5 Solutions for males Who Require Chest Support and Compression

Learn about Lumbar Stenosis Symptoms and 3 exercises that can benefit this condition. To get a Free PDF of the some the best Core Exercises go here: https://bit.ly/2OsIWCM.
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KELOIDS – treating ear keloids.
Keloids or hypertrophic scars are one of the most common forms of scarring I treat. Keloids can be secondary to trauma or skin injury, acne, burns, surgery or just occur (spontaneous keloids)..
Keloid scars extend beyond the area of injury, whilst hypertrophic scars lie within the scar line. Both keloids and hypertrophic scars can cause symptoms such as itching, pain, and altered sensation..
Keloids and hypertrophic scars are though to occur due to the body’s unusual response to scarring – namely ‘over healing’ often secondary to an injury. The most common keloids arise secondary to ear piercings, acne and surgical scars. The actual cause is genetic however here are some facts on keloid scars.
Keloids occur in younger aged patients.
Race plays and important part – keloids more common in Asian and darker skin races.
Location – more common on the ears, chest, shoulders and back.
Keloids are more common in females.
Family history plays a role – keloids may run in families.
Acnezits-pimplescysts may also predispose to keloids. Keloids from acne usually occur long the neck, jawline, chest, shoulders and back. It is more common in cystic acne than blackhead acne..
Treatments will vary depending on the site and cause of the keloid..
Keloids can be treated with a combination of steroid injections, 5FU, silicone sheeting, lasers, surgery with compression or radiotherapy..
Keloids can be itchy and or painful, or in some cases there are no symptoms. I never cut out keloid scars unless I add either compression (especially for ear lobe keloids) or radiotherapy. In my hands excision with compression and silicone dressings (if compression is not used during the day), the chances of recurrence is less than 5%. I prefer this method compared to the use of liquid nitrogen cryroshape-cryoprobe as healing times are quicker, and keloid recurrence rates, especially on the ears, much lower..
Thanks for viewing this series on ‘how to treat keloids’, remember to subscribe for more information. New Laser and Lifts Videos by Dr Davin Lim will be posted every Saturday am Brisbane time!
Dr Davin Lim.
Laser and aesthetic dermatologist.
BRISBANE, Australia..
Lasers and Lifts.
http://www.lasersandlifts.com.au

Bliss partnered with NHS Ayrshire and Arran to produce this video to help parents identify if their baby has stopped breathing and how to resuscitate them..
Filmed at Crosshouse Hospital..
Bliss provides support and information to parents of premature and sick babies. Visit bliss.org.uk or call 0500 618 140 for confidential advice and support.

What is a pleural effusion? A pleural effusion is when the pleural space fills with fluid which can cause problems with breathing. Find more videos at http://osms.it/more..
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Learn about how to perform a chest tube placement..
Direct links to chapters:
1:33 Chapter 1: Indications.
1:50 Chapter 2: Contraindications.
2:20 Chapter 3: Equipment.
3:13 Chapter 4: Procedure.
8:46 Chapter 5: Removal of Chest Tube.
9:21 Chapter 6: Complications.
9:43 Chapter 7: Assessment and Monitoring.
10:09 Chapter 8: Documentation.
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Prevent cardiac arrest by considering the 4 Hs and the 4 Ts. Consider reversable causes of cardiac arrest by considering the 4 Hs and the 4 Ts..
Potential causes or aggravating factors for which specific treatment exists must be considered during all cardiac arrests. For ease of memory, these are divided into two groups of four, based upon their initial letter: either H or T:
Hypoxia.
Hypovolaemia.
Hyperkalaemia, hypokalaemia, hypoglycaemia, hypocalcaemia, acidaemia and other metabolic disorders.
Hypothermia.
Thrombosis (coronary or pulmonary).
Tension pneumothorax.
Tamponade – cardiac.
Toxins.
The four ‘Hs’.
Minimise the risk of hypoxia by ensuring that the patient’s lungs are ventilated adequately with the maximal possible inspired oxygen during CPR. Make sure there is adequate chest rise and bilateral breath sounds. Check carefully that the tracheal tube is not misplaced in a bronchus or the oesophagus..
Pulseless electrical activity caused by hypovolaemia is due usually to severe haemorrhage. This may be precipitated by trauma, gastrointestinal bleeding or rupture of an aortic aneurysm. Stop the haemorrhage and restore intravascular volume with fluid and blood products..
Hyperkalaemia, hypokalaemia, hypocalcaemia, acidaemia and other metabolic disorders are detected by biochemical tests or suggested by the patient’s medical history (e.g. renal failure). Give IV calcium chloride in the presence of hyperkalaemia, hypocalcaemia and calcium channel-blocker overdose..
Hypothermia should be suspected based on the history such as cardiac arrest associated with drowning..
The four ‘Ts’.
Coronary thrombosis associated with an acute coronary syndrome or ischaemic heart disease is the most common cause of sudden cardiac arrest. An acute coronary syndrome is usually diagnosed and treated after ROSC is achieved. If an acute coronary syndrome is suspected, and ROSC has not been achieved, consider urgent coronary angiography when feasible and, if required, percutaneous coronary intervention. Mechanical chest compression devices and extracorporeal CPR can help facilitate this (see below)..
The commonest cause of thromboembolic or mechanical circulatory obstruction is massive pulmonary embolism. If pulmonary embolism is thought to be the cause of cardiac arrest consider giving a fibrinolytic drug immediately. Following fibrinolysis during CPR for acute pulmonary embolism, survival and good neurological outcome have been reported, even in cases requiring in excess of 60 min of CPR. If a fibrinolytic drug is given in these circumstances, consider performing CPR for at least 60–90 min before termination of resuscitation attempts. In some settings extracorporeal CPR, and/or surgical or mechanical thrombectomy can also be used to treat pulmonary embolism..
A tension pneumothorax can be the primary cause of PEA and may be associated with trauma. The diagnosis is made clinically or by ultrasound. Decompress rapidly by thoracostomy or needle thoracocentesis, and then insert a chest drain..
Cardiac tamponade is difficult to diagnose because the typical signs of distended neck veins and hypotension are usually obscured by the arrest itself. Cardiac arrest after penetrating chest trauma is highly suggestive of tamponade and is an indication for resuscitative thoracotomy. The use of ultrasound will make the diagnosis of cardiac tamponade much more reliable..
In the absence of a specific history, the accidental or deliberate ingestion of therapeutic or toxic substances may be revealed only by laboratory investigations. Where available, the appropriate antidotes should be used, but most often treatment is supportive and standard ALS protocols should be followed. (British resuscitation council 2019)

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