This document outlines guidelines for monitoring and caring for patients on ventilators in the ICU. It discusses assessing the patient's neurological, respiratory, cardiovascular, renal and gastrointestinal systems. It also covers monitoring ventilator settings like minute volume, respiratory rate and oxygen concentration. Key steps in the FASTHUG protocol are defined for ventilated patient care. Parameters to monitor via arterial blood gases include checking for alkalosis and acidosis.
This document outlines guidelines for monitoring and caring for patients on ventilators in the ICU. It discusses assessing the patient's neurological, respiratory, cardiovascular, renal and gastrointestinal systems. It also covers monitoring ventilator settings like minute volume, respiratory rate and oxygen concentration. Key steps in the FASTHUG protocol are defined for ventilated patient care. Parameters to monitor via arterial blood gases include checking for alkalosis and acidosis.
2024 State of Marketing Report – by HubspotMarius Sescu
https://www.hubspot.com/state-of-marketing
· Scaling relationships and proving ROI
· Social media is the place for search, sales, and service
· Authentic influencer partnerships fuel brand growth
· The strongest connections happen via call, click, chat, and camera.
· Time saved with AI leads to more creative work
· Seeking: A single source of truth
· TLDR; Get on social, try AI, and align your systems.
· More human marketing, powered by robots
ChatGPT is a revolutionary addition to the world since its introduction in 2022. A big shift in the sector of information gathering and processing happened because of this chatbot. What is the story of ChatGPT? How is the bot responding to prompts and generating contents? Swipe through these slides prepared by Expeed Software, a web development company regarding the development and technical intricacies of ChatGPT!
Product Design Trends in 2024 | Teenage EngineeringsPixeldarts
The realm of product design is a constantly changing environment where technology and style intersect. Every year introduces fresh challenges and exciting trends that mold the future of this captivating art form. In this piece, we delve into the significant trends set to influence the look and functionality of product design in the year 2024.
How Race, Age and Gender Shape Attitudes Towards Mental HealthThinkNow
Mental health has been in the news quite a bit lately. Dozens of U.S. states are currently suing Meta for contributing to the youth mental health crisis by inserting addictive features into their products, while the U.S. Surgeon General is touring the nation to bring awareness to the growing epidemic of loneliness and isolation. The country has endured periods of low national morale, such as in the 1970s when high inflation and the energy crisis worsened public sentiment following the Vietnam War. The current mood, however, feels different. Gallup recently reported that national mental health is at an all-time low, with few bright spots to lift spirits.
To better understand how Americans are feeling and their attitudes towards mental health in general, ThinkNow conducted a nationally representative quantitative survey of 1,500 respondents and found some interesting differences among ethnic, age and gender groups.
Technology
For example, 52% agree that technology and social media have a negative impact on mental health, but when broken out by race, 61% of Whites felt technology had a negative effect, and only 48% of Hispanics thought it did.
While technology has helped us keep in touch with friends and family in faraway places, it appears to have degraded our ability to connect in person. Staying connected online is a double-edged sword since the same news feed that brings us pictures of the grandkids and fluffy kittens also feeds us news about the wars in Israel and Ukraine, the dysfunction in Washington, the latest mass shooting and the climate crisis.
Hispanics may have a built-in defense against the isolation technology breeds, owing to their large, multigenerational households, strong social support systems, and tendency to use social media to stay connected with relatives abroad.
Age and Gender
When asked how individuals rate their mental health, men rate it higher than women by 11 percentage points, and Baby Boomers rank it highest at 83%, saying it’s good or excellent vs. 57% of Gen Z saying the same.
Gen Z spends the most amount of time on social media, so the notion that social media negatively affects mental health appears to be correlated. Unfortunately, Gen Z is also the generation that’s least comfortable discussing mental health concerns with healthcare professionals. Only 40% of them state they’re comfortable discussing their issues with a professional compared to 60% of Millennials and 65% of Boomers.
Race Affects Attitudes
As seen in previous research conducted by ThinkNow, Asian Americans lag other groups when it comes to awareness of mental health issues. Twenty-four percent of Asian Americans believe that having a mental health issue is a sign of weakness compared to the 16% average for all groups. Asians are also considerably less likely to be aware of mental health services in their communities (42% vs. 55%) and most likely to seek out information on social media (51% vs. 35%).
AI Trends in Creative Operations 2024 by Artwork Flow.pdfmarketingartwork
Creative operations teams expect increased AI use in 2024. Currently, over half of tasks are not AI-enabled, but this is expected to decrease in the coming year. ChatGPT is the most popular AI tool currently. Business leaders are more actively exploring AI benefits than individual contributors. Most respondents do not believe AI will impact workforce size in 2024. However, some inhibitions still exist around AI accuracy and lack of understanding. Creatives primarily want to use AI to save time on mundane tasks and boost productivity.
Organizational culture includes values, norms, systems, symbols, language, assumptions, beliefs, and habits that influence employee behaviors and how people interpret those behaviors. It is important because culture can help or hinder a company's success. Some key aspects of Netflix's culture that help it achieve results include hiring smartly so every position has stars, focusing on attitude over just aptitude, and having a strict policy against peacocks, whiners, and jerks.
PEPSICO Presentation to CAGNY Conference Feb 2024Neil Kimberley
PepsiCo provided a safe harbor statement noting that any forward-looking statements are based on currently available information and are subject to risks and uncertainties. It also provided information on non-GAAP measures and directing readers to its website for disclosure and reconciliation. The document then discussed PepsiCo's business overview, including that it is a global beverage and convenient food company with iconic brands, $91 billion in net revenue in 2023, and nearly $14 billion in core operating profit. It operates through a divisional structure with a focus on local consumers.
Content Methodology: A Best Practices Report (Webinar)contently
This document provides an overview of content methodology best practices. It defines content methodology as establishing objectives, KPIs, and a culture of continuous learning and iteration. An effective methodology focuses on connecting with audiences, creating optimal content, and optimizing processes. It also discusses why a methodology is needed due to the competitive landscape, proliferation of channels, and opportunities for improvement. Components of an effective methodology include defining objectives and KPIs, audience analysis, identifying opportunities, and evaluating resources. The document concludes with recommendations around creating a content plan, testing and optimizing content over 90 days.
