This document provides an overview of how to gather and assess vital signs, including pulse, respiration, skin, pupils, and blood pressure. It describes the normal ranges for adults and how to monitor each vital sign by counting rates, evaluating rhythms and qualities, and identifying abnormal findings that may require further attention. Vital signs are important for identifying a patient's condition and monitoring changes over time during emergency medical care.
Every year in the US over 320,000 people (of all ages) die from Sudden Cardiac Arrest (SCA) outside of hospitals. While Fire and EMS departments do a great job trying to save these people time is not on their side. Severe brain damage occurs withing 4-6 minutes and brain death by 10 minutes.
On scene bystanders are the best chance for these victims. Prompt CPR and early use of an AED will dramatically increase the victims chance of survival. This presentation is a brief overview on how to use an Automated External Defibrillator (AED). This presentation should not take away from that fact that all people need to attend a formal CPR and AED course.
First Response Training, LLC is a West Palm Beach CPR training facility owned by Conor Devery who has over 20 years of pre hospital and critical care medical experience. First Response Training, LLC provides training for the medical and non medical communities in South Florida. Courses taught include CPR, AED, BLS, First Aid, ACLS, PALS, and EKG. For further information please contact Conor at (561) 459-0221 or vissit him at www.gotcpr.us
Every year in the US over 320,000 people (of all ages) die from Sudden Cardiac Arrest (SCA) outside of hospitals. While Fire and EMS departments do a great job trying to save these people time is not on their side. Severe brain damage occurs withing 4-6 minutes and brain death by 10 minutes.
On scene bystanders are the best chance for these victims. Prompt CPR and early use of an AED will dramatically increase the victims chance of survival. This presentation is a brief overview on how to use an Automated External Defibrillator (AED). This presentation should not take away from that fact that all people need to attend a formal CPR and AED course.
First Response Training, LLC is a West Palm Beach CPR training facility owned by Conor Devery who has over 20 years of pre hospital and critical care medical experience. First Response Training, LLC provides training for the medical and non medical communities in South Florida. Courses taught include CPR, AED, BLS, First Aid, ACLS, PALS, and EKG. For further information please contact Conor at (561) 459-0221 or vissit him at www.gotcpr.us
Instructions for Submissions thorugh G- Classroom.pptxJheel Barad
This presentation provides a briefing on how to upload submissions and documents in Google Classroom. It was prepared as part of an orientation for new Sainik School in-service teacher trainees. As a training officer, my goal is to ensure that you are comfortable and proficient with this essential tool for managing assignments and fostering student engagement.
The French Revolution, which began in 1789, was a period of radical social and political upheaval in France. It marked the decline of absolute monarchies, the rise of secular and democratic republics, and the eventual rise of Napoleon Bonaparte. This revolutionary period is crucial in understanding the transition from feudalism to modernity in Europe.
For more information, visit-www.vavaclasses.com
June 3, 2024 Anti-Semitism Letter Sent to MIT President Kornbluth and MIT Cor...Levi Shapiro
Letter from the Congress of the United States regarding Anti-Semitism sent June 3rd to MIT President Sally Kornbluth, MIT Corp Chair, Mark Gorenberg
Dear Dr. Kornbluth and Mr. Gorenberg,
The US House of Representatives is deeply concerned by ongoing and pervasive acts of antisemitic
harassment and intimidation at the Massachusetts Institute of Technology (MIT). Failing to act decisively to ensure a safe learning environment for all students would be a grave dereliction of your responsibilities as President of MIT and Chair of the MIT Corporation.
This Congress will not stand idly by and allow an environment hostile to Jewish students to persist. The House believes that your institution is in violation of Title VI of the Civil Rights Act, and the inability or
unwillingness to rectify this violation through action requires accountability.
Postsecondary education is a unique opportunity for students to learn and have their ideas and beliefs challenged. However, universities receiving hundreds of millions of federal funds annually have denied
students that opportunity and have been hijacked to become venues for the promotion of terrorism, antisemitic harassment and intimidation, unlawful encampments, and in some cases, assaults and riots.
