Patients with tetanus should be managed in an intensive care unit. Respiratory compromise may require immediate neuromuscular blockade and orotracheal intubation, but tracheostomy provides the best method of prolonged ventilatory control. Environmental stimuli must be minimized to prevent the precipitation of reflex convulsive spasms.

Identification and debridement of the wound through which the clostridial spores were introduced are necessary to minimize further toxin production and to improve the oxidation-reduction potential of the infected tissue. A wound may not be identified in up to 10 percent of patients with tetanus.

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Dealing With Back Pain

Dealing With Back Pain

Deal With Your Pain, Lead A Wonderful Life An Live Like A 'Normal' Person. Before I really start telling you anything about me or finding out anything about you, I want you to know that I sympathize with you. Not only is it one of the most painful experiences to have backpain. Not only is it the number one excuse for employees not coming into work. But perhaps just as significantly, it is something that I suffered from for years.

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