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It is a life threatening medical emergency in which the heart is unable to pump oxygen rich blood to the vital organs of the body and can cause many organs to stop working.

Causes:

Hypovolemic shock happens due to decreased blood volume, losing about 1/5 or more of the normal amount of blood in the body causes hypovolemic shock. It is caused by:

  1. Blood loss from bleeding, it can be bleeding from a cut, or internal bleeding.
  2. Loss of blood plasma due to severe burns, this happens due to loss of skin and damage to the blood vessels.
  3. Dehydration ie, diarrhea or vomiting (loss of a lot of body fluids may lead to a drop in the amount of circulatory blood).

Signs and symptoms:

  1. Anxiety or agitation.
  2. Cold, pale skin.
  3. Confusion.
  4. General weakness.
  5. Low blood pressure.
  6. Rapid pulse.
  7. Decreased or no urine output.
  8. If severe it can lead to unconsciousness.
  • It is usually diagnosed based on the clinical features and physical exam, blood tests and other diagnostic methods might be needed to determine the exact cause of shock if it is not clear.

Treatment:

  • It is a medical emergency, call 911 or take the person to the emergency room.
  • While waiting for medical help:
  1. Ensure that the airways are open and the person is breathing.
  2. Place the person on his back and elevate the legs 6-12 inches unless there is a suspected back or neck injury where the person should be immobilized.
  3. Keep the person warm.
  4. Try to stop bleeding from an obvious bleeding site by applying direct pressure.
  5. If the person is vomiting or there is bleeding from or around the mouth, place the person on their side or back with head turned to the side to avoid suffocation unless there is a head or neck injury.
  • Hypovolemic shock is treated by replacing the fluid and/or blood, usually done through an IV line, in addition to treating the cause.
  • The more severe the burn is, the higher the possibility that hypovolemic shock will occur.

This information is not intended nor implied to be a substitute for professional medical advice; it should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. Call 911 for all medical emergencies.

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In mid-January, BMW began a recall of 89,000 Mini Coopers in the United States for the same sort of problem that led to earlier recalls of BMW and Rolls-Royce luxury cars.

The problem, in all the recalls, is that a computer circuit board controlling a turbocharger cooling system can fail. The result: an overheating and smoldering water pump and, in some cases, a fire in the engine compartment.

The turbo cooling system in the Mini Coopers operates differently from that in the BMW and Rolls-Royce cars, according to a letter BMW sent to the National Highway Traffic Safety Administration. Nevertheless, some turbocharged Mini cars have caught fire in the same way the larger cars did.

BMW is still investigating whether the cause of the problem is related or just coincidental. Germany’s BMW AG owns and operates all three car brands.

Worldwide, the Mini recall covers a total of 235,535 cars. Cars being recalled include some model year 2007 through 2011 Mini Cooper S hatchbacks and convertibles; Mini Cooper Clubman S (the longer three-door Mini); and Mini Cooper Countryman S (the larger, four-door SUV Mini); as well as John Cooper Works high-performance versions of the Mini Cooper.

Mini Cooper dealers will replace auxiliary water pumps on the recalled cars. Non-turbocharged Minis are not involved in the recall.

There have been 81 cases of water pump failure in turbocharged Mini Coopers globally so far, including four engine compartment fires. No accidents or injuries have been reported as a result of this issue, however.

Nonetheless, the lesson that people should take from this news is that cars burn quickly because are made up of many flammable parts and hold combustible fluids. And because of this, when they malfunction it is possible that they produce fire and smoke conditions that can quickly overcome the occupants of the car, resulting in severe burns or smoke inhalation. In fact, several people die in car fires each year because they are unable to simply open the door and get out of the car in time!

So if you see or smell smoke coming from your car, do not wait to get to a gas station or a repair shop. Instead, stop the car and turn it off immediately–and then call for help.

If you or someone you know suffers an injury such as third degree burns or smoke inhalation, you should call Kramer & Pollack LLP in Mineola, New York so that the personal injury attorneys in that firm can determine whether another party has legal liability for injuries suffered, and if the injured party has a strong legal case.

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In late February, two Prince George’s County, MD firefighters were critically injured when a wind-fueled fireball blew through a burning house. They will survive, but the two members of the Bladensburg Volunteer Fire Department will face long, painful recoveries.

Ethan Sorrell, 21, sustained respiratory burns “through his esophagus and down to his lungs,” and Kevin O’Toole, 22, suffered second and third degree burns over 40 percent of his body when a basement fire suddenly turned a small house into something resembling a blast furnace.

O’Toole underwent skin graft surgery shortly after, and will be in the burn unit at the Washington Hospital Center for six weeks. He then faces six months of rehabilitation beyond that.

