Children too like to go out cycling, roller skating, skate boarding or just running in the open to enjoy the sunshine.

But hot weather can also be dangerous. Children may not be aware that the heat of the sun can also knock them out. Playing under the scorching heat of the sun can drain off the fluid in your body very quickly through perspiration. With the loss of fluid, the cooling system of the body becomes inefficient. Children especially may suffer from heat exhaustion or heat cramps if left playing under the hot sun for too long and not having enough water in their system.

If a child collapses in the heat of the sun, he is most probably suffering from heatstroke. Call 911 immediately if he is unconscious. Move him to a cool place and lay him on his back if he is breathing. Remove his clothing and wrap him in a cool and wet sheet, blanket or towel. Turn his head to one side and elevate his feet.

But if he is not breathing, immediately begin CPR protocol and wait for the ambulance to arrive.If the child is still conscious but pale, weak or dizzy, move him to a cool place, loosen his clothing, lay him on his back, turn his head to one side and elevate his feet. Feed him with cool salt-and-sugar water. Call for a doctor immediately.

Medical tourism is a growing source of foreign exchange as well as prestige and goodwill outside the country. Percutaneous Nephrolithotomy in India is much affordable than in any other western countries. Our country is a very large country with innumerable tertiary health care centers each specializing in different areas of tertiary care. Urosurgery is the western country is approximately 10 times more than that in this country. It possesses well qualified surgeons with the experience of various medical fields. International patients who are in a search of a low cost surgery are moving forward to eastern countries like India. Medical tourism is an example of how our country is profiting from globalization and outsourcing.

It is also a new form of consumer diplomacy, whereby foreigners who receive medical services here, help the country to promote itself as a business and tourism destination. It also hosts medical tourists from industrialized countries, such as the United Kingdom and the United States, but also from its neighbors Bangladesh, China and Pakistan.

It faces intense regional competition in this sector, particularly from Malaysia, Singapore and Thailand. A wide-range of services is on offer. Ministry of tourism brochures advertise cardiac surgery, minimally invasive surgery, oncology services, orthopedics and joint replacement, Percutaneous Nephrolithotomy in India and holistic health care, provided by about 45 hospitals promoted as “centers of excellence”Percutaneous Nephrolithotomy is a minimally invasive procedure which is performed to remove stone from the kidney by inserting a tube through the skin into the kidney.

In the absence of a valid DNR order, patients calling for ambulance service will receive the full scope of restorative interventions, including aggressive, life-saving resuscitation if necessary. Broken ribs, ruptured spleen, brain damage, and therefore can be regarded as a form of passive euthanasia. Ethically, resuscitation may be forgo in several circumstances, such as when it will not restart the heart or breathing, when there is no benefit to the patient and when the benefits are outweighed by the burdens.

DNR order may be instituted through advance directive from a person or from someone entitled to make decisions on their behalf, such as a health care proxy. In any case, it should only be issued after discussion with patients or their family. However, in some jurisdictions, DNR orders can also be instituted on the basis of a physician’s own initiative, usually when resuscitation would not alter the ultimate outcome of a disease, and is designed to prevent unnecessary suffering.

Methods to identify a patient with a DNR order varied with hospitals, from written documentation to the use of color-coded wristbands. However, no standards of color choice existed currently for hospitals using color-coded wristbands, which saw each hospital applying a different set of colors for different indications.