RICE (medicine)

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RAW is mnemonic for four treatment elements for soft-tissue injury - acronyms for Break , Ice , Compression and Elevation . Mnemonic was introduced by Gabe Mirkin at the Sportsmedicine Book (ISBNÃ, 978-0316574365) in 1978. However, he has withdrawn his support for the regimen. On March 16, 2014, he wrote "The trainer has been using my" RICE "guidelines for decades, but now it seems that both the complete Ice and Rest can delay healing, rather than help.In a recent study, athletes were told to exercise very intense that they develop severe muscle damage that causes widespread muscle pain.Although cooling delays swelling, it does not accelerate recovery from this muscle damage. "

Rice is regarded as a first aid treatment, not a cure for soft tissue injury. The goal is to regulate internal discomfort and bleeding.

Video RICE (medicine)

Evidence

There is not enough evidence from a randomized controlled trial to determine the effectiveness of the correct RICE therapy for acute ankle sprains. Treatment decisions for ankle sprains should be individualized and dependent on expert opinions and national guidelines.

Maps RICE (medicine)

Primary four terms

Rest

Rest is a key component to repair the body. Without rest, tension is constantly placed in the affected area of ​​the injured, leading to increased inflammation, pain, and further likelihood of injury. Rest is recommended during the first 24-48 hours after injury, but after that modified activity can begin. In addition, some soft tissue injuries will take longer to heal without rest. There is also the risk of abnormal repair or chronic inflammation due to failure to rest. In general, the rest period should be long enough so that the patient can use the affected limb with most of the functionality restored and the pain is basically lost.

Ice

Ice is excellent for reducing inflammatory responses and heat-related pain produced by increased blood flow and/or blood loss. A good method is to apply ice for 20 minutes every hour. Another recommendation is ice and ice without ice for 15-20 minutes each, for a 48 hour period. To prevent local ischemia or frostbite on the skin, it is recommended that ice be placed in a towel or other insulating material before wrapping around the area.

Beyond the recommended time for ice applications can be detrimental, as it has been shown to delay healing.

Compression

Compression aims to reduce the resulting edematous swelling of the inflammatory process. Although some swelling is unavoidable, too much swelling results in significant loss of function, excessive pain and ultimately slows the flow of blood through the restriction of blood vessels.

An elastic band, not a hard plastic bandage (such as a zinc-oxide band) is required. The use of tight and non-elastic bandages will result in a reduction of adequate blood flow, potentially causing ischemia. Fit should be comfortable in order not to move freely, but still allow the expansion when the muscles contract and filled with blood.

Compression stockings or arms are a viable option for managing swollen extremities with gradual compression (where the amount of compression decreases as distance to the heart decreases). This outfit is very effective postoperatively and is used in almost all hospitals to cope with acute or chronic swelling, such as congestive heart failure.

Altitude

Elevation aims to reduce swelling by increasing venous return to the systemic circulation. This will produce less edema that relieves pain and/or swelling.

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Variations

Acronym variations are sometimes used, to emphasize additional steps to take. These include:

• "HI-RICE" - Hydration, Ibuprofen, Rest, Ice, Compression, and Altitude
• "PRICE" - Protection, Rest, Ice, Compression, and Altitude
• "PRICE" - Pulses (Usually Radial or Distal), Rest, Ice, Compression, and Altitude
• "PRICE" - Protection, Rest, Ice, Compression, Altitude, and Support
• "PRINCE" - Protection, Rest, Ice, NSAID, Compression, and Altitude
• "RICER" - Rest, Ice, Compression, Altitude, and Reference
• "DRICE" - Diagnosis, Rest, Ice, Compression, and Altitude
• "POLICE" - Protection, Optimal Filling, Ice, Compression, and Altitude

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Alternative

When RICE and its variations work by reducing blood flow to the wounded area, some people argue that for certain types of injuries (such as ligament and tendon damage) are protocols that increase blood flow, such as MEAT (Movement, Sport, Analgesics and Maintenance), should be used As a replacement.

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See also

• Cold compression therapy

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References

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External links

www.drmirkin.com

Source of the article : Wikipedia