pcu manual occupational medicine

8/12/2019 PCU Manual Occupational Medicine

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9,750

2554


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--


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2 17 1. 1) 2) .. 3) ..

4) .. 5) 6) ) .. 8) .. 9) . 1) 2) 3) .. 4) .. 5) 6) .. 7) :

8)

--


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--

-- -- --

-- 1

2 3 7

8 21 23

24

25

1 : 26

2 : 29

3 : 33


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4 : 44

: 56

72

--


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1 5

2 38()

3 39

()

--


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(..)

( )


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(EMS System; EMSS)

1. First Responder

2.

2.1


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2.2 2.3

2.4

3. 4. ( )

First Responder (FR)

16

5. 4.

6. EMSS EMSS


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( 1)


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/

1669

EMS

Advanced Team (FR)

FR

Advance EMS

1


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1. 1669 ()

2.

3.

4.

4.1 4.2

4.3 Clinical Practice

Guideline ( )


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(Clinical PracticeGuideline)

(Clinical Practice Guideline)

1. Sudden cardiac arrest with basic life support and

airway management2. General trauma care

2.1 Chest injury

2.2 Abdominal injury2.3 Shock2.4 Head and spinal injury2.5 Splint and immobilization technique

3. Chest pain


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4. Alteration of consciousness4.1 Acute stroke4.2 Hypoglycemia

5. Seizure6. Fall from height7. Near drowning8. Electrical shock and burn

9. Bite and string

(triage)

trier sort

1. 2.

3.


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1. 4

1.1 1.2 1.3 1.4

Start triage

2.

2.1 (Emergent)

(Cardiac arrest)


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2.2 (Urgent)

10 30 /

40 150 /

90

130 35 c 40 c

Drug overuse

major multiple fractures, Burns, Back injury with or withoutspinal cord damage


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2.3 (Non-emergent) Minor fracture or other minor injury Dead On Arrival (DOA)

Chronic backache Moderate headache Common cold

3.

3.1

3.2 3.3 3.4

3.5 suicide


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(emergent) (urgent) (non urgent) 4

A B C D E

A : Airway

B : Breathing C : Circulation

D : Disability

E : Exposure

- emergent A B C D E (emergent)


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- emergent urgent (emergent)

- urgent urgent (A B C D E) (emergent)

- urgent non urgent

(urgent)

1. 2. - 3. 4.

- -

5.

- 1 2 ( )


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- 6. 3 - 5 1

7.

()

1. 2. 3. 4. 5.


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3 1.

2.

3. ()

3

1.

- -

2.


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- -

-

-


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3. (Vital sign)

- (Pulse) (Radial artery) (Cardio artery)

- (Respiration)

- - (Pupils of eye)

- (State of Consciousness)- -

1.

2. 3.


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3.

4. 5.

6.

7. 8.

1. 2. 3.

1. ()


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2.

3.

4.

EMS EMS


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(FR)

..


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1.

2.

3. (

)


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1 : 2 :

3 :

4 :

:


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1 :

2551 15 - 59


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1.1.9

1.2

1.2.1

1.2.2

1.2.3

1.2.4 1.2.5 .506,

506/2 1.2.6

1.2.7

1.2.8 1.2.9

1.3


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1.4

1.4.1

1.4.2

1.4.3

1.4.4

2.

1.

2.

3.

1.


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3 :

1.

1.1 /1.1.1

1.1.2

1.1.3

1.2 Mapping

1.3

1.3.1


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1.3.2

1.3.3

1.4

1.4.1 (Health Hazard)- (Physical Health

Hazard) - (Chemical Health

Hazard)

- (Biological HealthHazard)

- (Psycho-social Health Hazard)

- (Ergonomic)

1.4.2 3

-


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-

-

1.5 /1.5.1

1.5.2 1.5.3

1.6 /1.6.1 1.6.2 1.6.3 1.6.4 /

1.6.5

2. 2.1

2.1.1 2.1.2 /


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2.3.3

2.3.4 .506,506/2

2.3.5

2.4

2.4.1

2.4.2 2.4.3


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() /

..

