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HƯỚNG DẪN SƠ CỨU (FIRST AID)
KHI BỊ CÔN TRÙNG, ĐỘNG VẬT VÀ NGƯỜI CẮN TRONG LÚC SINH HOẠT NGOÀI TRỜI Lynn Ly phỏng dịch theo "The Everything First Aid"


Những hoạt động ngoài trời như làm việc, vui chơi, giải trí, du ngoạn ở trong một số hoàn cảnh , khí hậu , và thời tiết . Khí hậu nóng và lạnh đều có thể gây ra những hệ quả đối lập (adverse consequences), và những sinh vật (critters) sống bên ngoài thỉnh thoảng gây dị ứng (ngứa ngáy khó chịu) hoặc tổn thương . Cơ thể bị thiếu nước hoặc ở cao độ (thí dụ lên đỉnh núi) và ở trong một số điều kiện ngoài trời khác cũng có thể làm bạn cảm thấy suy yếu đi .

Cho dù không có vấn đề ǵ khi bạn hoạt động ngoài trời, nhưng thật quan trọng bạn biết làm ǵ để chăm sóc hoặc trợ giúp những người bị chấn thương, bị bệnh tật bất ngờ .

I) BỊ CÔN TRÙNG, LOÀI VẬT VÀ NGƯỜI CẮN

Nhiều loại côn trùng và các sinh vật khác, bao gồm cả con người, gây ra các vết cắn và vết châm chích có thể cho cảm giác không thoải mái hoặc đe dọa tính mạng từ nhẹ nhẹ đến trung b́nh. Điều quan trọng là biết làm ǵ, làm thế nào để trị liệu, và khi nào th́ cần t́m kiếm đến trợ giúp từ chuyên gia y tế để trị liệu bất kỳ thương tổn tàng ẩn bên trong.

1) B̉ CẠP CẮN (SCORPION BITES)

Ḅ cạp là loại côn trùng nhiều chân có h́nh dạng giống tôm hùm (lobster-like arthoropods) nằm trong xếp loại côn trùng có nọc độc (arcahnid class, cùng loài nhền nhện = spider class), có một ng̣i / kim xoăn ở phần cuối nơi đuôi, và chúng thường được t́m thấy ở vùng sa mạc phía Tây Nam của Mexico (nước Mễ Tây Cơ). Những vết chích / đốt của bọ cạp dường như không có khả năng gây tử vong và dễ dàng điều trị, nhưng lại nguy hiểm cho trẻ nhỏ và người già hơn . Những triệu chứng bao gồm đau nhức ngay lập tức (immediate pain), nóng rát (burning), sưng tấy chút chút (minor swelling) và cảm giác tê (numb) hoặc ngứa ran (tingling sensation).

Những buớc sau đây cần nên thực hiện để trị liệu vết ḅ cạp cắn:
1. Rửa vùng bị ḅ cạp cắn bằng xà pḥng / xà bông và nước

2. Dùng túi trườm lạnh đặt lên vùng bị ḅ cạp cắn trong ṿng 10 phút , nếu cần thiết th́ lập đi lập lại việc trườm lạnh vùng bị cắn với khoảng cách giữa các lần trườm lạnh là 10 phút .

3. Gọi điện thoại đến trung tâm kiểm soát chất độc (the Poison Control Center), hay đi bệnh viện khi có bất kỳ triệu chứng nghiêm trọng ǵ

2) BỌ VE CẮN (TICK BITES)

Những người sống vùng rừng cây hay đồng cỏ, hay những người dành thời gian vui chơi giải trí ở những khu vực này th́ dễ bị bọ ve cắn . Loài côn trùng nho nhỏ này sống bằng cách hút máu các loài động vật có vú (mammals) thí dụ như hươu nai (deer), loài gậm nhấm (rodents), thỏ (rabbits) và có thể truyền bệnh từ động vật sang người .

