Medicine for the Outdoors: The Essential Guide to First Aid and Medical Emergency, 5th Edition

APPENDIX THREE GUIDELINES FOR PREVENTION OF DISEASES TRANSMITTED VIA HUMAN BLOOD AND OTHER BODY FLUIDS

Human fluids commonly encountered by laypeople during medical or recreational activities that would be considered high risk for the transmission of disease include blood, semen, vaginal secretions, saliva, and any fluid contaminated by blood, feces, and urine. Not all fluids are of equal risk, depending on the infectious agent. For instance, feces, nasal secretions, respiratory secretions, sweat, tears, urine, and vomitus do not appear to appreciably transmit the human immunodeficiency virus (HIV), but it is usually very difficult to tell if these fluids are contaminated with blood. Therefore, it is safest to assume that any body fluid can transmit disease, and to avoid unprotected contact with any moist human body substance.

To minimize the transmission of infectious disease, a medical rescuer should take the following precautions:

• Be careful with sharp objects, such as knives and needles. Obtain all available useful immunizations (including hepatitis; see page 454).

• Use personal protective equipment, such as disposable latex or hypoallergenic gloves, goggles (eyeshields, glasses, ski goggles), pocket mask or barrier shield (for rescue breathing), and gown or overclothing. In cold weather, thin glove liners can be worn under disposable gloves.

• After any victim contact, even if gloves are worn, wash your hands thoroughly with soap and water. If a glove breaks during contact with a victim, remove it and wash your hands immediately.

• Unbroken skin is very protective. However, if broken or unbroken skin is exposed to a victim’s body fluid, it should be washed immediately with soap and water. If soap and water are not available, use waterless antiseptic hand cleanser, plain water, or snow.

• Carry materials contaminated by body fluids in clearly labeled nonpermeable containers, such as heavy plastic bags. Carry “sharps” (e.g., used needles) in impenetrable containers.

• If equipment (such as a litter) has been contaminated by a body fluid and must be reused, it should be cleaned by washing with soap and water, and then scrubbing with a minimum 1:10 dilution of household bleach (sodium hypochlorite) in water. Alternative minimum dilutions (in water) for disinfection include 0.3% hydrogen peroxide, 25% ethyl alcohol, 35% isopropyl alcohol, 0.5% Lysol, and 0.25% povidone iodine (Betadine). Wear gloves while cleaning the equipment. Eyeglasses can be washed with soap and water.

The purpose of educating you about precautions is not to discourage you from helping another in need. Rather, it is to support the notion that with just a moment of thought and the initiation of proper precautions, needless transmission of infectious diseases can be prevented, and a medical rescue can proceed without harm to the rescuer.

GLOSSARY

abdomen: the part of the body between the chest and the pelvis

abrasion: a scraped area of skin

abscess: a localized collection of pus, usually surrounded by inflamed tissue

acclimatize: to adapt to a new altitude, climate, environment, or situation

acidotic: in a state of abnormally reduced alkalinity; overwhelmed by acid; related to decreased pH

acute: sudden in onset

adrenaline: epinephrine

airway: passage for air into the lungs, including the mouth, nose, pharynx, larynx, trachea, and bronchi

alkaline: having the properties of a base; related to high pH

allergy: exaggerated reaction (sneezing, runny nose, itching, skin rash, difficulty in breathing) to substances that do not affect other individuals

alveoli: microscopic air spaces in the lung where oxygen is exchanged for carbon dioxide

ambulatory: able to walk

amnesia: loss of memory

amniotic fluid: liquid that surrounds unborn child within the membranes inside the uterus

amputate: to cut from the body

analgesia: relief from pain

anaphylaxis: hypersensitivity to substances following prior exposure, resulting in a severe allergic reaction

anemia: deficiency in red blood cells

anesthesia: loss of sensation

aneurysm: abnormally dilated blood vessel

angina pectoris: episodic chest pain caused by insufficient oxygen supply to the heart

antibiotic: drug used to kill bacteria

antibody: body substance, produced by specialized cells, that combines with and neutralizes foreign substances or toxins

antiemetic: drug used to control nausea and vomiting

antihistamine: drug used to inactivate histamine

antiinflammatory: drug used to prevent or correct inflammation

antiseptic: substance that limits or stops the growth of microscopic germs

antivenom: drug used to inactivate the effects of animal or insect venom

anus: posterior opening from the intestine to the outside world

aorta: the large artery that carries oxygenated blood from the heart to be distributed to the body