How to Prepare For a Successful Job Search for 2024Albert Qian
The document provides guidance on preparing a job search for 2024. It discusses the state of the job market, focusing on growth in AI and healthcare but also continued layoffs. It recommends figuring out what you want to do by researching interests and skills, then conducting informational interviews. The job search should involve building a personal brand on LinkedIn, actively applying to jobs, tailoring resumes and interviews, maintaining job hunting as a habit, and continuing self-improvement. Once hired, the document advises setting new goals and keeping skills and networking active in case of future opportunities.
A report by thenetworkone and Kurio.
The contributing experts and agencies are (in an alphabetical order): Sylwia Rytel, Social Media Supervisor, 180heartbeats + JUNG v MATT (PL), Sharlene Jenner, Vice President - Director of Engagement Strategy, Abelson Taylor (USA), Alex Casanovas, Digital Director, Atrevia (ES), Dora Beilin, Senior Social Strategist, Barrett Hoffher (USA), Min Seo, Campaign Director, Brand New Agency (KR), Deshé M. Gully, Associate Strategist, Day One Agency (USA), Francesca Trevisan, Strategist, Different (IT), Trevor Crossman, CX and Digital Transformation Director; Olivia Hussey, Strategic Planner; Simi Srinarula, Social Media Manager, The Hallway (AUS), James Hebbert, Managing Director, Hylink (CN / UK), Mundy Álvarez, Planning Director; Pedro Rojas, Social Media Manager; Pancho González, CCO, Inbrax (CH), Oana Oprea, Head of Digital Planning, Jam Session Agency (RO), Amy Bottrill, Social Account Director, Launch (UK), Gaby Arriaga, Founder, Leonardo1452 (MX), Shantesh S Row, Creative Director, Liwa (UAE), Rajesh Mehta, Chief Strategy Officer; Dhruv Gaur, Digital Planning Lead; Leonie Mergulhao, Account Supervisor - Social Media & PR, Medulla (IN), Aurelija Plioplytė, Head of Digital & Social, Not Perfect (LI), Daiana Khaidargaliyeva, Account Manager, Osaka Labs (UK / USA), Stefanie Söhnchen, Vice President Digital, PIABO Communications (DE), Elisabeth Winiartati, Managing Consultant, Head of Global Integrated Communications; Lydia Aprina, Account Manager, Integrated Marketing and Communications; Nita Prabowo, Account Manager, Integrated Marketing and Communications; Okhi, Web Developer, PNTR Group (ID), Kei Obusan, Insights Director; Daffi Ranandi, Insights Manager, Radarr (SG), Gautam Reghunath, Co-founder & CEO, Talented (IN), Donagh Humphreys, Head of Social and Digital Innovation, THINKHOUSE (IRE), Sarah Yim, Strategy Director, Zulu Alpha Kilo (CA).
Trends In Paid Search: Navigating The Digital Landscape In 2024Search Engine Journal
The search marketing landscape is evolving rapidly with new technologies, and professionals, like you, rely on innovative paid search strategies to meet changing demands.
It’s important that you’re ready to implement new strategies in 2024.
Check this out and learn the top trends in paid search advertising that are expected to gain traction, so you can drive higher ROI more efficiently in 2024.
You’ll learn:
- The latest trends in AI and automation, and what this means for an evolving paid search ecosystem.
- New developments in privacy and data regulation.
- Emerging ad formats that are expected to make an impact next year.
Watch Sreekant Lanka from iQuanti and Irina Klein from OneMain Financial as they dive into the future of paid search and explore the trends, strategies, and technologies that will shape the search marketing landscape.
If you’re looking to assess your paid search strategy and design an industry-aligned plan for 2024, then this webinar is for you.
5 Public speaking tips from TED - Visualized summarySpeakerHub
From their humble beginnings in 1984, TED has grown into the world’s most powerful amplifier for speakers and thought-leaders to share their ideas. They have over 2,400 filmed talks (not including the 30,000+ TEDx videos) freely available online, and have hosted over 17,500 events around the world.
With over one billion views in a year, it’s no wonder that so many speakers are looking to TED for ideas on how to share their message more effectively.
The article “5 Public-Speaking Tips TED Gives Its Speakers”, by Carmine Gallo for Forbes, gives speakers five practical ways to connect with their audience, and effectively share their ideas on stage.
Whether you are gearing up to get on a TED stage yourself, or just want to master the skills that so many of their speakers possess, these tips and quotes from Chris Anderson, the TED Talks Curator, will encourage you to make the most impactful impression on your audience.
See the full article and more summaries like this on SpeakerHub here: https://speakerhub.com/blog/5-presentation-tips-ted-gives-its-speakers
See the original article on Forbes here:
http://www.forbes.com/forbes/welcome/?toURL=http://www.forbes.com/sites/carminegallo/2016/05/06/5-public-speaking-tips-ted-gives-its-speakers/&refURL=&referrer=#5c07a8221d9b
ChatGPT and the Future of Work - Clark Boyd Clark Boyd
Everyone is in agreement that ChatGPT (and other generative AI tools) will shape the future of work. Yet there is little consensus on exactly how, when, and to what extent this technology will change our world.
Businesses that extract maximum value from ChatGPT will use it as a collaborative tool for everything from brainstorming to technical maintenance.
For individuals, now is the time to pinpoint the skills the future professional will need to thrive in the AI age.
Check out this presentation to understand what ChatGPT is, how it will shape the future of work, and how you can prepare to take advantage.
The document provides career advice for getting into the tech field, including:
- Doing projects and internships in college to build a portfolio.
- Learning about different roles and technologies through industry research.
- Contributing to open source projects to build experience and network.
- Developing a personal brand through a website and social media presence.
- Networking through events, communities, and finding a mentor.
- Practicing interviews through mock interviews and whiteboarding coding questions.
Google's Just Not That Into You: Understanding Core Updates & Search IntentLily Ray
1. Core updates from Google periodically change how its algorithms assess and rank websites and pages. This can impact rankings through shifts in user intent, site quality issues being caught up to, world events influencing queries, and overhauls to search like the E-A-T framework.
2. There are many possible user intents beyond just transactional, navigational and informational. Identifying intent shifts is important during core updates. Sites may need to optimize for new intents through different content types and sections.
3. Responding effectively to core updates requires analyzing "before and after" data to understand changes, identifying new intents or page types, and ensuring content matches appropriate intents across video, images, knowledge graphs and more.
