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Lewes, Delaware
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January 16, 1998     Cape Gazette
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January 16, 1998
 

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36 - CAPE GAZETTE, Friday, January 16 - January 22, 1998 Illnesses Continued from page 34 are at risk tbr becoming dehydrat- ed. According to Ann Caputo, R.N. , triage nurse at Beebe Medical Center, those at highest risk for becoming dehydrated are young children and older people, particu- larly those with other medical problems. If vomiting and diarrhea are persistent and people cannot keep liquids down, they should call their physicians promptly. Caputo cautioned that with some patients, waiting for a day may be too long. Dr. Tom Shreeve, assistant med- ical director at Beebe's emergency department, said people who are experiencing abdominal distress should avoid eating any solid foods, including crackers or toast. "'They really shouldn't eat anything at all," he said. Instead, they should stick to a clear, liquid diet. Water, clear juices, flat sodas, ginger SHREEVE ale and teas are good, he said. Children will particularly bene- fit from Pedialyte, an over-the- counter beverage that helps rehy- drate the body. He also recom- mended sports drinks. "Clear liquids are absorbed up high, so they don't really pass through," said Shreeve, so there is less stress in the abdominal region. "As long as you can keep liq- uids down, you should be able to prevent dehydration," he said. Dehydration serious Preventing dehydration is important to avoid complications. Shreeve said there are three degrees of dehydration: mild, moderate and severe. Mild dehydration, he said, may have minimal or no obvious symptoms and may be identifiable only through patient history or vital signs. "Even mild dehydra- tion in children can be bad," said Shreeve. Moderate dehydration is most clearly identified by dry skin and mucous membranes. The mouth may be dry, and the patient may not be able to urinate. The skin may be so dry that when it is pulled up, "it kind of stays there," said Shreeve. Children may present with sunken eyeballs, lethargy, irri- tability and the early stages of shock. Severe symptoms include cold, clammy skin, lethargy, low blood pressure and shock. Shreeve said symptoms of low blood pressure - a symptom of shock - include dizziness, feeling "light-headed" and possibly fainting. As the shock progresses, the patient's pulse and breathing may become more rapid, the body tem- perature may drop, the skin may become pale. "If they have those symptoms, they need more than just oral flu- ids; they need intravenous fluids," said Shreeve. "Certainly the moderate and the severe need immediate treat- ment,"he said. Shreeve noted that the emer- gency room is also seeing a higher number of patients with pneumo- nia symptoms: shortness of breath, difficult or painful breath- ing, chest pain, a productive cough and usually a high fever. He said that in addition to influenza and gastrointestinal viruses and bacterias being preva- lent, the cold, damp weather may also contribute to complications for people with asthma or chronic lung diseases. Domestic violence p:rc::0000ention seminar location changed Then response to Beebe Med- ical Center's seminar on domestic violence has been so overwhelm- ing that program organizer Jean Abplanalp has changed its loca- tion to the Best Western-Gold Leaf Hotel in Dewey Beach. In showing their support for the seminar, the Best Western has offered their larger facility. The original location of the seminar was to have been Beebe Medical Center. Titled "The Dynamics and Con- text of Domestic Violence," the program is scheduled from 8 a.m. to 4:15 p.m., Thursday, Feb. 5. The seminar is an educational forum for health-care providers, paramedics, ambulance crews, law enforcement officers and social service persdnnel. There is no cost for the seminar, which offers eight continuing edu- cation credits. The seminar is the first in a series of programs planned for professionals. The public will be invited to other presentations in the future. "Beebe is truly involved in the community, and this is part of being prepared for what we know is happening," Abplanalp said. Nationwide, as many as 30 per- cent of women treated in emer- gency rooms are the victims of domestic violence. According to Sgt. Gary Melvin of the Delaware State Police's Domestic Violence Division, who will speak at the seminar, more women receive emergency room treatment because of domestic violence than for rapes, assaults and auto accidents combined. Debbie Reed, director of Delaware State Police Victim Ser- vices, will also make a presenta- tion at the seminar. She said new police procedures include a common reporting sys- tem for all Delaware law enforce- ment officers that tracks every domestic incident. Reed said her unit has respond- ed to 4,449 incidents since Janu- ary 1997. Of those, more than half required follow-up referrals to counseling, shelter and other assistance programs. A portion of Beebe's seminar will focus on profiles of both abusers and their victims. Abplanalp said an understand- ing of the complex emotional issues involved might keep pro- fessionals from being discouraged when the same victims are seen over and over again, yet refuse to press charges. For more information about the seminar, call Sandy Ribinsky at Beebe Medical Center, 645-3248. SAVE ;O6 MEN'S, LADLES' & CHILDREN'S SHOES FIRST QUALITY FOOTWEAR AT A DISCOUNT Featuring: Sebago Docksides Keds Trotters Sperry Top-Sider Tretorn * Etonic New Balance * Clarks of England Wigwam Reebok * Rockport Grasshoppers Best selection from over 15,000 pairs in stock. Men's sizes: N 9-14. M 6 I/2-15. W 6 I/2-14. WW 8-14. Women's sizes: N 6-I0. M 5-I I, W 6-I0 Children's 10-3 and Boy's sizes 3 I/2-6 -- LOCATIONS Route 1, Ames Plaza, Rehoboth Beach, DE 302-227-5828 Route 1 at West Virginia Ave. (4 streets north of MD line on ocean side) Fenwick Island, DE 302-5394599 If Vou are the victim of domestic violence,help is available. C00I[ 1-800-VICTIM-I