Slideshow is from the University of Michigan Medical School's M2 Respiratory sequence
View additional course materials on Open.Michigan:
openmi.ch/med-M2Resp
This document provides an overview of paediatric respiratory physiology, covering topics such as embryology and lung development, control of breathing, airway maintenance and reflexes, lung volumes, and the effects of anesthesia. Key points include:
- Lung development occurs through various stages in utero, with most alveolar formation happening postnatally from 12-18 months of life. Surfactant production is important for lung maturation.
- Breathing movements occur in utero, controlled by central and peripheral chemoreceptors as well as mechanoreceptors. Various reflexes help protect and maintain the airway.
- Lung volumes are smaller relative to body size in infants. Compliance is high while resistance is significant
The nasal cycle is the rhythmic congestion and decongestion of blood vessels in the nasal cavities over a period of 2 to 4 hours, regulated by the autonomic nervous system. This causes alternating airflow between the nostrils, with one nostril more congested than the other at a time. This cycle helps to ensure one side of the nose is always moist to facilitate humidification and warming of inhaled air, while the alternating low and high airflow sides aid in detecting a greater range of smells. Factors like head position, temperature, and medical conditions can modify the nasal cycle.
This document provides an overview of radiological signs and patterns seen in various pulmonary and chest diseases. It describes features of cavitary lung lesions, pleural effusions, lung masses, atelectasis, pneumothorax, and other conditions. Key signs are highlighted, such as the silhouette sign for localizing lung lesions. Common distributions and appearances of diseases are outlined, along with tips for distinguishing various diagnostic possibilities based on radiographic interpretation.
The document discusses respiratory distress in neonates. It describes the clinical presentation of respiratory distress and various scoring systems used to assess severity. It then covers the major causes of respiratory distress including transient tachypnea of the newborn, respiratory distress syndrome, meconium aspiration syndrome, pneumonia and others. For each cause, it discusses risk factors, clinical features, investigations and management. The management sections provide details on oxygen therapy, CPAP, surfactant administration and mechanical ventilation.
This document discusses common patterns seen on newborn chest radiographs and their differential diagnoses. It presents several cases and summarizes key distinguishing clinical and radiographic clues for differentiating respiratory distress syndrome from pneumonia (ground glass opacity), transient tachypnea of the newborn from pulmonary edema (fine reticular pattern), and meconium aspiration from pneumonia (coarse reticular pattern). Differential diagnoses are also reviewed for other patterns including masses, multiple lucencies, and increased blood flow.
- The document discusses pneumothorax, describing its classification, pathogenesis, clinical presentation, diagnosis, and treatment options.
- Key points include that tension pneumothorax can cause rapid deterioration and requires immediate treatment, while spontaneous pneumothorax is classified as primary or secondary depending on underlying lung health.
- Treatment involves observation for small primary pneumothoraces or procedures like aspiration, chest tube placement, or surgery depending on the size and symptoms.
Based on the provided chest x-ray, the ET tube tip is located above the carina and in the proper position within the trachea. It does not appear to need adjustment. Feeding through the R/T tube would be appropriate.
Slideshow is from the University of Michigan Medical
School's M1 Embryology sequence
View additional course materials on Open.Michigan:
openmi.ch/med-M1Embryology
This document provides an overview of paediatric respiratory physiology, covering topics such as embryology and lung development, control of breathing, airway maintenance and reflexes, lung volumes, and the effects of anesthesia. Key points include:
- Lung development occurs through various stages in utero, with most alveolar formation happening postnatally from 12-18 months of life. Surfactant production is important for lung maturation.
- Breathing movements occur in utero, controlled by central and peripheral chemoreceptors as well as mechanoreceptors. Various reflexes help protect and maintain the airway.
- Lung volumes are smaller relative to body size in infants. Compliance is high while resistance is significant
The nasal cycle is the rhythmic congestion and decongestion of blood vessels in the nasal cavities over a period of 2 to 4 hours, regulated by the autonomic nervous system. This causes alternating airflow between the nostrils, with one nostril more congested than the other at a time. This cycle helps to ensure one side of the nose is always moist to facilitate humidification and warming of inhaled air, while the alternating low and high airflow sides aid in detecting a greater range of smells. Factors like head position, temperature, and medical conditions can modify the nasal cycle.