Doctors won’t know the full extent of the damage to Sorrell’s burned airway until they remove a breathing tube. His father, Vann — a volunteer firefighter in Buies Creek, NC — welled up when asked about his son’s bravery. “When you go into it, you know the dangers,” Sorrell said. But the Sorrells “just have that need to serve,” he added.

His son is unable to speak but has been communicating with a pen and paper. He seems to be in good spirits, said the local fire chief. “The first thing Ethan wrote to me on a pad was [that] the medic who transported him was attractive.”

Five volunteer firefighters were treated and released for burns and other injuries suffered in this incident, which as been called by fire officials a “freak occurrence.”

One of the injured was Michael McClary, who returned to the hospital two days after the fire with bandages wrapped around his hands, and his heart heavy. “He’s still upset that he got to go home and his brothers didn’t,” said his mother, Cheryl.

Michael, she said, wasn’t up to discussing publicly what happened at the house, where wind gusts apparently shot a column of flame up the stairs, through the first floor and out the front door.

The fire was extinguished quickly, said a fire commander who was directing a group in the basement at the time of the fireball.

If you or someone you know suffers an injury such as third degree burns or smoke inhalation, you should call Kramer & Pollack LLP in Mineola, New York so that the personal injury attorneys in that firm can determine whether another party has legal liability for injuries suffered, and if the injured party has a strong legal case.

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Last week, a small fire at a high-rise hotel in the main tourist district of Bangkok, Thailand caused the upper floors to become filled with smoke, killing at least one foreign tourist and injuring 23 others.

When firefighters arrived at the 15-story Grand Park Avenue Bangkok hotel last Thursday evening, they saw people screaming for help from the upper floors. The smoke had risen so quickly and had gotten so thick that “people were panicked and some of them wanted to jump from windows. We had to tell them to wait and we sent cranes in to help,” said a local fire chief.

One foreign woman who suffered from smoke inhalation was unconscious when taken from the building and later died at a Bangkok hospital. It can take just two or three breaths of smoky air that contains carbon monoxide and hydrogen cyanide to cause permanent injury to the brain, heart and lungs, and even death.

The other victims included two Thais and 19 foreign tourists, most of whom suffered from smoke inhalation.

Investigators were still trying to determine the cause of the fire, which started on the building’s fourth floor shortly before 10 p.m. and was quickly extinguished, but sent suffocating smoke to the upper floors at a time of night when most people were in their rooms.

Dozens of people were evacuated and rescue teams treated at least 12 people at the scene to clear their lungs of smoke.

The three-star hotel, formerly known as the Grand Mercure Park Avenue, has 221 rooms and is located in a tourist and residential district popular with foreigners.

The lesson to be learned from this incident is that hotel guests should locate the fire exits on the floor they’re staying on as soon as they arrive. As the victims who were trapped in this hotel found out, even a small a small fire needs only a few minutes to cause choking smoke that will rise through a building, just like in a chimney. This can cause death and injury to people who are located far away from the actual fire. In a hotel fire situation, every second counts, so knowing where the exits are located before an emergency happens could mean the difference between life and death.

If you or someone you know suffers an injury such as third degree burns or smoke inhalation, you should call Kramer & Pollack LLP in Mineola, New York so that the personal injury attorneys in that firm can determine whether another party has legal liability for injuries suffered, and if the injured party has a strong legal case.

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Several weeks back, a few unattended candles sparked a fire that caused about $130,000 in damage and caused more than 40 people to be evacuated from an apartment building in Seattle, Washington.

The fire started at just before 4 a.m., according to the Seattle Fire Department. Firefighters responding to the scene had to use a ladder to rescue a woman who had already become trapped in her second floor unit. Once she was rescued, it took them another 30 minutes to knock down the fire.

The evacuated residents waited inside a city bus as the firefighters fought the blaze. By about 6 a.m., all but two of them were able to return to their homes. Those two residents, a man and a woman, were being helped by American Red Cross.

The fire caused about $100,000 in damage to the building and about $30,000 in damage to its contents. Fire investigators determined that the blaze was started by unattended candles.

A Seattle Fire Department spokesperson said that this fire should serve as a lesson about the danger of using candles indoors, especially at a time when many people might be using candles to save money on their electric and heating bills. In short, it is dangerous to leave candles burning when you leave the room, even for a minute or two. Candles can fall over easily, which means they could ignite carpet, furniture or curtains and quickly cause a much larger fire.

If you or someone you know suffers an injury such as third degree burns or smoke inhalation, you should call Kramer & Pollack LLP in Mineola, New York so that the personal injury attorneys in that firm can determine whether another party has legal liability for injuries suffered, and if the injured party has a strong legal case.

