This case study report summarizes the medical observations of a 31-year-old man who was injured in a rock climbing fall. The man fell 18 feet and suffered significant blood loss from a torn thigh artery. His body reacted with decreased blood pressure, increased heart rate, and other responses to preserve blood and oxygen flow. Observations at the hospital found orthostatic hypotension, pale skin, disorientation, and lethargy due to low blood volume. Lab tests showed abnormal urinary output and dehydration. He was given two units of whole blood and stabilized with normal hematocrit levels restored. The report concludes accidents can be prevented with more caution to avoid trauma and bleeding injuries.
ST-segment Depression: All are Not Created Equal!asclepiuspdfs
ST depression on an electrocardiography can be from various causes including ischemia, acute coronary syndrome, electrolyte imbalance, posterior myocardial infarction, pulmonary embolism and others. Making the right diagnosis and therefore the right treatment is of paramount importance. This article goes into depth explaining why all ST-segment depressions are not created equal.
Left Ventricular Apical Ballooning, Catecholamine Toxicity, and Cardiomyopathyasclepiuspdfs
Case reports and clinical experiences have implicated catecholamine. Excess likely contributes to the pathophysiologic process as a cause of cardiac dysfunction, impaired hemodynamic function, and poor outcomes. Cardiac dysfunction has also been described in many other diseases; there is likely a common underlying pathophysiology. In this review, we will examine the pathophysiology of cardiac dysfunction after catecholamine surge and discuss the evidence surrounding cardiac dysfunction.
Former professor of medicine at the University of California, San Diego, Sanjiv M. Narayan, MD, is a cardiologist and researcher in the field of cardiac electrophysiology. He serves as director of Electrophysiology Research at Stanford University and is currently developing the Stanford Arrhythmia Center. At the center, Sanjiv Narayan, PhD, intends to treat and research numerous cardiac afflictions, such as atrial fibrillation.
Atrial fibrillation, or afib, is an irregular heartbeat caused by confusion in the electric signals to the heart. The daylight savings time (DST) change was identified as a potentially exacerbating factor for the condition based on research presented in 2018 at the American Heart Association Scientific Sessions.
According to the research, people who are diagnosed with afib may be at a significantly increased risk of stroke during the period immediately following the springtime transition to DST. The data also showed that women may be disproportionately affected, and the risk was highest in women over the age of 65. StopAfib.org, an atrial fibrillation patient organization, has called for the end of the DST practice on the basis of this data.
Watch me get shocked (cardioverted) in the ER: https://youtu.be/1rOiLtde14Q
Heart disease remains the top killer. Unfortunately, the first sign of a problem is sudden cardiac death for about 50% of people with heart disease.
This quick test can help discover if you have heart disease. This slide deck is part of the Men's Health course.
Here is how this will affect life: http://mitchelmd.com/rage
Listen to the presentation here: https://projectyou.thinkific.com/ as well as others.
Innovative clinically proven healthcare technology of electrical neurostimulation to blood pressure corection (hypertension, hypotension). Wearable device for home use.
Standard Plastics was Established in 1995, ISO 9001:20008 Certified since June-2004.
Standard Plastics have expertise in “Difficult to Process Polymers” & “Metal Replacement”
Specialize in High Precision Injection Molded Components & Assemblies, with Self Certified Supplies.
Custom Plastic Injection Molding with High Accuracy.
Direct Export & Supply to 100% EOU.
Development & Supply of “IMPORT SUBSTITUTE” Parts.
ST-segment Depression: All are Not Created Equal!asclepiuspdfs
ST depression on an electrocardiography can be from various causes including ischemia, acute coronary syndrome, electrolyte imbalance, posterior myocardial infarction, pulmonary embolism and others. Making the right diagnosis and therefore the right treatment is of paramount importance. This article goes into depth explaining why all ST-segment depressions are not created equal.