This document provides an overview of radiological signs and patterns seen in various pulmonary and chest diseases. It describes features of cavitary lung lesions, pleural effusions, lung masses, atelectasis, pneumothorax, and other conditions. Key signs are highlighted, such as the silhouette sign for localizing lung lesions. Common distributions and appearances of diseases are outlined, along with tips for distinguishing various diagnostic possibilities based on radiographic interpretation.
The document discusses respiratory distress in neonates. It describes the clinical presentation of respiratory distress and various scoring systems used to assess severity. It then covers the major causes of respiratory distress including transient tachypnea of the newborn, respiratory distress syndrome, meconium aspiration syndrome, pneumonia and others. For each cause, it discusses risk factors, clinical features, investigations and management. The management sections provide details on oxygen therapy, CPAP, surfactant administration and mechanical ventilation.
This document discusses common patterns seen on newborn chest radiographs and their differential diagnoses. It presents several cases and summarizes key distinguishing clinical and radiographic clues for differentiating respiratory distress syndrome from pneumonia (ground glass opacity), transient tachypnea of the newborn from pulmonary edema (fine reticular pattern), and meconium aspiration from pneumonia (coarse reticular pattern). Differential diagnoses are also reviewed for other patterns including masses, multiple lucencies, and increased blood flow.
- The document discusses pneumothorax, describing its classification, pathogenesis, clinical presentation, diagnosis, and treatment options.
- Key points include that tension pneumothorax can cause rapid deterioration and requires immediate treatment, while spontaneous pneumothorax is classified as primary or secondary depending on underlying lung health.
- Treatment involves observation for small primary pneumothoraces or procedures like aspiration, chest tube placement, or surgery depending on the size and symptoms.
Based on the provided chest x-ray, the ET tube tip is located above the carina and in the proper position within the trachea. It does not appear to need adjustment. Feeding through the R/T tube would be appropriate.
Slideshow is from the University of Michigan Medical
School's M1 Embryology sequence
View additional course materials on Open.Michigan:
openmi.ch/med-M1Embryology
This is a lecture by Dr. Stuart Bradin from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
This is a lecture by Dr. Pamela Fry from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
GEMC - Cardiolovascular Emergencies - for NursesOpen.Michigan
This is a lecture by Sue Anne Bell from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
GEMC- Basic Life Support- for ResidentsOpen.Michigan
The document provides an overview of basic life support and reviews the anatomy and physiology of the respiratory, cardiovascular, and cerebrovascular systems. It describes how these systems work together and the consequences when they fail, such as respiratory or cardiac arrest. The objectives are to understand how these body systems function and how to perform effective CPR on adults and children through chest compressions and rescue breathing.
GEMC: ENT Case Files: Resident Training Open.Michigan
This is a lecture by Dr. Matt Dawson and Dr. Zach Sturges from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
05.26.09(b): Development of the Respiratory System and DiaphragmOpen.Michigan
Slideshow is from the University of Michigan Medical
School's M1 Embryology sequence
View additional course materials on Open.Michigan:
openmi.ch/med-M1Embryology
GEMC- Approach to the Dyspneic Patient- Resident TrainingOpen.Michigan
This is a lecture by Randall Ellis, MD MPH from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
Pediatric Airway Anatomy Physiology and Management.pptssuser814a33
- Head extended
- Chin lifted
This aligns oral, pharyngeal and laryngeal axes
Improves laryngeal view during laryngoscopy
Allows for easier intubation
Maintains airway patency
Avoids need for in-line stabilization
Improves glottic visualization by up to 50% compared to neutral position
Standard position for intubation in children
Laryngoscopy
- Straight blade preferred for infants and children
- Curved blade for older children and adolescents
- External laryngeal manipulation may improve view
- Use just enough force to lift epiglottis off laryngeal inlet
- Do not force blade past glottis
- Su
This is a lecture by Dr. Jeff Holmes from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
GEMC- COPD in the Emergency Department- Resident TrainingOpen.Michigan
This is a lecture by Dr. Frank Madore from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
GEMC: Evaluation and Management of Epistaxis: Resident TrainingOpen.Michigan
This document provides an evaluation and management guide for epistaxis (nosebleeds) by Patrick Carter of the University of Michigan. It begins with an overview of the epidemiology, anatomy, pathology, etiology, and clinical evaluation of epistaxis. It then discusses management strategies for anterior and posterior epistaxis, as well as alternative therapies and complications of nasal packing. The goal is to inform healthcare workers on properly treating epistaxis.