aortic: pertaining to the aorta

appendectomy: surgical removal of the appendix

appendicitis: inflammation of the appendix

appendix: wormlike appendage of the bowel, located in the right lower quadrant of the abdomen

aqueous: mixed with or related to water

arachnoid: middle layer of membranes that cover the brain and spinal cord

argasid: related to soft ticks

arrest: sudden stop

arterial: pertaining to an artery

arteritis: inflammation of an artery

artery: muscular- and elastic-walled blood vessel that carries oxygenated blood from the heart to the body

arthritis: inflammation of the joints

arthropod: invertebrate animal with jointed limbs belonging to the phylum Arthropoda; insect, spider, or crustacean

aspirate: to draw by suction; to inhale into the lungs

asthma: labored breathing caused by narrowing of the smaller air passages (past the bronchi) in the lungs, associated with shortness of breath, wheezing, cyanosis, and coughing

atherosclerosis: hardening of the arteries

aura: a sensation of lights or sounds that occurs before a migraine headache or seizure

barotitis: disorder of the ear due to increased or decreased atmospheric pressure

bile: green fluid produced by the liver and stored in the gallbladder, where it is released into the duodenum to aid in the digestion and absorption of fats

bilirubin: a pigment formed from the destruction of red blood cells

biopsy: the process of removing tissue from living creatures for diagnostic examination

blister: fluid-filled elevation of the epidermis

borrelial: related to microorganisms of the genus Borrelia, which transmit diseases such as Lyme disease

bowel: intestine

brainstem: part of the central nervous system between the spinal cord and brain, which controls certain critical functions, such as breathing

breech: buttocks first, as in breech birth

bronchitis: inflammation of the bronchial tree

bronchoconstriction: narrowing of small airways, often caused by smooth muscle contraction

bronchodilator: drug used to relax and widen the bronchi

bronchus: main passageway from the trachea to the smaller air passages in the lungs

bruise: injury that does not break the skin, with rupture of small blood vessels that causes blue or purplish discoloration

bursa: fluid-filled sac that allows smooth motion of muscles or tendons over a bone or joint

bursitis: inflammation of a bursa

buttocks: the seat of the body; the rump

calorie: the amount of energy necessary to raise the temperature of 1 g of water by 1°C; 1 food calorie (“kilocalorie”) is equal to 1,000 energy calories

cancer: malignant tumor; uncontrolled growth of cells that invade normal body tissues for no reason and serve no purpose

canker sore: small, painful ulcer of the mouth

cannula: small tube for insertion of fluid or air

capillary: microscopic blood vessel that connects an artery to a vein

carbonaceous: rich in carbon; black like soot

carbon dioxide: gas that combines with water to form carbonic acid; formed by the combustion and decomposition of organic substances

cardiac: pertaining to the heart

cardiopulmonary: pertaining to the heart and lungs

carotid artery: chief artery that travels up the neck and carries blood to the head and brain

carpal: relating to the wrist

cartilage: elastic tissue that is transformed into bone

cartilaginous: composed of cartilage

cataract: opacity in the lens of the eye

caustic: corrosive; capable of destroying by chemical action

cellulitis: inflammation of tissue, such as the skin

central nervous system: the brain and spinal cord

cerebral: pertaining to the brain

cervical: pertaining to the neck

chilblain: inflammation, swelling, and blistering of the skin caused by exposure to cold

cholecystitis: inflammation of the gallbladder

cholelithiasis: condition of having stones present in the gallbladder

chronic: of long duration

colic: acute pain caused by spasm, obstruction, or twisting of a hollow organ

colitis: inflammation of the colon

colon: the large intestine

coma: a state of profound unconsciousness

comatose: in a coma

comminuted: in multiple pieces; shattered

compound fracture: broken bone accompanied by torn skin

conjunctiva: membrane that covers the insides of the eyelids and extends over the whites of the eyes

convulsion: seizure; abnormal involuntary contraction or series of contractions of the muscles