A brief introduction to DataScience with explaining of the concepts, algorithms, machine learning, supervised and unsupervised learning, clustering, statistics, data preprocessing, real-world applications etc.
It's part of a Data Science Corner Campaign where I will be discussing the fundamentals of DataScience, AIML, Statistics etc.
Time Management & Productivity - Best PracticesVit Horky
Here's my presentation on by proven best practices how to manage your work time effectively and how to improve your productivity. It includes practical tips and how to use tools such as Slack, Google Apps, Hubspot, Google Calendar, Gmail and others.
The six step guide to practical project managementMindGenius
The six step guide to practical project management
If you think managing projects is too difficult, think again.
We’ve stripped back project management processes to the
basics – to make it quicker and easier, without sacrificing
the vital ingredients for success.
“If you’re looking for some real-world guidance, then The Six Step Guide to Practical Project Management will help.”
Dr Andrew Makar, Tactical Project Management
2024 State of Marketing Report – by HubspotMarius Sescu
https://www.hubspot.com/state-of-marketing
· Scaling relationships and proving ROI
· Social media is the place for search, sales, and service
· Authentic influencer partnerships fuel brand growth
· The strongest connections happen via call, click, chat, and camera.
· Time saved with AI leads to more creative work
· Seeking: A single source of truth
· TLDR; Get on social, try AI, and align your systems.
· More human marketing, powered by robots
ChatGPT is a revolutionary addition to the world since its introduction in 2022. A big shift in the sector of information gathering and processing happened because of this chatbot. What is the story of ChatGPT? How is the bot responding to prompts and generating contents? Swipe through these slides prepared by Expeed Software, a web development company regarding the development and technical intricacies of ChatGPT!
Product Design Trends in 2024 | Teenage EngineeringsPixeldarts
The realm of product design is a constantly changing environment where technology and style intersect. Every year introduces fresh challenges and exciting trends that mold the future of this captivating art form. In this piece, we delve into the significant trends set to influence the look and functionality of product design in the year 2024.
How Race, Age and Gender Shape Attitudes Towards Mental HealthThinkNow
Mental health has been in the news quite a bit lately. Dozens of U.S. states are currently suing Meta for contributing to the youth mental health crisis by inserting addictive features into their products, while the U.S. Surgeon General is touring the nation to bring awareness to the growing epidemic of loneliness and isolation. The country has endured periods of low national morale, such as in the 1970s when high inflation and the energy crisis worsened public sentiment following the Vietnam War. The current mood, however, feels different. Gallup recently reported that national mental health is at an all-time low, with few bright spots to lift spirits.
To better understand how Americans are feeling and their attitudes towards mental health in general, ThinkNow conducted a nationally representative quantitative survey of 1,500 respondents and found some interesting differences among ethnic, age and gender groups.
Technology
For example, 52% agree that technology and social media have a negative impact on mental health, but when broken out by race, 61% of Whites felt technology had a negative effect, and only 48% of Hispanics thought it did.
While technology has helped us keep in touch with friends and family in faraway places, it appears to have degraded our ability to connect in person. Staying connected online is a double-edged sword since the same news feed that brings us pictures of the grandkids and fluffy kittens also feeds us news about the wars in Israel and Ukraine, the dysfunction in Washington, the latest mass shooting and the climate crisis.
Hispanics may have a built-in defense against the isolation technology breeds, owing to their large, multigenerational households, strong social support systems, and tendency to use social media to stay connected with relatives abroad.
Age and Gender
When asked how individuals rate their mental health, men rate it higher than women by 11 percentage points, and Baby Boomers rank it highest at 83%, saying it’s good or excellent vs. 57% of Gen Z saying the same.
Gen Z spends the most amount of time on social media, so the notion that social media negatively affects mental health appears to be correlated. Unfortunately, Gen Z is also the generation that’s least comfortable discussing mental health concerns with healthcare professionals. Only 40% of them state they’re comfortable discussing their issues with a professional compared to 60% of Millennials and 65% of Boomers.
Race Affects Attitudes
As seen in previous research conducted by ThinkNow, Asian Americans lag other groups when it comes to awareness of mental health issues. Twenty-four percent of Asian Americans believe that having a mental health issue is a sign of weakness compared to the 16% average for all groups. Asians are also considerably less likely to be aware of mental health services in their communities (42% vs. 55%) and most likely to seek out information on social media (51% vs. 35%).
AI Trends in Creative Operations 2024 by Artwork Flow.pdfmarketingartwork
Creative operations teams expect increased AI use in 2024. Currently, over half of tasks are not AI-enabled, but this is expected to decrease in the coming year. ChatGPT is the most popular AI tool currently. Business leaders are more actively exploring AI benefits than individual contributors. Most respondents do not believe AI will impact workforce size in 2024. However, some inhibitions still exist around AI accuracy and lack of understanding. Creatives primarily want to use AI to save time on mundane tasks and boost productivity.
Organizational culture includes values, norms, systems, symbols, language, assumptions, beliefs, and habits that influence employee behaviors and how people interpret those behaviors. It is important because culture can help or hinder a company's success. Some key aspects of Netflix's culture that help it achieve results include hiring smartly so every position has stars, focusing on attitude over just aptitude, and having a strict policy against peacocks, whiners, and jerks.
PEPSICO Presentation to CAGNY Conference Feb 2024Neil Kimberley
PepsiCo provided a safe harbor statement noting that any forward-looking statements are based on currently available information and are subject to risks and uncertainties. It also provided information on non-GAAP measures and directing readers to its website for disclosure and reconciliation. The document then discussed PepsiCo's business overview, including that it is a global beverage and convenient food company with iconic brands, $91 billion in net revenue in 2023, and nearly $14 billion in core operating profit. It operates through a divisional structure with a focus on local consumers.
Content Methodology: A Best Practices Report (Webinar)contently
This document provides an overview of content methodology best practices. It defines content methodology as establishing objectives, KPIs, and a culture of continuous learning and iteration. An effective methodology focuses on connecting with audiences, creating optimal content, and optimizing processes. It also discusses why a methodology is needed due to the competitive landscape, proliferation of channels, and opportunities for improvement. Components of an effective methodology include defining objectives and KPIs, audience analysis, identifying opportunities, and evaluating resources. The document concludes with recommendations around creating a content plan, testing and optimizing content over 90 days.
