M E D I C A L G U I D E 2 0 20
EMERGENCY EMERGENCY M E D I C A L G U I D E 2 0 20
OakBend Medical Center is a 501 (cX3) nonprofit organization. www.oakbendmedcenter.org
Your Community Healthcare Leader
Salman Aly, MD
PRIMARY CARE PHYSICIAN
Creating Miracles, One Family at a Time 832-886-4774
Sarfraz Aly, MD
INFECTIOUS DISEASE SPECIALIST
Interested in Foster Care?
Now Open in Sugar Land 6903 Brisbane Ct , Sugar Land, TX 77469 New Address at Wharton Location 416 N. Alabama Rd , Wharton, TX 77488
Now Accepting New Patients At Both Locations In Sugar Land And Wharton Sugar Land: 1201 Creekway Dr. • Suite B • Sugar Land, Texas 77478 Wharton: 979-282-6151 • 416 N. Alabama Rd., Wharton, TX 77488
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Family to Family Adoptions is now also a licensed Foster Care Agency! If you are interested in learning more about foster parenting, contact us at (281)342-4092 or email firstname.lastname@example.org.
Quality, Convenience and Compassion are important to us, too.
Garmany & Carden
THE ACE HERNANDEZ TEAM
Funeral Directors, Inc.
"A Tradition of Family Service"
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FORT BEND & SOUTHWEST HOUSTON REAL ESTATE EXPERTS
RESIDENTIAL • NEW HOMES • COMMERCIAL
ACE Hernandez 281-235-2848
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Cardiopulmonary Resucitation (CPR)
C-A-B of CPR for Adults, Children, and Infants* C-A-B of CPR for Adults, Children, and Infants*
Recognition of Cardiac Arrest
Children Unresponsive (for all ages)
Check for responsiveness and breathing simultaneously
No breathing or Recognition of Cardiac no normal breathing, or Arrest gasping and no pulse
Unresponsive (for all ages) No breathing or only gasping and no pulse
Check for responsiveness and breathing s
No breathing or no normal breathing, or Ensure a pulse is felt within 10 seconds gasping and no pulse
Activate 911 and get the AED or send second rescuer (if available) to do this
C-A-B Chest compressions, Airway, Breathing
Compression rate Compression depth
At least 100-120/min on the lower half of the breastbone
Activate 911 and get the AED or send second rescuer (if av
At least 1/3 AP diameter At least 1/3 AP diameter About 2 inches (5 cm) Ensure a pulse is felt within 10 seconds About 1½ or 1.5 inches (4 cm)
At least 2 inches (5 cm)
Chest wall recoil
Allow complete recoil between compressions C-A-B Chest compressions, Airway, Bre Rotate compressors every 2 minutes
Compression Compression rate interruptions
Minimize interruptions in chest compressions. Do not move victim. At least 100-120/min on the lower half of t Attempt to limit interruptions to <10 seconds
At least 1/3 AP diameter Airway Compression depth Head tilt–chin lift (suspected trauma: jaw thrust). Avoid excessive ventilation. At least 2 inches (5 cm)
Compression30:2 ventilation ratio (until Single rescuer or 2-rescuers Chest wall recoil advanced airway placed) Ventilations with advanced airway
Compression interruptions Defibrillation
About 2 inches (5 cm)
30:2 Single rescuer 15:2 Two rescuers Allow complete recoil between co
Rotate compressors every 2 m 1 breath every 6-8 seconds (8-10 breaths/min) Asynchronous with chest compressions (at least 100-120/min) About 1 second per breath with visible chest rise Minimize interruptions in chest compressions
Attempt to limit interruptions to <10 Attach and use AED as soon as available. Minimize interruptions in chest compressions before and after shock; resume CPR beginning with compressions immediately after each shock.
Airway Head tilt–chin lift (suspected trauma: jaw thrust). Avoid e Abbreviations: AED, Automated External Defibrillator; AP, Anterior-Posterior; CPR, CardioPulmonary Resuscitation. * Excluding the newly born, in whom the etiology of an arrest is nearly always asphyxial.
Compression30:2 BLS for Healthcare Providers Critical Concepts ventilation ratio (until High–quality CPR improves a victim’s chances of survival. The critical characteristics of high-quality CPR include: Single rescuer or 2-rescuers advanced airway placed) • Start compressions within 10 seconds of recognition of cardiac arrest.
30:2 S 15:2
Push hard, push fast: Compress at a rate of at least 100-120/min with a depth of at least 2 inches (5cm)
with 1 breath every 6-8 seconds (8-10 b Ventilations for adults, approximately 2 inches (5cm) for children, and approximately 1 ½ or 1.5 inches (4cm) for Asynchronous with chest compressions (a infants. advanced airway • Allow complete chest recoil after each compression. About 1 second per breath with visib
• Minimize interruptions in compressions (try to limit interruptions to < 10 seconds). • Give effective breaths that make the chest rise. Defibrillation Attach and use AED as soon as available. Minimize interruptions i • Avoid excessive ventilation.
shock; resume CPR beginning with compressions imm
Automated External Defibrillator-AED Abbreviations: AED, Automated External Defibrillator; AP, Anterior-Posterior; CPR, CardioPulmonary • As soon as an AED becomes available, the first step the rescuer should perform is to turn on the AED. * Excluding the newly born, in whom the etiology of an arrest is nearly always asphyxial. • Allow AED to analyze rhythm. After the AED delivers a shock, the rescuer should immediately restart CPR, beginning with chest compressions.