Left Ventricular Apical Ballooning, Catecholamine Toxicity, and Cardiomyopathyasclepiuspdfs
Case reports and clinical experiences have implicated catecholamine. Excess likely contributes to the pathophysiologic process as a cause of cardiac dysfunction, impaired hemodynamic function, and poor outcomes. Cardiac dysfunction has also been described in many other diseases; there is likely a common underlying pathophysiology. In this review, we will examine the pathophysiology of cardiac dysfunction after catecholamine surge and discuss the evidence surrounding cardiac dysfunction.
Former professor of medicine at the University of California, San Diego, Sanjiv M. Narayan, MD, is a cardiologist and researcher in the field of cardiac electrophysiology. He serves as director of Electrophysiology Research at Stanford University and is currently developing the Stanford Arrhythmia Center. At the center, Sanjiv Narayan, PhD, intends to treat and research numerous cardiac afflictions, such as atrial fibrillation.
Atrial fibrillation, or afib, is an irregular heartbeat caused by confusion in the electric signals to the heart. The daylight savings time (DST) change was identified as a potentially exacerbating factor for the condition based on research presented in 2018 at the American Heart Association Scientific Sessions.
According to the research, people who are diagnosed with afib may be at a significantly increased risk of stroke during the period immediately following the springtime transition to DST. The data also showed that women may be disproportionately affected, and the risk was highest in women over the age of 65. StopAfib.org, an atrial fibrillation patient organization, has called for the end of the DST practice on the basis of this data.
Watch me get shocked (cardioverted) in the ER: https://youtu.be/1rOiLtde14Q
Heart disease remains the top killer. Unfortunately, the first sign of a problem is sudden cardiac death for about 50% of people with heart disease.
This quick test can help discover if you have heart disease. This slide deck is part of the Men's Health course.
Here is how this will affect life: http://mitchelmd.com/rage
Listen to the presentation here: https://projectyou.thinkific.com/ as well as others.
Innovative clinically proven healthcare technology of electrical neurostimulation to blood pressure corection (hypertension, hypotension). Wearable device for home use.
Standard Plastics was Established in 1995, ISO 9001:20008 Certified since June-2004.
Standard Plastics have expertise in “Difficult to Process Polymers” & “Metal Replacement”
Specialize in High Precision Injection Molded Components & Assemblies, with Self Certified Supplies.
Custom Plastic Injection Molding with High Accuracy.
Direct Export & Supply to 100% EOU.
Development & Supply of “IMPORT SUBSTITUTE” Parts.
Webinar - Microlearning: Getting Started Raptivity
Raptivity has conducted a webinar on Microlearning on 20 January.This webinar talked about a holistic view of the microlearning landscape - typical characteristics, deployment and popular delivery methods of Microlearning. Raptivity Thought Leader Todd Kasenberg (Principal, Guiding Star Communications and Consulting) had shared objective and practical insights on microlearning development.
Webinar - Integrating Raptivity with other eLearning ToolsRaptivity
One of the most asked questions from Raptivity users is how does Raptivity interactions integrate with various other eLearning softwares in their eLearning toolbox. Team Raptivity conducted a webinar on June 9, where we demonstrated how to use Raptivity interactions with some popular eLearning tools - like Articulate Storyline, Adobe Captivate, Moodle, Microsoft PowerPoint
Engaged learners are more likely to complete their training requirements in a timely manner and retain the information being conveyed. But how do you keep learners engaged in today’s multitasking work environment? Game-based learning offers an opportunity to get – and keep – learners engaged in your training initiatives.
During this webcast, we will demonstrate how ON24’s virtual learning environment fosters an engaging learning experience. Best practices to be discussed include:
Putting the user experience at the center of your training program
Using gamification to capture and maintain a learner’s attention
How game-based learning augments existing learning programs
2. Case Study Report
This case study is about a 31-year-old man, who got injured from rock-climbing. He
fell from an 18 feet to the ground. This case study carries medical observations to
be discussed. Therefore, this report will contain a brief explanation on the body
reaction, some observations on the case and lab studies observations (Killeen,
2014).
