What is Impetigo?

What is Impetigo?

Impetigo is a bacterial skin infection often found on the face, bottom and hands caused by “streptococcus and Staphylococcus aureus AKA: staph” bacteria. It is commonly known as “school sores” because a majority of cases are in school-aged children. However, it can also affect infants, adults and adolescents.

Uncomplicated Impetigo does “not” cause permanent damage to the skin, but is “HIGHLY contagious.

What does it look like?

“Impetigo can easily be misdiagnosed on first glance as Hand Foot & Mouth or even Herpes”.

Impetigo occurs in two forms, blistering and crusted. In Blistering Impetigo the blisters arise on previously normal skin, and “rapidly” grow in size and number. The blisters quickly burst and leave slightly moist or glazed areas with a brown/yellow crust at the edge. The spots expand even after they break open and can be many centimetres wide. They sometimes clear in the centre to produce ring shaped patterns. They are “not” usually painful, but can be itchy.

Impetigo usually appears around the nose, mouth, and other parts of the face. It can also appear on any skin not covered by clothes, such as arms and legs. Impetigo may even appear on the groin or buttocks.

  • In severe cases of impetigo there may be swelling of the lymph glands in the face or neck, severe pain, worsening redness, weakness and fever. “Consult your physician immediately”

Crusted Impetigo has a thick soft yellow crust. Beneath this crust is a moist red area. Crusted Impetigo spots grow slowly and are always smaller than the fully developed spots of blistering Impetigo. They are “not” usually painful, but can be itchy.

Impetigo can occur on top of other skin conditions, particularly itchy ones. When the skin is scratched the infection can enter through the broke skin. Some of these conditions are atopic dermatitis “eczema”, scabies, insect bites and head lice.

In cases where a larger area of skin is affected, patience may also have a fever, swollen lymph nodes or feel generally unwell.

How is it diagnosed?

Your doctor may diagnose impetigo based on a visual inspection of the blisters/sores, or by taking a swab to test for bacteria and check which antibiotic to use. The result of the swab takes several days.

How is it treated?

Depending on how bad the infection is, your doctor may recommend the use of an antibiotic ointment or oral antibiotics in severe cases. Antibiotic ointment should be continued until the sores have completely healed. If oral antibiotics are given it is important to finish the whole course of treatment “usually 5 days” and not stop when the impetigo starts to clear. “The blemishes may vanish but the bacteria may remain”.

Sores should be cleaned every 8-12 hours “Soap and Water”, dried thoroughly and covered with a waterproof dressing. Bathing the blisters with salty water will help to dry them out “use saline solution or dissolve about half a teaspoon of salt in a cup of water”.

How is it Spread?

Impetigo is very easy to catch from other people! Impetigo is usually spread through direct contact with other infected people.

The Bacteria primarily enters through damaged skin. People with conditions causing long term damage to their skin, such as eczema or atopic dermatitis, are at greater risk of infection.

How can you avoid spreading the infection?

“While you have the infection”:

  • Sores should be kept clean and covered with a waterproof dressing to prevent them being touched or scratched.
  • Used dressings should be placed in a sealed bag and put in the garbage bin as soon as they are removed.
  • Hands should be washed thoroughly with soap and running water for 10-15 seconds after sores are touched or redressed.

Children with impetigo should be kept home from school or other group settings if their wounds cannot be kept covered until 24 hours after antibiotic treatment has been started, or until the blisters have dried out if antibiotics are not used.

Bedding “Pillow Cases” should be changed and washed each day.

To Prevent Impetigo children should be taught:

  • To wash their hands often with soap.
  • Not to scratch scabs or pick their nose.
  • Not to share their clothes, towels, pillowcases, or toothbrushes
  • To have scratches and cuts cleaned and covered

Parents should be careful not to allow items such as clothes, towels, bed sheets, razors or toothbrushes used by the affected person to be used by others. Other grooming items, such as nail scissors or tweezers, should be disinfected / washed thoroughly after each use.

School and Childcare Impetigo Prevention.

In addition to general hygiene measures, specific measures to prevent spread in schools and childcare include”

  • Teachers, children and families should understand the importance of hand washing, covering sores and staying home if sick.

Hand washing products “soap dispensers, running water and paper towels” should be available and accessible.

Activities should allow time for hand washing as part of routine practice “before eating and after going to the toilet”

Temporary exclusion from child care or school if their wounds cannot be kept covered until 24 hours after antibiotic treatment as been started, or until the blisters have dried out if antibiotics are not used.

Surfaces such as counters, desks and toys that come in contact with uncovered or poorly covered infections, should be cleaned daily with detergent, and whenever visibly contaminated.

Impetigo “is” dangerous for babies!

It is important for people with Impetigo to keep away from newborns and young babies. Newborn babies are particularly susceptible to impetigo and because their immune systems are not fully developed. This can lead to serious complications, if you suspect your newborn has Impetigo see your physician immediately.

In severe cases of impetigo there may be swelling of the lymph glands in the face or neck, severe pain, worsening redness, weakness and fever. If you or your child has these symptoms, see your physician immediately.

What is the public health response?

Impetigo does “not” need to be reported to Alberta Health Services. Public health units can advise on the control of outbreaks. Schools and Childcare settings must notify parents of students who have potential to contract Impetigo, Parents, Guardians and care givers should be made aware of signs and symptoms and treatment methods that are available to prevent the spread.

Group A streptococcal infection may lead to other rare conditions such as acute post-streptococcal glomerulonephritis 3-6 weeks after the skin infection, which is associated with antibodies produced to fight streptococcal infection. “Consult your physician”

  • In communities in “Australia” that have cases of rheumatic heart disease, episodes of acute rheumatic fever are thought to be triggered by impetigo as well as by throat infections with group A Streptococcus. In those communities prompt treatment and control of impetigo is an important part of preventing rheumatic heart disease.

We never know what can happen, its always good to be prepared and have the knowledge we need to help those who need it.

“This material is for information purposes only and is taken from The Canadian Red Cross / Alberta Heart & Stroke Foundation & Alberta Health Services. This information should not be used in place of medical, Technical advice, instructor, and/or treatment. If you have questions, speak to your local Physician or Safety Training Facility.”

Just Remember:

Protect Yourself!!! Call 911!!! Don’t Waste Time!!!

Learn First Aid Today & Save a Life Tomorrow with Saving Grace Medical Academy Ltd.