Việc sơ cứu (first aid) những vết bọ ve cắn bao gồm loại bỏ con bọ ve đang bu bám ngay lập tức để tránh những phản ứng từ vết cắn và giảm thiểu tối đa các loại bệnh nhiễm trùng do bọ ve gây ra thí dụ bệnh Lyme, bệnh nóng sốt Colorado bọ ve (Colorado tick fever), bệnh nóng sốt được phát hiện ở núi đá (Rocky Mountain Spotted fever)

Để tháo bỏ con bọ ve bu bám trên người , hăy làm như sau:
1. Dùng cây nhíp (tweezers) hay cây kẹp nhỏ nhỏ cong cong hay thẳng thẳng (small curl or flat forcepts) kẹp lấy đầu con bọ ve và càng cận sát nơi da đang bị con bọ ve cắn càng tốt, rồi nhẹ nhàng kéo ra, đừng bóp nát hay xoay vặn con bọ ve

2. Rửa vùng bị bọ ve cắn bằng xà pḥng / xà bông và nước.

3. Bôi thuốc Antihistamine hoặc loại 1% hydrocortisone cream (loại kem chứa 1% chất hydrocortisone)


Cần phải có sự chăm sóc y tế chuyên nghiệp , nếu con bọ ve cắn quá sâu và bạn không thể tháo gỡ nó ra được, hoặc bạn đang ở trong khu vực được thông báo là có nhiều nguy cơ bị bệnh lyme, hoặc bạn có triệu chứng nóng sốt hay triệu chứng cảm cúm , hoặc bạn có trải nghiệm bắp thịt trở lên suy nhược, tê liệt (paralysis) , hoặc nổi vết tṛn đỏ trên da gọi là "phát ban mắt ḅ" (the bull's eye rash) là đặc chưng của bệnh Lyme .

CẢNH BÁO !!!
Đừng bao giờ bôi petroleum jelly (vaseline), rượu cồn ( alcohol ) ahy ammonia lên con bọ ve - chúng sẽ cắn chặt sâu vào da hơn. Nếu bạn đang ở trong vùng cảnh báo có nhiều nguy cơ bệnh Lyme mà bị bọ ve cắn, bạn nhất định phải phone báo bác sĩ để được tư vấn và ngay lập tức được chăm sóc và điều tri bao gồm việc sử dụng thuốc kháng sinh

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Old 05-26-2019   #1101
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Here’s why they’re not as nutritious as you think.




Veggie platter




A diet staple for those trying to cut back on meat, veggie patties can be healthy. But many of the processed, frozen versions have more fillers—used to create that burger-like texture—than actual vegetables, dietitian Lona Sandon told WomansDay.com. To ensure your burger is packed with real good-for-you greens, Sandon suggests checking to make sure vegetables are listed at the beginning of the ingredient list. Better yet, swap a questionable patty for one of these healthy foods that are even more nutritious than you think
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Old 05-26-2019   #1102
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Packaged turkey


Yes, turkey is good, lean protein, and on a sandwich with whole-grain and lettuce, tomato, and other veggies, it isn’t a bad lunch choice. The culprit here is sodium; a two-ounce serving of some brands has as much as nearly one-third of your recommended limit, according to CookingLight.com. The healthier move: Buy low-sodium slices (look for less than 350 mg sodium per two-ounce serving) or roast and slice your own meat. Deli meats like turkey are just one of the many foods that nutritionists never eat.
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Old 05-26-2019   #1103
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Energy bars



Praise the marketing geniuses who figured out a way to sell these unhealthy foods that contain more sugar and calories than certain candy bars as “healthy.” “Protein bars are all just processed chemicals,” Garth Davis, MD, a bariatric surgeon at The Davis Clinic in Houston, Texas and author of The Expert’s Guide to Weight Loss Surgery, told iVillage.com. If you’re going to eat these surprisingly unhealthy foods, pick ones with fewer than 200 calories and 20 grams of sugar per serving, recommends WomansDay.com. Also key: Read labels to choose bars with as few ingredients as possible. Some bars from brands like KIND and Larabar contain just nuts, dried fruit, and seeds.
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Old 05-26-2019   #1104
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Bran muffins




