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Li Xiao Lin
Emergency Department
About me
Graduated from Gannan Medical University, engaged in emergency clinical work for 18 years. Went to well-known domestic hospitals such as Guangdong Provincial People's Hospital for further training in emergency and critical care, with solid theoretical knowledge and rich clinical experience, especially accumulated rich clinical experience in resuscitation, poisoning, and treatment of various critical conditions. Hosted and completed two projects funded by the Science and Technology Bureau of Ganzhou City, and published 5 academic papers in recent years.
Proficient in diseases
Proficient in emergency medical rescue and treatment of critical and difficult cases, skilled in emergency and operation techniques such as tracheal intubation, arterial and venous puncture, fiberoptic bronchoscopy, cardiac defibrillation, and emergency hemoperfusion therapy.
Voices
What should I do if I have an allergic reaction to a wasp sting?
After being stung by a wasp and experiencing allergic reactions, the first step is to treat the sting site. You can wash the wound with soap and water or an alkaline solution to reduce the absorption of toxins. Additionally, thoroughly disinfect with iodine. Also, inspect the sting site for any remaining stinger; if present, remove it to decrease further toxin absorption and alleviate symptoms. For skin allergies, oral antihistamines such as levocetirizine or loratadine can be taken to ease symptoms. If the allergic skin reaction is severe and covers a large area, and oral medications are ineffective, intravenous administration of antihistamines such as dexamethasone, calcium gluconate, and high doses of vitamin C can be considered for treatment to relieve symptoms. It is also important to watch your diet and avoid spicy, irritating foods and seafood. (Please follow medical advice regarding medication use.)
Can tetanus cause back pain?
Tetanus attacks can cause back pain. The main symptoms of tetanus are convulsions, impaired consciousness, and frothing at the mouth. If the attacks continue, not only will there be back pain, but also pain in the limbs, and severe cases may lead to fractures. Therefore, when tetanus occurs, the patient should be taken to the hospital immediately for emergency treatment. Sedatives should be administered, and if necessary, anesthesia should be used to control the symptoms and reduce complications. Attention should also be paid to keeping the airway clear to minimize the occurrence of asphyxiation. If necessary, tracheal intubation and ventilator treatment should be applied.
What should I do if it itches unbearably after a burn?
After experiencing significant itching following a burn, the first consideration should be whether there is an infection or an allergic reaction. Observe the condition of the wound, thoroughly disinfect it with iodine to prevent infection, then apply mupirocin ointment or erythromycin ointment to the surface to treat the infection. Wrap with sterile gauze, and if necessary, apply ice packs to help relieve itching. Then take oral antibiotics, such as cefuroxime axetil capsules or levofloxacin capsules, for infection treatment, and take cetirizine or loratadine orally to manage allergies and alleviate symptoms. Additionally, maintain good hygiene, try to avoid exposure to air and raw water to prevent infections, and pay attention to diet. Avoid spicy and irritating foods, drink plenty of water, eat fresh vegetables and fruits to supplement vitamins, and consume high-protein, nutritious food to help improve the condition. (Medication should be used under the guidance of a physician.)
Can drug allergies be tested for allergens?
Drug allergies do not require allergen testing because drug allergies are allergic reactions caused after taking medications, with fairly clear causes, eliminating the need for allergen testing. Allergens are the causes of allergic reactions. If the cause of an allergy is unclear, it is necessary to go to a hospital to check for allergens. The main focus of allergen testing includes food, pollen, etc., but this is unnecessary for medications. Commonly, skin testing can be conducted for medications to see if any allergic reactions occur. If there is an allergic reaction, the medication should not be used again. If the medication must be used, desensitization methods can be adopted to provide drug treatment.
What should not be eaten when a finger is scalded?
It is advised not to eat spicy and irritating foods for burns on fingers, and to avoid smoking and drinking alcohol. It is recommended to drink more water regularly, consume more fresh vegetables and fruits, supplement vitamins, and eat foods high in protein and energy that are easy to digest. Enhancing nutrition can promote the recovery and improvement of burn tissues. Concurrently, it is necessary to engage in relevant targeted treatments such as medication changes, anti-infection measures, and gauze protection. It is also advised to reduce the activity of the affected limb to avoid worsening the injury.
Why does a burn from oil swell?
Being scalded by oil belongs to high-temperature burns, which can cause degeneration and necrosis of skin and tissues, followed by an inflammatory reaction leading to the leakage of fluids and localized swelling. Additionally, in a high-temperature state, local blood vessels will dilate. This dilation can lead to congestion, and the increased pressure causes water to seep into the tissues, thus causing localized swelling. Therefore, after being scalded by oil, it is necessary to rinse with cold water for at least 30 minutes, or until the pain eases, to lower the local temperature, reduce pain and swelling, and alleviate symptoms. Furthermore, when necessary, disinfection and protection measures should be taken, and cold compresses can be applied to reduce swelling.
Do you need to disinfect every day after a burn?
Whether daily disinfection is necessary after a burn depends on the condition of the burn. If it is a minor burn with only superficial reddening, it is not necessary to disinfect daily after the initial treatment on the first day. If the burn is more severe and blisters have formed, it is recommended to disinfect daily, apply burn ointment, and cover with a dressing to prevent infection. Additionally, it is advised to drink plenty of water, eat fresh vegetables and fruits, consume high-protein and nutritious foods to promote healing of the burn, and avoid spicy and irritating foods.
How to treat scalds from boiling water?
After being scalded by boiling water, immediately rinse the scalded area with running cold water for at least half an hour, or until the pain eases, then assess the condition of the burn. If the scalded area is only red and experiencing severe pain, applying toothpaste, aloe, or tung oil topically can have a cooling and pain-relieving effect. Pain relief medications, such as oral painkillers or celecoxib, can also be used to alleviate the symptoms. If blisters appear on the scalded area or if the skin starts peeling, immediately go to the hospital for further treatment. Disinfect the wound thoroughly with iodine to prevent infection, then apply burn ointment to the surface to promote healing of the scalded tissue. If there are large blisters, use a sterile syringe to aspirate the fluid, or make a small cut at the base of the blister to drain the fluid, which can facilitate recovery. Apply erythromycin ointment to the surface to prevent infection. (Medication should be used under the guidance of a physician.)
Can tetanus be cured in its early stages?
Whether tetanus can be cured in the early stages depends on the severity of the condition and the individual's constitution. If the tetanus is mild, indicating a lighter infection, treatment might be relatively easier. Through symptomatic treatment and anti-tetanus bacillus therapy, the condition can be alleviated and improved. However, if the tetanus is severe, with persistent convulsions and various complications, treatment becomes more complicated and may lead to death. Therefore, if an injury occurs, proactive measures should be taken to treat the wound to reduce the risk of tetanus infection. Also, within 24 hours, one should go to the hospital to receive tetanus antitoxin or tetanus immunoglobulin to prevent the onset of tetanus.
How long should a cold compress be applied after a burn?
After a burn, cold compresses are generally applied until the pain is relieved, which helps to decrease local temperature and reduce further progression of the burn. Then, thoroughly disinfect with iodine to reduce the risk of infection. If necessary, burn ointment can be used to promote healing of the burn, providing astringent and anti-inflammatory effects, beneficial for burn recovery. Sterile gauze can also be used to cover the wound to reduce contact infections. Normally, attention should be paid to diet, avoiding spicy, stimulating foods and seafood that may cause inflammation. It is advisable to drink more water and consume more fresh vegetables and fruits. If the pain is significant, oral pain relievers can be taken to alleviate symptoms, and antibiotics may be taken if necessary to prevent infection.