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Emergencies and First Aid - How to Make a Sling

How to Make a Sling

1. To make a sling, cut a piece of cloth, such as a pillowcase, about 40 inches square. Then cut or fold the square diagonally to make a triangle. Slip one end of the bandage under the arm and over the shoulder. Bring the other end of the bandage over the other shoulder, cradling the arm.

2. Tie the ends of the bandage behind the neck. Fasten the edge of the bandage, near the elbow, with a safety pin.

 

Collar and Cuff Sling

Use a collar and cuff sling for a suspected fracture of the collarbone or elbow when a triangular sling is not available. Wrap a strip of sheet, a pants leg, or pantyhose around the wrist and tie the ends behind the neck.

Emergencies and First Aid - How to Splint a Fracture

How to Splint a Fracture

 

For a lower arm or wrist fracture (left), carefully place a folded newspaper, magazine, or heavy piece of clothing under the arm. Tie it in place with pieces of cloth. A lower leg or ankle fracture (right) can be splinted similarly, with a bulky garment or blanket wrapped and secured around the limb.

A person with a hip or pelvis fracture should not be moved. If the person must be moved, the legs should be strapped together (with a towel or blanket in between them) and the person gently placed on a board, as for a back injury.

 
 
 

Emergencies and First Aid - Heimlich Maneuver on an Adult

Heimlich Maneuver on an Adult



If the person is sitting or standing, stand behind him or her. Form a fist with one hand and place your fist, thumb side in, just below the person'’s rib cage in the front. Grab your fist with your other hand. Keeping your arms off the person’'s rib cage, give four quick inward and upward thrusts. You may have to repeat this several times until the obstructing object is coughed out.If the person is lying down or unconscious, straddle him or her and place the heel of your hand just above the waistline. Place your other hand on top of this hand. Keeping your elbows straight, give four quick upward thrusts. You may have to repeat this procedure several times until the obstructing object is coughed out.
 
 

Emergencies and First Aid - Heimlich Maneuver on a Child

Heimlich Maneuver on a Child

Stand behind the child. With your arms around his or her waist, form a fist with one hand and place it, thumb side in, between the ribs and waistline. Grab your fist with your other hand. Keeping your arms off the child's rib cage, give four quick inward and upward thrusts. You may have to repeat this several times until the obstructing object is coughed out.
 
 

Emergencies and First Aid - Heimlich Maneuver on an Infant

Heimlich Maneuver on an Infant


1 Place the infant face down across your forearm (resting your forearm on your leg) and support the infant'’s head with your hand. Give four forceful blows to the back with the heel of your hand. You may have to repeat this several times until the obstructing object is coughed out.2 If this does not work, turn the baby over. With two fingers one finger width below an imaginary line connecting the nipples, give four forceful thrusts to the chest to a depth of 1 inch. You may have to repeat this several times until the obstructing object is coughed out.
 
 

Help with online health

Frustrated by medical and health care websites? New research suggests seniors don't use this health technology like they should, but it may not be their fault.


Image: © BananaStock/Thinkstock

It's said that you can find just about anything on the Internet. Yet when it comes to finding information about health, many seniors are at a loss.

"Few seniors are using digital health technology," says Dr. David Levine, of Harvard-affiliated Brigham and Women's Hospital, who specializes in medical technology information.

Ask the doctor: Why would I need Prolia?

Denosumab (Prolia) is recommended for people at high risk for fractures for whom other bone-loss treatments were ineffective or had intolerable side effects.

Is there hope for leg cramp sufferers?

Despite the lack of a universally recognized therapy for nighttime leg cramps, a few approaches may be worth trying.


Image: Monkey Business Images/Thinkstock

Few things are more jarring to a night's sleep than shooting calf pains. If you have nocturnal leg cramps, you have lots of company. Although they can strike people at any time of life, they become more common with age. Among people over 60, almost half report having leg cramps, a third say they are awakened by cramps at night, and 15% report weekly episodes.