How to Prepare For a Successful Job Search for 2024Albert Qian
The document provides guidance on preparing a job search for 2024. It discusses the state of the job market, focusing on growth in AI and healthcare but also continued layoffs. It recommends figuring out what you want to do by researching interests and skills, then conducting informational interviews. The job search should involve building a personal brand on LinkedIn, actively applying to jobs, tailoring resumes and interviews, maintaining job hunting as a habit, and continuing self-improvement. Once hired, the document advises setting new goals and keeping skills and networking active in case of future opportunities.
A report by thenetworkone and Kurio.
The contributing experts and agencies are (in an alphabetical order): Sylwia Rytel, Social Media Supervisor, 180heartbeats + JUNG v MATT (PL), Sharlene Jenner, Vice President - Director of Engagement Strategy, Abelson Taylor (USA), Alex Casanovas, Digital Director, Atrevia (ES), Dora Beilin, Senior Social Strategist, Barrett Hoffher (USA), Min Seo, Campaign Director, Brand New Agency (KR), Deshé M. Gully, Associate Strategist, Day One Agency (USA), Francesca Trevisan, Strategist, Different (IT), Trevor Crossman, CX and Digital Transformation Director; Olivia Hussey, Strategic Planner; Simi Srinarula, Social Media Manager, The Hallway (AUS), James Hebbert, Managing Director, Hylink (CN / UK), Mundy Álvarez, Planning Director; Pedro Rojas, Social Media Manager; Pancho González, CCO, Inbrax (CH), Oana Oprea, Head of Digital Planning, Jam Session Agency (RO), Amy Bottrill, Social Account Director, Launch (UK), Gaby Arriaga, Founder, Leonardo1452 (MX), Shantesh S Row, Creative Director, Liwa (UAE), Rajesh Mehta, Chief Strategy Officer; Dhruv Gaur, Digital Planning Lead; Leonie Mergulhao, Account Supervisor - Social Media & PR, Medulla (IN), Aurelija Plioplytė, Head of Digital & Social, Not Perfect (LI), Daiana Khaidargaliyeva, Account Manager, Osaka Labs (UK / USA), Stefanie Söhnchen, Vice President Digital, PIABO Communications (DE), Elisabeth Winiartati, Managing Consultant, Head of Global Integrated Communications; Lydia Aprina, Account Manager, Integrated Marketing and Communications; Nita Prabowo, Account Manager, Integrated Marketing and Communications; Okhi, Web Developer, PNTR Group (ID), Kei Obusan, Insights Director; Daffi Ranandi, Insights Manager, Radarr (SG), Gautam Reghunath, Co-founder & CEO, Talented (IN), Donagh Humphreys, Head of Social and Digital Innovation, THINKHOUSE (IRE), Sarah Yim, Strategy Director, Zulu Alpha Kilo (CA).
Trends In Paid Search: Navigating The Digital Landscape In 2024Search Engine Journal
The search marketing landscape is evolving rapidly with new technologies, and professionals, like you, rely on innovative paid search strategies to meet changing demands.
It’s important that you’re ready to implement new strategies in 2024.
Check this out and learn the top trends in paid search advertising that are expected to gain traction, so you can drive higher ROI more efficiently in 2024.
You’ll learn:
- The latest trends in AI and automation, and what this means for an evolving paid search ecosystem.
- New developments in privacy and data regulation.
- Emerging ad formats that are expected to make an impact next year.
Watch Sreekant Lanka from iQuanti and Irina Klein from OneMain Financial as they dive into the future of paid search and explore the trends, strategies, and technologies that will shape the search marketing landscape.
If you’re looking to assess your paid search strategy and design an industry-aligned plan for 2024, then this webinar is for you.
5 Public speaking tips from TED - Visualized summarySpeakerHub
From their humble beginnings in 1984, TED has grown into the world’s most powerful amplifier for speakers and thought-leaders to share their ideas. They have over 2,400 filmed talks (not including the 30,000+ TEDx videos) freely available online, and have hosted over 17,500 events around the world.
With over one billion views in a year, it’s no wonder that so many speakers are looking to TED for ideas on how to share their message more effectively.
The article “5 Public-Speaking Tips TED Gives Its Speakers”, by Carmine Gallo for Forbes, gives speakers five practical ways to connect with their audience, and effectively share their ideas on stage.
Whether you are gearing up to get on a TED stage yourself, or just want to master the skills that so many of their speakers possess, these tips and quotes from Chris Anderson, the TED Talks Curator, will encourage you to make the most impactful impression on your audience.
See the full article and more summaries like this on SpeakerHub here: https://speakerhub.com/blog/5-presentation-tips-ted-gives-its-speakers
See the original article on Forbes here:
http://www.forbes.com/forbes/welcome/?toURL=http://www.forbes.com/sites/carminegallo/2016/05/06/5-public-speaking-tips-ted-gives-its-speakers/&refURL=&referrer=#5c07a8221d9b
ChatGPT and the Future of Work - Clark Boyd Clark Boyd
Everyone is in agreement that ChatGPT (and other generative AI tools) will shape the future of work. Yet there is little consensus on exactly how, when, and to what extent this technology will change our world.
Businesses that extract maximum value from ChatGPT will use it as a collaborative tool for everything from brainstorming to technical maintenance.
For individuals, now is the time to pinpoint the skills the future professional will need to thrive in the AI age.
Check out this presentation to understand what ChatGPT is, how it will shape the future of work, and how you can prepare to take advantage.
The document provides career advice for getting into the tech field, including:
- Doing projects and internships in college to build a portfolio.
- Learning about different roles and technologies through industry research.
- Contributing to open source projects to build experience and network.
- Developing a personal brand through a website and social media presence.
- Networking through events, communities, and finding a mentor.
- Practicing interviews through mock interviews and whiteboarding coding questions.
Google's Just Not That Into You: Understanding Core Updates & Search IntentLily Ray
1. Core updates from Google periodically change how its algorithms assess and rank websites and pages. This can impact rankings through shifts in user intent, site quality issues being caught up to, world events influencing queries, and overhauls to search like the E-A-T framework.
2. There are many possible user intents beyond just transactional, navigational and informational. Identifying intent shifts is important during core updates. Sites may need to optimize for new intents through different content types and sections.
