How can patients travel by plane?

How can patients travel by plane?


Firstly, airlines generally do not allow sick passengers to board the aircraft. Because the risks are different according to the nature of different diseases. In such a situation, if something suddenly happens to the patient, other than first aid (primary treatment) and oxygen supplement, other hospital facilities are not available on the ship. Therefore, all sick passengers must obtain a 'fit to fly' certificate from the relevant doctor before their flight.


But saying this does not mean that patients should not travel by ship. If depending on the severity of the patient, non-medical and medical service personnel can go with him. Similarly, according to the patient's condition and illness, the medical staff may include nurses, paramedics or doctors.



Are there any special services on the plane for patients?


In-flight medical facilities depend on the size and duration of the flight as well as whether the flight is domestic or international.


If used for short-haul domestic flights, medical facilities are limited to first-aid boxes for small-sized aircraft with a carrying capacity of 20-50 passengers. It contains basic items like bandages, antiseptics, antacids, anti-empties, pain killers etc.


A variety of oral and liquid medications are kept on large planes used for international flights. In addition, such aircraft may have oxygen supplements and portable defibrillators. Such a defibrillator is called AED ie automatic external defibrillator.


A defibrillator is a device that produces an electrical charge or current in the heart to restore (bring) the heartbeat back to normal. A defibrillator is used when the heart stops beating due to cardiac arrest.


How is it taken care of if someone suddenly gets sick on the plane?


It is not the same for everyone, it depends on the disease or complications of the patient. For example, travelers may have panic attacks, which are often seen in Nepali workers returning from the Gulf countries and Malaysia. In such a case, besides reassuring the patient, water, oxygen and tranquilizers are also given.


Another passenger may have breathing problems due to asthma. In such a case, nasal oxygen (supplement oxygen) and bronchodilator inhaler can be provided according to the patient's oxygen level measurement with the oximeter.


In another example, appropriate medication is provided to passengers in case of persistent vomiting or dizziness. In case of acute heart attack, brain hemorrhage or clots, the nearest airport should be taken to the hospital. In conclusion, an attempt is made to handle the health condition of the passengers according to the available resources and staff's ability in the aircraft. If it is not possible, it will be taken to the nearest airport as soon as possible.




What to do if a passenger faints on the plane?


There are many reasons for fainting. If the passenger is unconscious due to panic attack or flight phobia (fear of flying), it is sufficient to monitor pulse rate, oxygen saturation and blood pressure as well as reassure the patient.


Another cause of fainting can be due to high or low blood sugar levels. In that case, blood sugar level can be measured with the help of glucometer. If the patient's blood sugar level is high, supplementary medicine can be given to control the sugar level and if the level is too low, he can be given enough glucose food.


Other causes of fainting can be fasting or drinking too much alcohol. Excessive hyperventilation (extremely nervous and rapid breathing) due to the fear of air travel can also lead to fainting.


In case of unconsciousness, it can be controlled in the following order:


1. It should be kept in an open place without overcrowding.


2. Both legs should be lifted.


3. Blood pressure, pulse rate and oxygen level should be monitored. If there is a cardiac (heart) or cerebrovascular accident, the nearest airport should be taken to the hospital as soon as possible.



Dr. Ranjit Baral

Can a pregnant woman travel on a ship?


There are pregnancy policy tables for air travel. From the said table, it is clear how cases of pregnancy are considered eligible or ineligible for flying.


Up to the 28th week of pregnancy and pregnant women who are in normal condition can easily fly without any restrictions. A person who is after the 28th week of pregnancy is required to obtain a medical certificate of 'fit to fly' from an obstetrician and gynecologist and an airline doctor to board a flight.


Likewise, late pregnancy (after the 35th week of pregnancy) and advanced pregnancy ie 'malposition' (a situation where the baby's head is in the wrong direction in the mother's womb) or 'twin' pregnancy are not allowed.


Are emergency patients carried on board or not?


Even in an emergency, it depends on what kind of situation it is. In case of unplanned cases like accidents, helicopters or small planes are used to rescue sick or injured people. Similarly planned case According to the situation, para-medics and nurses and non-medical staff can be deployed in mild cases. In such cases, medicines (especially given by injection) are given by the staff and the patient is monitored from time to time.


Doctors are deployed in extremely serious situations in anticipation of unpleasant events. For example, on long-haul flights, passengers with long-term asthma may have breathing problems, where steroids and bronchodilators must be given by injection.


What should be done if they have to travel by air?


Commercial airlines are not considered suitable for patients with very serious health conditions. In such cases, air ambulances are used, which are very expensive. But it has nurses and doctors as well as all the facilities of a 'mini-hospital'.


Eight things that teenagers are searching for on Google

Eight things that teenagers are searching for on Google


Today's teenagers do not have to keep things hidden in their hearts. They can easily pour out what is stuck in their heart through some medium. Especially social media or Google is their reliable medium.