“HELP!!!” Emergency numbers of Alberta – Knowledge worth Knowing.

“HELP!!!” Emergency numbers of Alberta – Knowledge worth Knowing.

In Alberta Canada many people don’t know what “HELP” is available during an emergency. Who would you call if there was a wild or strange animal in your yard or in the neighborhood? If I am alone and frightened, depressed, scared of someone or something I cant explain who can I call? What is the Poison Control number? Animal Control? Fire? Ambulance? Police? These questions we’ll address as the Canadian Government has put some “Quick Access Numbers” into use that will help. We’ll explain below what each one is and how to utilize them.

911

In Alberta Canada like many other provinces 911 handles a multitude of Emergency Related phone calls. For this reason the Canadian Government has linked 911 to many other emergency hot lines to help streamline the process of getting Emergency Service Workers in touch with you. For this reason, This will help you as you only need to remember 911 and the 911 Dispatcher will help get you to the right emergency connection line. 911 is linked to:

  • – Animal Control,
  • – Poison Control,
  • – Police,
  • – Ambulance,
  • -Fire
  • – CSIS.

811

Health Link” a 24/7 call center provides a number of clinical services including tele-triage and health advice, navigation services and online content support for all Albertans by calling 811 or by using one of its companion web products, MyHealth.Alberta.ca or informAlberta.ca. The specific services include:

  • – Symptom-based nurse triage and health information
  • – System navigation
  • – Dementia Advice Service
  • – Catch-A-Break Osteoporosis screening
  • – AlbertaQuits Tobacco Helpline
  • – Addictions information and referral
  • – Central Access to specialized services
  • – Referrals to clinical services including Specialized Medication Advice and Dietitian Services

711

“NOT IN SERVICE”

611

“Phone Service Line” Will not help during emergencies

511

Traffic Information – Transportation Canada “Alberta” has put this number into service to help those on the highway remain safe and in the know. Road conditions can change rapidly as our weather changes along with driver conditions. This number will help you get in touch with an Automated / Representative that can help give you “Journey Management Options and risk levels” Drive safe

  • -“Remember” Stay Alive, Don’t Drink & Drive or Toke & Drive

411

Directory Services” This is a phone service which will connect you with the Canada 411 Phone Directory.

311

Municipal Services” 311 provides citizens with the choice of accessing Municipal information and services. 311 Citizen Services is your single point of contact for local government information and non-emergency services. Whether you’re a resident, a business owner, or a visitor, your connection to The City is at your finger tips. Non-English-speaking callers may request the assistance of an interpreter. The 311 agent will connect with an external interpretive service to assist with the call. The interpretive service offers assistance in more than 150 languages.

211

Community Health & Social Services” 211 is a free, confidential, multilingual, 24 hour information and referral system. 211 provides information on government and community based health and social services. 211 is available across the province. 211 can help with day-to-day needs and coping with stressful situations before they escalate into a crisis.

211 can provide support in the following situations:

• When you are looking for home care supports for seniors or individuals with disabilities

• When you are trying to find a job

• When you are looking for affordable childcare

• When you want to know where you can volunteer or donate your second-hand items

• When you don’t know where to go for alcohol and/or drug detoxification

• If you are thinking of post-secondary schooling and need to complete your high school diploma or find out how to apply for student loans

• If you are having a tough time finding enough money for food, rent, and other costs

• If you recently moved to Canada and need support connecting to resources

• If you’re a service provider and looking for resources for a client

#377” -City of Edmonton Only –

Non Emergency Police Dispatch” – Edmonton Police are trying to reduce the volume of 911 calls to allow true emergency calls to go through unimpeded. With High call volume 911 may be forced to put you on hold, to some during an emergency this could be fatal. To reduce the risk of fatal non connection with 911 the Alberta Government and the Edmonton City Police “EPS” created #377 to handle all Non-Life Threatening Calls that require police services.

#377 in Edmonton Handles:

– Thefts / Mischief

– Assaults

– Break and Enters into homes/businesses

– Child Abuse/Welfare concerns

– Disturbances/Noise complaints

– Missing Persons

– Sexual Assaults

– Property damage collisions where vehicles are not drivable

– Neighbor disputes

– Family disputes

– Frauds over $5,000.00

– Suspicious persons/vehicles

– Weapons/Gun complaints

Smart Phone Emergency SOS System

Many smart phones from the 4th generation and up will have an “SOS” system built into the OS itself, this can normally be accessed by pressing the “Power Button a specific set of times 3-5” This loud audible system when set to Auto Activation will automatically call 911 for you and send out an SOS text message to your “In Case of Emergency ICE contact”, they will receive a Picture and Text reading SOS “I need help” with the pictures and your GPS coordinates if options have been enabled properly.

For more information on your SOS system built within your smart device, please consult your Manufacturer.

NOTE – Many Emergency Medical Professionals have been taught to utilize this system in the absence of your consciousness to receive information about the casualty that the casualty wishes EMS to know. This helps EMS personnel alter their treatment plans to match the individual if they are rendered unconscious. This “app” is known as the “Medical ID App” pl;ease consult your manufacturer to see how to enable this life saving option as well.

We never know what can happen, its always good to be prepared and have the knowledge we need to help those who need it.

“This material is for information purposes only and is taken from The Canadian Red Cross / Alberta Heart & Stroke Foundation & Alberta Health Services. This information should not be used in place of medical, Technical advice, instructor, and/or treatment. If you have questions, speak to your local Physician or Safety Training Facility.”

Just Remember:

Protect Yourself!!! Call 911!!! Don’t Waste Time!!!

Learn First Aid Today & Save a Life Tomorrow with Saving Grace Medical Academy Ltd.

Hand, Foot & Mouth Disease : What you need to know

Hand, Foot & Mouth Disease : What you need to know

“Hand, foot and mouth disease is a very common viral disease of childhood which is easily passed from person to person. It usually causes a mild illness but rarely causes serious illness. It is not related to the foot and mouth disease that affects animals. Good hygiene helps prevent infection.”

What is hand foot and mouth disease?

Hand, foot and mouth disease is generally a mild illness caused by “Enteroviruses”, including “Coxsackieviruses”. It is usually not a serious illness and is not related to the foot and mouth disease that affects animals. It mainly occurs in children under 10 years of age but can also occur in older children and adults.

What are the symptoms?

