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Discussion

Any problems, bugs or improvements should be posted here.

1. Bleeding severe

I have doubt in some of the first aid procedures while i was translating from the English Version. For example, in case of severe trauma, first aiders should identify the trauma and ask the personel nearby to call the ambulance, as rapid transport of the patient should be put in the first place. And maybe we should add points reminding the users to wear gloves before they handle the wounds. I haven't finished reading the whole first aid guide, but i believe we can improve these knowledge through information and advices interflow. -- Victor 16:00, 9 February 2009 (UTC)

First, thanks for your contribution! Now to your concerns: You are right, point 7 at 'Bleeding severe' should be the first point. This, of course, as we are already saying 'Call emergency doctor immediately'. And we can add "Wear sterile gloves if possible." to "Remove clothes (cut if necessary) and reveal wound." - This will be included into the next version. Victor, please be so kind and contact me by mail for future issues, thank you. -- Kajus 07:47, 10 February 2009 (UTC)

2. Hyperthermia vs. Sunstroke

About Hyperthermia, is this the one caused by massive water loss, and sunstroke is the one caused by heat only? -- Victor

Smart question! The English Wikipedia indeed redirects "Sunstroke" to "Hyperthermia", so it seems to be the same. However, scientists distinguish: Sunstroke - the effect of the sunbeams leads to a swelling of the cerebral membrane (so it is the head). Hyperthermia (heatstroke) - overheating of the whole body, you are right, e.g. massive water loss. Thanks for asking! Kajus 17:54, 10 June 2009 (UTC)

Dear Kai, I finally found the answer in my PHTLS manual. Actually what I was saying is two different "heat-related disorders", and they are both under the category of "hyperthermia".

The first one is "Heat-exhaustion", "熱衰竭" in Chinese. This is caused by excessive heat strain with inadequate water intake. Signs include low urine output, tachycardia, weakness, wet and clammy skin, headache, dizziness. Heat exhaustion may lead to heat stroke. This disorder should be treated by placing the patient in a cooler place, cool the body with water, and IV of lactated Ringer if needed.

The second one is the most serious type of hyperthermia, "heatstroke", "中暑" in Chinese. This is a fatal disorder without proper treatment, and considered the most emergent type of hyperthermia. Caused by high core temp., this can lead to thermoregulary centre failure. Signs include change in mental status, irrational behaviour, hypotension, rapid and shallow breathing, dry or wet hot skin, and loss of consciousness. So "hyperthermia" is a category name, "heat stroke" and "Heat-exhaustion" are the names of the heat related disorder. These two are the most common type, so maybe you can focus on this two type of hyperthermia. -- Victor

Thanks for pointing this out, Victor! In the current version, we use hyperthermia in conjunction with heatstroke since this is the most serious. Heat-exhaustion (because of water depletion/dehydrogenation) is not yet described, which might be done under "Hyperthermia" as well. This has to be considered for the upcoming version. Kajus 05:07, 12 June 2009 (UTC)

Dear Kai, but now the problem is what is the difference between "hyperthermia" and "sunstroke" in this version? -Victor

In German, heatstroke (Hitzschlag) and sunstroke (Sonnenstich) are two different things! As it seems to me, some English websites treat both as the same, e.g. 1 or 2. But there are also sources that distinguish 3. -- For us: Sunstroke refers only to the head (swelling of cerebral membrane), and heatstroke refers to the overheating of the whole body. Kajus 06:13, 14 June 2009 (UTC)

3. Notes by Translator Pavel Prokeš

Birth (6.) Warning! Baby is very slippery.

Bleeding light (5.) And/or to decreasig blood flow into affected body parts lies bellow the bandage.

Burning (severe) (1.) Do not tear off !!

Burning (severe) (2.) New source recommended cooling up to 20 minutes.

Burning (severe) (3.) Avoid Hypothermia (overcooling).

Chemical Burn (2.) Warning: Draining flushing water is contaminated! Do not touch it.

Eye Injury (2.) I advice You anywhere add following text: After treatment any eye injuries always cover both eyes by dressing (due synchronized motion both eyes). Note: embended object in eye.

Hypothermia (cool body) Please rewrite point 3 and 4 and change part 3 to part 4: 3. Increase body temperature (cover and body-to-body-contact). 3. Ideal method for rewarming is put victim hypothermia and helper together to preheated sleeping bag and increase body temperature by body-to-body-contact. Note: Both body must be naked! 4. Remove wet clothes and put on warm clothes. Cover with blankets or other covers. Cover the head. 4. Remove wet clothes and put on victim warm, preheated clothes and head gear. Cover victim with preheated blankets or other covers. All clothes and blankets must be frequently preheated and changed.

If you put on hypothermia victim not preheated cover or clothing, is here the same situation as have any thermos bottle. Hot water staying hot, cold water - cold. My own experience: Hot tea same as cofee is not a good idea. Tanin and caffeine - both constrict periferal arteria and rewarming is prolonged. Simple hot water may induce vomiting same as great volume cold water. Good idea is juice´s or warm, sugared water. Clearly - warm soup is very good. Alcohol is winter killer!! But in extreme cold is there Russian and American experience with drinking small dose almost 100% ethanol as body booster. Winter killer No. 2 is sweating.

Ice Rescue (5.) My note: Never go to a Dam ice. Between ice and water may be void 1 to 8 m (if here hydrocentrale) it is deadly trap and no chance for any rescue.

Resuscitation #Heart Massage (6.) Warning! 4-5cm - Adult person only! Press is categorized by age victims !! 3 category.

Resuscitation #Breathing (4.) Warning! Volume of artificial breathing is categorized by age victim !! 3 category.

SOS For adventurers I advice add text: Mountain emergency signal (Europe) Caller - 6x the same signals within 1 minute - light, sound, shoot etc. Answer: 3x signals within 1 minute. (USA): Caller - 3x the same signals within 1 minute - light, sound, shoot etc. Answer: 2x signals within 1 minute.

Vomiting (2.) No sweetened.

5. Emergency Numbers

The phone number for the Luxembourgish Police is not 112 but 113. That has been changed in the wiki, and has to be changed in the next version of the software.