The House of Representatives will not countenance the use of federal funds to indoctrinate students into hateful, antisemitic, anti-American supporters of terrorism. Investigations into campus antisemitism by the Committee on Education and the Workforce and the Committee on Ways and Means have been expanded into a Congress-wide probe across all relevant jurisdictions to address this national crisis. The undersigned Committees will conduct oversight into the use of federal funds at MIT and its learning environment under authorities granted to each Committee.
• The Committee on Education and the Workforce has been investigating your institution since December 7, 2023. The Committee has broad jurisdiction over postsecondary education, including its compliance with Title VI of the Civil Rights Act, campus safety concerns over disruptions to the learning environment, and the awarding of federal student aid under the Higher Education Act.
• The Committee on Oversight and Accountability is investigating the sources of funding and other support flowing to groups espousing pro-Hamas propaganda and engaged in antisemitic harassment and intimidation of students. The Committee on Oversight and Accountability is the principal oversight committee of the US House of Representatives and has broad authority to investigate “any matter” at “any time” under House Rule X.
• The Committee on Ways and Means has been investigating several universities since November 15, 2023, when the Committee held a hearing entitled From Ivory Towers to Dark Corners: Investigating the Nexus Between Antisemitism, Tax-Exempt Universities, and Terror Financing. The Committee followed the hearing with letters to those institutions on January 10, 202
2024.06.01 Introducing a competency framework for languag learning materials ...Sandy Millin
http://sandymillin.wordpress.com/iateflwebinar2024
Published classroom materials form the basis of syllabuses, drive teacher professional development, and have a potentially huge influence on learners, teachers and education systems. All teachers also create their own materials, whether a few sentences on a blackboard, a highly-structured fully-realised online course, or anything in between. Despite this, the knowledge and skills needed to create effective language learning materials are rarely part of teacher training, and are mostly learnt by trial and error.
Knowledge and skills frameworks, generally called competency frameworks, for ELT teachers, trainers and managers have existed for a few years now. However, until I created one for my MA dissertation, there wasn’t one drawing together what we need to know and do to be able to effectively produce language learning materials.
This webinar will introduce you to my framework, highlighting the key competencies I identified from my research. It will also show how anybody involved in language teaching (any language, not just English!), teacher training, managing schools or developing language learning materials can benefit from using the framework.
Read| The latest issue of The Challenger is here! We are thrilled to announce that our school paper has qualified for the NATIONAL SCHOOLS PRESS CONFERENCE (NSPC) 2024. Thank you for your unwavering support and trust. Dive into the stories that made us stand out!
Macroeconomics- Movie Location
This will be used as part of your Personal Professional Portfolio once graded.
Objective:
Prepare a presentation or a paper using research, basic comparative analysis, data organization and application of economic information. You will make an informed assessment of an economic climate outside of the United States to accomplish an entertainment industry objective.
Operation “Blue Star” is the only event in the history of Independent India where the state went into war with its own people. Even after about 40 years it is not clear if it was culmination of states anger over people of the region, a political game of power or start of dictatorial chapter in the democratic setup.
The people of Punjab felt alienated from main stream due to denial of their just demands during a long democratic struggle since independence. As it happen all over the word, it led to militant struggle with great loss of lives of military, police and civilian personnel. Killing of Indira Gandhi and massacre of innocent Sikhs in Delhi and other India cities was also associated with this movement.
Planning Your Time: Plan 50 minutes for this chapter.
Gathering the Vital Signs (10 minutes)
Vital Signs (40 minutes)
Note: The total teaching time recommended is only a guideline.
Core Concepts:
How to obtain vital signs, including pulse, respirations, blood pressure, skin, temperature, and pupils
How to document vital signs on a prehospital care report
How to use various monitoring devices
Teaching Time: 10 minutes
Teaching Tips: Describe the consequences of not obtaining vital signs. Use real-world examples. Describe specific treatment scenarios that prevent assessment of vital signs. Emphasize that these scenarios are the exception and that they come with consequences.
