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Signs and Symptoms of a Silent Heart Attack

Board certified in emergency medicine, Peter Craig, MD, cares for patients at Christus Santa Rosa Hospital as a physician with Victoria Emergency Associates in Austin, TX. Possessing more than 15 years of experience in the field, Peter Craig, MD, has maintained high customer satisfaction scores in both his current and previous roles and has handled a range of emergency illnesses. Each year, over 1 million people in the United States have a heart attack. Of these, about 4 percent of heart attacks are classified as silent myocardial infarctions (SMIs), or silent heart attacks. These medical emergencies are usually accompanied by symptoms that are less intense than a regular heart attack. The appearance of symptoms is often so brief and mild that most people confuse them with just regular discomfort. In most cases, people should seek immediate medical attention if they experience any discomfort at the center of the chest. This discomfort usually feels like a squeezing, pressure, or pain and can last for several minutes. When a silent heart attack occurs, this discomfort may also dissipate after a time and come back. People who experience discomfort in other areas of the body, such are the back, neck, and other upper-body areas, should also seek medical attention. Beyond discomfort in the chest and upper body, silent heart attacks also are accompanied by shortness of breath. This symptoms appear either during or before chest discomfort. Lightheadedness, cold sweats, and nausea are also common warning signs of silent heart attacks.

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Choosing the Right Tent

Dedicated emergency physician Peter Craig, MD, works at Victoria Emergency Associates in Austin, TX. In this capacity, he treats patients at Christus Santa Rosa Hospital. Away from work, Peter Craig, MD, enjoys spending time outdoors and is fond of hiking and camping. The process of choosing the right tent for camping usually starts with figuring out the size needed. Most people look at their group’s size and find a tent that fits that many people. However, it’s not always this simple. There are no standard per-person dimensions, so some tents may feel smaller than other despite claiming they have enough room for the same amount of people. Further, people who are claustrophobic, toss and turn at night a lot, or need a lot of space when they sleep will need more room and, thus, a larger tent. Once you know how big of a tent you need, look into the tent’s seasonality. Three-season tents are usually the most popular choice since they are designed for mild spring, fall, and summer conditions. Most three-season tents are lightweight and feature plenty of mesh panels to keep out bugs and allow air through. Three- to four-season tents are suitable for moderate snow and are sturdier than three-season tents. They offer a good balance between ventilation and warmth-retention for campers who frequently set up in high-elevation, exposed spots. For the most fortification possible, campers can get a four-season tent. These kinds of structures are designed to withstand inhospitable weather. There are fewer mesh panels on these types of tents to ensure the tent stays warm when weather gets colder. The last consideration focuses on the features of each tent. This includes the tent’s peak height, floor length, doors, and tent poles. It’s also wise to consider how large the tent is when packed. People who are backpacking will likely prefer tents that are smaller and easier to carry around during their trek.

#tent #tips

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WATCH: This massive Mola Mola fish was captured on video by Portuguese diver Miguel Pereira near Santa Maria Island in Azores, Portugal.

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the dream of flight

The PADI Advanced Open Water Diver Course

In his work at Victoria Emergency Associates in Austin, TX, Peter Craig, MD, employs the latest technology to treat patients. In his leisure time, Peter Craig, MD, enjoys scuba diving and is certified as an Advanced Open Water Diver by the Professional Association of Diving Instructors (PADI). Any person aged 12 or older who has already completed the Open Water Diver course may take the Advanced Open Water Diver course, which provides an in-depth education in a variety of areas. The course requires participants to complete five “Adventure Dives.” One of these is the “Deep Adventure Dive,” which educates divers on the physiological challenges of deep water diving. Another dive is the “Underwater Navigation Adventure,” which teaches navigational skills for divers using methods such as landmarks, kick cycles, and a compass. Participation in these dives includes credit toward a particular Specialty Diver Course. For more details about course requirements, visit www.padi.com.