Hand, foot and mouth disease starts with blisters that begin as small red dots which later become ulcers. Blisters appear inside the cheeks, gums, and on the sides of the tongue, as well as on the palms of the hands and soles of the feet. In infants, blisters can sometimes be seen in the groin area. Blisters usually last for 7-10 days.

Children can sometimes have a low fever, sore throat, tiredness, feel off or melancholy and may be hungry for a day or two.

Very rarely, “Enteroviruses” can cause other illnesses that affect the heart, brain, lining of the brain “meningitis”, lungs, or eyes.

How is it spread?

Hand, foot and mouth disease is usually spread by person to person contact “Direct Contact”. The virus is spread from the feces of an infected person to the mouth of the next person by contaminated hands. It is also spread by secretions “saliva, spittle, sneeze, cough, nasal secretions” from the mouth or respiratory system, and be direct contact with the fluid from the blisters.

The virus usually takes between three and five days after contact with an infected person before blisters appear. The virus can remain in feces from 4 to 8 weeks “Up to 2 months or longer in some cases“.

Who is at risk?

The viruses that cause “Hand, foot & mouth disease” are common and normally only affect children up to the age of 10, however some adults may be affected in rare cases.

Many adults, including pregnant women, are often exposed to these viruses without symptoms. There is no clear evidence of risk to unborn babies from hand, foot and mouth disease. However infected mothers can pass the infection onto newborn babies who lack the ability to fend of the virus.

Daycare / Childcare / After or Pre- school settings – Outbreaks may occur in childcare settings “more than 3 confirmed cases. “You do not need to report Hand, foot and mouth disease to AHS or the CDC“, however the Daycare / school / childcare facility MUST report the illness or disease to the Parents of the children attending the facility or those who may be affected and give information on: “what to look for, how to treat the illness and how to prevent the spread Hand, foot and mouth disease.

How is it prevented?

Hand washing & Good hygiene is the best protection. Wash hands with soap and water after going to the toilet, before eating, after wiping noses, and after changing nappies / diapers or soiled clothing.

Avoid sharing cups, eating utensils, items of personal hygiene “for example: towels, scrub brushes, face towels, loofah, toothbrushes”, and clothing “especially shoes, socks & underwear”.

Hand sanitizer and surface surface sanitizer

Thoroughly wash any soiled clothing and any surfaces that may have been contaminated

  • CLEANING – Hand, foot & Mouth is easily destroyed with Soap & Water, using solution of ¼ bleach & water, as well as alcohol based cleaning solutions.

Teach children about cough & sneeze etiquette “Cover your mouth when you cough / Sneeze into your sleeve” Coughing / Sneezing into an elbow is better than coughing into your hands.

Dispose of used tissues in the bin straight away, then wash your hands afterwards with soap and water.

How is it diagnosed?

Your doctor can diagnose hand, foot and mouth disease based on the symptoms, laboratory tests are “not” usually necessary as this disease “should” resolve itself within 5-10 days.

How is it treated?

Usually NO treatment is needed other than wound care.” Pharmaceuticals “Children’s Grade” to help lower fever and discomfort is available and does help with discomfort. “Do NOT give children aspirin”

Allow blisters to dry out naturally. The blisters should not be deliberately burst because the fluid within them is infectious. “Wash the affected area with soap and water, let dry with no ointment overnight”.

Topical antibiotic ointment like “Polysporin” may be used during the day ease tightness of the wounds, and help remove hard crusts that may appear, however the wounds must dry out overnight. “No Band-Aids or covers should be used”

  • Make sure young children are drinking enough as painful mouth sores can make some children reluctant to swallow liquids.

What are the signs of a SERIOUS infection?

  • Sings that an infant or older child might have a more serious form of hand, foot and mouth disease include any of the following:
  • Persistent Fever “38C or above for 72 hours or more”
  • Abnormal movements / jerking movements
  • Rapid breathing
  • Excessive tiredness, drowsiness
  • Excessive irritability
  • Difficulty walking

If any of these signs are present then the child should be seen by a doctor urgently even if they have been checked earlier in the illness.

How long should children stay away from Childcare & School settings?

Children with hand, foot and mouth disease should be excluded from school or childcare facilities until “Their blisters have dried-up”, and “any” rash “if present” has gone and “any” fever has settled.

  • Often Hand, foot & mouth will run its course within 5-10 days, but may last up to 2 weeks with possibly contamination in the stool up to 2 months.

A child will only need to stay away from public places as long as the symptoms present themselves, if the child maintains good hygiene and hand washing and keeps their hands to themselves they may be in public places, “hand washing is the key”

What is the public health response?

As mentioned earlier, Hand, foot and mouth disease is not a modifiable disease under the Public Health Act. HOWEVER, to help prevent spread, “Parents / Guardians / Teachers / Day-Care workers” should report the illness to the director of the childcare center or the school principal so that affected students / parents are notified on the illness.

Further information

In Alberta Canada you can contact the “Health Link by phoning 811” at anytime to speak to a Dedicated Health Care Professional. They will help answer your questions and go through the illness signs and symptoms with you..

This information was taken From Center of Disease Control “CDC” (Hand, Foot & Mouth Disease) Information slip.

We never know what can happen, its always good to be prepared and have the knowledge we need to help those who need it.

“This material is for information purposes only and is taken from The Canadian Red Cross / Alberta Heart & Stroke Foundation & Alberta Health Services. This information should not be used in place of medical, Technical advice, instructor, and/or treatment. If you have questions, speak to your local Physician or Safety Training Facility.”

Just Remember:

Protect Yourself!!! Call 911!!! Don’t Waste Time!!!

Learn First Aid Today & Save a Life Tomorrow with Saving Grace Medical Academy Ltd.

GOUT

GOUT

What is Gout?

Gout is a painful condition similar to arthritis involving the joints as the body is subjected to an imbalance of Uric Acid build up. The joints are the most commonly affected part of the body, especially the big toes and knee’s. When the big toes are involved it is known as “Podagra”. Uric Acid can also be deposited in the kidneys and urinary tract causing “Kidney Stones”, if left untreated this can also lead to “Kidney Damage”.

Progressive gout can cause bone deterioration and deformity of the extremities. When someone has many attacks over years, Tophaceous gout can develop. “Tophaceous Gout” means that a large amounts of Uric Acid crystals have accumulated into masses called “Tophi” aka “Toe-fi”. Tophi are visible and/or can be felt in the soft tissues over joints “Looking like large Cysts or Blisters on the joints”, this is especially common on fingers, hands, elbows, feet, and Achilles tendons. They can even have a white or yellow substance inside which could be drained when inflamed by medical professionals.