GEMC- Burns: Managements and Survivability- for ResidentsOpen.Michigan
This is a lecture by Carol Choe from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
This is a lecture by Dr. Joseph Hartmann from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
GEMC: Myasthenia Gravis (Case of the Week): Resident TrainingOpen.Michigan
This is a lecture by Dr. Chris Oppong from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
GEMC- Rapid Sequence Intubation & Emergency Airway Support in the Pediatric E...Open.Michigan
This is a lecture by Michele Nypaver, MD from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
Thoracic Cavity Case Study 1 lesson slides v2.pptxKentSmith70
This is part of a slide show I use to lead students through a case study on two patients with traumatic thoracic cavity injuries. We use the cases to explore the anatomy and physiology of this region.
This is just the respiratory system portion of the larger lesson.
GEMC- Achy Breaky Heart: Cardiogenic Shock- for ResidentsOpen.Michigan
This is a lecture by Carol Choe from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
GEMC- Approach to Acute Chest Pain- for ResidentsOpen.Michigan
This is a lecture by Rockefeller Oteng from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
This is a lecture by Randall Ellis, MD MPH from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
GEMC- A Pain in the Neck- Resident TrainingOpen.Michigan
This is a lecture by Hannah Smith, MD from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
This is a lecture by Joe Lex, MD from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
This is a lecture by Jim Holliman, MD from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
This is a lecture by Dr. Stuart Bradin from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
This is a lecture by Dr. Pamela Fry from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
GEMC - Cardiolovascular Emergencies - for NursesOpen.Michigan
This is a lecture by Sue Anne Bell from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
GEMC- Basic Life Support- for ResidentsOpen.Michigan
The document provides an overview of basic life support and reviews the anatomy and physiology of the respiratory, cardiovascular, and cerebrovascular systems. It describes how these systems work together and the consequences when they fail, such as respiratory or cardiac arrest. The objectives are to understand how these body systems function and how to perform effective CPR on adults and children through chest compressions and rescue breathing.
GEMC: ENT Case Files: Resident Training Open.Michigan
This is a lecture by Dr. Matt Dawson and Dr. Zach Sturges from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
05.26.09(b): Development of the Respiratory System and DiaphragmOpen.Michigan
Slideshow is from the University of Michigan Medical
School's M1 Embryology sequence
View additional course materials on Open.Michigan:
openmi.ch/med-M1Embryology
GEMC- Approach to the Dyspneic Patient- Resident TrainingOpen.Michigan
This is a lecture by Randall Ellis, MD MPH from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
Pediatric Airway Anatomy Physiology and Management.pptssuser814a33
- Head extended
- Chin lifted
This aligns oral, pharyngeal and laryngeal axes
Improves laryngeal view during laryngoscopy
Allows for easier intubation
Maintains airway patency
Avoids need for in-line stabilization
Improves glottic visualization by up to 50% compared to neutral position
Standard position for intubation in children
Laryngoscopy
- Straight blade preferred for infants and children
- Curved blade for older children and adolescents
- External laryngeal manipulation may improve view
- Use just enough force to lift epiglottis off laryngeal inlet
- Do not force blade past glottis
- Su
This is a lecture by Dr. Jeff Holmes from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
GEMC- COPD in the Emergency Department- Resident TrainingOpen.Michigan
This is a lecture by Dr. Frank Madore from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
GEMC: Evaluation and Management of Epistaxis: Resident TrainingOpen.Michigan
This document provides an evaluation and management guide for epistaxis (nosebleeds) by Patrick Carter of the University of Michigan. It begins with an overview of the epidemiology, anatomy, pathology, etiology, and clinical evaluation of epistaxis. It then discusses management strategies for anterior and posterior epistaxis, as well as alternative therapies and complications of nasal packing. The goal is to inform healthcare workers on properly treating epistaxis.