There are some things that are uncomfortable to ask others. Many people are looking for answers to such questions on Google. Thus, teenagers are ahead in searching for any answer from Google. Whether it is about their career or interest or about fashion trends, about sex or food, they are searching on Google. After all, teenagers are searching for the most things on Google?



1. A matter of health


At a glance, it seems that they are only searching for entertainment content on Google. However, most of today's teenagers are curious about their health. Especially they are mostly asking about depression, anxiety, fitness.


They are also searching for things like what to eat, how to control obesity on Google. Some people are learning exercise methods from Google.


2. Window shopping


Window shopping is the buzz word now. It indicates online shopping. Window shopping means looking at the details of the necessary equipment from Google without physically being present in any store.


Today's teenagers are getting information about the design and price of clothes, mobiles, laptops, watches, shoes, books, glasses, etc. from Google. According to a study, most of the teenagers find it easy to buy goods online.


3. Relationships and dating


Of course, when you reach the teenage stage, you become more curious about love and sex. They cannot do this openly with their parents or friends. That is why they have lost such questions in themselves.


From how to make a relationship with a boy or a girl, how to love, how to go on a date, they are searching for many questions related to sex on Google.


Google becomes a safe and secret medium for them to satisfy their curiosity.


4. Technology and Gamed


Teenagers are interested in new gadgets. What kind of equipment entered the world market? They are updated as often as possible. Be it mobile or anything else, they are very interested in it. They are also very interested in gaming and gaming devices.


They are looking for new tools on Google. They are asking about the features and price of a new mobile or any device. In the same way, some people have searched on Google about the way of gaming.


5. Educational support


Today's teenagers search for their education or career on Google. They also take the help of Google while doing assignments or preparing for exams.


Now many sources of educational materials can be found on the internet. They also search for things on Google that are not in some textbooks.


Also, they take help of Google to learn how to manage time, what should be the study process, how to make notes.


6. entertainment


Today's teenagers also get some information about entertainment from Google. They are getting information about movies, music, artists, events from Google.


Many people are also searching on Google about the famous Korean music band BTS, Black Pink. Similarly, they are very interested in searching for information on Google about the upcoming movies.


7. Searching for a career


This is the stage in adolescence itself, when they start to be interested in career as well as studies. What to do in the future, what to become, how to get a happy and happy life makes them more interested in their career.


That's why they are getting information about the career according to their interest on Google. At the same time, they are also looking for employment opportunities. They are more interested in where and what to do. They are also searching for opportunities on Google about jobs that can be done online.


8. News and Events


What is happening to teenagers in the world? What subject is being debated? There is also an interest in who is reacting to what. They are looking for information about the political and social things happening in the world through Google. Similarly, they are being updated on topics like technology and entertainment.

Meat is nutritious, but it also increases disease

Meat is nutritious, but it also increases disease


Now the community of those who stop eating meat is growing all over the world. According to a report published in the BBC, the number of people giving up meat for the sake of the environment and animal welfare is increasing.


It is written in the BBC, "If we talk about Britain, one third of citizens are claiming that they have stopped eating meat." Even in America, two-thirds of citizens say that they are eating much less meat than in the past.



But even though the number of vegetarians is increasing in the world, the consumption of meat has not decreased. In the last 50 years, meat consumption has been increasing rapidly in the world. In addition, meat production has also increased. There are basically two reasons for the increase in meat consumption, one is population growth. Another thing is people's purchasing power.


The method of meat production is also different in developed countries. Animals are raised there for any purpose. Young and healthy animals are slaughtered with as little pain as possible. The meat produced in this way is stored and sold according to healthy standards.


But we do not have a procedure to check how much meat produced is edible. Nor is the animal's health checked before slaughter. For this reason, doctors here suggest to control the amount of meat as much as possible. A summary of some studies says, "Especially red meat can cause heart disease, heart attack and some types of cancer."


Nutritionist Bhupal Baniyan says that consumers in Nepal are forced to eat low-quality meat because the Meat Inspection Act cannot be implemented effectively. He says, "When businessmen sell and distribute meat without testing, the people here are forced to eat low-quality and unhealthy meat."


The Slaughterhouse Acts have been framed under the Animal Slaughterhouse and Meat Inspection Act-2055. There are many laws such as checking before slaughtering animals, checking the meat of slaughtered animals, marking or marking the meat. If the law is not implemented, there is a provision of a fine ranging from 5 to 20 thousand rupees and imprisonment for up to one month. But all these laws have not been implemented, nor have the relevant agencies monitored whether they have been implemented.


We eat chicken meat because chicken meat is healthier than red meat. But in order to make the chicken marketable quickly, the businessmen use a large amount of different types of antibiotics in the feed,'' he says.


It is not that all businessmen have given antibiotics to chickens beyond the standard. Some have even produced and sold chicken meat according to the standards. An example of that is the Valley Cold Store, said Baniyan.