BLS for Healthcare Providers Critical Concepts
High–quality CPR improves a victim’s chances of survival. The critical characteristic
Cardiopulmonary Resucitation (CPR) Foreign Body Airway Obstruction - Choking • • •
The best way to relieve severe choking in responsive adult or child – Perform abdominal thrusts. The best action to relieve severe choking in a responsive infant – Begin cycles of 5 back slaps, followed by 5 chest thrusts. When choking victim becomes unresponsive (adult, child, or infant) – the rescuer should send someone to activate emergency response system and immediately start CPR beginning with compressions.
Child or Infant With A Heart Rate • •
When a child/infant has a heart rate greater than 60 per minute and a pulse but is not breathing effectively, the rescuer should give breaths without chest compressions. When an unresponsive child/infant is not breathing and has a heart rate less than 60 per minute and signs of poor perfusion despite oxygenation and ventilation with a bag-mask, the rescuer should perform both compressions and breaths.
C-A-B is Chest Compressions–Airway–Breaths, Not A-B-C CHEST COMPRESSIONS • • • • • • • • • •
The rescuer should initially ensure that the scene is safe when the rescuer first sees a potential victim. A victim who is unresponsive with no normal breathing and no pulse needs CPR. To identify cardiac arrest in an unresponsive victim with no breathing (or no normal breathing), a healthcare provider should check a pulse for no more than 10 seconds. It is important to compress to the appropriate depth during CPR to create blood flow during compressions. The depth of chest compressions for an adult victim should be at least 2 inches (5cm). The depth of chest compressions for an infant is at least one third the depth of the chest, approximately 1½ or 1.5 inches (4cm). Rate of performing chest compressions for victims of all ages is at least 100-120 compressions per minute. Hands are placed on the lower half of the breastbone to perform chest compressions on the adult. In 2-rescuer CPR, while the first rescuer begins chest compressions, the second rescuer maintains an open airway and gives ventilations. Switch every 2 minutes. Preferred chest compression technique for 2-rescuer CPR for the infant is the 2 thumb-encircling hands technique.
After the airway is opened, the proper technique for delivering mouth-to-mouth ventilation is the rescuer opens the airway, seals his or her mouth over the victim’s mouth, pinches the victim’s nose closed, and gives 2 breaths while watching for the chest to rise.
BREATHS • • • • • • •
The rescue breath for an adult, child, or infant is effective when the chest rises visibly. During bag-mask ventilation, giving a breath just until you see the chest rise is recommended to minimize the risk of gastric inflation. The compression-to-ventilation ratio for 1-rescuer or 2 rescuer adult CPR is 30:2. The compression-to-ventilation (or breaths) ratio for 2-rescuer child/infant CPR is 15:2. Compression and ventilation rates for 2-rescuer CPR in the presence of an advanced airway is to compress at a rate of at least 100-120 per minute, 1 breath every 6 to 8 seconds. When administering breaths by using a bag-mask device for a child who is not breathing but does have a pulse, the rescuer should give breaths at the rate of 1 breath per 1 second. Bag-mask device/technique is not recommended for a single rescuer to provide breaths during CPR.
BLS Healthcare Provider Helpful Hints are courtesy of Helen McCracken
Use of American Heart Association materials in an educational course does not represent course sponsorship by the American Heart Association. Any fees charged
Faris Ohan O.D.
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Moving Injured Victims
A FULL SERVICE AUDIOLOGY CLINIC • On-site Service of all Major
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Ages 2 & up
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Hernandez Funeral Home Maria DeLaLuz Hernandez, Owner
Providing Old Fashioned Service With Dignity 800 Fourth Street Rosenberg, Texas 77471 Local: (281) 232-4342 • Metro: (281) 342-8803 • Fax: (281) 232-5477
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Mario’s Paint & Body
24 Hour Wrecker Service “Quality Work at a reasonable price”
Custom Paint • Base Coat and Clear Coat • Expert Color Matching One Day Service • Insurance Claims Welcome
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Cold Exposure | Heat Exposure
Auto Parts You Can Count On
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Seizures | Diabetic Coma & Insulin Reaction
Medical Alert Information Cancer Symptoms
BBQ & Plate Lunches Served Every Day!
