Tactical Medicine News Blog
Narcolepsia NARCOLEPSY. by JAMA
Posted by EMS Solutions International on
La narcolepsia causa somnolencia que no se debe a la privación del sueño, la mala calidad del sueño o la apnea del sueño. Esta página para el paciente de JAMA describe los tipos de narcolepsia, los signos y síntomas, el diagnóstico y el tratamiento. https://ja.ma/436V7JR Narcolepsy causes sleepiness not due to sleep deprivation, poor sleep quality, or sleep apnea. This JAMA Patient Page describes...
MEDAIRE WEBINAR: "Eventos Médicos en Vuelo" el 30 de Maio de 2023 a cargo del Doctor Paulo Alves, Director Médico Global de MedAire, en español.
Posted by EMS Solutions International on
MEDAIRE WEBINAR: "Eventos Médicos en Vuelo" el 30 de Maio de 2023 a cargo del Doctor Paulo Alves, Director Médico Global de MedAire, en español.https://register.gotowebinar.com/register/4538400700120209246 Durante este webinar, aprenderá sobre los eventos médicos en vuelo en la aviación privada y cómo abordar los problemas médicos y de seguridad durante los vuelos. También tendrá la oportunidad de...
Herramienta práctica para enseñar la anatomía segmentaria del hígado a los aprendices de cirugía. Handy Tool to Teach Segmental Liver Anatomy to Surgical Trainees
Posted by EMS Solutions International on
A Handy Tool to Teach Segmental Liver Anatomy to Surgical Trainees by Dr @ericpaulimd in @JAMASurgery ! #SoMe4Surgery @pferrada1 @PipeCabreraV @SWexner @juliomayol @DrThawaba @JJcolemanMD @DissanaikeMD @pturnermdDESCARGAR PDF
B.N.I.C.E. Biologic, Nuclear, Incendiary, Chemical and Explosives Weapons of Mas Detruction by IPHMI
Posted by EMS Solutions International on
B.N.I.C.E. Biologic, Nuclear, Incendiary, Chemical and Explosives Weapons of Mas Detruction by IPHMI The terrorist threat is real. These agents can create lots of casualties and victims and every responder needs to be prepared. It is not only terrorism, many of these chemicals are on our streets and rails every day. Emerging infectious diseases are just as dangerous. This book provides healthcare...
Adjunctive Methylene Blue in Septic Shock?
Posted by Marco Torres on
Background: Sepsis can induce numerous physiologic derangements. At the most severe end, this includes endothelial dysfunction leading to increased vascular permeability, abnormal nitric oxide metabolism, and vasodilation (i.e. septic shock). Judicious fluid resuscitation is indicated in patients with signs of hypo perfusion but is often inadequate necessitating the administration of vasoactive medications. Norepinephrine is the 1st line vasopressor but at high doses can have increased adverse effects including tachyarrhythmias, myocardial disfunction, and peripheral ischemia. Higher doses and longer duration of exposure to vasopressors can be associated with increased risk of organ failure, and death [5]. Adding catecholamine-sparing agents such as methylene blue (MB) “earlier” in treatment may reduce the norepinephrine exposure (both dose and duration). MB decreases nitric oxide levels by inhibiting inducible nitric oxide synthase (iNOS) and soluble guanylate cyclase (sGC). Through these mechanisms it restores vasoregulation. Most of the research on the use of MB has been in patients with vasoplegia following cardiopulmonary bypass. Limited, small studies on its use in septic shock do not make a clear argument for use.