Baniyan says, "Earlier, Khasiboka was reared in the village. But now, grain is fed to make the chicken grow faster. As a result, it takes a lot of fat. He says, 'The amount of saturated fat in beef is high. As a result, consuming too much beef can cause heart problems.


The raw meat of Ranga contains various types of germs including worms and 'microbacterial contamination'. Baniyan says, 'If this meat is not cooked properly and eaten, it can cause kidney and liver problems in the long run.'


"How to cut meat, how to sell, etc. standards are not only in foreign countries but also in Nepal. But since there is no body to monitor whether that standard is met, Baniyan says that diseased and low-quality meat can cause various diseases.


In this way, eating meat with a lot of antibiotics may not cause any problems, but over time, chronic diseases may increase. Therefore, if any animal's meat is fit to be eaten, the vet doctor advises that it should be sold and distributed only after examining it and saying that it is fit to be eaten.


How edible is the fish?


From the point of view of health, Baniyan says that it is better to eat fish because it contains protein and omega three. "But since the fish produced in Nepal cannot meet the market demand, fish are imported from India and other countries," he says.


Even after bringing it to Nepal, formalin is used to keep it on sale for a long time. Baniyan says that eating fish that has been kept in formalin for a long time can affect the kidneys and liver in the long term. Therefore, he suggests that when buying fish from the market, it is better to bring live fish than dead fish.


What does the food research officer say?


According to Food Research Officer Ujjwal Rayamazhi, protein obtained from meat has more biological value than that obtained from legumes. This means that the protein in the meat can be absorbed and used more by the body. That's why eating meat is good for health, Rayamazhi says, so it is consumed all over the world.


How healthy is the meat found in Nepal? How healthy are the animals used for meat? The relevant agency is responsible for monitoring the matter. But there has not been as much monitoring as there should be," says Rayamazhi.


He says that it is not true that the market is filled with meat that has been used in large amounts of antibiotics. Rayamazhi says. "According to some of our monitoring, many businessmen have worked according to the standards. But in Nepal, cattle rearing for meat and selling meat is done at home. this Some businessmen may have given too many hormones for profit.

Nightmare: A child having nightmares

Nightmare: A child having nightmares


Sometimes a terrible dream appears while sleeping. When you see such a dream, you will suddenly wake up at night and feel fear. This problem is more common in children than in adults.



Children wake up suddenly, start crying or start walking. Parents also get scared when children see such activities. If the child keeps having bad dreams and wakes up from sleep, there are reasons behind it.


If children wake up suddenly from sleep, they may have sleep problems like 'night terrors' and 'night terrors'.


Nightmare


Nightmare is especially common in children above the age of three. Because the age when a child starts dreaming in sleep is above three years. There are mainly two stages of sleep, non-rapid eye movement and rapid eye movement. In the second stage of sleep, the child has terrible dreams.


Young children dream of being chased by wild animals, if they see monsters in cartoons or movies, they see them. Older children may have terrible dreams of being beaten, people dying, missing themselves, etc. That is the Night Mayor.


In older children, stress, anxiety, anxiety and depression also cause night mayor.


Nightterror


Night terrors appear in the first stage of sleep. In this problem, the child wakes up suddenly at night and shouts, screams, cries, sweats, and breathes rapidly. The child does not remember what dream he suddenly woke up at night. In night terrors, the child may sometimes get up and walk.


Difference between Nightmare and Nightterror


In Night Mayor, children wake up in the morning and get scared, and in Night Terror, children suddenly wake up from sleep at night and panic, cry and scream.


A child remembers what he dreamed in Night Mayor, but he does not remember what he dreamed in Night Terror.


The reason why such a problem appears


Night terrors and night terrors in children are sleep related problems. Children also have various stresses. If he has any physical problems such as anxiety about studying, not sleeping well, such problems will appear. In addition, the problem of night terrors and night terrors is seen due to anxiety depression.


Treatment


Such problems appear in children due to insomnia and stress. Therefore, if such a problem appears in the child, the parents should find out why the child is not sleeping well, what has caused him stress and manage it. This will reduce the problem.


If the problem of night mayor is seen in the child, the parents panic. But there is no special treatment for it. After managing the cause of the child's stress, this problem will be reduced.


Parents should pay special attention to the child's safety as the child wakes up from sleep and cries, screams, and walks around during night terrors. He should be put down in a safe place and sleep together as he may have an accident while standing up.


If the problem of night terrors keeps recurring, then you have to take medicine for a few months. But the problem of night mayor and some night terrors can be cured by consulting the parents.


Parents may be confused because the symptoms of night terrors and epilepsy are similar. Therefore, if the child wakes up at night and cries, screams and panics, you should find out what the problem is. In night terror, these symptoms in a child last for two to five minutes, while in epilepsy, they are seen only for two minutes.

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