Deer Processing • Barbeque Fresh & Smoked Meats Catering • Bakery Pecan Smoked Sausage
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Highway 60, East Bernard, TX 77435
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Follow Social Distancing Guidlines & For Your Safety Wear a Face Mask
FUNERAL CHAPELS, CEMETERIES & MAUSOLEUM
3900 B.F. Terry Blvd â€¢ Rosenberg, Texas, 77471 Hwy 59 South at FM 2218, Ten minutes South of Hwy 6
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AUTO INSURANCE • HOME INSURANCE • HEALTH INSURANCE
Fulshear Location 29810 FM 1093 Ste. E • Fulshear, TX 77441
Pet First Aid
Emergency - 911 Fort Bend County Sheriff Non-emergency - 281-342-6116 Fort Bend Emergency Medical Service Non-emergency - 281-342-7233 Poison Control 800-764-7661 Fort Bend County Crime Stoppers 281-342-TIPS NON-EMERGENCIES
800-332-7143 Water – Municipal District Services 281-290-6500 Trash – Waste Corporation of America 281-368-8397 HOSPITALS: OakBend Medical Center Jackson Street Hospital Campus 281-341-3000 OakBend Medical Center Williams Way Hospital Campus 281-341-2000 OAKBEND MEDICAL GROUP CLINICS:
Constable – Precinct 3 281-238-1430
OakBend Medical Group – New Territory 281-238-7870
Fire Marshall 281-238-1500
OakBend Medical Group – Richmond 281-342-9503
Poison Control Center 800-222-1222 Call B4 You Dig 811
OakBend Medical Group – Sugar Land 281-265-7000
OakBend Medical Group – Williams Way 281-239-5037
Electric – CenterPoint 800-332-7143
TRANSPORTATION Fort Bend County Transit
Gas – CenterPoint
Outstanding Dental Care
From the Smile Makeover Specialists
• ORTHO FOR KIDS • ORTHO FOR TEENS • ORTHO FOR ADULTS Dr. Lee Mahlmann
Dr. Catharine Borders
Your FAMILY ORTHODONTIC SPECIALISTS 1310 Thompson Road |Richmond, TX 77469 281-342-6311 | www.drm-smiles.com
HAVE SLEEP APNEA?
CPAP is no longer the only treatment option for this serious condition! Oral appliances can reduce or eliminate snoring while managing sleep apnea with no masks or hoses!
Learn About Alternatives to CPAP at
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Mon.-Thurs. 8-5 • Fri. 7-3
(Early morning appointments available)
Call or Make an Appointment Today! 1320 Thompson Rd. · Richmond, TX | 281-342-5022
Fort Bend Health Care Center
MARC K. SPECTOR,D.D.S. IMPLANTS, COSMETIC & FAMILY DENTISTRY A MEMBER OF
PROVIDING MORE THAN BEAUTIFUL SMILES
IT’S ALL ABOUT THE CARE! Our dedicated staff considers it an honor to care for your loved ones. Our mission is to provide superior, personalized nursing in a warm, homelike setting. We are proud to offer: • Physical, Speech and Occupational Therapies • Excellent Cuisine and Activity Program • Unique, charming residence recently renovated with a European flair
FORT BEND HERALD
WE TREAT YOUR LOVED ONE LIKE FAMILY… IT’S ALL ABOUT THE CARE!
D. McCrea and Dr. Victoria Vo Rd • Rosenberg Tx. 3010 Bamore
Marc K. Spector, DDS has been a leading provider of dental services in the Sugar Land community since 1978. Our mission is to help you achieve and maintain a beautiful smile, and more, for years to come.
Selected by H-Magazine as one of Houston’s top dentist.
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(281) 565-8880 6350 HWY. 90A, SUITE 500 (New Territory Country Shops)
40 YEARS OF SERVING THE FT. BEND COMMUNITY
Your Home for Dentistry
as been creating healthy, beautiful smiles in osenberg since 1994. Dr. McCrea and Dr. Vo are s of and current Professors at the Herman Hospital l Practice Residency Program for UTDS Houston. to work with each patient to produce the best possible d on that patient’s individual needs and desires.
Dr. Kyle D. McCrea & Dr. Victoria Vo
YOUR HOME FOR DENTISTRY
Dr. McCrea has been creating healthy, beautiful smiles in Richmond/Rosenberg since 1994. Dr. McCrea and From Check-ups and Cleanings to Implants Braces, at the Herman Hospital based General Practice Residency Dr. Vo are both graduates of and current and Professors Program for UTDS Houston. Their goal is to work with each patient to produce the best possible outcome based We want individual to be your home forand Dentistry on that patient’s needs desires. us at www.mccreadds.com to learn more about our office, our outstanding team, and the services we offer.
Visit us at mccreadds.com to learn more about 601 South Second St. our office, our outstanding team & services we offer Richmond, 77469 601 South Second St. •TXRichmond, TX 77469 281-342-2121 281-342-2121
From Check-ups to Implants to Braces, We want to be your home for Dentistry
Because Your Family Matters...
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281.238.4443 Voted #1 Funeral Home
TWO EMERGENCY ROOMS IN FORT BEND COUNTY