The role for regional anesthesia in medical emergencies during deep space flight

2021 ◽  
pp. rapm-2021-102710
Author(s):  
Julia Scarpa ◽  
Christopher L Wu

As humanity presses the boundaries of space exploration and prepares for long-term interplanetary travel, including to Mars, advanced planning for the safety and health of the crewmembers requires a multidisciplinary approach. In particular, in the event of a survivable medical emergency requiring an interventional procedure or prolonged pain management, such as traumatic limb injury or rib fracture, anesthetic protocols that are both safe and straightforward to execute must be in place. In this daring discourse, we discuss particular considerations related to the use of regional techniques in space and present the rationale that regional anesthesia techniques may be the safest option in many medical emergencies encountered during prolonged space flight.

Dental Update ◽  
2020 ◽  
Vol 47 (1) ◽  
pp. 51-53
Author(s):  
Christine Wanis ◽  
Huda Jawad ◽  
Richard J Moore ◽  
Julie Burke

General Dental Practitioners (GDPs) and Dental Care Professionals (DCPs) have a duty of care to ensure that patient safety is at the forefront of their clinical practice. Medical emergencies, although rare, can occur in the dental setting, and early, effective management of these emergencies can, not only save lives, but also improve long-term outcomes. A case is reported which highlights a safety incident involving accidental self-administration of an adrenaline auto-injector (AAI) into a digit during a medical emergencies training session. Consequently, the aim is to raise awareness of these unexpected safety incidences and propose a protocol for the treatment of such injuries. CPD/Clinical Relevance: This paper highlights the importance of vigilance when undertaking a medical emergency training course, and the introduction of a new protocol to be used in cases of accidental AAI injury.


2018 ◽  
Vol 52 (1) ◽  
pp. 43-47
Author(s):  
L.M. Erofeeva ◽  
◽  
Е.А. Ilyin ◽  
B.S. Shenkman ◽  
◽  
...  

2013 ◽  
Vol 448-453 ◽  
pp. 209-212
Author(s):  
Bo Tuo Jiang ◽  
Yan Qiang Jia ◽  
Xiao Long Xing ◽  
Xu Zhang

The importance of chemical products in todays society is known, which can increase food production, improve the quality of life and extend the lifespan. However, their dangers are also obvious. In addition, a large number of chemical accidents, that produce chemicals, continue to take place in the chemical industries in spite of the great improvement in the safety management standard of worldwide chemical industries. Such accidents are taking place not only in the developing countries, but also in developed countries, which result in a lot of property loss, death and serious environmental issues with long term negative effects. Therefore, how to live with these substances and how to handle, use and dispose them safely have attracted much attention because chemical safety and risk management of chemicals have formed an international challenge.


2013 ◽  
Vol 726-731 ◽  
pp. 907-912
Author(s):  
Zong Yin Duan

With long-term mining and new orebodies proved to be in the deep, the dust concentration of each mine underground operation site increased sharply, which is a serious threat to safety and health of workers in workspace. In this paper, a high pressure spray technology was put forward for dedusting on a mine underground middle crushing station[, and achieved the desired dedusting effect.


Author(s):  
Huiling Cao ◽  
Chunhui Zong ◽  
Wenkui Dai ◽  
Qiaoying Gao ◽  
Donghua Li ◽  
...  

Sepsis is a common and often treacherous medical emergency with a high mortality and long-term complications in survivors. Though antibiotic therapy can reduce death rate of sepsis significantly, it impairs gut microbiota (GM), which play imperative roles in human health. In this study, we compared the therapeutic effects of antibiotics, probiotics, and Chinese medicine QRD on the survival rates of septic model and observed the GM characteristics of experimental rats via 16S rRNA gene amplicon sequencing. The 72 h survival rates of septic rat demonstrated the significant therapeutic effects in the three groups treated with antibiotics (AT), Chinses medicine QRD (QT), and probiotics (PT), which were elevated from the survival rate of 26.67% for the sepsis control group (ST) to 100.0% for AT, 88.24% for QT, and 58.33% for PT. The original characteristics of GM identified in the sham operation controls (SC) were relatively similar to those in PT and QT; nevertheless, the AT rats were shown dramatically decreased in the GM diversity. In addition, the septic rats in AT were revealed the higher abundances of Escherichia Shigella, Proteus, Morganella, Enterococcus, and Lysinibacillus, but the lower those of Parabacteroides, Alistipes, Desulfovibrio, Bacteroides, Helicobacter, Mucispirillum, Oscillibacter, Lachnospiraceae, and Ruminiclostridium 9, when compared to the PT and QT rats. By contrast, the GM of PT and QT rats shared similar diversity and structure. Our findings indicated that QRD increased the survival rates without impairment of the GM characteristics, which provides novel insights into the role of Chinese medicine in therapy and long-term recovery of sepsis.


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