What causes leg cramps?

Preventing cramps

There are no FDA-approved medications for leg cramps, and the U.S. Preventive Services Task Force hasn't issued guidelines for treating them. However, the American Academy of Neurology (AAN) has issued the following advice on common therapies, based on scientific evidence of effectiveness.

Stretching exercises. The AAN says that there are not enough data to say for sure that stretching helps reduce the frequency of muscle cramps. That doesn't mean that the exercises are ineffective or harmful, and doing them can help contribute to the flexibility of your legs.

Quinine. There is solid evidence that quinine and quinine derivatives are effective in reducing the frequency of muscle cramps, although the magnitude of benefit is small. However, quinine is out-of-bounds for most people. The FDA has issued repeated warnings against using quinine (which is approved only to treat certain types of malaria) to prevent or treat leg cramps because it may cause serious side effects, including bleeding and kidney damage. Although doctors can still prescribe quinine, it is recommended only when cramps are disabling and when the person can be carefully monitored for side effects.

Vitamin B complex. There is some evidence that taking a daily capsule containing eight B vitamins—B1 (thiamine), B2 (riboflavin), B3 (niacin), B5 (pantothenic acid), B6, B7 (biotin), B9 (folate), and B12—may prevent cramps.

Calcium-channel blockers. Evidence indicates that one calcium-channel blocker—diltiazem (Cardizem, Dilacor XR)—is possibly effective.

Ineffective therapies. The AAN found enough evidence to indicate that magnesium supplements and gabapentin (Neurontin) aren't likely to help.

Other remedies

In situations like nighttime leg cramps, where there are no widely accepted treatments, unproven remedies may be worth a try. The following are low-risk and have enthusiastic proponents.

  • Soap. If you don't mind sharing the bed with a bar of soap, you might want to try securing one under the bottom sheet near where your legs usually rest. Despite scores of testimonials to its effectiveness in letters to news media and comments on websites, no one has offered a hypothesis for how soap might work. Yet it's inexpensive and harmless.

  • Mustard or pickle juice. Swallowing a teaspoon of mustard or an ounce of pickle juice before bedtime also has enthusiastic advocates. In fact, the pickle juice preventive has become a staple among athletes who want to avoid being sidelined by cramps. However, if you have gastroesophageal reflux disorder or are trying to cut back on salt, you might want to check with your doctor before trying this approach. Scientists think the foods might stimulate ion channels in the mouth, esophagus, and stomach to send signals to the central nervous system that inactivate overexcited neurons.

  • HotShot . This 1.7-ounce dose of cinnamon, ginger, lime juice, sweeteners, and capsaicin (the active compound in chili peppers) was developed by Dr. Bean and Dr. Rod MacKinnon, a Nobel Laureate in Chemistry at Rockefeller University, as a remedy for cramping during rigorous exercise. It works along the same principle as mustard and pickle juice, but has longer-lasting effects. It is currently available commercially as a sports beverage. "Although I am aware of people using it for nocturnal leg cramps, it has not yet been formally tested for that use," Dr. Bean says.

Look on the bright side and maybe even live longer

Studies suggest that adopting a sunnier outlook may improve your health and even extend your life.


Image: © lzf /Thinkstock

In these turbulent times, it's sometimes a struggle to maintain a glass-half-full view of life. But if you can, it may serve you well. A growing body of research links optimism—a sense that all will be well—to a lower risk for mental or physical health issues and to better odds of a longer life.

One of the largest such studies was led by researchers Dr. Kaitlin Hagan and Dr. Eric Kim at Harvard's T.H. Chan School of Public Health. Their team analyzed data from 70,000 women in the Nurses' Health Study who, in 2004, had answered questions about how they viewed their futures

Many preventive mastectomies may be unnecessary

Women with early cancer in one breast may opt to remove the other, healthy breast because they overestimate their risk of a second cancer.

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