Survival Medicine Podcast: Acid Reflux, Wound Irrigation, Tic Disorders, Narcan

Survival Medicine Podcast: Acid Reflux, Wound Irrigation, Tic Disorders, Narcan

\# Survival Medicine Podcast: Acid Reflux, Wound Irrigation, Tic Disorders, Narcan(r)

Welcome back to another episode of the Survival Medicine Podcast! In today’s episode, we have a wide range of medical topics to discuss, so let’s dive right in.

## Acid Reflux: Causes, Treatments, and Tips

Amy Alton, our expert Nurse Practitioner, starts off by giving a thorough overview of gastro-esophageal reflux disease (GERD) and its various treatments.

**What is GERD?**

GERD occurs when the stomach acid and digestive enzymes flow back into the esophagus, causing irritation and discomfort. Common symptoms include heartburn, regurgitation, and difficulty swallowing.

**Common Causes of GERD:**

– Obesity
– Pregnancy
– Hiatal hernia
– Smoking
– Certain medications

**GERD Treatment Options:**

1. Lifestyle Changes:
– Maintain a healthy weight.
– Avoid trigger foods like spicy foods, citrus fruits, and caffeine.
– Elevate the head of your bed when sleeping.
– Do not lie down immediately after meals.

2. Over-the-Counter Medications:
– Antacids: Provide immediate relief by neutralizing stomach acid.
– H2 receptor blockers: Reduce the production of stomach acid.
– Proton pump inhibitors (PPIs): Prevent the production of acid in the stomach.

3. Prescription Medications:
– Prokinetics: Stimulate contractions in the digestive tract, helping to empty the stomach faster.
– Baclofen: Helps to reduce the frequency of transient lower esophageal sphincter relaxations (TLESRs), which contribute to reflux.

4. Surgical Options:
– Fundoplication: The top part of the stomach is wrapped around the lower esophageal sphincter to strengthen it and prevent reflux.

**My 2 Cents:**

While medications can provide relief, it’s important to address the root causes of GERD through lifestyle changes. Maintaining a healthy weight, avoiding trigger foods, and practicing good sleep habits can make a significant difference in managing GERD symptoms.

## Wound Irrigation: A Crucial Step in Wound Care

Dr. Joe Alton weighs in on the topic of wound irrigation, emphasizing its importance in wound care.

**Why is Wound Irrigation Important?**

Wound irrigation is a critical step in wound care as it helps remove debris, bacteria, and foreign objects from the wound, reducing the risk of infection and promoting faster healing.

**Tips for Effective Wound Irrigation:**

1. Use Clean Water:
– If clean tap water is available, it is suitable for wound irrigation in most cases.
– If clean tap water is not available, consider using distilled water or sterile saline solution.

2. Apply Gentle Pressure:
– Use a syringe or a squeeze bottle to gently irrigate the wound with a steady stream of water.
– Avoid using excessive force, as it may damage healthy tissue.

3. Use Adequate Volume:
– Aim to use 100 mL of water per centimeter of wound length.
– For larger wounds, use enough water to thoroughly cleanse the entire wound.

4. Consider Adding Antiseptic:
– In some cases, adding an antiseptic solution to the irrigation water may be beneficial.
– Common antiseptics used include povidone-iodine and chlorhexidine.

**My 2 Cents:**

Wound irrigation is a simple yet crucial step in wound care that should not be overlooked. By following these tips and ensuring proper wound irrigation, you can significantly reduce the risk of infection and promote optimal healing.

## Tic Disorders: Understanding and Managing the Fidgets

Moving on to a different topic, Amy Alton sheds light on tic disorders, a condition characterized by involuntary and repetitive movements or sounds.

**Types of Tic Disorders:**

– Tourette syndrome: Involves both motor and vocal tics that persist for at least one year.
– Persistent (chronic) motor or vocal tic disorder: Involves either motor or vocal tics that persist for at least one year.
– Provisional tic disorder: Involves either motor or vocal tics that last less than one year.

**Tips for Managing Tic Disorders:**

1. Education and Acceptance:
– Educate yourself and your child (if applicable) about tic disorders to reduce stigma and increase understanding.
– Promote self-acceptance and provide a supportive environment.

2. Stress Reduction:
– Identify triggers that worsen tics and work on reducing stress and anxiety levels.
– Encourage relaxation techniques such as deep breathing, meditation, and regular exercise.

3. Medications:
– In some cases, medications may be prescribed to manage severe tics.
– Common medications include alpha-2 adrenergic agonists, antipsychotics, and botulinum toxin injections.

4. Behavioral Therapy:
– Cognitive behavioral therapy (CBT) and habit reversal training (HRT) can help individuals manage and consciously suppress tics.

**My 2 Cents:**

Tic disorders can be challenging to manage, but with the right support, understanding, and a combination of strategies, individuals with tic disorders can lead fulfilling lives. Remember to focus on promoting self-acceptance and reducing stress.

## Narcan(r): The Lifesaving Power of Naloxone

Finally, we come to the topic of Narcan(r) (naloxone), a medication used to reverse opioid overdoses. Dr. Joe Alton explains its mechanism of action and emphasizes its crucial role in saving lives.

**How Does Narcan(r) Work?**

Narcan(r) works by rapidly binding to opioid receptors in the brain, blocking the effects of opioids and reversing the potentially fatal respiratory depression caused by an overdose.

**Tips for Administering Narcan(r):**

1. Recognize the Signs of Opioid Overdose:
– Slow or shallow breathing
– Unresponsiveness
– Pinpoint pupils
– Pale or clammy skin

2. Call for Emergency Medical Assistance:
– Administering Narcan(r) is not a substitute for professional medical care. Call emergency services immediately.

3. Administer Narcan(r) Nasal Spray:
– Narcan(r) nasal spray is the most commonly available form of naloxone.
– It is sprayed into one nostril, delivering a single dose of naloxone.

4. Provide Rescue Breathing:
– While waiting for medical assistance, administer rescue breathing if the person is not breathing or has difficulty breathing.

**My 2 Cents:**

Narcan(r) is a powerful tool in combating opioid overdoses and can save lives. However, it is essential to remember that Narcan(r) is not a solution to the opioid crisis itself. We must also address addiction through education, prevention, and access to treatment.

And that wraps up another episode of the Survival Medicine Podcast! We hope you found these discussions informative and insightful. Remember, knowledge and preparedness are key in facing medical challenges in uncertain times.

Stay safe, stay informed, and until next time!

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