Expeditionary Mountaineering Medical Health Plan Management (I)

The management of medical health plans is more complex. It consists of two parts, one is a medicine plan and the other is a medical examination and disease treatment (here, the disease mainly refers to AMS, acute mountain sickness).
Let us first talk about the drug plan. We still have a form like a material plan, and it is a table full of data. Such a plan is practical. This form is made like this:
1. First, list all necessary medicines and medical devices for expeditionary mountaineering. Then divide the listed drugs into two categories: drugs and equipment. Then divide the medicines into three categories: internal medicine, external use, and first aid, and press orally the respiratory system. , circulatory system, nervous system and other sub-divided by water agent and non-water agent;
2, to make a table, the first line of the project, the first column is the number, the second column is the category, the third column is the property, the fourth column is the drug name or the name of the device, the fifth column is the number, the sixth column is Applicable disease, the seventh column is a note;
3, Fill the form with the name of the drug or device, number each drug or device, note that the same as the equipment plan, do not number the category;
4, in the preparation of drugs, the form is also printed three copies, the captain, captain and medical team members in charge of a copy, heavy packaging and packaging materials are bulky to carry out sub-assembly, the glass bottles of drugs into a small plastic bag Refill the plastic bottle (the film box is good), easy to burst to fill some cotton outside to be tightly packed outside the packaging label, number and name on the label, the best waterproof labels, emergency drugs and equipment packaged separately, Use red packaging in the fastest possible position;
5, medical management team must know the use of each kind of thing, have to be clear about the amount of the drug at that time, with this form these are not difficult to do.

The second part is the diagnosis and treatment of health conditions. This part is very operative, that is, two forms and an AMS scoring standard. The form is divided into two parts sooner or later. Let's start with the preparation method of the health status table in the morning:
1, at the top of the year, the date of the month, and the other party wrote the morning checklist, then the location (that is, the place where you filled in, for example, at C1) and the altitude (at the altitude when you filled in, for example, at 5,700 meters). The sleep status table, the first two items are wake up time and sleep time, the second line is sleep status and degree, the item provides five choices on the right side, A, sleeps well; B, reluctant to sleep; C , often wake up; D, not too sleepy; E, almost unable to sleep. The next item is the reason for not being able to sleep. There are seven choices on the right, A, I feel cold, B, My heart beats fast, C, I have a cough, I have a sore throat, D, I don't know why, E, Headache, F, I have trouble breathing, G, Others . The next item is the use of sleeping pills. The right choice is A, no; B, yes. The last sleep item is the use of oxygen, the right choice is A, no; B, yes (and filled in time).
2. This table and the next table are both part of the morning health status table and part of the evening health status table. Its first line is the project. The first cell that intersects with the first line in the first column is divided into two parts by the diagonal line. The lower left is the item and the upper right is the time. The items are: blood pressure, pulse, SPO2, breathing times in quiet, body temperature and helium time. The right of the "time" on the right is filled with the measurement time, and the following is the data unit corresponding to the measurement items on the left blood pressure, such as mmHg ,bpm,%,back/minute,etc.
3. The third table is shared with the above table in the morning and evening. It is an AMS diagnosis and treatment table. This table has a total of five columns and thirteen rows. The first column is a diagnosis item, one for each row, and therefore a headache. , insomnia, appetite, vomiting, diarrhea, fever, heartbeat, edema, breathing, coughing, recording time and scoring; the other four columns are divided into 0 points, 1 point, 2 points, and 3 points according to the degree, the lower the score, the healthier the it is good.

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