February 20th, 2010 by Paul Auerbach, M.D. in Better Health Network, Health Tips
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Dog attacks are a major public health concern worldwide. In the United States, dogs bite more than 4 million people each year, occasionally resulting in fatalities. In an issue of Wilderness and Environmental Medicine (2009;20:19-25), Ricky Langley from the Division of Public Health in Raleigh, North Carolina published an article entitled, “Human Fatalities Resulting From Dog Attacks in the United States, 1979-2005.”
The statistics are instructive. In the years studied, there was an average of 19 deaths each year from dog attacks. Not surprisingly, males and children less than 10 years of age had the highest rate of death from dog attacks, with Alaska reporting the highest death rate. The number of deaths and death rate from dog attacks appear to be on the rise, perhaps for no other reason than there are more people and more dogs, in both absolute numbers and in proximity.
I am a dog lover (of friendly dogs), but am aware both as an owner and as an emergency physician that dogs will sometimes bite people, sometimes with serious consequences. Read more »
This post, Killer Dogs And US Dog Bite Statistics, was originally published on
Healthine.com by Paul Auerbach, M.D..
February 15th, 2010 by Paul Auerbach, M.D. in Better Health Network, Health Tips, True Stories
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Prior to departing for my assignment in Haiti for International Medical Corps, I didn’t have much time to pack, so wasn’t able to bring everything I might need. However, I was able to carry a few items that proved quite useful. First and foremost was a new EMS-type trauma shears. Scott Forman, MD of Adroit Innovation, LLC has created a very functional titanium shears in which one finger loop has been replaced by a carabiner, so the shears can easily hang from a belt or other loop. I used them all the time to cut tape, change dressings, slice through wire, and other assorted tasks. I just purchased one for each member of the Stanford team. Read more »
This post, A First Responder’s Top 4 Items Of Medical Equipment: Lessons From Haiti, was originally published on
Healthine.com by Paul Auerbach, M.D..
February 9th, 2010 by Paul Auerbach, M.D. in Better Health Network, Health Tips, Research
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Pain management is a hot topic in medicine in general and certainly in medicine for the outdoors. Injuries in particular, and many illnesses, cause pain, which in turn causes the victim to suffer. To a great extent, pain is subjective, but regardless of whether your pain is a “1” or a “10,” it can be disabling and even dangerous, particularly if it causes you to be distracted in a situation of risk (e.g., climbing, swimming, walking along a ridgeline).
Broken bones usually hurt a great deal. It’s commonly believed that the pain is always of a severity to require the administration of “strong” pain medicine, notably, something containing a narcotic compound. This may not be true. Read more »
This post, Broken Arm? Try Some Ibuprofen, was originally published on
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January 30th, 2010 by Paul Auerbach, M.D. in Better Health Network, True Stories
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We found out today that we are going to ship out tomorrow. My feelings are certainly mixed. There is an incredible amount of work to be done here – we have only contributed to the first wave of what is necessary. This may sound strange, but I cannot remember the details of much of what we did the first three days, when we were functioning on hyperdrive in a battlefield setting. My recollections become detailed after the third day, when we were able to see only four or five patients at a time, and we stopped triaging amputees to the operating room.
Now the hospital has been substantially augmented. Teams of foreign (to Haiti) surgeons have left to go home, because the operations to be performed now are largely orthopedic and plastic surgery, as well as specialty cases. Sadly, there are scores of patients with spinal fractures who are paralyzed, and little can be done for them this far out from the initial injury. Children continue to break our hearts. I had a small child who is a triple amputee offer me his cracker with his remaining hand. One can only pray that the memories he carries of this tragedy are erased swiftly, that he is assisted in his rehabilitation, and that his life improves. All of these will, of course, be hard to achieve. Read more »
This post, Leaving Haiti: Small Child – A Triple Amputee – Offers MD A Cracker With His Remaining Hand, was originally published on
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January 24th, 2010 by Paul Auerbach, M.D. in Better Health Network, True Stories
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Today was another remarkable day. Here are some of the highlights:
The team continues to be incredibly strong and we are receiving reinforcements from all directions, both from International Medical Corps and from many other NGOs. Before I go any further, I want to express my appreciation for the incredible effort from the U.S. Army, which has provided protection, supplies, transportation, medical assistance and most important, peace of mind. This is not an easy situation, and having a compassionate and responsive military, never shirking a task when we need their help, is incredible.
We continued to triage, operate on and otherwise treat approximately 700 patients, with injuries that will change their lives forever. We have seen countless amputations, disfigurements and open fractures, and face wounds that are in some circumstances infected to the point of gangrene. The medicine is intense, but we are up to the task most of the time. It is quite hot outside and there is little time to eat, drink or go to the bathroom, so by the end of the day we are quite tired and bit dehydrated. But we do not complain, because these people are so strong and now so disadvantaged. Read more »
This post, Dr. Paul Auerbach’s Update From Haiti, was originally published on
Healthine.com by Paul Auerbach, M.D..
Dog attacks are a major public health concern worldwide. In the United States, dogs bite more than 4 million people each year, occasionally resulting in fatalities. In an issue of Wilderness and Environmental Medicine (2009;20:19-25), Ricky Langley from the Division of Public Health in Raleigh, North Carolina published an article entitled, “Human Fatalities Resulting From Dog Attacks in the United States, 1979-2005.”