#padi #open water #sports #course #trianing

ABEM Announces New Certification in Neurocritical Care

An emergency physician with nearly two decades of experience, Peter Craig, MD, joined Victoria Emergency Associates in Austin, TX, in 2017. Peter Craig, MD, is certified by the American Board of Emergency Medicine (ABEM). Supplying medical professionals in the field of emergency medicine with voluntary certification and ongoing training, ABEM seeks to maintain the highest standards for emergency physicians. The organization recently cosponsored a new subspecialty certification in neurocritical care authorized by the American Board of Medical Specialties. The certification in neurocritical care focuses on the care of patients with serious neurological conditions and diseases. The certification process will ensure that physicians have sufficient training to treat these illnesses and related neurological trauma. Examinations for certification will begin in 2020 or 2021 under the purview of the American Board of Psychiatry and Neurology. Further details about the certification will be announced by the end of 2018.

#emergency #medicine #peter craig

Definitions of Trauma Center Designations

Peter Craig, MD, has practiced emergency medicine for more than 15 years. Currently employed through Victoria Emergency Associates of Austin, TX, Peter Craig, MD, cares for patients in the trauma center of Christus Santa Rosa Hospital - Westover Hills in San Antonio. Many emergency departments, which accept patients with conditions that vary dramatically in severity, maintain special departments known as trauma centers. These centers are reserved for treating the most serious and life-threatening injuries, such as gunshot wounds and severe burns. The American Trauma Society has defined five levels of trauma care, each of which can handle a different level of trauma. A Level I trauma center is a central point for trauma care within a particular region. The highly trained staff at these centers can provide comprehensive care at all stages of injury and recovery, up to and including rehabilitation. Level I trauma centers also offer teaching and research programs as well as public education and advocacy for innovation in care. Level II trauma centers have many of the same capacities as a Level I center, but they may not offer research or teaching. These centers are still able to offer 24-hour care for injuries, but follow-up care such as cardiac surgery or dialysis may require referral to a Level I facility. Level III centers are capable of evaluating and stabilizing patients with a variety of injuries. These centers must have transfer arrangements with a Level I or Level II center for patients who receive a higher level of care. Level IV trauma centers offer advanced trauma life support (ATLS) for injured patients. Like Level III trauma centers, these facilities stand ready to arrange transfer to a Level I or Level II facility. Level V centers, which are not recognized as trauma centers in all states, are primarily intended to stabilize patients and prepare them for care at a Level I, II, or III facility.

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First Aid for Head Injuries

As a physician with Victoria Emergency Associates in Austin, TX, Peter Craig, MD, draws on diverse experience in treating a broad range of traumatic injuries. Peter Craig, MD, currently serves in the trauma center of San Antonio's Christus Santa Rosa Hospital - Westover Hills, where cares for patients with head injuries and other serious medical conditions. Head injuries range in severity from a minor abrasion of the scalp to a traumatic brain injury. The majority of head injuries are minor due to the skull's ability to protect the brain. In some cases, however, the skull can fracture or the brain can strike the inside of the skull, which causes bruising and swelling. Those providing first aid for head injuries should be watchful of signs that the injury may be serious. Such signs include extreme sleepiness, loss of consciousness, severe headache, and vomiting. Neurological changes, such as limb paralysis and pupils of unequal size as well as alterations in behavior, may also be apparent. Any head injury that may involve brain damage, as well as those that involve bleeding, should receive immediate medical attention. Experts recommend that, until that care arrives, the person should lie down with the head and shoulders elevated slightly if possible. It can be unwise, however, to move the individual or to shift the position of the neck. A first aid provider can place direct pressure on the wound to stop bleeding. If there is an obvious, depressed skull fracture, however, there should be minimal direct pressure to the wound (a single finger on a bleeding vessel is often effective). Additionally, first aid providers are advised not to remove helmets or any objects that protrude from the wound. Wrapping a bleeding head wound in gauze is useless, other than keeping the environment around the patient clean. Gauze simply soaks up the blood that pours out of a wound. Scalp wounds, in particular, are very resistant to infection, so sterility is not a big concern with a bleeding scalp wound, but wrapping towels or gauze around a briskly bleeding wound is one of the most common mistakes and often several units of blood are lost into a "gauze turban" on the way to the ER when one finger placed in the right spot will often almost completely stop the bleeding.