3. Responding effectively to core updates requires analyzing "before and after" data to understand changes, identifying new intents or page types, and ensuring content matches appropriate intents across video, images, knowledge graphs and more.
A brief introduction to DataScience with explaining of the concepts, algorithms, machine learning, supervised and unsupervised learning, clustering, statistics, data preprocessing, real-world applications etc.
It's part of a Data Science Corner Campaign where I will be discussing the fundamentals of DataScience, AIML, Statistics etc.
Time Management & Productivity - Best PracticesVit Horky
Here's my presentation on by proven best practices how to manage your work time effectively and how to improve your productivity. It includes practical tips and how to use tools such as Slack, Google Apps, Hubspot, Google Calendar, Gmail and others.
The six step guide to practical project managementMindGenius
The six step guide to practical project management
If you think managing projects is too difficult, think again.
We’ve stripped back project management processes to the
basics – to make it quicker and easier, without sacrificing
the vital ingredients for success.
“If you’re looking for some real-world guidance, then The Six Step Guide to Practical Project Management will help.”
Dr Andrew Makar, Tactical Project Management
5. Terörizm, terör ya da yıldırıcılık, siyasal, dinsel
ve/veya ekonomik hedeflere ulaşmak amacıyla
sivillere, belirlenen hedef gruplara veya resmî, yerel
ve genel yönetimlere yönelik baskı, yıldırma ve her
türlü şiddet içeren yolun kullanımını ifade eden
terimdir.
6. Operasyonel terör yaralanmalar
Kitlesel saldırı ve patlamalar
Kimyasal, biyolojik ve nükleer saldırılar
7. Türkiyedeki son 5-10 yıldaki terör saldırıları
7 Haziran 2016: İstanbul Vezneciler'de çevik kuvvet otobüsünü hedef alan saldırıda 5 sivil, 6 polis hayatını kaybetti. Bu saldırıya
da TAK örgütünün üstlendiği açıklandı.
13 Mart 2016: Ankara'nın kalbinde, Kızılay Meydanı üzerinde Güvenpark metro girişine yakın bir noktada yine bombalar patladı.
Beyaz renkli bir BMW marka araçla düzenlenen saldırı 35 kişinin ölümüne neden oldu. Bu saldırıyı da PKK'nın uzantısı olan TAK
örgütü üstlendi.
19 Mart 2016: İstanbul'un kalbi İstiklal Caddesi'nde kendini patlatan canlı bomba üç İsrailli ve bir İranlı turistin ölümüne neden
oldu. İstanbul'un merkezindeki meydana gelen bu saldırı büyük yankı uyandırdı. Saldırının sorumlusunun IŞİD olduğu ortaya
çıktı.
17 Şubat 2016: Ankara'da Türk Silahlı Kuvvetleri'ne ait bir servis aracı hedef alındı. TBMM'den beş dakika uzaklıkta patlayan
bombalar 28 kişinin canına mal oldu, 61 kişi de yaralandı. Saldırı bir intihar bombacısı tarafından düzenlendi. Saldırıyı
düzenleyen kişinin TAK üyesi olduğu açıklandı.
12 Ocak 2016: İstanbul Sultanahmet Meydanı'nda bir turist kafilesinin arasına giren canlı bomba üzerindeki patlayıcıları ateşledi.
Suriye vatandaşı olduğu açıklanan saldırgan, 11 Alman turistin hayatını kaybetmesine neden oldu. Patlamada 16 kişi de yaralandı.
Saldırının IŞİD bağlantılı olduğu ortaya çıktı.
10 Ekim 2015: Ankara'de tren garının önünde meydana gelen saldırı Türkiye Cumhuriyeti tarihinin en kanlı terör saldırısı oldu.
Barış Mitingi düzenlemek amacıyla toplanan kalabalığın arasında art arda patlayan iki bomba, 109 kişinin ölümüne neden oldu.
Saldırıda 500'den fazla kişi de yaralandı. Bu saldırının sorumlusunun da IŞİD olduğu anlaşıldı.
8 Eylül 2015: Iğdır'da zırhlı polis aracına düzenlenen bombalı saldırıda 13 polis memuru hayatını kaybetti. Saldırıdan PKK
sorumlu tutuldu.
20 Temmuz 2015: Şanlıurfa'nın Suruç ilçesinde düzenlenen bombalı saldırıda 34 kişi hayatını kaybetti, 100'den fazla kişi de
yaralandı. Saldırıda Suriye'nin Kobani kentine yardım götürmek isteyen solcu gençler hedef alındı. Saldırıyı düzenleyenlerin IŞİD
bağlantısı olduğu ortaya çıktı.
5 Haziran 2015: Diyarbakır'da HDP mitingini hedef alan saldırıda 5 kişi hayatını kaybetti. Saldırı IŞİD bağlantılı çıktı.
11 Mayıs 2013: Hatay'ın Reyhanlı ilçesinde bomba yüklü araçla düzenlenen saldırıda 52 kişi hayatını kaybetti, 100'den fazla kişi de
yaralandı. Hükümet, saldırıdan Esad rejiminin istihbarat örgütü El Muhaberat'ı sorumlu tuttu.
21 Eylül 2011: Ankara'da Kızılay'da patlayan bombalar 3 kişinin ölümüne, 34 kişinin de yaralanmasına yol açtı. Saldırının
sorumluluğunu PKK üstlendi.
8. Türkiye’de Terör İstatistiği
En az 5,561 kişi güvenlik güçleri ve PKK arasındaki
çatışmalarda veya terör saldırılarında öldü.
549 siviller
1,302 güvenlik gücü mensupları
226 tanımlanamayan kişiler
3,482 terörist
(Temmuz 2015 - 10 Ağustos 2021)
Gülhanede tedavi olan hasta sayısı 1746 yaralı 78 şehit
(2015-2021 arasında)
https://www.crisisgroup.org/tr/content/grafik-ve-haritalarla-t%C3%BCrkiyedeki-pkk-%C3%A7at%C4%B1%C5%9Fmas%C4%B1
9. Sağlık Tesislerine Terör Saldırısı
Derrick Tin, Alexander Hart, Gregory R Ciottone. Hardening hospital defences as a counter-terrorism medicine measure. Am J Emerg Med. 2021 Jul;45:667-
668. doi: 10.1016/j.ajem.2020.10.051.