GEMC- Burns: Managements and Survivability- for ResidentsOpen.Michigan
This is a lecture by Carol Choe from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
This is a lecture by Dr. Joseph Hartmann from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
GEMC: Myasthenia Gravis (Case of the Week): Resident TrainingOpen.Michigan
This is a lecture by Dr. Chris Oppong from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
GEMC- Rapid Sequence Intubation & Emergency Airway Support in the Pediatric E...Open.Michigan
This is a lecture by Michele Nypaver, MD from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
Thoracic Cavity Case Study 1 lesson slides v2.pptxKentSmith70
This is part of a slide show I use to lead students through a case study on two patients with traumatic thoracic cavity injuries. We use the cases to explore the anatomy and physiology of this region.
This is just the respiratory system portion of the larger lesson.
GEMC- Achy Breaky Heart: Cardiogenic Shock- for ResidentsOpen.Michigan
This is a lecture by Carol Choe from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
GEMC- Approach to Acute Chest Pain- for ResidentsOpen.Michigan
This is a lecture by Rockefeller Oteng from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
This is a lecture by Randall Ellis, MD MPH from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
GEMC- A Pain in the Neck- Resident TrainingOpen.Michigan
This is a lecture by Hannah Smith, MD from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
Similar to 09.23.08: Newborn Respiratory Disease (20)
This is a lecture by Joe Lex, MD from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
This is a lecture by Jim Holliman, MD from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
This is a lecture by Joe Lex, MD from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
GEMC- Alterations in Body Temperature: The Adult Patient with a Fever- Reside...Open.Michigan
This is a lecture by Joe Lex, MD from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
This document provides an overview of ocular emergencies. It begins with an introduction to the Project: Ghana Emergency Medicine Collaborative and author information. The bulk of the document consists of slides reviewing various eye conditions and emergencies, including styes, chalazions, conjunctivitis, iritis, orbital cellulitis, subconjunctival hemorrhages, and scleritis. Treatment approaches are provided for many of the conditions. The document concludes with a discussion of the eye examination approach and areas to be reviewed.
GEMC- Disorders of the Pleura, Mediastinum, and Chest Wall- Resident TrainingOpen.Michigan
This document provides an overview of disorders of the pleura, mediastinum, and chest wall. It discusses several topics in 1-3 sentences each, including costochondritis (inflammation of the costal cartilages), mediastinitis (infection of the mediastinum), mediastinal masses, pneumothorax (air in the pleural space), and catamenial pneumothorax (recurrent pneumothorax associated with menstruation). The document aims to enhance understanding of the major clinical disorders commonly encountered in emergency medicine involving the pleura, mediastinum, and chest wall.
GEMC- Dental Emergencies and Common Dental Blocks- Resident TrainingOpen.Michigan
This is a lecture by Joe Lex, MD from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
This is a lecture by Joe Lex, MD from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
GEMC- Arthritis and Arthrocentesis- Resident TrainingOpen.Michigan
This is a lecture by Joe Lex, MD from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
GEMC- Bursitis, Tendonitis, Fibromyalgia, and RSD- Resident TrainingOpen.Michigan
This is a lecture by Joe Lex, MD from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
GEMC- Right Upper Quadrant Ultrasound- Resident TrainingOpen.Michigan
This is a lecture by Jeff Holmes from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
The document summarizes cardiovascular topics including pericardial tamponade, pericarditis, infective endocarditis, hypertension, tumors, and valvular disorders. It provides details on the causes, signs and symptoms, diagnostic studies, and management of these conditions. The document also includes bonus sections on cardiac transplant patients, pacemakers and ICDs, and EKG morphology.
This is a lecture by Joe Lex, MD from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
This is a lecture by Joe Lex, MD from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
GEMC: Nursing Process and Linkage between Theory and PracticeOpen.Michigan
This is a lecture by Jeremy Lapham from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
2014 gemc-nursing-lapham-general survey and patient care managementOpen.Michigan
This is a lecture by Dr. Jeremy Lapham from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
This document discusses the evaluation and management of patients with kidney failure presenting to the emergency department. It covers causes of acute kidney injury including pre-renal, intra-renal and post-renal failure. It also discusses evaluation of kidney function, risks of intravenous contrast, dialysis indications and complications in chronic kidney disease patients including infection, cardiovascular issues and electrolyte abnormalities. Special considerations are outlined for resuscitating, evaluating and treating kidney failure patients in the emergency setting.