#head #injury #first aid #peter craig md

The Differences between Emergency Doctors and Trauma Surgeons

Board-certified with years of experience in emergency care, Peter Craig, MD, works at Victoria Emergency Associates in Austin, TX, where he treats individuals with life-threatening conditions. As an emergency physician, Peter Craig, MD, tends to patients with traumatic injuries and other conditions in need of urgent treatment. Emergency doctors differ from trauma surgeons in terms of the duties they perform. Trauma surgeons are responsible for performing surgical operations, thus they can assess, diagnose, and operate on patients who are suffering from serious injuries. Due to the severity of the injuries they treat, they are expected to complete procedures in the shortest amount of time while making life-and-death decisions, often without complete information regarding the patient or their injuries. Emergency doctors who are trained in emergency medicine, occasionally will perform surgery if emergently necessary. Even so far as opening the chest cavity and operating on the heart, neck, or lungs, or drilling a pressure-relieving hole in the skull, falls within an emergency physicians' duties when absolutely emergently necessary. More commonly, emergency physicians will operate on the chest to relieve a collapsed lung or suture wounds which may require blood vessels to be "tied-off" and multiple layers to be closed before simply suturing the skin. In this way, the duties of an emergency physician overlap those of a trauma surgeon, but a trauma surgeons capabilities for surgical intervention are far more broad and much more comprehensive and if a patient can make it to the operating room with a surgeon, then it is far better for the patient to be taken there with a surgeon for any necessary surgical interventions which aren't needed to be performed immediately. Emergency doctors, on the other hand, are trained in the initial stabilization of patients with all manner of illnesses and conditions as well as traumatic injuries. Capable of providing treatment to anyone who walks into the emergency room, they can assess a patient’s condition and decide on the method of treatment, typically after performing a number of medical tests. Whereas trauma surgeons often work for long periods with a single patient until he or she is stabilized and out of danger, ER doctors are expected to attend to the needs of multiple people in need of urgent care in the emergency room.

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New Report Warns Outdoor Workers against Risk of Heat Stroke

Peter Craig, MD, is a board-certified emergency physician based in Austin, TX. Drawing on years of experience in emergency care, Peter Craig, MD, serves the needs of patients who are suffering from a variety of conditions including heat stroke. A new report has emphasized the danger of working under conditions of intense heat. The study, titled Evaluation of Occupational Exposure Limits for Heat Stress in Outdoor Workers and published by the U.S. Centers for Disease Control and Prevention, examined 25 cases of outdoor heat stroke between 2011 and 2016. Fourteen of these cases were fatal. The study's authors at the CDC's National Institute for Occupational Safety and Health recommend setting exposure limits for workers in hot conditions. Doctors warn outdoor workers against exposing themselves in summer heat waves, saying that intense heat, when combined with humidity, can be deadly. Doctors, however, assert that heat-related deaths can be prevented through a number of means such as ensuring proper workplace supervision, scheduling frequent breaks in the shade or in air-conditioned areas, and staying hydrated by consuming plenty of water or drinks with electrolytes.

#heat #strike #peter craig md

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Am I Eligible for ABEM Certification?

Emergency physician Peter Craig, MD, practices in Austin, TX, serving at Victoria Emergency Associates. A graduate of the University of Arizona College of Medicine, Peter Craig, MD, is board-certified by the American Board of Emergency Medicine (ABEM). Recognized by the American Board of Medical Specialties, ABEM testifies to the quality of emergency medicine by certifying emergency physicians who meet its professional, educational, and examination standards. Doctors seeking certification in emergency medicine must be deemed board-eligible by the organization before starting the certification process. Eligible professionals are those who have completed an accredited emergency medicine program or a combined training program approved by ABEM. On the date of graduation from residency, the eligibility period begins. It lasts for five years and ends on December 31 in the fifth year. Doctors can extend the period of eligibility by passing a qualifying exam before their first eligibility period ends. They must also complete additional certification requirements. By doing this, physicians can get another five-year period of eligibility. During their eligibility period, physicians can apply for certification from the ABEM. The candidate submits the application, along with a non-refundable fee to cover the cost of processing. Medical licensure and verification of training are checked by the organization. Approved physicians then take oral and written exams to earn their certification. After that, they must acquire 25 continuing-education credits each year to maintain their board certification, which is renewable.

#peter craig md #American Board of Emergency Medicine #certification

New hobby; Hang Gliding :)

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The time I was on Trauma: Life in the E.R., episode was “Heart of the Matter”

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A study says emergency rooms that treated more patients per year also seemed to have some of the best outcomes.

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