Kirby Noonan Lance & Hoge, LLP

By N. Grok. University of Wisconsin-Superior. 2018.

They expand capabilities generic kamagra 50mg amex causes of erectile dysfunction in 60s, explore subjects in greater depth kamagra 50mg without a prescription next generation erectile dysfunction drugs, and add muscle to the first tier meat. The information as presented is often more clinical in nature and may require a good understanding of medical terminology. They are second tier because they are not essential for initial management of acute cases in the survival setting. How-to explanations and practical approaches to emergencies, and information on children and women in the wilderness. Assumes the reader has at least paramedic-level training and is familiar with the procedures. Second tier because other books offer the same info in more detailed form, making them more useful for semi-skilled personnel. However for those with a paramedic background this book bridges the gap from pre-hospital care to the full spectrum of medicine and cannot be recommended highly enough and should be a first tier reference. Surgical Care at the District Hospital Publisher: World Health Organization (2003). Though it contains much of the same content as the individual books it is essentially an abridged version within one binding. Covers such topics as knot-tying, retractor selection, and techniques for stopping bleeding. The Complete Idiot’s Guide to Dangerous Diseases and Epidemics by David Perlin, Ph. A very useful guide to rapid decision making without getting bogged down by details. A much better than average starting point when seeking quick information about specific infectious diseases. The Survival Nurse: Running An Emergency Nursing Station Under Adverse Conditions by Ragnar Benson. Not a substitute for any of the previously recommended references but it does help pull some of them together in order to form a plan of action. Worthwhile but not a high priority book when there are higher tier references to acquire first. This fifth edition includes the latest information on cryptospriosis and immunization changes. Aiello, Asa Mays (Editor) Publisher: John Wiley & Sons; 8th edition (April 15, 1998). Sections on prevention and treatment of disease, pregnancy and birthing, and emergencies, and simple operations. Invaluable for medical professionals but not as user friendly as the nursing drug handbooks. If the opportunity presents don’t pass it up, but don’t consider it to be a first tier selection either. Originally written in the 1980’s it lacks serious updates compared to other selections recommended. Considered an essential resource for women wanting to improve their health, as well as for health workers seeking information about the problems that affect only women, or affect women differently from men. Very third world poverty oriented yet useful where there is no regular health care access. Most are covered in more details elsewhere, but they are easy to remember as one line sound bites. If you’re not the one dying (or your family), it’s not much of an emergency so relax * 90% of problems get better by themselves. Survival Medicine Fiction Survivalist fiction has always been relatively popular with people interested in preparedness. It provides an opportunity to think about possible scenarios and consider how you would respond in a similar situation and of course some escapism.

During the 1950s the executive physical examination was used to screen for “all” diseases in corporate executives and other 100 mg kamagra amex erectile dysfunction best treatment, mostly wealthy purchase kamagra 100mg fast delivery erectile dysfunction liver, people. It was a comprehensive set of diagnostic tests including multiple x-rays, blood tests, exercise stress tests, and others, usually administered while the patient spent a week in the hospital. It was justified by the thought that finding disease early was good and would lead to improved length and quality of life. The more dis- eases looked for, the more likely that disease would be found at an earlier phase in its course and treatment at this early stage would lead to better health out- comes. Subsequent analysis of the data from these extensive examination pro- grams revealed no change in health outcomes as a result of these examinations. There were more people incorrectly labeled with diseases that they didn’t have than there were diseases detected early enough to reduce mortality or morbidity. Ironically, most of the diseases that were identified in these programs could have been detected simply from a comprehensive history. In this case most of the positive tests are false positives and the further testing that is required to determine wether the test is a false or true positive usually requires invasive testing such as operative biopsy. Finally, 312 Essential Evidence-Based Medicine Table 28. Criteria for a valid screening test (1) Burden of suffering The disease must be relatively common. Criteria for screening There are five criteria that must be fulfilled before a test should be used as a screening test. Following these rules will prevent the abuses of screening tests that occurred in the 1950s and 1960s and which continue today. The disease must impose a significant burden of suffering on the population to be screened. This means either that the disease is common or that it results in serious or catastrophic disability. This disability may result in loss of productive employment, patient discomfort or dissatisfaction, as well as passing the disease on to others. It also means that it will cost someone a lot of money to care for persons with the disease. The hope is to reduce this cost both in human suffer- ing and in dollars by treating at an earlier stage of disease and preventing com- plications or early death. This depends on well-designed studies of harm or risk to tell which diseases are likely to be encountered in a significant portion of the population in order to decide that screening for them is needed. For example, it would be unreasonable to screen the population of all 20-year- old women for breast cancer with yearly mammography. The risk of disease is Screening tests 313 so low in this population that even a miniscule risk of increased cancer asso- ciated with the radiation from the examination may cause more cancers than the test would detect. Similarly, the prevalence of cancer in this population is so low that the likelihood a positive test would be cancer is very low and there will be many more false positives than true positives. The screening test must be a good one and must accurately detect disease in the population of people who are in the presymptomatic phase of disease. It should also reliably exclude disease in the population without disease or have high specificity. Of the two, we want the sensitivity to be perfect or almost perfect so that we can identify all patients with the disease. We’d like the specificity to be extremely high so that only a few peo- ple without disease are mislabeled leading to a high positive predictive value. This usually means that a reasonable confirmatory test must be available that will more accurately discriminate between those people with a positive screen- ing test who do and don’t have the disease. It should be relatively comfortable, not very painful, should not cause serious side effects, and also be reasonably priced. A screening test may be unacceptable if it produces too many false positives since those people will be falsely labeled as having the disease, a circumstance which could lead to psychological trauma, anxiety, insurance or employment discrimination, or social conflicts. Several studies have found significant increases in anxiety that interferes with life activities in persons who were falsely labeled as having disease on a screening test. This is an especially serious issue with genetic tests in which a positive test does not mean the disease will express itself, but only that a person has the gene for the disease.

