Minh Le Cong's presentation (recorded in an aircraft hangar in Northern Queensland) on the aeromedical retrieval of the disturbed, agitated or violent patient.
HEMS Industry Data Points
- Transported more than 298,000 patients in 2011.
- Directly employs 18,000 people
- Approximately 1,000 helicopters
- $3.4 Billion per year industry
- Over $900 Million on safety improvements since 2006
- 298,000 patients transported in 2011
- Estimate 363,896 total flight hours in 2011
- Estimate 40%-60% of patient flight request turndown rate (of those, as many as 80% may be due to weather)
- Approximately 20% of REQUESTS may end in “aborts” in which the aircraft took off and turned back due to weather; those do not result in a patient transport and are not included in patient transport total
http://belfortinstrument.com/helicopter-automated-weather-observing-systems/
Aeromedical Evacuation - Providing Exceptional Care in Unusual PlacesWilfred Lim
Overview of aeromedical evacuation systems, indications; decision making, flight environment physiology, clinical pearls for enroute care, platform and equipment considerations
فیزیولوژی پرواز و شرایط ارتفاع بر کابین هواپیما و بدن انسان
و توهمات بینایی و شنوایی و ... جهت استفاده دانشجویان خلبانی و مهمانداران هواپیما به صورت اسلاید نمایش داده میشود
Air travel and the ambulatory patient (2014)Wilfred Lim
Management of ambulatory patients for travel in a commercial airliner.
Working up passengers with medical conditions for fitness to fly in a commercial airliner.
HEMS Industry Data Points
- Transported more than 298,000 patients in 2011.
- Directly employs 18,000 people
- Approximately 1,000 helicopters
- $3.4 Billion per year industry
- Over $900 Million on safety improvements since 2006
- 298,000 patients transported in 2011
- Estimate 363,896 total flight hours in 2011
- Estimate 40%-60% of patient flight request turndown rate (of those, as many as 80% may be due to weather)
- Approximately 20% of REQUESTS may end in “aborts” in which the aircraft took off and turned back due to weather; those do not result in a patient transport and are not included in patient transport total
http://belfortinstrument.com/helicopter-automated-weather-observing-systems/
Aeromedical Evacuation - Providing Exceptional Care in Unusual PlacesWilfred Lim
Overview of aeromedical evacuation systems, indications; decision making, flight environment physiology, clinical pearls for enroute care, platform and equipment considerations
فیزیولوژی پرواز و شرایط ارتفاع بر کابین هواپیما و بدن انسان
و توهمات بینایی و شنوایی و ... جهت استفاده دانشجویان خلبانی و مهمانداران هواپیما به صورت اسلاید نمایش داده میشود
Air travel and the ambulatory patient (2014)Wilfred Lim
Management of ambulatory patients for travel in a commercial airliner.
Working up passengers with medical conditions for fitness to fly in a commercial airliner.
Hazel Talbot gives her insights from working in neonatal and paediatric retrieval.
She delivers her talk with all the passion and dedication that she brings to her work as a neonatal and paediatric transport consultant.
Equipment failure, rapidly deteriorating children and miscommunication are all common challenges that Hazel and her team encounter in their line of work. This is on top of the challenge of caring for neonates and children.
How are children different? They differ in physiology, in disease profiles and even the way they make clinicians feel!
In this talk, Hazel focuses on physiology and disease. The large majority of young deaths in the UK, where Hazel works, are neonates – under 28 days old.
50% of these deaths are due to perinatal diseases. These include congenital malformations, prematurity, sepsis, and congenital heart conditions.
Children are small adults. Small airways, small necks, small lungs. Babies however are not small children. They use the majority of their physiological ability to survive.
When they breath they use most of their diaphragm, compared with an adult who will only use a small proportion. This leaves babies without much reserve. They have a high metabolic rate, and neonates have a right heart dominance with an inability to change their stroke volume.
Hazel urges you to consider this when faced with a sick baby. When thinking about neonatal and paediatric retrieval, Hazel has some key points. Practice, anticipation and knowing your environment and equipment is key to a success outcome.