GEMC: The Role of Radiography in the Initial Evaluation of C-Spine TraumaOpen.Michigan
This is a lecture by Dr. Stephen Hartsell from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
This is a lecture by Dr. Jim Holliman from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
GEMC- Sickle Cell Disease: Special Considerations in Pediatrics- Resident Tra...Open.Michigan
This is a lecture by Hannah Smith, MD from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
THE SACRIFICE HOW PRO-PALESTINE PROTESTS STUDENTS ARE SACRIFICING TO CHANGE T...indexPub
The recent surge in pro-Palestine student activism has prompted significant responses from universities, ranging from negotiations and divestment commitments to increased transparency about investments in companies supporting the war on Gaza. This activism has led to the cessation of student encampments but also highlighted the substantial sacrifices made by students, including academic disruptions and personal risks. The primary drivers of these protests are poor university administration, lack of transparency, and inadequate communication between officials and students. This study examines the profound emotional, psychological, and professional impacts on students engaged in pro-Palestine protests, focusing on Generation Z's (Gen-Z) activism dynamics. This paper explores the significant sacrifices made by these students and even the professors supporting the pro-Palestine movement, with a focus on recent global movements. Through an in-depth analysis of printed and electronic media, the study examines the impacts of these sacrifices on the academic and personal lives of those involved. The paper highlights examples from various universities, demonstrating student activism's long-term and short-term effects, including disciplinary actions, social backlash, and career implications. The researchers also explore the broader implications of student sacrifices. The findings reveal that these sacrifices are driven by a profound commitment to justice and human rights, and are influenced by the increasing availability of information, peer interactions, and personal convictions. The study also discusses the broader implications of this activism, comparing it to historical precedents and assessing its potential to influence policy and public opinion. The emotional and psychological toll on student activists is significant, but their sense of purpose and community support mitigates some of these challenges. However, the researchers call for acknowledging the broader Impact of these sacrifices on the future global movement of FreePalestine.
Chapter wise All Notes of First year Basic Civil Engineering.pptxDenish Jangid
Chapter wise All Notes of First year Basic Civil Engineering
Syllabus
Chapter-1
Introduction to objective, scope and outcome the subject
Chapter 2
Introduction: Scope and Specialization of Civil Engineering, Role of civil Engineer in Society, Impact of infrastructural development on economy of country.
Chapter 3
Surveying: Object Principles & Types of Surveying; Site Plans, Plans & Maps; Scales & Unit of different Measurements.
Linear Measurements: Instruments used. Linear Measurement by Tape, Ranging out Survey Lines and overcoming Obstructions; Measurements on sloping ground; Tape corrections, conventional symbols. Angular Measurements: Instruments used; Introduction to Compass Surveying, Bearings and Longitude & Latitude of a Line, Introduction to total station.
Levelling: Instrument used Object of levelling, Methods of levelling in brief, and Contour maps.
Chapter 4
Buildings: Selection of site for Buildings, Layout of Building Plan, Types of buildings, Plinth area, carpet area, floor space index, Introduction to building byelaws, concept of sun light & ventilation. Components of Buildings & their functions, Basic concept of R.C.C., Introduction to types of foundation
Chapter 5
Transportation: Introduction to Transportation Engineering; Traffic and Road Safety: Types and Characteristics of Various Modes of Transportation; Various Road Traffic Signs, Causes of Accidents and Road Safety Measures.
Chapter 6
Environmental Engineering: Environmental Pollution, Environmental Acts and Regulations, Functional Concepts of Ecology, Basics of Species, Biodiversity, Ecosystem, Hydrological Cycle; Chemical Cycles: Carbon, Nitrogen & Phosphorus; Energy Flow in Ecosystems.
Water Pollution: Water Quality standards, Introduction to Treatment & Disposal of Waste Water. Reuse and Saving of Water, Rain Water Harvesting. Solid Waste Management: Classification of Solid Waste, Collection, Transportation and Disposal of Solid. Recycling of Solid Waste: Energy Recovery, Sanitary Landfill, On-Site Sanitation. Air & Noise Pollution: Primary and Secondary air pollutants, Harmful effects of Air Pollution, Control of Air Pollution. . Noise Pollution Harmful Effects of noise pollution, control of noise pollution, Global warming & Climate Change, Ozone depletion, Greenhouse effect
Text Books:
1. Palancharmy, Basic Civil Engineering, McGraw Hill publishers.
2. Satheesh Gopi, Basic Civil Engineering, Pearson Publishers.
3. Ketki Rangwala Dalal, Essentials of Civil Engineering, Charotar Publishing House.
4. BCP, Surveying volume 1
Level 3 NCEA - NZ: A Nation In the Making 1872 - 1900 SML.pptHenry Hollis
The History of NZ 1870-1900.