Afghanistan: UN shocked and outraged over deadly attacks on maternity hospital and funeral UN News [Internet]; 2020. [cited 2020 Oct 16]. Available from
https://news.un.org/en/story/2020/05/1063812.
https://www.trthaber.com/haber/gundem/teror-orgutu-pkk-afrinde-hastaneye-saldirdi-13-olu-27-yarali-588086.html
2015'ten bu yana, dünya çapında 500'den fazla terörist
saldırı sağlık tesislerini hedef aldı.
Terör örgütü pkk Afrin’de hastaneye saldırı, 13 ölü 27
yaralı (Haziran 2021)
Kabil’de doğum kliniğine saldırı 2 yenidoğan 15 anne ve
bir ebe öldü (Mayıs 2020).
12. Yaralanmanın Fizyolojisi
Tüm ölümlerin %91’i hemoraji
%67.3 Trunkal (Abdomen-toraks)
%13.5 Ekstremite
%20 Diğer
2. en sık sebep ÜSY obstrüksiyonu %1-2
Eastridge et al. J Trauma Acute Care Surg. 2012;73: S431YS437.
Balistik
Korunma
13. ASY Fizyolojisi
Golden hour
Letal triad
Hipovolemi…. Dolaşım bozukluğu….laktik
asidoz…metabolik asidoz….enzim fonk bzk…
koagulopati…
Hipotermi… koagulopati…
Politravma….hemorajik, obstriktif, kardiojenik,
nerojenik şok, posttravmatik inflamatuar ve immun
cevap(travmatik şoka, ARDS, mutiple organ
yetmezliği neden olur).
14. Bilimsel Gerçekler
Geçtigimiz yüzyılda, savaş alanında ki yaralıların
%90’ı hastaneye ulaşamadan hayatını
kaybetmiştir.
Bellamy RF, et al. Ann Emerg Med. 1986;15:1384Y1388.
Bellamy RF. Mil Med. 1984;149:55Y62.
Champion HR, et al. J Trauma. 2010;68:1139Y1150.
Mabry RL, et al. J Trauma. 2000;49:515Y528; discussion 528Y529.
Günümüzde ölümlerin %75 - %85’i savaş alanında
meydana gelmektedir. (Diyarbakır, Cizre...)
Holcomb JB, et al . Ann Surg. 2007;245:986Y991.
Kelly J.F, et al. J Trauma. 2008;64(suppl 2):S21YS26; discussion S26YS27.
%87 (Eastridge et al. J Trauma Acute Care Surg. 2012;73: S431YS437.
15. Bilimsel Gerçekler
Yaralanmalara bağlı ölümlerin %35’i anında, %52’si
dakikalar içerisinde meydana gelmiştir. (Prehosp)
Ölümlerin %75.7 kurtarılamaz (ENGELLENEMEZ
DEĞİL!!)(ciddi travmatik beyin hasarı, thorasik vasküler yaralanma, yüksek
seviye spinal kord yaralanması ve destrüktif abdominopelvik yaralanma*),
%24.3’ü potansiyel olarak kurtarılabilir.
*EYP, kopmplex blast hasarı, multiple amputasyonlar, masif
abdominal pelvik ve ürogenital yaralanmalar ve junctional yaralanmalar.
Artık travma merkezi kurarak cerrahlarımızı bu yaralanmalara
hazırlamalıyız!!!!
Eastridge et al. J Trauma Acute Care Surg. 2012;73: S431YS437.
16.
17. ABC
Erken turnike
Erken masif
transfüzyon
Aktif ısıtma
Koagulopatinin
agretif tedavisi
Hasar kontrol
cerrahisi
Doku perfüzyonunu
arttır
Kan transfüzyonunu
azalt
Efektif koagulasyon
Normal elektrolitler
Dokuları koru
Kristaloidleri azalt
Asidozu önle
Hipotermiden koru
Vazopresörlerden
kaçın
Mortalitede
azalma
Hasar Kontrol Resussitasyonu
Textbook and Military Medicine, Combat Anesthesia; The First 24 Hour. 2015. Chapter 7. Damage control resuscitation . Figure 1.7’den uyarlanmıştır.
21. Masif kan transfüzyonu
UK operatıonal massıve transfusıon protocol (2009).
1:1 (ES, TDP), gerekirse Kriopresipitat, Trombosit
4Ü ES, 4Ü TDP
6Ü ES, 6Ü TDP (gerekirse kriopresipitat, trombosit)
6Ü ES, 6Ü TDP (gerekirse kriopresipitat, trombosit)
faktör VIIa düşün, TKK için donor
US military massıve transfusıon protocol (2011)
1:1:1:1 (ES, TDP, erken Kriopresipitat, Trombosit
4Ü ES, 4Ü TDP, Kriopresipitat, Trombosit, erken Traneksamik asit (1gr 10 dk infüzyon),
makromoleküllerden kaçın
4Ü ES, 4Ü TDP
4Ü ES, 4Ü TDP, Kriopresipitat, Trombosit
Traneksamik asit erken kullanımı ilk 3 saatte (Komprese edilemeyen kanamalardan ölümleri
engellemek için)
Taze tam kan (yürüyen kan bankası) mı paket kan
Morrison JJ, et al. Arch Surg. 2012;147:113-119.
Roberts I, et al. Lancet. 2011;377:1096Y1101, 1101.e1Y1101.e2.
Ağır yaralanma, şiddetli kanama
Hemorajik şok
Kalp atımı 105<
SKB: 110>
Hipotermi 36 >
Koagolopati Inr: 1.5>
Baz açığı 6 <
Hb: 11 >
22. Yaralının transportu
Yaralının acil transportu gerekli mi?
Transport sırasında oluşabilecek problemler neler?
Akciğer hasarı !!!!
Beyin hasarı !!!!
23.
24.