What causes Gout?

Gout is caused by a defect or damage to your renal system or commonly known as your Urinary System “Two Kidneys, Two Ureters, a Urethra and a Bladder”, this damage causes an abundance of “uric acid” to be formed. When we eat foods high in purines, the body breaks down the purines by creating uric acid, an over abundance of uric acid then can cause a painful condition involving the joints similar to arthritis as the body then accumulates uric acid unable to excrete it fast enough through normal bladder channels. About a third of those who produce high levels of Uric Acid will develop Gout, however it is not known why some people develop symptoms and others do not. Once the Uric Acid is in the blood stream it can form sharp, needle like crystals that are deposited in the joints, tendons, and surrounding tissues.

Risk Factors also include:

Etiology “the cause, set of causes, or manner of causation”

Obesity
High Blood Pressure

Pathobiology “The branch of biology that deals with pathology”

Injury or recent surgery
Fasting or Overeating “Irregular eating habits”
Consuming excessive amounts of Alcohol on a regular basis.
Diets high in meat, shellfish, and beverages sweetened with high-fructose corn syrup
Taking medications that increase blood levels of uric acid “Diuretics”

Pathology “the science of the causes and effects of diseases”

Renal Defect “Defects to your Kidneys, Uriters, Bladder or Urethra”

Diagnosis

Gout can be diagnosed by confirming and identification of monosodium urate crystals in synovial fluid of the affected joint or tissue. The Fluid is drawn from the affected joint to look for the uric acid crystals and often clinicians will treat the gout when there are both classic symptoms and high levels of uric acid in the blood. X-rays of the affected joint may also show calcium-containing crystal deposits in the cartilage and further options may be discussed with your physician on treatment.

Symptoms of GOUT

Symptoms of “Acute Gout” are sudden, severe joint pain with redness, swelling, and tenderness of the joint. The joint may feel quite warm to the touch and even throb.

Pain in your big toes
Pain in your knees, ankles, wrists and or elbows
Intense pain that strikes in the middle of the night “Knees and lower extremeties are often the first to strike”
Pain that occurs in flares: rapidly worsens, then starts to ease up in the joints.
Strange lumps and bumps around your joints
Kidney Stones
Distortion of joints along fingers and toes “Tophi Gout”

Complications

Rapidly progressing “Osteoarthritis” can occur due to wearing down joint cartilage, bone cysts or spurs, and even fractures may occur with prolonged gout flairs.

Pseudo gout – Like Gout, pseudo gout is a form of arthritis that cuases dudden joint pain and swelling. The “Pseudo” part means that it looks like something else. The term Pseudo Gout is used because this is very similar to gout, while gout is caused by “uric acid crystals” pseudo gout is caused by “calcium pyrophosphate dehydrate crystals CPPD. Though the two have similar symptoms, treatment is somewhat different.

Pseudo gout causes sudden attacks of joint pain, swelling, and warmth of the flesh in the affected area and even fever. The attacks can last for days to weeks. The knee is the most commonly affected but it can also affect the ankles, feet, shoulders, elbows, wrists or hands “any joint”. CPPD crystals can also be deposited in the joint cartilage and never cause symptoms.

Treatments of Gout

There is “no” treatment that can “completely” remove or prevent the formation of calcium pyrophosphate dehydrate crystals CPPD “The pain causing calcium crystals in the joints” caused by Pseudo-Gout . Treatments for Gout and Pseud-Gout are generally aimed at reducing pain, swelling and the cause.

– Medications –

Acute Gout – May be treated with non-steroidal anti-inflammatory drugs NSAIDS, cortico-steroids

– Colchicine – Often used by people who cannot tolerate NSAIDS. Colchicine can have significant side effects based on the dose used. These side effects include nausea, vomiting, diarrhea and abdominal pain.
-Steroids “Prednisone” – Used in people who cannot take NSAIDS’s or Colchicine. Prednisone is associated with an increased risk of a recurrent gout attack.
-Other Medications like “Politicise “Krystexxa”, Probenecid, Xanthine oxidase inhibitors or Haloperidol “Zyloprim” or febuxostat “uloric” may be prescribed by your physician. Please consult your doctor for more information.
– Serum urate-lowering therapy “Talk to your physician about this option”

Prophylactic Therapy – “Medicine or course of action used to prevent disease”

Prophylactic Therapy is used to prevent or reduce the number of acute Gout attacks. It is used when someone has repeated gout attacks, or has already had joint damage or developed tophi.

Long-Term treatment is aimed at lowering the level of uric acid in the blood so that crystals do not form. Colchicine is often used at low doses for a period of time while drugs that lower uric acid levels are started. “Allopurinol” is one of the most commonly used long term drugs. Allopurinol prevents the formation of uric acid, however it can have side effects including “rash, low white blood cell counts, diarrhea and fever”.

For more information please consult your local physician for options that will suite you body’s needs.

Lifestyle

Obesity is a strong risk factor for developing gout or having an acute gout attack. This risk is especially high in those with known cardiovascular disease CVD.

Dietary changes can reduce the frequency of attacks

Reduce

– Avoiding “Red Meat”, including wild game
– Avoiding particular seafood especially “shellfish and large salt water fish”
– Decrease intake of “Saturated Fats”
– Reduce Alcohol Consumption – Alcohol especially “Beer” interferes with the body’s natural ability to eliminate uric acid from the body.
– Avoiding foods and beverages containing “high-fructose corn syrup”
– Joint immobilization – Patients may be advised to avoid weight bearing “walking or running” if the legs or feet are involved and to limit activity for a period of time to minimize pain and swelling. A splint may be used temporarily to limit movement.

Increase

– Increased dietary protein from “low-fat” dairy products
– Increase intake of “whole grains, brown rice, oats or beans
– Coffee Moderate use “may decrease blood uric acid levels”
– Vitamin C 500mg daily has a mild effect on lowering uric acid levels
– Cherries, blueberries, purple grapes, and raspberries have also been found to be beneficial at lowering uric acid levels and promoting a healthy renal system.
– Weight loss significantly reduces the risk of Gout

Support for Gout

For more information please consult your local physician or visit your local online medical group dedicated to Gout.