The primary problem is the patient got injured while rock-climbing. He suffered
from blood loss because he fell; he was soaking in blood; his right femoral ‘thigh’
artery ‘blood vessel’ was possibly ripped because that is where the tourniquet is
located (Killeen, 2014). The patient’s body would probably react with a decrease in
blood pressure because he lost a lot of blood. The heartbeat would go faster, and
vasculature would tighten all supportive nervous systems. In addition, platelet
coagulation begins, which is a blood particle involved in clotting. Then, epinephrine
would rise. Epinephrine is a hormone, which is drawn in the fight or flight reaction
in humans ((Adrenaline)? & Cashin-Garbutt, 2012). Furthermore, the blood is
preserved by ADH, which is known as an Anti-Diuretic Hormone ‘ADH’. It organizes
the permeability of the gathering channel to the water (163.16.28.248, 2014).
According to the case study, there were several observations made due to the
patient’s loss of blood. First, the orthostatic hypotension and the cause of it is low
blood volume. Low blood pressure equals low blood volume. The orthostatic
hypotension is a type of low blood pressure and it usually occurs when standing up
or sitting down. Its symptoms are dizziness or faintness (Mayoclinic.org, 2014).
Second, pale nail beds. It could be the cause of vasoconstriction; it narrows the
blood vessels by making small muscles in their walls (Nlm.nih.gov, 2014). Then, the
blood flow is lowered or blocked from reaching the extremities. Last but not least,
disorientation, which is a feeling of being lost or uncertainty of one’s location and
lethargy, refers to the feeling of slowness, lack of energy, and tiredness
(Rightdiagnosis.com, 2014). The reason behind this is a low blood volume, which
leads to reduced blood flow to the brain. Which means there isn’t enough oxygen
entering the brain for it to function normally.
The laboratory studies showed that his urinary output was not normal. Thus, he is
dehydrated. If there were no enough blood flow to the kidneys, a severe rejection of
kidney function occurs. The patient was given two units of whole blood. However,
the hematocrit was in a normal range ‘amount of red blood cells in percentage’
(Nlm.nih.gov, 2014). Assuming because the patient lost a lot of blood due to the fall,
meaning low blood volume and the system needs a whole blood to gain back what
the blood lost (Killeen, 2014).
3. In conclusion, such incident could cause trauma and bleeding, which result to many
deficiencies in the human body as a reaction. The patient was a bit lucky that he did
not suffer from any major injury that could have caused for his death or more
painful and longer period of recovery. Accidents like this happen with no alert.
However, it can be prevented with more caution.
4. Reference:
(Adrenaline)?, W., & Cashin-Garbutt, A. (2012). What is Epinephrine (Adrenaline)?.
News-Medical.net. Retrieved 19 November 2014, from http://www.news-
medical.net/health/What-is-Epinephrine-%28Adrenaline%29.aspx
163.16.28.248,. (2014). Chapter 46 - Antidiuretic hormone (ADH). Retrieved 19
November 2014, from http://163.16.28.248/bio/activelearner/46/ch46c1.html
Mayoclinic.org,. (2014). Orthostatic hypotension (postural hypotension) Definition -
Diseases and Conditions - Mayo Clinic. Retrieved 19 November 2014, from
http://www.mayoclinic.org/diseases-conditions/orthostatic-
hypotension/basics/definition/con-20031255
Nlm.nih.gov,. (2014). Vasoconstriction: MedlinePlus Medical Encyclopedia. Retrieved
19 November 2014, from
http://www.nlm.nih.gov/medlineplus/ency/article/002338.htm
Rightdiagnosis.com,. (2014). Lethargy - RightDiagnosis.com. Retrieved 19 November
2014, from http://www.rightdiagnosis.com/sym/lethargy.htm
Nlm.nih.gov,. (2014). Hematocrit: MedlinePlus Medical Encyclopedia. Retrieved 19
November 2014, from
http://www.nlm.nih.gov/medlineplus/ency/article/003646.htm
Killeen, M. (2014). Case Study for BLG701 Fall 2014 (pp. 1-2). David A. Sandmire,
M.D., Marie Killeen.