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System status is designated by the number of MICUs available for transport; Level 1, MICU; Level 2, MICUs.etc. Beginning at Level 1, Cencom will begin reporting system status when dispatching calls. Beginning at Level 0, Cencom will begin reporting system status over HCEMS group page. FROs should expect prolonged MICU arrival times, consider alternative means of transportation as needed, consider utilizing Scene Survey Multiple Casualty Incident Protocol and work in cooperation with the Chain of Command Protocol. At Level 0-1 Hunt County should be considered in a county-wide disaster situation. Multiple Casualty Incident procedures should be extrapolated to incorporate the entire county. Cencom should coordinate with HCEMS on duty supervisor 535 ; in triaging call priority. FROs may be dispatched to other districts in mutual aid support. Out of county mutual aid will be considered on a case-by-case basis. All transfers, except Priority 5, will be held until resolution of system status back to Level 1. Priority 5 transfers will be considered equivalent to 911 emergency calls and transfer should be expedited by ground if air transport is unavailable. The on duty supervisor should consult the Chain of Command early and as needed. The on duty supervisor and Cencom should document activities beginning at Level 0-1 and provide audio recordings, transcripts and reports to Medical Control for QI within 24 hours and vicoprofen. Nausea The following ways of eating can help ease nausea: Drink fresh lemon juice in hot water to cleanse the digestive organs. This is especially effective first thing in the morning. Many spices help ease nausea. See the spice chart Drink lots of clean water Avoid fatty and sweet foods Eat frequent small meals and rest after eating Exercise can relieve nausea. 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Genital Herpes Infections: Initial Episode: Six hundred and forty-three immunocompetent adults with first episode genital herpes who presented within 72 hours of symptom onset were randomized in a double-blind trial to receive 10 days of VALTREX 1 gram twice daily n 323 ; or ZOVIRAX 200 mg 5 times a day n 320 ; . For both treatment groups: the median time to lesion healing was 9 days, the median time to cessation of pain was 5 days, the median time to cessation of viral shedding was 3 days. Recurrent Episodes: Three double-blind trials 2 of them placebo-controlled ; in immunocompetent adults with recurrent genital herpes were conducted. Patients self-initiated therapy within 24 hours of the first sign or symptom of a recurrent genital herpes episode. In 1 study, patients were randomized to receive 5 days of treatment with either VALTREX 500 mg twice daily n 360 ; or placebo n 259 ; . The median time to lesion healing was 4 days in the group receiving VALTREX 500 mg versus 6 days in the placebo group, and the median time to cessation of viral shedding in patients with at least 1 positive culture 42% of the overall study population ; was 2 days in the group receiving VALTREX 500 mg versus 4 days in the placebo group. The median time to cessation of pain was 3 days in the group receiving VALTREX 500 mg versus 4 days in the placebo group. Results supporting efficacy were replicated in a second trial. In a third study, patients were randomized to receive VALTREX 500 mg twice daily for 5 days n 398 ; or VALTREX 500 mg twice daily for 3 days and matching placebo twice daily for 2 additional days ; n 402 ; . The median time to lesion healing was about 4 days in both treatment groups. The median time to cessation of pain was about 3 days in both treatment groups. Suppressive Therapy: Two clinical studies were conducted, one in immunocompetent adults and one in HIV-infected adults. A double-blind, 12-month, placebo- and active-controlled study enrolled immunocompetent adults with a history of 6 or more recurrences per year. Outcomes for the overall study population are shown in Table 1. Table 1. Recurrence Rates in Immunocompetent Adults at 6 and 12 Months.

They are specially formulated to release the drug slowly into the body. Pain that you could even wonder whether s he is dealing with a pulled muscle, appendicitis or possibly a heart attack. Often the disease attacks along the middle of the back, although it can also be felt in arms, legs and even the neck or face. You may see a patch or band of raised dots on one side of the body, like a belt. The rash's appearance is similar to chickenpox. Fluid-filled pustules bumps ; rise up on the skin. The rash itches for several days, after which scabs develop. In a small percentage of individuals, the rash may erupt up to two weeks after the severe pain. SEEKING MEDICAL HELP It is critical that as soon as the rash appears or sooner you should take your loved one to the doctor. You may only have one to three days to get your family member on medications that may reduce the pain and the duration of the disease. Oral medications such as acyclovir Zovirax ; , valacyclovir Valtrex ; and famciclovir Famvir ; will probably be recom mended by your physician. Your family member will be instructed to take these medications three to five times daily for a week to 10 days. Prednisone may also be prescribed to reduce inflammation. High-strength pain relievers and even anti-depressants may also be advised. A nerve block may be ordered if the pain is excruciatingly severe. In some instances where the infection is very problematic, hospitalization may be required so your family member can receive intravenous medication. Should the rash emerge on the face or forehead, an ophthalmologist must be visited on an emergency basis since the infection may spread to the eyes, causing serious problems. CONTAGION Shingles is not contagious unless you or any of your family members have not had chicken pox or have not been immunized with the varicella vaccine, which began to be administered to children in the mid-1990s ; . ALLEVIATING THE PAIN OF SHINGLES Do not put lotions or creams on the rash when it is still erupting, as they will only prevent the lesions from drying out. Apply calamine lotion to hasten drying and relieving some of the itchiness. Try cool compresses. Stop if this makes pain worse. 108.




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