COPD: chronic obstructive pulmonary disease, caused by scarred lung tissue

core: center; involving the abdomen and chest organs

cornea: the transparent covering of the eyeball over the iris and pupil that allows light to enter the eye

corticosteroid: one of a number of hormones produced by the adrenal glands

costochondritis: inflammation of the cartilage that attaches the ribs to the sternum

CPR: cardiopulmonary resuscitation, with artificial breathing and chest compressions

cravat: triangular cloth bandage folded into a longitudinal strap

crepitus: a crackling sound or feeling

culture: to grow in a prepared laboratory medium

cyanosis: blue or purple discoloration of the skin due to inadequate oxygen in the blood

cyst: an abnormal sac containing gas, fluid, or solid material

debridement: surgical removal of torn, contaminated, or devitalized tissue

decompression: loss of pressure; contributes to diving-related bends

DEET: active ingredient of many insect repellents; N,N-diethyl-3-methylbenzamide

dehydration: depletion of body fluids

dermatitis: inflammation of the skin

dermis: layer of skin just underneath the epidermis that contains sensitive nerve endings, blood vessels, and hair follicles

diagnose: to identify a disease

diaphragm: muscular wall that separates the chest from the abdomen

dilation: stretching to normal or beyond normal dimensions

dinoflagellate: marine plankton

discharge: liquid released from an organ or tissue surface

dislocation: displacement of bones at a joint

disseminated: spread over a wide area

distal: at the end of; in the area farthest from the center of the body

diuretic: drug that promotes urination

diverticulitis: inflammation of a diverticulum

diverticulum: small outpouching from a hollow organ (such as the large intestine)

dressing: bandage; covering for a wound

duodenum: first part of the small intestine

ectopic: at a remote site; in the wrong place

edema: swelling caused by the accumulation of fluid

electrolyte: soluble inorganic chemical (such as sodium or potassium) found in body fluids

embolism: sudden obstruction of a blood vessel by an embolus

embolus: abnormal particle (such as a blood clot or air bubble) circulating in the bloodstream

encephalopathy: disease of the brain that often results in abnormal mentation

encyst: to completely surround with a membrane

endemic: native to

endotracheal: through the trachea

envenom: to poison with venom

epidermis: outermost layer of the skin

epigastrium: area lying over the stomach; central upper area of the abdomen

epiglottis: soft tissue pillar in the throat that covers the vocal cords and keeps food and liquid from entering the trachea during swallowing

epiglottitis: inflammation of the epiglottis

epilepsy: disorder associated with disturbed electrical discharges in the central nervous system that cause convulsions

epinephrine: most potent hormone that stimulates increased heart rate and force of contraction, relaxation of smooth muscle in the airways that causes bronchoconstriction (during asthma or an allergic reaction), and constriction of microscopic blood vessels

epistaxis: nosebleed

eruption: a breaking out, particularly the appearance of redness, rash, blisters, sores, or other lesions of the skin

erythema: redness

esophageal reflux: return of food and acid from the stomach into the esophagus; major cause of heartburn

esophagitis: inflammation of the esophagus

esophagus: muscular tube from the pharynx to the stomach

eustachian tube: a tube of bone and cartilage that connects the middle ear with the upper throat and allows equalization of pressure on both sides of the eardrum

exhale: to breathe out

expectoration: sputum, phlegm, or mucus; the act of spitting out saliva or mucus from the air passages via the mouth

extend: lengthen; reach out

extremity: arm and hand (upper extremity) or leg and foot (lower extremity)

facial: pertaining to the face

fallopian tube: small tube that conducts the egg from the ovary to the uterus

fascia: tough, fibrous tissue that surrounds muscle bundles

fasciitis: inflammation of the fascia

feces: solid human bodily waste discharged through the anus

feculent: pertaining to or resembling feces

femoral artery: large artery that carries blood to the leg

femur: large bone of the thigh

fetus: unborn young after it has taken form in the uterus

fibrillation: unsynchronized quivering

flagellate: possessing a flagellum

flagellum: whiplike organelle (tail) for locomotion

flail chest: series of detached ribs that cannot move properly to assist with breathing

flatulence: the presence of excessive gas in the bowel

flatus: gas generated in the digestive tract and discharged via the anus

flex: bend; fold

fluorescence: the reemission of light (usually lower frequency) following its absorption; this is usually most apparent when the absorbed light is in the (invisible) ultraviolet range and the reemitted light is in the visible range