Wholesome and humble, bran muffins seem like a breakfast food hero. But while bran itself is a healthy whole grain source of fiber, it becomes less—much, much less—nutritious when baked into a muffin with heaps of sugar, flour, and fat. “Depending on the size, a bran muffin can have more calories and sugar than a doughnut,” Joan Salge Blake, RD, LDN, author of Nutrition & You, told WomansDay.com. If you’re really craving a muffin, make them yourself and look for recipes that use whole wheat flour and substitute applesauce for butter. Or try one of these healthier breakfast options.
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Old 05-26-2019   #1105
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Multigrain bread



Words like “multigrain,” “wheat,” and “7 grain” don’t mean all that much, explains CookingLight.com. Many breads labeled this way actually contained refined grains, which lack the fiber of whole grains and can make your blood sugar spike faster after eating, leading to cravings. Be a smarter bread shopper! If the first flour listed on the label is refined (look for “bleached” or “unbleached enriched wheat flour”), it’s not really a whole grain product
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Old 05-26-2019   #1106
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Flavored instant oatmeal



It’s a whole grain, a healthy grab-and-go breakfast choice, and easily topped with other healthful sides like berries, flax, and nuts. So what could possibly be bad about oatmeal? Well, flavored packets have more sugar and sodium than regular rolled or steel cut oats, notes Prevention.com. A better option: Dress up regular oatmeal with fresh fruit or a small amount of honey.
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Old 05-26-2019   #1107
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Reduced-fat peanut butter



Repeat after us: The fat from nuts is good for you! A 2013 Harvard study found that people who ate an ounce (a small handful) a day had a 20 percent lower risk of dying than people who didn’t. What’s more, when you compare labels of regular and reduced-fat peanut butter, you’ll see that calories are roughly equal. The difference, notes CookingLight.com, is that reduced-fat versions add more sugar to make up for the lack of fat. So choose the regular kind, and stick to 1 to 2 tablespoons per serving. And here are the 10 foods you want to skip for a long, healthy life.
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Old 05-26-2019   #1108
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Couscous



This exotic-looking grain seems like a virtuous side dish, but the jig is up. Couscous is really just a tiny pasta—a refined grain similar to white pasta, according to BestHealthMag.com. Look for whole-wheat couscous, or else opt for a healthier whole grain like quinoa.
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Old 05-26-2019   #1109
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Sushi



Fresh fish, no heavy sauces—health food, right? We tend to eat a lot of sushi to feel full, and those rolls contain mostly rice and very few veggies. According to The Biggest Loser nutritionist Rachel Beller, one California roll is equivalent to eating two sandwiches filled with imitation crab meat. A spicy tuna roll is like adding another one and a half tuna sandwiches with full-fat mayo. A healthier option: Ask for rolls wrapped in cucumber or that are “easy on the rice” and be sure to fill up with a side salad or protein-packed edamame.
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Old 05-26-2019   #1110
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Rice crackers







So light, so airy—rice crackers and cakes are the ultimate diet snack food cliché. But these surprisingly unhealthy foods lack fiber and can be high in sodium, notes BestHealthMag.com. What’s more, rice crackers are actually considered carb dense, meaning they have a high ratio of carb grams relative to their weight. (Carb-dense foods can alter the balance of your gut flora and trigger inflammation.) A plain rice cake weighs only 9 grams but 80 percent of it is carbohydrate. In comparison, a small potato—which many people think is a “bad” carb—weighs 170 grams but only 23 percent is carbohydrate. Here are some other food myths that you need to stop believing.
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Old 05-26-2019   #1111
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Rice milk



Unless its fortified, rice milk is “simply fluid from rice that’s naturally high in carbohydrates and low in protein and calcium,” Bethany Thayer, RD, director of the Center for Health Promotion and Disease Prevention at the Henry Ford Health System in Detroit, told Prevention.com. If you can eat dairy, you’re far better off with fat-free organic cow’s milk, which contains calcium, potassium, vitamin A, vitamin D, vitamin B12, riboflavin, and magnesium. Soy and almond milk are better dairy alternatives.
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Old 05-26-2019   #1112
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Trail mix