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In mid-February, the following product safety recall was voluntarily conducted by Bosch Security Systems of Fairport, NY, in cooperation with the U.S. Consumer Product Safety Commission. Consumers should stop using this product immediately unless otherwise instructed. It is illegal to attempt to resell a recalled consumer product.

The name of the Bosch product is the Fire Alarm Control Panel. The fire alarm panel is a locking red wall box with dimensions of 22.7 inches high by 14.5 inches wide by 4.3 inches deep. The status, date and time can be seen through a glass screen on the panel door. The word BOSCH is printed on the right corner of the panel and the model number FPA-1000-UL is printed on the bottom left below the glass screen. The alarm panels featured software versions 1.10, 1.11 and 1.12, which can be determined by installers. These units were designed to be used in small to medium-sized facilities, in both public and residential buildings. These were sold at authorized distributors and installers nationwide from May 2009 through October 2011. They were manufactured in China.

About 330 units are being recalled because when the “alarm verification” feature of the system is turned on, the control panel could fail to sound an alarm if a fire occurs. In addition, on systems with 50 or more reporting stations, a delay in sounding an alarm and reporting a fire might occur if the loop for the alarm system is broken.

As part of the remedy, all distributors and installers of these fire panels are being sent two technical bulletins. One provides instructions for how to implement a software change that will correct the verification feature. The second contains instructions for how to handle warnings from affected systems with 50 or more stations. Those who have not received the bulletins should contact Bosch.

No injuries have been reported due to the possible faults of these fire alarm systems. But the recall is being done to ensure that nobody who is inside a building that uses such a system suffers severe burns or smoke inhalation as a result of not being notified of a fire by the system.

To obtain instructions on how to download software to update the control panels or otherwise address the problems, contact Bosch Security Systems at (800) 289-0096 between 8:00 a.m. and 8:00 p.m. EST, or visit the “service and customer care” section on the Bosch website.

If you or someone you know suffers an injury such as third degree burns or smoke inhalation, you should call Kramer & Pollack LLP in Mineola, New York so that the personal injury attorneys in that firm can determine whether another party has legal liability for injuries suffered, and if the injured party has a strong legal case.

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Diagnosis:

The diagnosis of DVT is made by physical examination and testing, the tests may include:

  • Doppler ultrasound exam of the suspected limb.
  • Blood tests: which include D-dimer, other blood tests may be done to test if there is increased blood clotting.
  • Leg venography: it is an X-ray done to show the veins in the leg.

Treatment:

  • The standard treatment is using medications called blood thinners (anticoagulant), such as Heparin which is given intravenously and Warfarin which is given orally and used for long term treatment, Warfarin needs time to be fully effective and that is why it is given while the patient is still on Heparin. When the patient is started on Warfarin, Lab tests will be needed to check the thickness of blood.
  • Thrombolytic therapy: this is done by injecting drugs that lyses the clot.
  • Catheter directed to remove the clot.
  • Placement of a filter in the inferior vena cava (largest vein in the body) to prevent the clot from traveling to the lung.

You should seek medical help immediately if you have a history of DVT and develop symptoms such as chest pain, breathing difficulty, fainting, coughing blood or other symptoms.

Prevention:

  • Stop smoking.
  • In any condition that requires long time sitting ie, long plane trips or long period of time lying in bed, the person should try to move his/her legs to avoid stagnation of blood which increase the risk for developing DVT.
  • Blood thinners, these medications decrease the thickness of blood and decrease the incidence of clot formation; they may be prescribed for Patients who are at high risk of developing deep venous thrombosis.
  • Pneumatic compression device: these are devices that may be used to decrease the incidence of deep venous thrombosis. They are prescribed for patients in the hospital who are at risk of developing deep venous thrombosis. The sleeves of the device are attached to the calves of the patient. The sleeves periodically squeeze the calves preventing blood from stagnating. A blood clot may occur if the blood is stagnant. If you leave the bed ie, to walk or visit the restroom, you have to make sure that the device is reconnected when you return to your bed as these devices should be worn all the time.

This information is not intended nor implied to be a substitute for professional medical advice; it should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. Call 911 for all medical emergencies.

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In late February, the U.S. Consumer Product Safety Commission, in cooperation with Carlisle FoodService, announced a voluntary recall of the following consumer products. Consumers should stop using recalled products immediately. Also, it is illegal to attempt to resell a recalled consumer product.

The type of product being recalled is beverage cups and mugs. About 111,000 units are targeted by the recall. The importer of these cups and mugs is Carlisle FoodService Products of Oklahoma City, Oklahoma.

