Do delays in initial treatment contact affect unmet need for mental health?
Within the limits of recalling lifetime events, it appears that delays in initial treatment contact are an important component of the larger problem of unmet need for mental health care. Interventions are needed to decrease these delays. Keywords: Epidemiology, health services delivery, mental health
What are the initial interventions in the treatment of postoperative hemorrhage?
Initial interventions include ensuring hemodynamic stability; removing any firearms, weapons, or objects that may cause physical harm to the patient or staff; and restraining or secluding the patient according to facility policy. Once the area has been secured, perform all the other interventions.
What causes delay in initial contact with a health care professional?
The duration of delay is related to less serious disorders, younger age at onset, and older age at interview. There is no evidence that delay in initial contact with a health care professional is increased by earlier contact with other non–health-care professionals.
Do sociodemographic and clinical variables predict delay in treatment contact?
There is no significant difference in the median time of delay depending on type of professional eventually contacted (χ25=9.3; p=.097). Predictors of Delay in Treatment Contact The net effects of sociodemographic and clinical variables in predicting duration of delay among people who eventually seek treatment are presented in Table 2.
Which oxygen saturation would indicate that immediate intervention is needed?
Motor vehicle accident, immediate intervention for decreased level of consciousness. Oxygen sat - below 90 while on oxygen - immediate intervention, - ideal 94% to 99% (not 94% to 100%) ▪ Respiratory - distress - audible inspiratory stridor.
What assessment finding indicates that the infant has hypotensive shock?
Physical examination. Clinical manifestations of hypotension include prolonged capillary refill time, tachycardia, mottling of skin, cool extremities, and decreased urine output. Carefully observe heart sounds, peripheral pulses, and breath sounds.
What finding would most likely lead you to suspect an upper airway obstruction?
Major signs that will help to identify upper airway obstruction include the following: tachypnea, a change in the sound of the child's voice or cry, a cough that sounds like a bark, hoarseness, inspiratory stridor, poor chest rise on inspiration, and nasal flaring.
Which condition in a child should IO access most likely be attempted before vascular access?
IO access can be performed safely in children of all ages, and it can often be achieved in 30 to 60 seconds. In certain circumstances (eg, severe shock with severe vasoconstriction or cardiac arrest), it may be the initial means of vascular access attempted.
What steps should be taken as part of initial management of a child in respiratory distress pals?
General BREATHING Interventions:Monitor the oxygen saturation level using non-invasive pulse oximetry.Administer oxygen and titrate to keep the oxygen saturation > 94%. ... Provide assisted ventilations using a bag-valve mask device.Administer inhaled medications to help improve breathing.More items...
What is the preferred initial fluid for shock resuscitation?
Background: Current guidelines for the management of patients with severe sepsis and septic shock recommend crystalloids as the initial fluid solution of choice in the resuscitation of these patients.
What is the first priority in managing lower airway obstruction?
Emergency Management. In any case of respiratory distress, the first priority is to ensure an adequate airway. Most children who present with asthma will come in some degree of distress; however, most are able to be treated without intubation. A good physical examination and a brief history are essential.
How is upper airway obstruction treated?
Treatment depends on the cause of the blockage.Objects stuck in the airway may be removed with special instruments.A tube may be inserted into the airway (endotracheal tube) to help with breathing.Sometimes an opening is made through the neck into the airway (tracheostomy or cricothyrotomy).
Which medication should you administer first for an upper airway obstruction such as croup or stridor?
Dexamethasone — Dexamethasone is the most frequently used medication for the treatment of all types of croup; it is a glucocorticoid that provides long-lasting and effective treatment. It works by decreasing swelling of the larynx, usually within six hours of the first dose.
What should the first rescuer arriving on the scene of an unresponsive infant or child do?
Responsiveness: If the infant is unresponsive, shout for nearby help. The first rescuer remains to help the victim while the second rescuer activates the emergency response system and retrieves the AED and emergency equipment. 3. Breathing and pulse check: Look for no breathing or only gasping, and check for a pulse.
What sequence is used when caring for a seriously ill or injured child?
Use the evaluate-identify-intervene sequence when caring for a seriously ill or injured child. Evaluate the child to gather information about the child's condition or status. Identify any problem by type and severity. Intervene with appropriate actions to treat the problem.
Which are appropriate interventions for an apneic child?
Doctors often treat pediatric obstructive sleep apnea with positive airway pressure therapy when medications or removal of adenoids and tonsils is not effective. Proper fitting of the mask and refitting as the child grows can help the child tolerate the mask over the face.