Detoxification of Neurotoxic Agents

In theory, the decontamination of a gas is not necessary, but in the attack on the Tokyo subway, the sarin trapped in the victims’ clothing caused myositis in 10% of emergency department personnel. This problem would have been avoided if the dresses had been removed. Liquid decontamination is achieved in military installations using the M291 skin decontamination kit, which contains active carbon impregnated with cation exchange resins (Ambergard), which absorb the liquid and remove it from the skin. Civil organizations have created deposits of this product, approved in the United States by the Food and Drug Administration (FDA). In hospitals, soap and large volumes of water are usually sufficient. Physical removal of the agent is much more effective than all decontamination solutions and lotions. In all situations, it must be undertaken before the person is hospitalized, so that it does not contaminate the facility or the care staff. In individuals with contaminated wounds, clothing that may be impregnated with gas or liquid and any other foreign material that might retain and conserve the harmful liquid must be removed from them.
Respiratory Support Measures Intoxication by the neurotoxic agent, the victim almost always dies from lung problems. Ventilation will be complicated by increased resistance and by the abundance of secretions. Atropine should be administered prior to mechanical ventilation or at the beginning of this, as it will greatly facilitate it.

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Biosecurity and Transmission of Pathogens

When one works in a hospital in the area of ​​care and practice, it is necessary to have certain clear criteria, which lead to a professional being what he is. Because beyond the technique must also go care that are related to the implementation of knowledge. This does not exclude emergency care or prehospital care, where it is often more important to provide prompt care over “minor” care such as hand washing or aseptic technique.

Biosecurity : is the set of preventive measures, aimed at maintaining control of occupational risk factors from biological, physical or chemical agents, to prevent a negative impact, ensuring that the end product of the procedures performed in the patient do not violate the health and safety of patients, health personnel, visitors and the environment.

Source and reservoir : The reservoir is the place where the microorganism maintains its presence, metabolizes and multiplies; having been identified as such to humans and the environment.

The source refers to the place from which the infectious agent passes to the host, this can happen by direct contact, indirect contact, air or by a vector. The source can be animate or inanimate as well as fixed or mobile. Precisely, the human being is the most important source of microorganisms. At the hospital level, the source may be the patients themselves, health personnel and, occasionally, visitors. An aspect to consider is the situations that patients can present during the period of illness: people with acute illness, people in the incubation period, those with chronic carriers, or people colonized by an infectious agent but without apparent disease. Other sources of infectious microorganisms may be the endogenous flora of the patients themselves,
In regard to the inanimate flora has been identified the own environment and hospital material that usually contaminates, and be cause of infection. Among the materials and equipment involved are disinfectants, drugs, devices and equipment.

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Distribution of Physical Plant of a Pavilion

This can vary from hospital to hospital so there will never be a similar distribution if there must be a universal idea to follow the protocols there are such as safety and care standards.

Restricted area within the operating theaters, from your entrance door. It is the place where the patient is exposed to acquire an infectious process. That is, within the restricted area we have the operating room itself

Distribution of physical plant of a pavilion

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This can vary from hospital to hospital so there will never be a similar distribution if there must be a universal idea to follow the protocols there are such as safety and care standards.
Restricted area within the operating theaters, from your entrance door. It is the place where the patient is exposed to acquire an infectious process. That is, within the restricted area we have the operating room itself.Operating room
It is the place where the patient is exposed to acquire an infectious process. That is, within the restricted area we have the operating room itself. The operating room is the area where we are going to perform the surgical act.
It must be clearly marked. It will correspond to the operating room and corridors. In that area a particular clothing is occupied. Hats, face masks, sweater, boots or shoes, trousers. In many clinics, those boots that are gender and clean but not sterile are changed and some Swedes are used to circulate in certain areas or areas. That surgeon is entering the restricted area and that area is often limited with a signage that is on the floor and with doors that are swinging.

Postoperative
The anesthetic recovery room or post-operative room is located in the hall of Central Pavilions, and has monitoring systems that provide the highest patient safety, in addition to having suitable professionals that guarantee the realization of special techniques for handling of post-operative pain.
Post Operated has a scraper and a hand wash, separated by a door of the anesthetic recovery room.

Circulation
flows Circulation flows, routes of entry and exit of the enclosure, which are unidirectional, that is, from a clean sterile area to a dirty area
Free access zone , which comprises at the entrance door and ends at the cabinet where shoes are changed It is one of free movement.

Exchange zone where the head office of the Unit is located, furniture of clean clothes and space for the transfer of patients entering or leaving the Unit.

Semi-restricted zone , which begins at the second entrance door to the Unit and comprises the corridor that precedes the four operating rooms, laundry room and laundry, hand washing room, clinic preparation and disinfection. At the other end of the aisle we find Post Operated, separated from the entrance hall to operating theaters by a double-leafed door, where patients are recently admitted. The locker rooms must have exit to this area.

The procedure rooms must have the following dependencies that may be common with those of the establishment or consultation where they are installed:

a) Waiting room;
b) Hygiene services for the public and staff, separated by sex;
(c) Staff locker room;
d) Sector to store toiletries and maintenance;
e) Transitional trash deposit

Delimitation of clean and dirty area, with their respective sinks. In the case of endoscopy rooms, a special receptacle must also be available for washing the endoscope.
– Area for washing, preparation and sterilization of equipment, instruments and supplies in compliance with the regulations;
– Emergency lights;

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