The danger related to these cups and mugs is that they can break when they come in contact with hot liquids, posing a threat of serious burns to consumers. Carlisle has received three reports of cups and mugs breaking during use with hot liquid. No injuries were reported, however.

The nine models of Carlisle cups and mugs were sold in sizes from 7 ounces to 16 ounces, and in the following colors: white, green, red, brown, black, ocean blue, sand, honey yellow, bone, and sunset orange. They are approximately 3 inches tall and are made of melamine. The name “Carlisle OKC, OK” and model number are imprinted on the bottom of each product, along with “Made in China” and “NSF.” Some might also include the model name and size, for example: “Durus 7 oz cup.” Cups and mugs included in this recall are:

Sierrus™ Mug, 7.8 oz, Model # 33056 Durus® Challenge Cup, 7.8 oz, Model # 43056 Dallas Ware® Stacking Cup, 7 oz, Model # 43546 Dayton™ Stacking Cup, 7 oz, Model # 43870 Kingline™ Ovide Cup, 7 oz, Model # KL300 Kingline™ Stacking Cup, 7 oz, Model # KL111 Melamine Stackable Mug, 8 oz, Model # 4510 Cappuccino Mug, 12 oz, Model # 4812
Many people suffer second degree burns and third degree burns each year from spills of hot liquids onto their skin. The immediate treatment for this type of burn is to pour cold water over the affected skin for 1-2 minutes so that the various layers of skin cool down quickly and are not damaged so badly that they require skin grafts. After doing this, the victim should seek professional medical attention.

If you or someone you know suffers an injury such as third degree burns or smoke inhalation, you should call Kramer & Pollack LLP in Mineola, New York so that the personal injury attorneys in that firm can determine whether another party has legal liability for injuries suffered, and if the injured party has a strong legal case.

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Is a medical condition in which a blood clot forms in a deep vein in the body. Most of the blood clots happen in the large veins in the lower leg and thigh. These clots can block the veins leading to restricted blood flow or may break off and move through the circulatory system leading to serious problems depending on which organ is affected. A DVT may cause pulmonary embolism if it goes to the lung, it may cause heart attack if it goes to the heart or it may cause a stroke if it goes to the brain.

Deep venous thrombosis may be caused by:

  • Factors that cause change in the blood velocity.
  • Factors that cause change in the consistency of blood
  • Factors that cause damage to the lining of the vessel.

Risk factors for developing DVT may include:

  • Bed rest
  • Sitting for a long period of time such as on a long plane ride.
  • Recent surgery.
  • Giving birth within the last 6 months.
  • Medications such as contraceptive pills.
  • Smoking cigarette.
  • Obesity.
  • Fractures
  • Hypercoagulability: increase the liability of blood to form clots.
  • Conditions that lead to increase the production of red blood cells.
  • Cancer.

Signs and symptoms of deep vein thrombosis include:

  • Skin redness over the affected limb.
  • Warmth (to touch) over the affected limb as compared to the other limb.
  • Pain in the affected limb.
  • Tenderness in the affected limb.
  • Edema (swelling) in the affected limb.

This information is not intended nor implied to be a substitute for professional medical advice; it should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. Call 911 for all medical emergencies.

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A geriatric is a person who is older than 65 years. The geriatric population is increasing in developed countries due to the improvement of services and quality of life.

Flames and scalds are the leading cause of burns in geriatrics. Risk factors that may contribute to burn injury in elderly people include:

  • Living alone.
  • Decrease in the level of mobility.
  • Decreased supervision of elderly people.
  • Decreased smell and decreased reaction time.

All degrees of burns can happen (First, Second and Third), but there are risk factors that may increase the severity of the burn which may include:

  • The presence of chronic diseases such diabetes.
  • Atrophy (thinning) of the skin and subcutaneous fat.
  • Nutritional deficiency.
  • Cardiovascular disease such as atherosclerosis and myocardial infarction.

With age, the skin becomes thin with decreased vascularity, making elderly people more liable for deep burns as well as decreased wound healing.

Elderly people have increased risk to develop contractures due to a higher percentage of deep burns. When the burn is deep a skin graft may be needed and as the skin thins with aging this will lead to a poor donor site as well as difficulty in healing for both the donor and the recipient site.

Elderly patients require more rehabilitation and the long term disability is greater due to the presence of the risk factors that may increase the severity of burn.

Elderly people should always make sure that the smoke detector is working, that there is someone that can be contacted easily in case of an emergency; and they are careful when cooking and handling hot objects.

This information is not intended nor implied to be a substitute for professional medical advice; it should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. Call 911 for all medical emergencies.