Hazel drives this message home with a case presentation. This example highlights not only Hazel’s skill and knowledge, but also her ability of communication, leadership, and intuition.
Join Hazel as she gives an insight into her amazing work in neonatal and paediatric retrieval. Come along as she discusses her experiences and tells you how to ward of the Evil Transport Fairy!
For more like this, head to our podcast page. #CodaPodcast
Improvement Story session at the 2013 Saskatchewan Health Care Quality Summit. For more information about the summit, visit www.qualitysummit.ca. Follow @QualitySummit on Twitter.
Basic to Intermediate Northern Air Medevac Service, is a health care enhancement to the residents located within the Mamawetan Churchill River Health Region. Our service provides medical evacuation for patients requiring non-critical/life threatening interventions that are provided by Saskatchewan Air Ambulance and/or STARS. Mamawetan Churchill River Health Region works collaboratively with Pat Campling (Owner/Operator of Transwest Air), Deb Wrightson (Marketing Manager) and Heather McGonigal (Director of Flight Operations) in achieving, executing and improving our Medevac Service.
Better Care
Kim Ann Bell
Habig draws from his experience in aeromedical retrieval to consider how we improve our medical practice. See Intensive Care Network for the podcast and more SMACC media.
Hazel Talbot gives her insights from working in neonatal and paediatric retrieval.
She delivers her talk with all the passion and dedication that she brings to her work as a neonatal and paediatric transport consultant.
Equipment failure, rapidly deteriorating children and miscommunication are all common challenges that Hazel and her team encounter in their line of work. This is on top of the challenge of caring for neonates and children.
How are children different? They differ in physiology, in disease profiles and even the way they make clinicians feel!
In this talk, Hazel focuses on physiology and disease. The large majority of young deaths in the UK, where Hazel works, are neonates – under 28 days old.
50% of these deaths are due to perinatal diseases. These include congenital malformations, prematurity, sepsis, and congenital heart conditions.
Children are small adults. Small airways, small necks, small lungs. Babies however are not small children. They use the majority of their physiological ability to survive.
When they breath they use most of their diaphragm, compared with an adult who will only use a small proportion. This leaves babies without much reserve. They have a high metabolic rate, and neonates have a right heart dominance with an inability to change their stroke volume.
Hazel urges you to consider this when faced with a sick baby. When thinking about neonatal and paediatric retrieval, Hazel has some key points. Practice, anticipation and knowing your environment and equipment is key to a success outcome.
Hazel drives this message home with a case presentation. This example highlights not only Hazel’s skill and knowledge, but also her ability of communication, leadership, and intuition.
Join Hazel as she gives an insight into her amazing work in neonatal and paediatric retrieval. Come along as she discusses her experiences and tells you how to ward of the Evil Transport Fairy!
For more like this, head to our podcast page. #CodaPodcast
Improvement Story session at the 2013 Saskatchewan Health Care Quality Summit. For more information about the summit, visit www.qualitysummit.ca. Follow @QualitySummit on Twitter.
Basic to Intermediate Northern Air Medevac Service, is a health care enhancement to the residents located within the Mamawetan Churchill River Health Region. Our service provides medical evacuation for patients requiring non-critical/life threatening interventions that are provided by Saskatchewan Air Ambulance and/or STARS. Mamawetan Churchill River Health Region works collaboratively with Pat Campling (Owner/Operator of Transwest Air), Deb Wrightson (Marketing Manager) and Heather McGonigal (Director of Flight Operations) in achieving, executing and improving our Medevac Service.
Better Care
Kim Ann Bell
Habig draws from his experience in aeromedical retrieval to consider how we improve our medical practice. See Intensive Care Network for the podcast and more SMACC media.
Presentation Overview
• Introduction to self-harm
• Hospital-treated self-harm in Ireland
• Treatment of self-harm
• Challenges and recommendations
• Actions from the Registry
Professor Len Bowers
Professor of Psychiatry, Kings College London
Len Bowers is a qualified psychiatric nurse with clinical and managerial experience in acute inpatient and community care. He now leads a team of researchers investigating this issue at the Institute of Psychiatry, has completed more than £4 million of grant funded research and has authored over a hundred peer reviewed publications. Speaking regularly at international conferences, Len has advised the UK Government on policy issues and contributed to policy guidelines on psychiatric nursing practice.