25. Transport Ekibi
- İlk müdahale ve transport
Ameliyathane ve Yoğun Bakım
Ekibi
-Cerrahi teknik ve malzeme
hazırlığı
Triaj- Acil Müdahale Ekibi
-Monitörizasyon
- Yaralanmanın Tespiti
-Triaj
-CPR ve sıvı resüssitasyonu
Kan Transfüzyonu- Laboratuar Ekibi
- Kan stoğu kontrolü
-Donör kanı için kısa mesaj çağrısı
-Kan gruplarının belirlenmesi
-Flebetomi ve Cross-matching
ACİL
ÇAĞRI
S.Eksert, M.B.Asik, S.Akay, K.Keklikci, F.N.Aydin, M.Coban, A.Kantemir, O.Gungor, B.Garip, M.S.Turgut, K.Olcay .Ulus Travma Acil Cerrahi Derg. Baskıdaki Makaleler: UTD-37897 . Anlık
Mesajlaşma Uygulamasının Harp Kaynaklı Yaralanmalar için Acil İletişim Koordinasyonunda Kullanım Verimliliği: Pilot Çalışma. Şırnak Asker Hastanesi, Şırnak, Türkiye
Personel bilgi merkezi
(Yaralı kan grubu bilgisi)
Hastane Koordinatörü
- WhatsApp ile acil çağrının paylaşımı
-Grupların koordinasyonu
26. Havayolu yönetimi
Zor havayolu hazırlığı,
Maksillo-fasiyal yaralanma oranımız % 20
156 genel anestezi (113 endotrakeal entübasyon, 43
LMA, 13 cerrahi trakeotomi)
Percutan trakeotomi mi, cerrahi trakeotomi mi?
Eastridge et al. J Trauma Acute Care Surg. 2012;73: S431YS437.
27. 579 hastadan 51 Hastaya transfüzyon
37’i masif transfüzyon
Toplam 235 ünite kan transfüzyonu
masif transfüzyon
n: 37
% 72.5
% 9.5
transfüzyon
n: 51
diğer
30. Damar yolu
Mümkün olan en büyük boyutta damar yolu,
Turnike ile distalden venöz dolgunluk sağlanabilir,
Diyaliz kateteri,
10 yada 20 ml’lik enjektörle sıvı,
Üst ekstremite, subklavian, internal juguler ven
kateterizasyonu
38. ASY’de Rejyonal Anestezi
Şırnak Asker Hastanesinde toplam 199 ASY’li hasta
opere edildi.
18 hastaya santral santral blok (11 spinal, 2 epidural, 5
kombine spinal-epidural),
7 hastaya ultrason eşliğinde periferik sinir bloğu (3 sinir
kateteri)
Mevcut Covid-19 salgını ve son orman yangınları bize çok kurumlu koordinasyon ve afet müdahalesi konusunda değerli dersler verdi ve gelecekteki olayları tahmin etmede proaktif olmamızı gerektirdi.
Sağlık tesislerine saldırı korku ve olayların yarattığı endişe ile; kritik altyapının yok edilmesi ve sağlık hizmetlerinin kesintiye uğraması ve toplumda psikolojik yansımalara neden olur. Aynı zamanda her zaman takip eden küresel medyanın ilgisi, hastaneleri ve tıbbi tesisleri ideal kılmaktadır.
Şekilde görüldüğü gibi giriş deliği küçük iken çıkış deliği büyük olmaktadır. Bu görsellere mermi çekirdeği ile olan yaralanmalarda geçerlidir. Günümüzde el yapımı patlayıcılar, mayın ve roket yaralanmaları gibi yaralanmalarda daha yaygın görülüyor. Bu tip yaralanmalarda bu kinetiğe uygun yaralanma oluşmaz.
Harp cerrahisine bağlı asy da germi giriş yerinin ve doğrutusunun sapabileceği merminin yada parçanın kemik ve organlara çarpıp yer değişreceği özellikle göz önünde bulundurulmalıdır. Bu yüzden bacaktan giren bir mermi yada parçanın batın ve toraksda yaralanma oluşturabileceği aılda tutulmalıdır.
G3 piyade tüfeğinde kullanılan 7.62 NATO mermisi 830 m/s hızla hedefe ulaştıktan 18 santim sonra takla atmaya başlayınca şok dalgasıyla beraber korkunç enerjisini vücuda transfer eder. Böyle bir mermi adamın ayaklarını yerden kesip onu birkaç metre geriye fırlatır ve yarattığı geçici boşluk dokuları yırtıp, parçalar. Eğer geçici boşluk karaciğeri veya kalbi etkilediyse hedefin hayatta kalması imkansızdır.
7.62 Soviet, yani AK-47 (Keleş) mermisi çok yüksek delme özelliğine sahip olsa da fazla hasar veremiyor
İlk 24 saatteki (golden hour) hasta tedavisi bu patofizyolojik bızuklukları önlemeye yönelik olmalıdır.
2012 YILINDA YAPILMIŞ OLAN 4596 ATEŞLİ SİLAH YARALISI İÇEREN GENİŞ BİR ÇALIŞMADA
ülkemizde halen yürütülen meskun mahal denilen kırsal alan dışındaki operasyonlar neticesinde klasik harp yaralanmalarından
Sahadaki ölümlerin %75.7’si non-survivable.
Tüm ölümlerin %90.9’i hemoraji
2. en sık sebep ÜSY obstrüksiyonu %1-2
%67.3 Trunkal (Abdomen-toraks)
%13.5 Ekstremite
%19.2 Diğer
Ölümlerin %75.7 kurtarılamaz (ENGELLENEMEZ DEĞİL!!)(ciddi travmatik beyin hasarı, thorasik vasküler yaralanma, yüksek seviye spinal kord yaralanması ve destrüktif abdominopelvik yaralanma*), %24.3’ü potansiyel olarak kurtarılabilir.
Start (simple triage and rapid treatment)
Siyah: ölü
Kırmızı: acil
Sarı: geçiktirilebilir
Yeşil: yürüyebilir
2 li triaj sistemi: aci , acil değil..
Blood fractionation capabilities are not always in place in an austere combat theater of operation at the time of arrival of troops and casualties, as was the case in the wars in Iraq and Afghanistan, where trauma resuscitation early in the conflict included the use of both CT and FWB. At the time many surgeons and anesthesiologists using FWB were impressed with its efficacy and convenience. Favorable editorials and research supporting the use of FWB for trauma ensued, such as a retrospective analysis by Spinella et al, which looked at 354 US combat casualties comparing two groups: (1) those who received warm FWB, RBCs, and plasma, but not apheresis platelets, and (2) the CT group, who received RBCs, plasma, and apheresis platelets, but not warm FWB. This study found improved 24-hour (96% vs 86%, P = 0.018) and 30-day survival (95% vs 82%, P = 0.002) among the FWB group. 29
HARP CERRAHİSİNDE HAVAYOLU YÖNETİMİ HAVAYOLUNUN YARALANMALARI NEDENİYLE ÖNEM ARZ ETMEKTEDİ. 2012 YILINDA YAPILMIŞ OLAN 4596 ATEŞLİ SİLAH YARALISI İÇEREN GENİŞ BİR ÇALIŞMADA %20DEN DAHA AZ BAŞ-BOYUN YARALANMASI OLDUĞU BELİRTİLMEKTEDİR. BİZİM579 ASY VAKAMIZIN %20 SİNDE MAKSİLLO FASİYAL YARALANMA VARDI.