Click Here for more information

If your symptoms get worse at any time or you notice new symptoms from the list above, call your doctor or Health Link “811 in Alberta”. You can also call the “Health Link Alberta 24/7 if you have questions about C.Diff or any of the information in this handout.

“This material is for information purposes only. It should not be used in place of medical advice, instruction, and/or treatment. If you have questions, speak to your doctor or appropriate healthcare provider.”

In any emergency just remember to Protect Yourself!!! Call 911!!! Don’t Waste Time!!!

Learn First Aid Today, Save a Life Tomorrow, let first aid training in Edmonton be your Saving Grace

C-Diff “Clostridium Difficile”

C-Diff “Clostridium Difficile”

What is Clostridium difficile infection?

Clostridium difficile “pronounced Klo-Strid-ee-um dif-uh-seel”, also known as “C,diff” “See-dif”, is a germ that can cause diarrhea. Most cases of C.Diff infection occur in people taking antibiotics. The most common symptoms of C.Diff infection includes:

  • Watery Diarrhea
  • Fever
  • Loss of appetite
  • Nausea
  • Belly Pain and Tenderness

Who is most likely to get C.Diff infection?

The elderly, very young and people with certain medical problems have the greatest chance of getting C.Diff. C.Diff spores can live outside the human body for a very long time and may be found on things in the environment such as bed linens, bed rails, bathroom fixtures, and medical equipment. C.Diff infection can spread from person to person on contaminated equipment and on the hands of doctors, nurses, other healthcare providers and visitors.

Can C.Diff be fatal?

Yes, at the moment the CDC has calculated approximately a %6.0 mortality rate. Fatality due to C.Diff has been attributed to organ failure due to dehydration or complications with other current underlying medical conditions such as immune compromised or age.

Can C.Diff infection be treated?

Yes, there are antibiotics that can be used to treat C.Diff. In some severe cases, a person might have to have surgery to remove the infected part of the intestines. This surgery is needed in only 1 or 2 out of every 100 persons with C.Diff.

What are some of the things that Hospitals are doing ot prevent C.Diff infections?

To prevent C.Diff infections, Health Care Providers and General Public can:

Clean their hands with soap and water or an alcohol-based hand rub before and after caring for someone with C.Diff. This can prevent C.Diff and other germs from being passed from pone person to another on their hands.

Carefully clean rooms and equipment that have been used for someone with C.Diff

Use “Contact Precautions” to prevent C.Diff from spreading to other people

“Contact Precautions Mean”

Whenever possible, people with C.Diff with have a single room or share a room only with someone else who also has C.Diff

Wear gloves and wear a PPE gown over clothing while taking care of someone with C.Diff

Visitors may also wear PPE gowns and gloves to prevent spore spread.

When leaving the room, visitors must remove their PPE gown and gloves and wash their hands

In Hospital, Patience with C.Diff are asked to stay in their hospital rooms as much as possible. They should not go to common areas, such as gift shops, cafeterias, living rooms, common rooms.

Hospitals are advised to only give antibiotics when it is “necessary”

“Make sure all Health Care Professionals and those providing care clean their hands with soap and water or an alcohol-based hand rub “before” and after caring for you”

Tips

Only take antibiotics as prescribed by your doctor “follow the directions”

Be sure you clean your own hands often, especially after using the bathroom and before eating

Keep your bathroom clean and close the toilet lid before flushing to reduce the spread of spores given off by fecal matter.

Can my friends and family get C.Diff when they visit me?

Yes – C.Diff infection usually does not occur in people who are not taking antibiotics, however those with compromised immune systems, previous underlying medical conditions or infants are susceptible. Visitors are not likely to get C.Diff but can transport it to someone who may be susceptible. To make it safer for visitors, they should:

Clean their hands before they enter your room and as they leave your room.

Avoid using the ill persons bathroom and avoid contact with surfaces which may hold fecal matter.

Avoid contact with infants or those who could be ill already

If I have C.Diff what do I need to do when I go home from the Hospital?

Once you are back at home, you can return to your normal routine. Often, the diarrhea will be better or completely gone before you go home. This makes giving C.Diff to other people much less likely. However there are a few things you should do to lower the chances of developing C.Diff infection in yourself again or spreading it to others as C.Diff can survive up to 5 months outside of the host.

If you are given a prescription to treat C.Diff, take the medicine “exactly” as prescribed by your doctor and pharmacist. Do not take half-doses or stop before you run out. You may feel better but the bacteria is still in your body.

Was your hands often, especially after going to the bathroom and before preparing food.

People who live with you should wash their hands often as well as sleep in separate rooms “avoid sharing toiletry’s”

If you develop more diarrhea after you get home, tell your doctor immediately!

If your symptoms get worse at any time or you notice new symptoms from the list above, call your doctor or Health Link “811 in Alberta”. You can also call the “Health Link Alberta 24/7 if you have questions about C.Diff or any of the information in this handout.

This information was taken From Center of Disease Control “CDC” (Clostridium Difficile) Information slip.

We never know what can happen, its always good to be prepared and have the knowledge we need to help those who need it.

“This material is for information purposes only and is taken from The Canadian Red Cross / Alberta Heart & Stroke Foundation & Alberta Health Services. This information should not be used in place of medical, Technical advice, instructor, and/or treatment. If you have questions, speak to your local Physician or Safety Training Facility.”

Just Remember:

Protect Yourself!!! Call 911!!! Don’t Waste Time!!!

Learn First Aid Today & Save a Life Tomorrow with Saving Grace Medical Academy Ltd.

Concussion “Mild Traumatic Brain Injury” & your Child

Concussion “Mild Traumatic Brain Injury” & your Child

What is a Concussion/Mild Traumatic Brain Injury?

A concussion, also called a mild traumatic brain injury, is a head injury caused by the brain being shaken around inside the skull after a direct blow to the head, or a sudden jerking of the head or neck when the body is hit. Your child does not have to pass out “lose consciousness” to have a concussion. Some children will have symptoms of a concussion, such as passing out or forgetting what happened right before the injury, but others won’t.

Common Causes:

  • Falls
  • Sports injuries “Impact
  • Physical Assault “Shaken Baby Syndrome
  • Motor Vehicle Collision

When should my child go to the hospital?

There is more risk of complications such as bleeding and / or swelling in the brain in the first 24 to 48 hours after the injury. However, complications can happen even weeks later.