Making of a Nation.
From the NZ Wars to Liberals,
Richard Seddon, George Grey,
Social Laboratory, New Zealand,
Confiscations, Kotahitanga, Kingitanga, Parliament, Suffrage, Repudiation, Economic Change, Agriculture, Gold Mining, Timber, Flax, Sheep, Dairying,
Elevate Your Nonprofit's Online Presence_ A Guide to Effective SEO Strategies...TechSoup
Whether you're new to SEO or looking to refine your existing strategies, this webinar will provide you with actionable insights and practical tips to elevate your nonprofit's online presence.
Beyond Degrees - Empowering the Workforce in the Context of Skills-First.pptxEduSkills OECD
Iván Bornacelly, Policy Analyst at the OECD Centre for Skills, OECD, presents at the webinar 'Tackling job market gaps with a skills-first approach' on 12 June 2024
Temple of Asclepius in Thrace. Excavation resultsKrassimira Luka
The temple and the sanctuary around were dedicated to Asklepios Zmidrenus. This name has been known since 1875 when an inscription dedicated to him was discovered in Rome. The inscription is dated in 227 AD and was left by soldiers originating from the city of Philippopolis (modern Plovdiv).
This document provides an overview of wound healing, its functions, stages, mechanisms, factors affecting it, and complications.
A wound is a break in the integrity of the skin or tissues, which may be associated with disruption of the structure and function.
Healing is the body’s response to injury in an attempt to restore normal structure and functions.
Healing can occur in two ways: Regeneration and Repair
There are 4 phases of wound healing: hemostasis, inflammation, proliferation, and remodeling. This document also describes the mechanism of wound healing. Factors that affect healing include infection, uncontrolled diabetes, poor nutrition, age, anemia, the presence of foreign bodies, etc.
Complications of wound healing like infection, hyperpigmentation of scar, contractures, and keloid formation.
This presentation was provided by Racquel Jemison, Ph.D., Christina MacLaughlin, Ph.D., and Paulomi Majumder. Ph.D., all of the American Chemical Society, for the second session of NISO's 2024 Training Series "DEIA in the Scholarly Landscape." Session Two: 'Expanding Pathways to Publishing Careers,' was held June 13, 2024.
1. Author: R. Schumacher, 2009
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4. M2 Respiratory Sequence 2008:
Neonatal Lung Disease
•Newborn respiratory distress syndrome is
characterized by low lung volumes. Contributing
factors to the low FRC in such patients include:”
a. decreased lung compliance
b. surfactant deficiency
c. increased chest wall compliance
d. hey, babies are small
e. All of the above*
7. Von Neergard
• Swiss physicist who demonstrated surface tension forces
at work in excised cat lungs. (Air filled v saline filled cat
lungs) Laplace relationship holds for alveoli.
Source Undetermined
8. • If this surface film is compressed the phospholipids will
be packed more tightly and more water excluded from
the surface. This is ideal: the smaller the radius of
curvature the more important surface tension forces
become (LaPlace), the smaller the radius of curvature
the tighter the surfactant molecular pack and the
greater the reduction in surface tension forces.
Source Undetermined
9. Jean L. Poiseuille
Poiseuille, Jean Léonard Marie (1799-1869)
was a French physiologist who made a key
contribution to our knowledge of the circulation of
blood in the arteries.
Source Undetermined
Poiseuille's Law of The Flow of Liquids Through a Tube:
Where:
l = the length of the tube in cm
r = the radius of the tube in cm
p = the difference in pressure of the two ends of the tube in dynes per cm2
c = the coefficient of Viscosity in poises (dyne-seconds per cm2)
v = volume in cm3 per second
Then: v = r 4 p/8cl
24. Case: #1
• Because “it’s the Holidays” and her mother-in-
law will be in town to “help out”, a scheduled
repeat elective cesarean section is performed on
a woman at 37 weeks gestational age. When
this baby is born he is tachypneic.
• List as many reasons as you can for the lack of
clearance of lung fluid.
• How would you treat this problem?