fluorescent: possessing fluorescence

follicle: skin cavity in which a root of hair lies

fracture: to break; a broken object

frostbite: freezing of the tissues

gallbladder: muscular, hollow organ that stores bile produced by the liver

gangrene: tissue death due to loss of blood supply; may be caused by injury or infection

gastroenteritis: inflammation or irritation of the stomach and/or intestine

gastrointestinal: pertaining to the stomach and intestine; digestive system

gauge: the diameter of a hypodermic needle expressed as a standard number

genitals: external organs of reproduction

gland: a specialized group of cells that selectively removes substances from the blood, concentrates or alters substances in the blood, and/or creates and releases special substances into the blood

glaucoma: disease of the eye associated with increased pressure within the eyeball

glucose: type of sugar used by the body for energy

gonorrhea: sexually transmitted disease caused by the bacterium Neisseria gonorrhoeae

graft (skin): piece of skin taken from one area of the body to cover a defect or burn in another area

grain: a measure of weight equal to 0.0648 g

gram: a measure of weight equal to 15.432 grains

grand mal seizure: convulsion manifested by violent generalized muscle contractions, clouded consciousness, and a period of confusion after the event

hallucinate: to see visions or experience lack of reality

hallucination: imaginary perception

heartburn: burning discomfort behind the sternum related to irritation or spasm of the lower portion of the esophagus

Heimlich maneuver: technique for removal of a foreign object caught in the upper airway

helminth: intestinal worm-shaped parasite

hemoglobin: iron-containing, oxygen-carrying pigment in red blood cells

hemorrhage: bleeding

hemorrhoid: dilated vein found at the anal margin

hepatitis: inflammation of the liver

hernia: protrusion of part or all of an organ through a wall of the space in which it is normally contained

hiatal hernia: protrusion of part of the stomach through the diaphragm

histamine: chemical compound that plays a major role in allergic reactions

HIV: human immunodeficiency virus

hives: raised red skin wheals associated with allergic reactions

hormone: chemical substance formed in the body that is carried in the bloodstream to affect another part of the body; an example is thyroid hormone, produced by the thyroid gland in the neck, which affects growth, temperature regulation, metabolic rate, and other body functions

hydrate: to cause to take up water

hygiene: the science or practice of preserving health

hyper- (prefix): excessive

hyperbaric: pertaining to increased atmospheric pressure

hyperextension: accentuated extension or straightening of a limb

hypertension: elevated blood pressure

hyperthermia: elevated core body temperature

hypertrophy: enlargement of; excessive size

hyphema: collection of blood in the chamber of the eye between the lens and the cornea (anterior chamber)

hypo- (prefix): insufficient; underneath

hypodermic: under the skin

hypoglycemia: low blood sugar

hyponatremia: low blood sodium

hypothermia: low core body temperature

ileum: the last (and longest) segment of the small intestine

ileus: profoundly decreased physiological activity (motility) of the bowel, characterized by dilation, abdominal pain, and vomiting

iliac: pertaining to the ilium

ilium: the upper bone that forms the side of the pelvis

immobilize: to prevent freedom of movement

immune: not susceptible to

immunity: condition of being able to resist a certain entity or disease

immunization: the process of developing immunity; often refers to an injection

impetiginize: to involve with impetigo

impetigo: contagious skin disease caused by Staphylococcus or Streptococcus bacteria, characterized by weeping, crusting, and areas of pus formation

incarcerate: to confine; to entrap

infarction: area of tissue death caused by obstruction of blood circulation

inflammation: response to cell injury that involves dilation of small blood vessels, redness, warmth, pain, and migration of white blood (pus) cells to the region; part of the healing process that removes noxious substances and damaged tissue; can be destructive as a primary disease process

infrared: light that lies outside of the visible spectrum, with wavelengths longer than those of red light

inhale: to breathe in

inspiration: the act of breathing in

intestine: the digestive tube that passes from the stomach to the anus; the small intestine (bowel) consists of the duodenum, jejunum, and ileum; the large intestine (bowel) consists of the cecum (with attached appendix), colon (ascending, transverse, descending, and sigmoid), and rectum

intoxication: state of poisoning

intravenous: into a vein

irrigate: to rinse

ischemic: in a condition of lowered blood flow; lacking sufficient oxygen to sustain function

