Medical training, effects

There is evidence that a few Marine bases have achieved some level of a civilian-military joint venture in health service support, particularly in disaster situations. Such practices are also followed by other naval installations (notably, nuclear shipyards) in regard to radiation health and by a few Navy hospitals. However, even if put in place, a health surveillance system will only be effective if its health care providers are properly trained in its use and interpretation—and the committee has already noted the shortcomings in medical training in general. 

Theresa s GP referred her to the Psychotherapy Department, stating in his letter that she had been unable to complete a recent assessment in her medical training that required her to present to her peers. Her tutor suggested that she seek help. She had found propanolol medication only partially effective. 

Rescuers should ensure complete and effective decontamination of themselves by trained Haz Mat personnel as soon as possible after exposure. They should not delay seeking vital medical care if immediate decontamination is not possible. 

No matter what type of respirator is used, it is of the utmost importance that the revised respiratory standard is adhered to. The revised standard stresses training, documentation, written programs, medical surveillance, fit testing, and a variety of other subjects pertinent to respirators. Of particular interest to the authors is the new approach toward action levels, protection factors, and fit testing. Another important change is OSHAs latest approach on voluntary respirator use. With the new standard in effect, those workers previously considered to be voluntarily wearing respirators should be much better protected. 

The effectiveness of training and the availability of equipment for emergency response and medical treatment. This applies to both tlie plant and among emergency response serv ices. Trained persoimel obviously can improve the cliance of survival for those exposed. 

The approval of buprenorphine for the office-based treatment of opioid dependence represents a major departure from the earlier methadone clinic system. Physicians with addiction specialist credentials or those who have completed 8 hours of approved training can become qualified to treat up to 30 patients in their private offices. Stable patients may be given prescriptions for up to a month of medication. The combination buprenorphine/naloxone tablet is expected to have minimal risk for diversion. When taken subhnguaUy, as prescribed, naloxone has minimal biologic activity and does not interfere with the buprenorphine dose. However, if an attempt is made to inject the drug, the addict will experience the full antagonist effect of the naloxone. 

Drug desensitization is a potentially life-threatening procedure that requires continuous monitoring in a hospital setting with suitable access to emergency treatment and intubation. It should be undertaken only under the direction of a physician with suitable training and experience. In such hands, desensitization presents less risk than treatment failure with a less effective alternative medication. 

Efforts to decrease the risk of falling include balance training, muscle strengthening, removal of hazards in the home, installation of fall-reduction measures such as handrails in the home, and discontinuation of predisposing medications.1,2,10 Additionally, the use of hip protectors is an effective way to prevent hip fractures, although adherence to this measure is poor, and some patients may not be amenable to wearing them at all.10... 

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