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Use either fresh or old urine for skin applications generic kamagra 100 mg on line erectile dysfunction drugs causing, although old urine has a higher ammonia content and has been found to be more effective in treating many stubborn skin disorders such as eczema or psoriasis 100 mg kamagra free shipping erectile dysfunction protocol hoax. Discard the pad and saturate another clean pad with fresh urine and reapply, lightly patting and soaking the affected area. Continue reapplying in this manner for 5-10 minutes or as many times as desired - the more that the affected area is treated, the better. Secure a clean soaked pad to the affected area with a gauze or cotton ~vrap and leave secured for several hours for additional healing. These urine packs are also incredibly effective for any type of insect sting, bite or poison oak or ivy. Another method is to pour old or fresh urine into clean, plastic spray bottle and spray the rash, eczema, etc. Skin Massages Always augment your use of oral urine therapy with skin massages particuJariy on the face, neck and feet John Armstrong recommended this practice especially when fasting for an acute condition, and people who use it, swear by it. These massages have a tonifying, refreshing, relaxing effect and are said to allow for gradual absorption of urine nutrients through the skin. Pour either old or fresh urine into a wide, shallow container and dip your hands into the liquid. Shake off excess, then vigorously massage into a small area of skin anywhere on the body until hands and skin are dry. Rewet hands and begin massaging another area until dry; repeat this step until all skin areas have been well massaged. If your own urine is dark, turbid or abnormal looking, wait until you have used the urine internally over the course of two or three days, at which time the urine usually appears clear and can then be used for massages. Urine from a normal healthy person other than yourself may also be used for your external massage. If you are a heavy smoker, or are taking therapeutic or recreational drugs, do not use your own urine externally or internally (or use only extremely small amounts). For cosmetic use or moisturizing, pour a very small amount of nor mal fresh urine or urme which has been stored, for a day or two into your hand and massage lightly into the skin until dry; then pour additional urine into your hand, massage it into another area of the skin until dry and so on. Also, you can add a few drops of urine to a small amount of your moisturizing cream each time you apply the cream. As the research studies show, urea replenishes the water content of the skin because it binds hydrogen and attracts moisture to the skin in a way that no mineral oil or glycerin-based lotions or creams can. Old dead skin immediately flakes away, and your skin becomes wonderfully soft, rosy and with time, even wrinkles will disappear. Soak gauze bandages or cotton balls m fresh or old urine and place them over the affected areas. Cover the urine pack with light plastic (like Saran-wrap) and tie in place with gauze strips. Try to keep the pack on as long as possible, especially with more, severe conditions. Add additional urine to the pack with a medicine dropper every few hours to keep the pack wet. Bites And Stings Urine packs are tremendously useful and effective for relieving the discomfort of all insect bites and stings. My foot immediately swelled to almost double its size and was unbelievably painhil. I dragged myself into the house, applied a soaked urine pack and tied it in place. Within 15 minutes, the pain had disap-peared and the swelling had lessened considerably. I kept the pack on overnight, and when I removed it in the morning, the swelling and redness had completely disappeared. The pain and irritation of bee stings and mosquito bites is also wonderfully relieved by this method. Follow emergency first-aid instructions to inrise the wound and remove venom, if possible. Then apply fresh normal urine to the wound and secure a well-soaked urine pack over it.

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