-itis (suffix): inflammation of

jaundice: yellow pigmentation of the tissues and body fluids

jejunum: the segment of the small intestine that follows the duodenum and precedes the ileum

ketoacidosis: condition of excessive ketones in the bloodstream, associated with increased systemic acidity; a life-threatening condition of diabetics

ketone: acid by-product of metabolism

kg (abbreviation): kilogram

kilo- (prefix): one thousand of something

kilocalorie: 1 food calorie, or 1,000 energy calories; the energy necessary to raise the temperature of 1 kg of water by 1°C

kilogram: 1,000 g; 2.2 lb

lacerate: to tear or cut roughly

larva: wormlike form of an insect that issues from the egg; grub, maggot, or caterpillar

larynx: the portion of the trachea that contains the vocal cords; the voice box

lateral: away from the midline; outer

lb (abbreviation): pound

lethargy: drowsiness or aversion to activity, caused by disease

ligament: fibrous connective tissue that attaches bone to bone

liter: volume of water that weighs 1 kg; 1.0567 quarts

localized: confined to a specific area

lumbar: pertaining to the lower back

lymph: amber nutrient fluid that contains white blood cells; it circulates in the lymphatic system and is involved with injuries, infections, and cancers

lymphatic: related to lymph glands, cells, or fluid; small vessel that transports lymph fluid

lymph node: collection of lymph cells that function as a gland; node (colloquial)

malleolus: rounded bony prominence, such as occurs on either side of the ankle

mandible: lower bone of the jaw

manipulate: to move mechanically, usually with the hands

melena: dark-colored, tarry stools (feces), due to the presence of blood altered by intestinal fluids

meningitis: inflammation of the covering of the brain and upper spinal cord

menses: periodic hemorrhage from a woman’s uterus that occurs most commonly at 4-week intervals

menstrual: related to menses

menstruation: periodic discharge of bloody fluid from the uterus

mental status: condition of alertness and comprehension

metabolism: the energy-producing and energy-utilizing processes that occur in the human body

mg (abbreviation): milligram

micron: measure of length equal to one one-millionth of a meter

microorganism: small life form that requires a microscope to be seen

microscopic: very tiny; requires a microscope to be seen

migraine: recurrent severe headaches generally accompanied by an aura (classic migraine), nausea, vomiting, and dizziness

milli- (prefix): one one-thousandth

milligram: 1/1,000 of a gram

milliliter: 1/1,000 of a liter

mL (abbreviation): milliliter

mononucleosis: infectious disease characterized by an abnormal increase in monocytes (a type of white blood cell) in the blood, weakness, fever, sore throat, and enlargement of the spleen and lymph nodes in the neck

mottled: covered with colored spots or blotches

mucus: slippery secretion created by mucous glands associated with mucous membranes (such as those that line the nose, throat, and mouth) for lubrication and some protection against bacteria

myocardial: pertaining to the heart muscle

myoglobin: iron-containing, oxygen-carrying pigment present in muscle tissue

myoglobinuria: condition of having myoglobin present in the urine

nanometer: one one-billionth of a meter

narcosis: altered mental status ranging from confusion to coma

nebulize: to reduce to a fine spray

neurologic: pertaining to the nervous system

nm (abbreviation): nanometer

nonsteroidal: not containing steroids

organ: part of the body with a specific function

otitis: inflammation or infection of the ear

ounce: measure of weight equal to 28.35 g; 1/16 lb

ovary: one of two reproductive glands in a female that produces the female sex cells (“eggs”)

ovulation: release of an egg from the ovary

oxygen: colorless, odorless gas necessary for combustion and life

oxygenate: to supply with oxygen

oz (abbreviation): ounce

ozone: triatomic form of oxygen (O3) that is formed by electric discharge through air

pallor: pale skin color

palpate: feel with the hands

palpation: the act of feeling with the hands

palpitation: abnormal beating of the heart felt by the victim

pancreas: gland that produces and secretes digestive enzymes (juices) and the insulin hormone

pancreatitis: inflammation of the pancreas

parasite: an animal or vegetable that lives on or in another and that draws its nourishment from the host

paroxysmal: sudden

pediatric: pertaining to children

pelvic: related to the pelvis

pelvis: strong, basin-shaped bone structure that provides support for the spine, hips, and legs