  • Call 911 or Go to the Hospital immediately if:
  • Becomes less alert, won’t wake up, or is hard to wake up
  • Doesn’t want to eat or nurse
  • Loses a learned skill “for example: Toilet Training”
  • Cry becomes high-pitched or the cry changes
  • Is acting differently
  • Is cranky or fussy
  • Blood or fluid coming from the nose or ears, or bruising around the eyes or ears
  • Has or acts like he or she has a headache
  • Speech is slurred or has trouble speaking
  • Loss of vision, blurry vision, or double vision
  • Sudden weakness on one side of the body
  • More than 2 episodes of uncontrollable or forceful vomiting that won’t stop
  • Seizure activity “such as abnormal movements, loss of consciousness, convulsions or gazing distantly off without being able to be stimulated or respond”

What to Expect After the Injury:

– The First 48 Hours – Make sure someone stays with your child for the first 24 hours after the concussion.

Rest & Sleep

Try to get your child to rest for the first 24 hours, it’s one of the best ways to help the brain heal. “It’s OK to let your child sleep

You “Do Not” have to wake up your child every 2 to 3 hours in the first 24 hours. If the doctor has asked that you “Do wake them” your child should wake up easily and not show any of the warning sings previously listed.

Limit “visual stimulus”, reading, television, video games, etc within the first 48 hours. The brain “needs to rest” so that it can heal, extra stimulus may make the symptoms worse. It may also be advisable for your child to take time off from school.

Keep your child away from bright lights, loud noises or crowds for the first 48 hours, as these can make symptoms worse as well.

Diet:

After a concussion, start your child on clear fluids such as “water, apple juice, ginger ale” and slowly go back to a normal diet. The fluids will help replenish needed sugar levels and help stimulate brain function, as vomiting is common in the first 24 hours fluids help keep your child hydrated and make vomiting easier.

Managing Pain:

To manage the pain “Headache”, you can help your child take “acetaminophen “such as Tylenol” for pain, use the proper dosage for the age / size of your child ‘Directions will be on the back of the bottle” Talk to your doctor about using products with ASA or NSAID’s in them “such as Aspirin, Ibuprofen, Advil or Motrin” these medications can increase the risk of bleeding.

  • – The First 4 Weeks – The symptoms below are common after a mild brain injury. They usually get better on their own within a few weeks and should not last longer than a month.

Feeling tired “abnormal to the casualty”

Problems falling or staying asleep

Feeling confused, poor concentration, or slow to answer questions

Feeling dizzy, poor balance, or poor coordination

Being sensitive to light

Being sensitive to sounds

Ringing in the ears

A mild headache, sometimes with nausea and/or vomiting

Being irritable, having mood swings, or feeling somewhat sad or “down”

While your Childs Brain is Healing

Most children recover from the concussion. The symptoms can take days to weeks to go away. Your child should start to feel better within a few days and be back to normal within about 4 weeks.

If your child isn’t feeling better within a few days after the injury “See your Doctor”

Expect your child to feel tired as he or she becomes more active. Make sure your child rests as needed.

If you find your child’s cranky or has mood swings, “see your Doctor if your worried”

Some children may find it hard to concentrate while their brain is healing, so make sure your child goes back to their normal activities slowly. Go back to school for half days at first, and increase as tolerated.

Ask your doctor when its okay for your child to play sports again. “The brain needs time to heal”

If your child plays sports, make sure the coach/instructor/team-mates know about your child’s concussion. “Avoid further head injuries”

  • “Use medicine as prescribed” See your doctor if your child still needs pain medicine for a headache longer than 2 weeks after the injury.

If your child’s Symptoms get worse at any time or you notice new symptoms from the list above, or from the first segment, call your doctor or Health Link “811 in Alberta”. You can also call the “Health Link Alberta 24/7 if you have questions about concussion/mild traumatic brain injury or any of the information in this handout.

This information was taken From Alberta Health Services “Concussion (Mild Traumatic Brain Injury) Information slip.

We never know what can happen, its always good to be prepared and have the knowledge we need to help those who need it.

“This material is for information purposes only and is taken from The Canadian Red Cross / Alberta Heart & Stroke Foundation & Alberta Health Services. This information should not be used in place of medical, Technical advice, instructor, and/or treatment. If you have questions, speak to your local Physician or Safety Training Facility.”

Just Remember:

Protect Yourself!!! Call 911!!! Don’t Waste Time!!!

Learn First Aid Today & Save a Life Tomorrow with Saving Grace Medical Academy Ltd.

Whooping Cough “Pertussis”

Whooping Cough “Pertussis”

Whooping cough can be a life threatening infection that affects Babies, toddlers and young children adversely. In babies whooping cough can lead to a life threatening symptom known as “Apnea” causing pauses in normal breathing, pneumonia, feeding problems, weight loss, seizures, brain damage and in some cases “Death“. Older children and adults can catch Whooping Cough and pass it on to babies and young children as carriers, continuing the spread.

Who is at risk? Anyone can get whooping cough unfortunately, people living in the same household with someone who has contracted whooping cough are especially at risk. Immunization “does” reduce the risk of infection, but immunity does fade over time and boosters should be utilized to hep prevent the spread.

Symptoms:

  • – Much like a cold Whooping Cough usually begins with a blocked or runny nose, tiredness, mild fever and a cough.
  • – As symptoms progress the cough worsens and leads to severe bouts of uncontrollable coughing. These coughing bouts may be followed by vomiting, choking or taking big gasping breaths which causes a “whooping” sound. This cough can last for many weeks and can be worse at night.
  • – Some Newborns may not cough at all but they can stop breathing and turn blue. Some babies may even have difficulties feeding and can choke or gag easily.
  • – Older children and adults may just have a cough that lasts for many weeks. They may also not have the “whoop” sound when they cough but are still able to pass on Whooping Cough.

How is it Spread?

Whooping cough is spread when an infectious person coughs bacteria / virus into the air, that same air or particulates are inhaled by people nearby. If they are not treated early, people who are infected with whooping cough are “very” infectious in the “first three weeks” of their illness. Whooping cough also spreads easily through families, childcare centers, schools and shopping centers.

Prevention:

Whooping cough vaccines are “proven” to provide a good protection from infection, however immune responses from a vaccine do fade with time, which means that boosters are needed.

  • – Wash your hands
  • – If your ill, prevent the spread by staying at home and avoiding group gatherings where you can spread the disease by accident.