Covers Objective: 13.3
Points to Emphasize: Whenever possible, EMTs should obtain vital signs on every patient. Occasionally, emergency treatment will prevent obtaining a full set of vital signs.
Discussion Topics: Discuss why it is important to obtain vital signs on every patient. Describe a specific treatment that might prevent you from obtaining a full set of vital signs.
Knowledge Application: Discuss the importance of vital signs. Ask students to brainstorm why these signs are important. List the responses. Present a variety of verbal scenarios. Ask the class whether the treatments detailed in the scenarios would interfere with the assessment of vital signs. Discuss why and what the consequences might be.
Critical Thinking: You are assessing a 72-year-old man who had a "fainting spell." He is refusing care, and he tells you that he does not want you to take his vital signs. What do you do? Why might vitals be particularly important for this patient?
Teaching Time: 40 minutes
Teaching Tips: Teach the technique of measuring vital signs in this lesson, but continue practicing it throughout the class. Instead of verbalizing vitals in scenarios and practice, require students actually to obtain them. Relate vital signs to previous discussions of anatomy and physiology. Add meaning to these technical skills. Practice, practice, practice! Repetition of obtaining normal vital signs will improve students' ability to obtain abnormal vital signs.
Covers Objective: 13.2
Point to Emphasize: Evaluation of pulse, respiration, skin, pupils, and blood pressure provides a valuable baseline assessment tool.
Class Activity: Throughout this chapter, have students take the vital signs of the student seated next to them.
Covers Objective: 13.2
Covers Objective: 13.6a
Point to Emphasize: Evaluate both rate and quality when assessing the pulse.
Discussion Topic: Explain how a pulse is created.
Covers Objective: 13.6a
Covers Objective: 13.6a
Covers Objective: 13.6a
Covers Objective: 13.6a
Covers Objective: 13.6a
Covers Objective: 13.8
Talking Points: For fast heart rates consider the level of exercise or anxiety. Either of those situations could increase heart rate in a benign fashion. For slow rates also consider level of activity and level of physical fitness. Athletes often normally have a slow heart rate.
Covers Objective: 13.6a
Covers Objective: 13.6a
Covers Objective: 13.6a, 13.9
Covers Objective: 13.6a
Covers Objective: 13.9
Covers Objective: 13.9
Covers Objective: 13.6a
Talking Points: Be careful when palpating a carotid pulse. Excessive pressure on the carotid artery can result in slowing of the heart, especially in older patients. If you have difficulty finding the carotid pulse on one side, try the other side, but do not assess the carotid pulses on both sides at the same time.
Covers Objective: 13.6a
Knowledge Application: Create a county fair. Set up multiple "booths" for students to visit. At each booth, the student will be asked to obtain a different vital sign. Practice and log variations such as brachial pulses and palpated blood pressures.
Covers Objective: 13.6b
Point to Emphasize: Evaluate rate, quality, and rhythm when assessing respirations.
Covers Objective: 13.6b
Covers Objective: 13.6b
Covers Objective: 13.6b
Covers Objective: 13.6b
Discussion Topic: Describe the technique of evaluating respirations.
Knowledge Application: If equipment permits, assign each student twenty vital signs as homework. In this exercise, each student must obtain and log the vital signs of twenty different people.
Covers Objective: 13.6c
Point to Emphasize: Assessing the skin can provide information regarding the cardiovascular system.
Discussion Topic: Discuss how assessment of the skin relates to the patient's cardiovascular system.
Covers Objective: 13.6c
Talking Points: These sites are typically consistent even in patients with dark skin tones.
Covers Objective: 13.6c
Covers Objective: 13.6c
Covers Objective: 13.6c
Covers Objective: 13.6c
Talking Points: Delayed capillary refill can indicate poor circulation. Remember that cold temperatures can cause delayed capillary refill times as well.