penile: related to the penis

peptic: related to digestive fluids

perineum: area of skin situated between the external genitalia and the anus; area between the thighs extending from the tailbone to the front of the pubis

peristalsis: natural contractions of the muscular walls of the bowel that move bowel contents forward

peritoneum: lining of the abdominal organs and cavity

peritonitis: inflammation of the peritoneum

petit mal seizure: form of epilepsy characterized by brief periods of confusion without major abnormal muscle activity

pharyngitis: inflammation of the pharynx; sore throat

pharynx: throat

phlegm: mucus secreted in the respiratory passages

photophobia: aversion to light

photosensitivity: sensitivity to light, particularly to ultraviolet radiation

pigment: coloring matter or stain

placenta: organ implanted within the uterus that supports an unborn child, which is attached by the umbilical cord

plankton: microscopic plant life found in natural bodies of water

plantar: on the bottom

platelet: cellular component of the blood that contributes to clotting

pleura: lining that covers the lungs and the inside of the chest cavity

pleural space: a small space between the pleura that covers the lung and that lines the inside of the chest wall; normally, this space is minuscule (cannot be seen) because it is filled with negative pressure, which allows the lung to expand with the chest wall

pleuritis: inflammation of the pleura

pneumonia: infection of the lung characterized by fever, cough, shortness of breath, and the production of purulent or bloody sputum

pneumothorax: collapsed lung with air in the pleural space

potable: drinkable (preferably, disinfected)

prognosis: projected outcome

prolapse: to fall or sink down

prone: lying flat with the face down

prophylactic: for the purpose of prophylaxis

prophylaxis: measures designed to maintain health and to prevent disease

protozoan: microscopic unicellular or acellular animal

proximal: closer to starting point or center; nearest to central part of the body

pubic: pertaining to the region of the pubis

pubis: the lowermost and anterior bone of the pelvis

pulmonary: pertaining to the lungs

punctate: like a dot or small mark

pupil: contractile round opening in the center of the iris of the eye through which light is transmitted to the lens

purulent: foul

pus: white, yellow-green, or beige creamy fluid that is formed by decomposing tissue, white blood cells, and tissue fluids

pyelonephritis: inflammation of the kidney due to a bacterial infection

quadrant: one of the four quarters into which a region can be divided

radial artery: the main artery that travels through the wrist to supply the hand

radiation: emission of energy in the form of waves or particles

radiation of pain: pain that travels from one region to another, such as from the hand to the shoulder

rebound tenderness: pain in the abdomen that is worse on release of pressure than it is on creation of pressure (compression); often indicates peritonitis

recompression: the method whereby increased atmospheric pressure is used to treat victims of air embolism or decompression sickness (diving-related disorders)

reflux: backward flow

reflux esophagitis (heartburn): inflammation of the esophagus caused by backward flow of acid from the stomach

relapse: return of a disease after it has spent its course

renal: related to the kidney

respiratory: pertaining to the organs of breathing or the act of breathing

resuscitate: to revive from death or unconsciousness

retina: the posterior inside surface of the eye, which receives a light image refracted through the cornea and lens, and transmits it to the brain via the optic nerve

rigor mortis: stiffening of the body that begins a few hours after death and that disappears from 1 to 5 days later, when decomposition begins

saline: salty (solution); normal saline (liquid compatible with most human tissues) is 0.9% sodium chloride in water

saturate: to soak; to dissolve to the highest possible concentration

sedate: to bring under the influence of a sedative

sedation: the act of calming

sedative: calming or quieting; a drug or other substances that decreases nervous excitement

seizure: epileptic convulsion

serum: the fluid component of blood after the cells are removed

shock: a clinical state manifested by profound depression of all body functions, caused by insufficient blood and nutrient supply to the tissues; signs and symptoms include low blood pressure, cool and clammy skin, altered mental status, and collapse

silica: silicon dioxide

soft tissue: body tissue that is not composed of bone or cartilage; generally refers to skin, muscle, and fat; generally excludes internal organs

spasm: involuntary muscular contraction

sphincter: muscular ring that serves as a junction between two tubes, such as the esophageal sphincter (between the esophagus and stomach)

spirochete: curled or spiraled microorganism capable of causing infectious disease