Çeşitli askeri çalışmalardan elde edilen klinik verilere göre çok sayıda hastaneye yatış gerektirmeyen yüzeysel yaralanmış baş, boyun ve daha çok yüz yaralanması olan hastalar görülmektedir. Ancak ülkemizde halen yürütülen meskun mahal denilen kırsal alan dışındaki operasyonlar neticesinde klasik harp yaralanmalarından daha fazla sayıda yüzeyel olmayan maksillofasyal yaralanma görülmektedir. Halihazırda kırsal dışı operasyon alanında baş-boyun yaralanmaları ile ilgili literatürde yayın bulunmamaktadır.
1 YIL BOYUNCA ASY NEDENİYLE MERKEZE ŞAH BAŞVURAN 534 HASTANIN 51’İNE KAN TRANSFÜZYONU UYGULANDI. BU DA % 10’UN BİR ORANDIR.
KAN TRANSFÜZYONU UYGULANAN 51 HASTANIN 37’Sİ MASİF KAN TRANSFÜZYONU İDİ. TRANSFÜZYON UYGULANAN HASTALARIN %75’İNE MASİF KAN TRANSFÜZYONU UYGULANDI. ŞAH’DE ROKET YARALANMASINA BAĞLI OLARAK 24 SAAT İÇİNDE TOPLAM 50 ÜNİTE KAN TRANSFÜZYONU UYGULANAN YARALALIMIZ OLMUŞTUR.
LİTERATÜRDE BAŞ-BOYUN YARALANMALARININ Genel ateşli silah yaralanmaları arasında daha az ORANDA GÖRÜLDÜĞÜ BELİRTİLMEKTEDİR. ANCAK DEĞİŞEN OPERASYONEL ŞARTLAR ALINAN ÖNLEMLER VE YARALAYAICI MADDE NİTELİKLERİ SEBEBİ İLE LİTERATÜRDEKİ ORANLARA GÖRE HASTANEMİZE BAŞVURAN BAŞ- BOYUN YARALANMALI HASTA SAYISINDA ARTIŞ MEVCUTTUR.
“In the case of abdominal and thoracic trauma, IV access must be obtained in a tributary of the superior vena cava (SVC) because veins below the injury may not be in continuity with the central circulation as a result of inferior vena cava (IVC) injury. Insertion of IV devices in injured limbs should be avoided because there is no guarantee that infused fluid and drugs will reach the central circulation. Furthermore, extravasation of fluid may result in a compartment syndrome, thus exacerbating a preexisting injury.”
Alıntı: Chester Buckenmaier. “Combat Anesthesia: The First 24 Hours”. iBooks.
Zone I yerleşimli ana damar ve sinir yapıları klavikula ve birinci kaburga tarafından düşük enerjili mermilerden korunur, bu yapılar yüksek enerjili mermiler ile klavikula ve birinci kaburganın kırılması ile yaralanır.
Zone II’nin hem ön hem arka taraftan dar olması yüksek enerjili FMJ mermileri faz 1 kurşun kanalının yani boydan boya yaralanmaya zemin hazırlar. Bu yaralanmalarda “ya hep ya hiç” kuralı geçerlidir: eğer vital yapılara denk gelirse genellikle ölümcül sonuçlar ortaya çıkabilir ya da kurtulabilinen yaralanmalara neden olabilir. Solunum yolu organları kıkırdak yapıları nedeniyle göreceli olarak sert yapılıdır bu nedenle mermi darbesi sonucu defektler gelişir. Bu defektler, boydan boya, küçük, yüzeysel ya da doku kaybı ile birlikte olabilir.
Zon III yaralanmalarında mandibula, vertebralar ya da kafa tabanı gibi kemik yapıların zarar görme olasılığı çok daha fazladır.
EXHIBIT 6-1
SUGGESTED GUIDELINES FOR MANAGEMENT OF PENETRATING AIRWAY INJURY
Zone I injury
Direct intubation through a large defect
Surgical cricothyroidotomy in an emergency or tracheostomy in the semi-elective setting
Thoracotomy in complete tracheal transaction
Zone II injury
CT scan to exclude distal airway injury (provided there is no immediate impending obstruction of the airway)
Oral intubation by RSI for injuries proximal to the larynx
Fiberoptic intubation for injuries distal to the larynx
Surgical airway for injuries distal to the larynx
Zone III injury
Oral intubation by RSI”
“Oral intubation by RSI for small defects
Surgical airway for gross disruption
For any large airway defect: direct intubation through the defect
When a distal airway injury has not been excluded: primary surgical airway may be the most appropriate plan.1
________________
CT: commuted tomography
RSI: rapid-sequence induction
1. Nelson LA. Airway trauma. Int Anesthesiol Clin 2007; 45:99–118.”
Alıntı: Chester Buckenmaier. “Combat Anesthesia: The First 24 Hours”. iBooks.
Toraks yaralanmaları mortal..
Hastanın sırtının kontrol edilmesi
Toraks yaralanmalarında VCI’a damar yolu açılamsının sakıncalara
“Tracheobronchial injuries are found in 0.8% of blunt thoracic trauma victims presenting for emergency surgery”
MULTİMODAL ANALJEZİ YÖNTEMLERİ İÇİNDE MUTLAK REJYONAL ANESTEZİ YÖNTEMLERİ YER ALMALIDIR.
ÖZELLİKLE HASTA TRANSPORTUNDA HKA yada EPİDURAL-SİNİR KATETERLERİ..
SABRINIZ VE ANLAYIŞINIZ İÇİN SİZ DEĞERLİ DİNLEYİCİLERE, VATANI CANINDAN AZİZ BİLEN TÜM ŞEHİT VE GAZİLERİMİZE EN DERİN SAYGI VE TEŞEKKÜRLERİMİ SUNARIM.