Most nutritionists will advise you to snack on a combination of carbs, protein, and fiber for sustained energy—and trail mix seems like a perfect example. But grocery store versions are often packed with not-so-nutritious add-ons: unhealthy foods like “yogurt”-covered raisins, deep-fried banana chips, sesame sticks, or salty nuts, according to DrOz.com. Make a healthy mix yourself with mainly nuts and seeds and a little high-cacao dark chocolate and dried fruit. Here are some more tasty snacks that you can eat without guilt.
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Old 05-26-2019   #1113
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Pretzels



With fewer calories and fat grams than most chips, pretzels seem healthy. But “nearly every brand of pretzels is made from the same basic ingredients: white flour—wheat flour that’s been stripped of its nutrients and fiber—yeast, salt, and maybe some vegetable oil or corn syrup,” according to nutritionist Joy Bauer on Today.com. “It’s obvious from the subpar ingredient list that this popular snack is pretty much devoid of nutrition.” Bauer recommends looking for a brand made with whole wheat flour or eating whole grain crackers, soy crisps, or popcorn instead—or one of these other snacks nutritionists always have on hand.
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Spinach wraps and pasta



Don’t let the green hue fool you. “The actual amount of spinach in these green tortillas and noodles is trivial compared with what you would get if you added your own spinach leaves to your wrap or pasta dish,” according to dietitian Sarah Haan on SparkPeople.com. Eat whole grain wraps or pasta, then add actual spinach leaves to get the greens’ ample amounts of B vitamins, fiber, iron, and calcium.
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Banana chips


No matter how you slice it, these are fairly unhealthy foods, just plain inferior to their original fruit source, according to iVillage.com. A plain banana provides fiber, potassium, vitamin C, and fewer calories and fat. One not-very-filling ounce of these chips, which are fried, has about 150 calories, while a medium banana only has 105. And make sure you know which other “healthy” snacks are secretly bad for you.
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Baked beans




Beans are healthy. Baked beans, on the other hand, “are a messy mix of pinto beans, sugar, syrup, and molasses with an unnecessarily high calorie counts,” nutritionist Rania Batayneh told iVillage.com. Give regular pinto, kidney, and garbanzo beans more pizzazz by adding them to salads and pasta dishes.
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Bottled green tea



Are you drinking an antioxidant-packed health beverage or the equivalent of sugar water? A report from ConsumerLab.com found that certain brands of bottled tea sold in stores contained almost no ECGC, the potent antioxidant linked to cancer prevention and weight loss, or much lower amounts than what was claimed on the label. “If it’s a fun, refreshing, sweet-tasting beverage you’re after, bottled tea drinks may be all right occasionally,” said nutritionist Conner Middelmann-Whitney on PsychologyToday.com. “But if you are drinking tea to lower your risk of cancer, heart disease, osteoporosis and a whole list of other degenerative conditions, brew your own.” Now that you know which “healthy” foods to avoid, here are the 10 foods that used to be considered bad for you, but aren’t.
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50 Secrets Hospitals Don’t Want to Tell You (But Every Patient Should Know



Shop around for rehab




“If you’re being released for rehab, shop around for a place that has experience with your condition. We found that rehab facilities that handle more than two dozen hip fractures a year were more than twice as likely to successfully discharge seniors within a month as less experienced facilities were.” —Pedro Gozalo, a public health researcher at Brown University in Providence, Rhode Island.
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Sanitize everything

“Superbugs live everywhere, and they can travel. Even if your doctor washed his hands, that sparkling white coat brushing against your bed can easily transfer a dangerous germ from someone else’s room. Ask for bleach and alcohol wipes to clean bed rails, remotes, doorknobs, phones, call buttons, and toilet flush levers. Wash your hands before you eat.” —Karen Curtiss, author of Safe & Sound in the Hospital: Must-Have Checklists and Tools for Your Loved One’s Care. Here are 14 more tips to avoid getting sick
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Join the conversation





“Ask your nurses to do a ‘bedside shift change.’ This is when they share information in your presence instead of at the nurses’ station. You can better correct any errors. [Studies show it also improves communication and care.]” —Karen Curtiss.
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