Presentation Topic: Safewards: Making Wards More Peaceful Places
Len Bowers focusses on why psychiatric wards are not all the same. He highlights that some experience ten times more adverse incidents, violence, self-harm etc., than others. He discusses the difference in wards and use the Safewards Model to explain how this can happen, and what we can do to help all our wards become quieter, calmer, more peaceful and safer places – for the patients and the staff.
Good Clinical Practice is a part of pharmaceutical quality assurance in pharmaceutical industry and its about the clinical trials of drugs for patients .
New drug research starts by studying how the body functions at its most basic levels. The first series of tests
Should we transport patients in cardiac arrest to hospital? NO - Hans Friberg...scanFOAM
Pro/Con from the 2017 meeting of the Scandinavian Society of Anaestesiology and Intensive Care Medicine.
All of the conference content can be found here: https://scanfoam.org/ssai2017/
Developed in collaboration between scanFOAM, SSAI and SFAI.
Similar to 'Disturbed Patient Retrievals' by Minh Le Cong (Feb 2012) (20)
"Ten tips - to use before, during, and after resuscitation episodes - that will help clinicians maximise their chances of saving their sickest patients."
An overview of the principles of antidote use in resuscitation, with a focus on three essential agents: naloxone, sodium bicarbonate, and high-dose insulin euglycaemic therapy.
Slides for a talk by Professor David Pilcher about Lung Transplantation. The talk is aimed at the general intensivist and intensive care trainees and focuses on general and post-operative management. It is available as an episode of The INTENSIVE Podcast here:
Slides for a talk on Severe Burnes by Associate Professor Andrew Udy. The talk provides an overview of severe burns from the perspective of intensive care management. The target audience is intensive care registrars. The talk is episode 3 of The INTENSIVE podcast, which is available at: http://intensiveblog.com/severe-burns-andrew-udy/
Slides for a talk by Chris Nickson on how acute stressors affect performance and the techniques we can use to maintain performance despite them. Targeted at critical care trainees. Show notes available at: http://intensiveblog.com/training-for-stress
Mechanical ventilation pitfalls in asthma managementprecordialthump
Professor David Tuxen talks about mechanical ventilation pitfalls in asthma management. Topics include appropriate mechanical ventilation settings and their pathophysiological basis, as well as important complications such as dynamic hyperinflation and pneumothorax. The target audience is intensive care registrars.
Slides for a talk by Vincent Pellegrino (ECMO Director at The Alfred ICU) on ECPR. For videocast and audio only versions of this talk go to the RAGE podcast (http://ragepodcast.com/ecpr-vincent-pellegrino/) or The Alfred ICU's INTENSIVE blog (http://intensiveblog.com/ecpr-vin-pellegrino/).
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
13. What is the risk here?
• 40 yo man with chronic back pain in rural
hospital
• Referred for investigation ? Disc
prolapse..can’t sit due to pain
• Agitated and demanding analgesia and wish
to smoke frequently
15. Physical restraints in aeromedical
setting • RFDS QLD protocol
• Restraints – quick
release, velcro
fasteners, 4 points
• RFDS SA – body net
• Patient explanation if
possible prior to use
• Police restraints
• Careful medical
monitoring during use
• Avoid prone position
• Avoid patient struggling
against restraints
(SEDATE!!)
20. Sedation trivia questions
• What was the DORM study?
• What are the recommended acute
sedatives in Queensland mental health
units?
• What is the safest route of sedation : oral,
intranasal, intramuscular , intraosseous or
intravenous??
24. Let’s try an example
•37yo woman with acute
suicidal ideation, refusing
admission
•PMH – antisocial personality
disorder, past conviction for
stabbing police officer
25. •PMH : sleep apnoea, obesity
•OE: BMI 40, BP 120/60,
SaO2 99% on air
•Handover : cooperative
with IV access, demanding
cigarette