Vaccines:

-Vaccines “DO NOT” cause Autism. Autism is not a disease.

-Vaccines “DO NOT” have mercury in them. Mercury is not a preservative.

Diagnosis & Treatments

“Always consult a medical professional before treating illness on your own, home made remedies may not have the desired effect and may make the illness-symptoms worse”

– If you have been in contact with someone with whooping cough early in their illness “first 3 weeks” they are infectious and you may have been exposed. Watch for symptoms and see your doctor if a new cough begins. Some babies and some pregnant women need antibiotics to prevent whooping cough infection if they have had significant contact “family member” with an infectious person.

“In Alberta Canada you can contact “811” to contact the Alberta Health Link, a Registered Nurse or Paramedic will help you with treatments and options, they may also refer to you to bring the child into a Hospital for treatment.”

We never know what can happen, its always good to be prepared and have the knowledge we need to help those who need it.

“This material is for information purposes only and is taken from The Canadian Red Cross / Alberta Heart & Stroke Foundation & Alberta Health Services. This information should not be used in place of medical, Technical advice, instructor, and/or treatment. If you have questions, speak to your local Physician or Safety Training Facility.”

Just Remember:

Protect Yourself!!! Call 911!!! Don’t Waste Time!!!

Learn First Aid Today & Save a Life Tomorrow with Saving Grace Medical Academy Ltd.

ACLS “AKA” Advanced Cardiovascular Life Support for HCP’s

ACLS “AKA” Advanced Cardiovascular Life Support for HCP’s

One of the new programs now being offered at Saving Grace Medical Academy is the ACLS Advanced Cardiovascular Life Support course taught through the Alberta Heart & Stroke Foundation. One of the highest level’s of resuscitation available, ACLS Advanced Cardiovascular Life Support focuses on the systematic approach on high quality advanced emergency medical techniques. This program has been selected by Alberta Health Services as the standard for all “Advanced” medical professionals entering the emergency medical field.

This course offers a video-based and instructor led advanced course that expands on the Basic Life Support or “BLS” cpr skills for health care providers. Stressing the importance of continuous, high quality CPR, ACLS takes the Basic Life Support Training to the next level and brings out the importance of medical intervention during cardiopulmonary arrest along with immediate post cardiac arrest, dysrhythmia, coronary syndromes as well as stroke’s.

Alberta Heart & Stroke Foundation’s ACLS course presents:

  • -Improved resuscitation science leading to a better patient outcome
  • -Simulations and scenarios based on realism
  • -Instructor’s with experience that can help adapt the program to local protocol’s.

Who can take this class?

– ACLS Advanced Cardiovascular Life Support is designed for advanced health care professionals who either direct or participate in management of cardiopulmonary arrest and other cardiovascular emergencies.

– EMS Emergency Medical Service Professionals, EMT’s / Paramedics.

– Emergency Medicine Professionals – Nurses / RN’s / LPN’s / Respiratory Therapists RT’s

– Intensive Care specialists – Doctor’s

– Critical Care Units

– Any employment that requires an “Advanced Medical Directives” such as physicians, nurses or paramedics.

“The Heart & Stroke Foundation recommends that only those who will use the skills of ACLS within their scope of practice take the ACLS course. All students who meet the prerequisites and successfully pass the ACLS course will receive a course completion card attached to your “HSF ID number”.

Course Content:

Recent scientific evidence has pointed a direction towards better content, while educational research has been led to improve design of the ACLS Advanced Cardiovascular Life Support Provider course. The ACLS course emphasizes 3 major concepts.

1) Crucial importance of High Quality CPR cardiopulmonary Resucitation

2) Integration of BLS Basic Life Support with ACLS interventions

3) Team Interaction and communication during resuscitation.

Students will practice the application of many skills in simulated cases and will practice both Team Leader and team member roles while practicing:

  • – High Quality BLS Basic Life Support CPR for HCP’s
  • – Airway management
  • – Systematic approach to scenario management
  • – Rhythm recognition “ECG”
  • – Defibrillation “AED Manual & Automatic”
  • – IV intravenous / IO intraosseous techniques
  • – Medication assist or admin
  • – Cardioversion
  • – Team Dynamics
  • – Trans cutaneous Pacing

Course Duration:

-New Students – 12 Hours (+-) 20 Minutes broken up into a 2 day 6 hour each program.

-Renewing Students – 6 Hours (+-) 35 minutes – Completed in a 1 day program.

“To qualify for a renewal you must complete the renewal program BEFORE your certificate expires” ACLS certification lasts for 2 years.

Here at Saving Grace Medical we hope that all this information helps you achieve a higher level of education and get the course you need when you need it. We look forward to hearing from you and helping you achieve the career you desire.

We never know what can happen, its always good to be prepared and have the knowledge we need to help those who need it.

“This material is for information purposes only and is taken from The Canadian Red Cross / Alberta Heart & Stroke Foundation & Alberta Health Services. This information should not be used in place of medical, Technical advice, instructor, and/or treatment. If you have questions, speak to your local Physician or Safety Training Facility.”

Just Remember:

Protect Yourself!!! Call 911!!! Don’t Waste Time!!!

Learn First Aid Today & Save a Life Tomorrow with Saving Grace Medical Academy Ltd.

“Standard First Aid Level C CPR & AED” and Online First Aid Training at your fingertips.

“Standard First Aid Level C CPR & AED” and Online First Aid Training at your fingertips.

We are proud to have the opportunity to offer the new fully accredited “Online First Aid Training / Standard First Aid Level C CPR & AED”. This program is also known as “Blended Learning Standard First Aid Level C CPR & AED“. Here at Saving Grace we take great pride at keeping up to date on the newest teaching techniques that help save lives and also help save our students time.

The Canadian Red Cross has created this program to help improve the ease of access to students who are short on time, we do understand its difficult for many individuals to take “2 days” away from work.

We recommend that any student seeking an “Online First Aid Course” select a program that is fully Accredited through both your regional governing body for First Aid as well as Occupational Health & Safety. This will allow your certification to remain up to date and provide you with the most recent, and accredited form of First Aid training available.

Online First Aid Training offers a unique advantage by removing a large portion of “theory” from the in class portion and providing it on an “Online First Aid Training Video Class” that you can take part in offered through the Canadian Red Cross Campus. By removing the theory portion of the program from the instructors and placing it on an “Online First Aid Training Video Class” the student can gain the “exact” same information / training and crucial updates to keep your knowledge on track.