sprain: incomplete stretching or tearing of ligaments

sputum: phlegm composed of saliva and discharges from the respiratory passages

status: unchanging situation, such as status asthmaticus (severe, unchanging asthma), or status epilepticus (nonceasing convulsions)

sterile: uncontaminated by infectious agents

sternocleidomastoid: prominent neck muscle that connects the mandible to the collarbone and sternum

sternum: breastbone

steroids: hormones, vitamins, body constituents, and drugs with a specific chemical structure

strain: incomplete stretching or tearing of tendons or muscles

stridor: harsh vibrating noise heard in the upper airway during breathing; commonly associated with an outflow obstruction during exhalation; may be inspiratory

stroke: cerebral hemorrhage, thrombosis, vasospasm, or embolism characterized by some degree of paralysis; also called apoplexy

sub- (prefix): underneath

subarachnoid: under the arachnoid

subconjunctival: under the conjunctivae

subcutaneous: under the skin

sublingual: under the tongue

supine: lying flat with the face up

supraventricular: above the level of the ventricles (lower chambers) of the heart

suture: to sew with surgical thread or nylon; the thread or nylon used to sew a wound closed

symphysis: a barely movable junction of two bone surfaces connected by a fibrous cartilage pad

syndrome: a collection of signs and symptoms that, taken together, constitute a particular disease or abnormality

synthesize: to create or compose

syringe: device used to inject fluids into or remove them from the body

systemic: affecting the entire body

tachycardia: rapid heart rate (beat)

tendon: fibrous tissue that attaches muscle to bone

tension pneumothorax: collapsed lung under pressure from air in the pleural space

testis: one of two male reproductive glands located in the scrotum

testicle: testis

tetanus: an infectious disease caused by the bacterium Clostridium tetani, characterized by severe muscle contractions and inability to open the mouth (lockjaw); the bacterium that causes tetanus

thermal: pertaining to heat

thermoregulatory: in control of temperature

thrombophilia: increased number of platelets

thrombophlebitis: an inflammation of the veins that causes the formation of blood clots

thrombosis: formation of a thrombus

thrombus: clot formed in a blood vessel or in one of the cavities of the heart

tinnitus: noises, such as ringing, in the ears

tissue: a group of cells that combine in the body to serve a specific function

tourniquet: a device used to control blood flow by impeding or preventing circulation

toxin: poisonous substance

trachea: main passageway for air from the pharynx to the bronchi

tracheostomy: surgical opening created in the neck into the trachea to allow breathing when the upper airway is obstructed

trauma: mechanical injury

traumatic: related to mechanical injury

triage: sorting of patients by priority

tubal: related to a tube

tumor: abnormal growth of tissue that arises in the body without purpose; may be benign (noncancerous) or malignant (cancerous)

tympanic membrane: eardrum

ulcer: erosion; open sore

ultrasonic: beyond the normal range of sound waves

ultraviolet: light outside of the violet end of the visible spectrum with a wavelength shorter than that of visible light

umbilical: relating to the umbilicus

umbilicus: navel; belly button; pit in the center of the abdominal wall where the umbilical cord was attached to the fetus before birth

unconscious: unaware; unarousable

ureter: muscular tube that carries urine from the kidney to the bladder

urethra: passage that carries urine from the bladder to the external opening in the genital region

urogenital: genitourinary; pertaining to the urinary tract and genitalia

urticaria: itchy, patchy, raised, and red skin rash, often associated with allergy

uterus: muscular reproductive female organ in which a child develops; womb

vaccinate: to inject a special preparation for the purpose of achieving immunity from disease

vaginitis: irritation of the vagina

varicose: abnormally swollen or dilated

vascular: pertaining to the blood vessels

vasospasm: contraction of a blood vessel, often caused by microscopic muscle contraction

vein: blood vessel that carries blood from the body back to the heart

venom: poison secreted from venom glands in animals and insects; usually introduced into the victim with a bite or sting

venous: pertaining to the veins

ventricle: one of two large chambers of the heart

vertebra: one of the bony segments that form the spinal column (backbone)

vertigo: dizziness; sensation of whirling motion

vessel: container; a blood vessel may be an artery, vein, or capillary

vitreous: gelatinous fluid within the eye

wheezing: labored breathing, usually noted on expiration, associated with lung disorders characterized by airway narrowing, such as asthma



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