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Specialists

As medical knowledge has become greater, doctors have formed various specialties. In addition, other health professional fields have been created. Here is some information about physician specialists, and other specialists, and what they do.

Physician Specialists

Physicians that choose to train for a specialty complete additional training. After (typically) 4 years of medical school, they go on to internship and residency, which can take anywhere from 1-5 years (depending on the kind of residency training). Then, they go on for still more training in a specialty, which adds several more years.

Emergencies and First Aid - Childbirth

Birth of the Placenta

If you are called on to help deliver a baby, remember that childbirth is a natural process and that your role is to assist the woman and offer encouragement. If a woman's contractions are very strong and 2 to 3 minutes apart or the water bag (amniotic sac) has broken, birth is very near. If the woman tells you that the birth will happen very soon, believe her.

You will see quite a bit of blood, which is normal. You may see bloody fluid coming from the vagina before and during the birth; this is also normal.

Emergencies and First Aid - Removing a Fishhook

Removing a Fishhook

Never remove a fishhook that is embedded in the eye or face; seek medical attention immediately to have it removed. A fishhook embedded in skin should be removed by a doctor. If you are in a remote area and a doctor is not available, remove the fishhook following the directions in the illustration below. If the fishhook is embedded deeply in tissue, follow the instructions below for a multibarbed fishhook.

A multibarbed fishhook should ideally be removed by a physician. If this is not possible, cut the eye off the shank of the hook, and then push the shank of the hook through the wound, following the path of the hook until the barbs exit and can be grasped with pliers. Flush the area well with running water, clean it with soap and water, and cover it with a bandage.

Emergencies and First Aid - Recovery Position

Adult Recovery Position

This position helps a semiconscious or unconscious person breathe and permits fluids to drain from the nose and throat so they are not breathed in. If the person is unconscious or semiconscious after you have done everything on the Emergency Checklist, move the person into the recovery position while waiting for help to arrive.

Do not use the recovery position if the person has a major injury, such as a back or neck injury

Emergencies and First Aid - Removing a Speck From the Eye

Removing a Speck From the Eye

Occasionally, an eyelash or speck of dirt gets into the eye and causes irritation. If tears that form do not wash out the object, it can sometimes be removed by pulling the upper eyelid down over the lower eyelid. The lashes of the lower eyelid may brush out any foreign object that is caught under the upper lid.

If this does not work, try either of the procedures described below.

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 - Removing a Stuck Ring

Removing a Stuck Ring

1 Pass an end of fine string or dental floss under the ring. With the other end, begin tightly wrapping the string around the finger. Ensure that the string is wrapped evenly and smoothly past the lower knuckle.2 With the end that was passed under the ring, begin unwrapping the string in the same direction. The ring should move over the string as the string is unwrapped. If the ring cannot be removed, unwrap the string and immediately seek urgent care.
 
 

Emergencies and First Aid - Choking

Choking


A person who is choking will instinctively grab at the throat. The person also may panic, gasp for breath, turn blue, or be unconscious. If the person can cough or speak, he or she is getting air. Nothing should be done.

Immediate care
If the person cannot cough or speak, begin the Heimlich maneuver immediately to dislodge the object blocking the windpipe. The Heimlich maneuver creates an artificial cough by forcing the diaphragm up toward the lungs.

Emergencies and First Aid - Mouth-to-Mouth Resuscitation

Mouth-to-Mouth Resuscitation

Mouth-to-Mouth-and-Nose Resuscitation on a Child Under Age 8 or on an Infant

 

  • Place the child on a hard, flat surface.

  • Look into the mouth and throat to ensure that the airway is clear. If an object is present, try to sweep it out with your fingers. If unsuccessful and the object is blocking the airway, apply the Heimlich maneuver. If vomiting occurs, turn the child onto his or her side and sweep out the mouth with two fingers.

  • Tilt the head back slightly to open the airway.

  • Place your mouth tightly over the nose and mouth. Blow two quick, shallow breaths (smaller breaths than you would give to an adult). Watch for the chest to rise.

  • Remove your mouth. Look for the chest to fall as the child exhales.

  • Listen for the sounds of breathing. Feel for the child’'s breath on your cheek. If breathing does not start on its own, repeat the procedure.

Mouth-to-Mouth Resuscitation on a Child Age 8 or Older or on an Adult



1. Make sure the person is lying on a hard, flat surface. Look into the mouth and throat to ensure that the airway is clear. If an object is present, try to sweep it out with your fingers (wear disposable surgical gloves if they are available). Apply the Heimlich maneuver if unsuccessful and the object is blocking the airway. If vomiting occurs, turn the person on his or her side and sweep out the mouth with two fingers. Do not place your finger in the mouth if the person is rigid or is having a seizure.

2. Tilt the head back slightly to open the airway. Put upward pressure on the jaw to pull it forward.


3. Pinch the nostrils closed with thumb and index finger. Place your mouth tightly over the person’'s mouth. Use a mouthpiece if one is available. Blow two quick breaths and watch for the person’'s chest to rise.

4. Release the nostrils. Look for the person’'s chest to fall as he or she exhales. Listen for the sounds of breathing. Feel for the person'’s breath on your cheek. If the person does not start breathing on his or her own, repeat the procedure.

 

Emergencies and First Aid - Medical Identification Tags

Medical Identification Tags

A person with a serious medical condition such as diabetes, a drug allergy, or a heart condition should carry information about the condition on a necklace or bracelet, or on a card that can be carried in a pocket or wallet, so that proper care can be given in an emergency.

Be sure to check for a medallion or card if you find yourself in the role of rescuer. If you or a member of your family has a life-threatening medical condition, obtain a medical identification tag or medallion from your local pharmacy and wear it at all times.

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