This class is broken down into 2 parts that can be completed by attending a 1 day 8 hour skill training / assessment and a 3-4 hour online training seminar through the Online First Aid Training Video Class at the Red Cross E-Learning Campus.

By having all Standard First Aid Level C CPR & AED students trained in the exact same manner and theory, we have seen an amazing improvement in course speed, knowledge and performance as students can work together on the same knowledge base without conflict of information.

Skills Gained in your Online Standard First Aid Level C Course:

  • – What First Aid Is and what we can do to help!
  • – EMS “Emergency Medical Services”
  • – The Role of First Aid attendant
  • – Liability “Laws within your local district”
  • – OHS Act’s and what that means to First Aid Providers
  • – Disease Transmission and Vaccinations
  • – PPE “Personal Protective Equipment” Gloves / Masks
  • – Check Call Care “The 3 Rules of First Aid”
  • – CPR on an ADULT / CHILD / INFANT
  • – AED’s “Automatic External Defibrillators”
  • – 2 Person Rescue “Benefits of Teamwork”
  • – H.A.IN.E.S Recovery Position
  • – Choking Adult / Child / Infant
  • – Med Assist “Should I give medications in First Aid?”
  • – CVD “Cardiovascular Disease /Heart attack & angina
  • – Stroke TIA “Trans ischemic Attack”
  • – Shock
  • – Secondary Survey “What to do while you wait for an ambulance”
  • – Wound Care
  • – Burns Hot vs Cold
  • – Environmental Emergencies “Hypothermia vs Heat Stroke”
  • – Bone Muscle & Joint Injuries
  • – Head / Neck & Spine Injuries
  • – Poisons “Using your Material Safety Data Sheet”
  • – Childhood Illness
  • – Keeping Children Safe
  • – Substance Misuse
  • – Insect Stings or Bites
  • – Animal Bites
  • – Diabetics
  • – Seizures
  • – Asthma
  • – Emergency Child Birth
  • – Miscarriage
  • – First Aid Kits “stocking your own”

To register for your easy access First Aid Course in Edmonton or Online First Aid Course known as “Blended Learning” Standard First Aid Level C CPR & AED feel free to visit our website and register. Saving Grace Medical Academy Ltd

Taught Through:

Canadian Red Cross

– Online First Aid Course “Blended Learning”

– Online Standard First Aid Level C CPR & AED

We never know what can happen, its always good to be prepared and have the knowledge we need to help those who need it.

“This material is for information purposes only and is taken from The Canadian Red Cross / Alberta Heart & Stroke Foundation & Alberta Health Services. This information should not be used in place of medical, Technical advice, instructor, and/or treatment. If you have questions, speak to your local Physician or Safety Training Facility.”

Just Remember:

Protect Yourself!!! Call 911!!! Don’t Waste Time!!!

Learn First Aid Today & Save a Life Tomorrow with Saving Grace Medical Academy Ltd.

Croup

Croup

Croup is a very common illness that affects children and has the potential to be mild in symptoms or even dangerous to life threatening if it goes untreated. Children from the ages of 6 months to 3 years have a chance of contracting “Croup” on average once or twice and can be linked to other “respiratory illness“. It is always a good measure for Parents and Guardians to take “all” respiratory illness” as serious and seek further medical advice, “We need to breath to live

Croup is an infection that causes swelling of the voice box “larynx” and windpipe “trachea“, making the airway just below the vocal cords inflamed, swollen and narrow. This makes breathing both noisy and difficult. There are two main types of Croup and as such must be seen as “Infectious

Different Types of Croup

 Viral Croup – This is the most common type of Croup and is the result of viral infection in the voice box or airway, Temperatures range from low fever to 39C/104F. Often Viral Croup will start with a cold that slowly turns into a “Barking Cough“. The child’s voice will become hoarse with noisy breathing “Stridor“.

“Stridor” is the coarse musical sound that comes with breathing through an inflamed-swollen airway. The danger of “Croup with Stridor sounds” is that the airway is continuing to swell. If this happens it may reach a point when your child cannot breath at all. “Stridor” should always be assessed by a physician to prevent the danger of a closed airway. Stridor is common with mild Croup and increases with activity or crying, however if Stridor persists while the child is resting, it can be a sign of severe Croup and you must seek medical aid. Stridor may also be a sign of a serous breathing problem such as Epiglottitis.

– Spasmodic Croup – This form of Croup is caused by a mild upper respiratory infection or even an “Allergy” normally no fever is present. This is the scariest form of Croup as it has a “sudden” onset and often presents in the middle of the night. The child will go to bed with mild “Cold” like symptoms then wake up gasping for breath with hoarse beathing, a barking cough and “stridor”. As the child’s effort to breath increases their energy levels will decrease, they may even stop eating or drinking and eventually become “too tired to cough”, if this is the case “seek medical attention immediately”

Treatments

“Always consult a medical professional before treating illness on your own, home made remedies may not have the desired effect and may make the illness-symptoms worse”

  • -If your child wakes up in the middle of the night with Croup, take them into the bathroom, close the door, then turn on the shower on the hottest setting “Do not put them in the shower“. The “Steam” from the shower over 15-20 minutes will help ease the symptoms as you sit in the bathroom with the child. “The child will still have the barking cough though“,
  • -For the rest of the night “and 2 to 3 nights after“, try to a “cold” water vaporizer or humidifier in your child’s room. Your child may have another attack of Croup even within the same night, if they do repeat the shower steam treatment. Steam almost always works, if it does not, try fresh night air and open up the window of their room “wide”. If the child still persists with coarse hoarse breaths and Strider contact your local Medical Professional.

“In Alberta Canada you can contact “811” to contact the Alberta Health Link, a Registered Nurse or Paramedic will help you with treatments and options, they may also refer to you to bring the child into a Hospital for treatment.”

We never know what can happen, its always good to be prepared and have the knowledge we need to help those who need it.

“This material is for information purposes only and is taken from The Canadian Red Cross / Alberta Heart & Stroke Foundation & Alberta Health Services. This information should not be used in place of medical, Technical advice, instructor, and/or treatment. If you have questions, speak to your local Physician or Safety Training Facility.”

Just Remember:

Protect Yourself!!! Call 911!!! Don’t Waste Time!!!

Learn First Aid Today & Save a Life Tomorrow with Saving Grace Medical Academy Ltd.