavior. It contributes to aggression, and it's essential for the libido or sex drive, as well as for normal erections and sexual performance. Testosterone stimulates the growth of the genitals at puberty, and it is one of the factors required for sperm production throughout adult life.

New prescription? Talk to your pharmacist

A conversation with this health professional can help you avoid making harmful mistakes.


 Image: wavebreakmedia/Thinkstock

When your pharmacist hands you your pills, he or she is likely to ask, "Any questions?" This is an invitation to tap into a vast store of knowledge—and one you should accept. A few minutes with your pharmacist may spare you some serious health consequences.

"People are often in the dark regarding the purpose of their medication," says Dr. Gordon Schiff, associate professor of medicine at Harvard Medical School. Although prescriptions come with a lengthy package insert containing detailed information about the drug, the information is often written in technical terms and printed in microscopic type. The lack of clear information and the confusion and misunderstandings that result figure into more than a million preventable medical complications annually.

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