Summarize the following:
Severe pain and panic is often the first response to the injury regardless of the age of the patient. Before any treatment can be done, it is important to calm the patient (even if that is you). An injured child can be very unnerving so it is important you try to stay calm when you investigate the injury. If your child panics, be reassuring and try to give him a focal point, like your face or a favorite toy. Mineral oil contains petroleum and can help lubricate the area and release pressure. Mineral oil and petrolatum are also known to be effective in healing wounds. Pour mineral oil over the penis and zipper. This lubricates the moving parts and often frees the skin without having to cut the zipper. Let it soak in for about 10-15 minutes. Before you move to dismantling the zipper, see if you can release the skin by pulling the skin and zipper to opposite directions with your hands. Grasp the area of skin with one hand and the zipper with the other. Slowly and carefully pull the area of skin in the opposite direction as you pull the zipper. Caution: if bleeding or tearing occurs, stop and seek medical attention. To release the skin, dismantle the zipper from below. This technique can release the pressure between the zipper plates and will free the trapped skin. Option 1: Cut the median bar (the small bridge between the anterior and posterior faceplates) at the front of the moveable zip head in half with wire cutters. This will cause the zipper to fall apart, freeing the skin relatively painlessly. Option 2: Use a small screwdriver and insert the thin blade between the outer and inner faceplates of the zip fastener. Use a twisting motion toward the median bar to widen the gap between faceplates and help disengage the skin. Option 3: If that doesn't work, use pliers to apply pressure to the zipper and then, cut the teeth of the closed zipper to release the skin. Once the zipper has been released the skin is going to be sensitive and sore. However, it's important to properly clean and treat the affected area and stop any bleeding. Wash the area with water and mild soap if needed. If there is a bleeding wound present, use a clean washcloth to apply gentle but direct pressure to the wound until the bleeding stops. If the wound is bleeding a lot, you'll need to hold pressure for at least 15 minutes. If that does not stop the bleeding, seek medical attention. To keep the wound protected, apply petroleum jelly over the injured skin and then press a sterile gauze pad over the area. The pad will stick to the petroleum jelly. Open wounds can lead to infection if not taken care of. Keep a close eye on the area and look for signs of infection, including: Expanding redness around the wound Yellow or greenish-colored pus or cloudy wound drainage Red streaking spreading from the wound Increased swelling, tenderness, or pain around the wound Fever If any of the above signs occur, seek medical consultation.

summary: Calm yourself or your patient. Cover the area with mineral oil. Release the skin from the zipper. Dismantle the zipper. Care for the injured skin. Apply a generous layer of petroleum jelly and a sterile pad. Watch for signs of infection.

Summarize the following:
Intravaginal ultrasound is used for visualizing the organs inside your pelvic area. It can be used to diagnose gynecological conditions (such as pelvic pain and unusual bleeding) or visualize the early phases of pregnancy. During the procedure, your doctor inserts a transducer, which is about the size of a speculum, into your vagina. From there, the transducer emits sound waves that allow your doctor to visualize your internal organs. Intravaginal ultrasounds are painless but you might feel pressure and discomfort during the procedure. Intravaginal ultrasounds are performed whenever your doctor needs to take a closer look at your reproductive organs, such as the cervix, ovaries, and uterus. Your doctor may also perform an intravaginal ultrasound to monitor your pregnancy and fetus. Your doctor may order the procedure if you experience unexplained pain, bleeding or bloating. For example, intravaginal ultrasounds can reveal changes in the shape and density of your reproductive tissues and can also be used to visualize blood flow to your pelvic organs. It can be used to monitor fibroids, ovarian cysts, and cancerous growths in your pelvic organs or diagnose the cause of vaginal bleeding and cramping. Intravaginal ultrasound can also help diagnose infertility issues or abnormalities in the bladder, kidneys and pelvic cavity. During pregnancy, your doctor can use it to detect the early stages of pregnancy, monitor the development of your fetus, detect multiples, and rule out an ectopic (tubal) pregnancy. The timing of this procedure depends on the reason why you need to have it done. During pregnancy, an intravaginal ultrasound can occur as early as 6 weeks after conception but typically is done between 8 and 12 weeks of pregnancy. If your doctor is trying to diagnose a reason for unusual pain or bleeding, your procedure will likely be scheduled immediately. If you need an intravaginal ultrasound for infertility issues, then your doctor may choose to perform it around the time you ovulate. An intravaginal ultrasound can be performed at any time during the menstrual cycle, but it is usually best to have it done right after your period ends, between days 5 and 12 of your cycle. During these days, your endometrial lining is the thinnest, which allows for clearer images of your uterus.

summary: Understand what an intravaginal ultrasound is. Know if you need an intravaginal ultrasound. Schedule the procedure.

Summarize the following:
Hydrogen peroxide can bleach some fabrics, so it is important to test it on a small, hidden spot of the clothing before use. Use a Q-tip or pour a very small amount, and use another method if you see discoloration. Pour 50% hydrogen peroxide and 50% water into a container. You can test this solution on a piece of the clothing if you're not sure it has been diluted enough. Make sure you pour the hydrogen peroxide only on the stain and nowhere else on the fabric. You will see it begin to foam up when it is working. Rub the hydrogen peroxide in with your hands to make sure it saturates the stain.. One application of hydrogen peroxide may not do the trick, especially if it is a large stain. Apply more hydrogen peroxide if the first application does not fade or remove the stain. Wipe the stain between each application. Once the stain has been removed, rinse it under cold water. You can then choose to wash it in the washing machine or leave it as is. Either way, allow the clothing to air dry.
summary: Test the hydrogen peroxide on a small spot of the clothing. Dilute the hydrogen peroxide for delicate fabrics. Pour hydrogen peroxide directly onto the stain. Repeat the process if necessary. Rinse with cold water.