25. Transient Tachypnea
of the Newborn: (TTNB)
• Also know as “Wet Lung, Retained Fetal Lung
Fluid”.
• Occurs as a consequence of delayed or
incomplete clearance of fetal lung fluid.
• Predisposing/ causative factors:
– No labor, c-section, hypoventilation, low
colloid oncotic pressure, low pulmonary blood flow
26. Transient Tachypnea of the Newborn
• Lung water content (and weight) is high and an
increased respiratory rate is energy efficient.
• Signs in infant
– tachypnea
• ABGs:
– usually normal
• Clinical course:
– usually benign / self limiting.
• Treatment (usual) :
– none or O2.
27. Transient Tachypnea of the Newborn
No labor During labor
30 minutes of life 6 hours of life
Source Undetermined
35. Newborn Respiratory Distress
Syndrome (RDS)
• Why does this infant have the following signs:
• Tachypnea ?
– Minute ventilation is RR x TV. With a compliant chest
wall increasing RR is more efficient than taking deeper
breaths (increasing TV).
• Grunting ?
– Exhaling against a partially closed glottis provides
positive end expiratory pressure -maintains lung
volume (FRC).
36. Newborn Respiratory Distress Syndrome (RDS)
• Nasal flaring:
– On inspiration alae diameter increases to lower
airway resistance.
• Paradoxical breathing: (On inspiration the
abdomen pops-up, the chest wall sinks)
– Use of diaphragm with compliant chest wall
produces negative intra-thoracic pressure, positive
abdominal pressure, a costly way to breathe.
• Retractions:
– increased use of muscles of respiration = very
costly, and hence a “late” sign
38. Newborn Respiratory Distress Syndrome (RDS)
How would you treat this infant?
Simple things:
Oxygen
Maintain FRC:
Positive end expiratory pressure
Positive pressure ventilation,
Treat the Cause:
Artificial surfactant
39. • On day 7 one twin deteriorates. You hear a
murmur.
– What is this twin’s problem?
NIH, United States Department of Health and Human Services
41. Respiratory Distress Syndrome
• Occurs as a consequence of a structural
and functional/biochemical immaturity
of a infant's lung including:
– a relative lack of surfactant
production.
– a compliant chest wall
– a variable degree of L to R shunting
through a patent ductus arteriosus.
42. Case #3:
• As a baby shower gift a pregnant woman’s friends
present her with some crack cocaine. Tired of
being pregnant the woman tries to induce labor by
using the crack. Subsequent severe abdominal
pain prompts her to seek medical attention. An
emergency c-section is planned. At rupture of
membranes there is blood and thick chunky pea-
soup like material seen. The infant is born floppy,
pale with no spontaneous respirations.
• Think about why and when this baby may have
problems……..
43. Case 3# Meconium Aspiration
Syndrome.
Source Undetermined
Source Undetermined
Cornell University Medical College, 1995
45. Case #3
• After effective resuscitation, the infant is
placed on a ventilator. Shortly thereafter
you note decreased breath sounds, a shift
of the PMI, hypotension and profound
cyanosis.
• What has happened? What should you
do?
47. • Having fixed this problem you note
persistent cyanosis. You note curiously
that the transcutaneous O2 saturation
monitor gives different readings on the
hands vs feet.
• What is happening? What can you do?
50. Persistant Pulmonary Hypertension
(PPHN)
Persistant fetal circulation (PFC)
Persistent pulmonary hypertension of the newborn
(PPHN) is the result of elevated pulmonary
vascular resistance to the point that venous blood
is diverted to some degree through fetal channels
(i. e. the ductus arteriosus and foramen ovale) into
the systemic circulation and bypassing the lungs,
resulting in systemic arterial hypoxemia.
51. Persistant Pulmonary Hypertension (PPHN)
Persistant fetal circulation (PFC)
Treatment:
• Fix that which is broken.
– Correct the cause of hypoxia, hypercarbia,
acidosis.
• If it hurts when you go like that, then
don’t go like that.
– Avoid over distention of lungs,
– Barotrauma
52. Persistant Pulmonary Hypertension (PPHN)
Persistant fetal circulation (PFC)
• Attempt to lower PVR.
– O2, Ventilation, Buffer
– Inhaled Nitric Oxide
• Attempt to raise SVR (and output)
– Volume expansion for preload
– Vasoconstrictors?
– Inotropic support