./.

506 506/2

2 ()


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()

Mapping /

3 ()


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3.

/

1. 2. 3.

1.

1.1 1.1.1 :


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1.1.2 :

1.2

1.3

1.4

1.5


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2.5

2.6

2.7

3.

3.1

3.2 /


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5

3.

3.

..

3. 4.

3.

1.

1. .. 2. 506/2 3.

1. 2. 3.


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2. 3. /

4. /

.

4. 5.


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5. / 6. Caseconference

7.


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1. 2.

3. /

4.

4.

1. /

2.

3.

4.

1.

2. /

..3.

4.


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5. /..6.

7.

8.


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9. 10.


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5.

1. / 2.

3. ..

1.

1. 2.

3.


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4.

5.

1.

2. 3.

4.

5.


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2

11. 1. ( 1 ) / ................................................................ 2. 3. /

12. 11 1. 2.

3. /13. 1. 2. 3. /

14. 1. 2. / 3. /

15. / 1. 2. / 3.


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16. ( 1 ) 1. 2. 3.

1. 2. 3. 1. 2. 3. / 1. 2. 3.

3

17. 1.

2. 1. ( 1 )

......................................................................................2. ( 1 ) ...................... ......................

...................

.......................


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3. ( 1 )

.........................................................4. .....................................................................................

......................................................... 1. 2. 3.


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1.

3 1. [Neurotoxin]

2. [Hemotoxin]


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3. [Myotoxin]

myoglobinuria


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1.

2.

3.

4. 5.

6. 7.

1.

2.

3. 4.

5.

6.


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2.

1.

2.

3.

4.

5.

6. 7.

8.

9.

10.

11.


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12.

13.

(Pesticide) (Pesticide)

4

1. (Organochlorine)2. (Organophosphate)3. (Carbamate)4. (Pyerthrum

and Pyrethroides)

(Organochlorine)

(C) (CI) (H) (O) 3

1. (Chlorinated EthanesDerivatives) (DDT Analog)(DDT), (Dicofol)


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2. (Cyclodienes) (Aldrin) (Heptachlor), (Chlordane)

3. (Hexachlorocy-clohexanes) (BHC), (Lindane)

(Organophosphate)

(Ester) (Phosphoric acid) (Monocrotophos), (Mevinphos), (Chlorpyrifos), (Dimethoate), - (Dicrotophos), - (Parathion-methy) (Parathion)


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(Carbamate)

Physostigmine Calabar bean(Physostigmavenenosum) Prostigmine analogue Physostigmine (Methomyl), (Carbofuran), (Carbaryl), (Methiocarb),

(Pyrethrum andPyerthroides)

Pyrethrins 6 Cinerin I, Cinerin II,Pyrithrin I, Pyrethrin II, Jasmolin I, Jasmolin II, (Cypermethin), (Deltamethrin), (Fenvalerate)

(Permethrin)


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2-3

Acetylcholinesterase


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(200-500 .) 20

7

1. Emergency management2. Clinical evaluation.3. Decontamination.4. Supportive care5. Enhancement of elimination.

6. Specific Treatment Antidotes7. Observation and disposition.


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1. 15 7-33

2. 2 54-63

3. 1-12

4.

25 5. 0.001 (

5 4 )6. 0.9 ( 2

4 )7. 50 ()8. ( 2 .. 4 )9. 0.1 (

4 )


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1. .

2550. : ;2550.

2. : .

80 5 2550.: ; 2550.

3. [email protected].

4. : .

. :; 2547.5.

. . : ; 2547.

6.

./

. : ;2549.


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7.

8. National Food Institute Thai land (2547). ,, 2547, p.25-29.

9. http://www.saovabha.com/th/clinicpoison01.asp?nTopic=4


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1.

2.

1. 2. 3. 4.

1.

1. 2.

3. 4.

1 2554

11,000

ISBN : 978-616-11-0759-8


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