Covers Objective: 13.6d
Covers Objective: 13.6d
Talking Points: The pupil should constrict when a light is shining into it and enlarge when you remove the light. Pupils that are dilated, constricted to pinpoint size, unequal in size or reactivity, or nonreactive may indicate a variety of conditions; the influence of a topical drug (one placed directly on the eye, such as an eye drop) or of head or eye injury.
Covers Objective: 13.6d
Covers Objective: 13.6d
Discussion Topic: Describe the potential medical conditions that relate to abnormal pupil findings.
Covers Objective: 13.6d
Discussion Topic: Describe the potential medical conditions that relate to abnormal pupil findings.
Covers Objective: 13.6e
Point to Emphasize: Blood pressure is more valuable when measured in a trend. Single blood pressure measurements typically do not tell the complete story.
Discussion Topic: Define blood pressure.
Covers Objective: 13.6e
Covers Objective: 13.6e
Covers Objective: 13.6e
Covers Objective: 13.6e
Covers Objective: 13.6e
Covers Objective: 13.6e
Covers Objective: 13.6e
Covers Objective: 13.6e
Talking Points: Inflate the cuff until you can no longer feel the radial pulse and continue to inflate the cuff 30 mmHg beyond this point.
Covers Objective: 13.9
Covers Objective: 13.6e
Talking Points: Inflate the cuff until you can no longer feel the radial pulse and continue to inflate the cuff 30 mmHg beyond this point.
Covers Objective: 13.6c
Covers Objective: 13.6c
Class Activity: Take a field trip. Visit a local nursing home or day care center to obtain vital signs on different types of patients.
Knowledge Application: Use programmed patients to include vital signs in assessment scenarios. Include situations in which treatments might take priority.
Covers Objective: 13.6c
Class Activity: Take a field trip. Visit a local nursing home or day care center to obtain vital signs on different types of patients.
Knowledge Application: Use programmed patients to include vital signs in assessment scenarios. Include situations in which treatments might take priority.
Covers Objective: 13.6f
Covers Objective: 13.6f
Covers Objective: 13.6f
Covers Objective: 13.6f
Talking Points: A reading above 96 percent does not mean you should withhold oxygen from a patient with signs and symptoms that indicate the need for oxygen.
Covers Objective: 13.6f
Covers Objective: 13.6g
Covers Objective: 13.6g
Covers Objective: 13.6g
Covers Objective: 13.6g
Covers Objective: 13.6g
Talking Points: Chapter 19, "Diabetic Emergencies and Altered Mental Status," discusses how to interpret this information and apply it to the care of a patient.
Covers Objective: 13.9
Covers Objective: 13.3
Video Clip
Health and Physical Assessment: Vital Signs
Are medical records public documents?
Discuss why an EMT should document a patient's weight.
What vital signs should be provided to a physician?
List some activities that may affect a temperature reading taken with a glass thermometer.
When an EMT takes a blood pressure, what is he measuring?
What should an EMT do if he obtains an unusual blood pressure reading?
What sounds should the EMT listen for when assessing a patient's blood pressure?
Covers Objective: 13.6e
Video Clip
Blood Pressure Assessment
Describe the ways you can obtain a blood pressure.
Where should an EMT apply a blood pressure cuff?
Under what situations would you palpate a blood pressure?
How do you record blood pressure recordings from palpation?
Talking Points: Vital signs include pulse, respirations, blood pressure, skin quality, mental status, pulse oximetry, and pupils.
Obtaining more than one set of vital signs allows you to identify trends of either improvement or deterioration.
The American Heart Association notes that you should look for a pulse for no more than 10 seconds. If it is difficult to feel, it may not be there.
Talking Points: Blood pressure monitors are sometimes inaccurate. You should trust the trend and obtain a manual pressure to confirm.
If possible, remove the nails. If this is impossible, consider an alternate site for the pulse oximetry probe; perhaps an earlobe or a toe. Always follow manufacturer's recommendations for your monitor.
Talking Points: Fast heart rates can prevent filling of the heart. With this drop in preload, cardiac output also suffers. If little blood is being ejected from the heart, pressure will not be normal and pulse will be weak.
