Nursing tool used in a medsurg environment to detect early changes in patient conditions monitoring temperature, respirations level of consciousness and oxygen level
Transport of critically ill patient in hospital is a great task and requires, a well trained team and if not carried out with precision can lead to life threatening accidents..
I picked that presentation from the internet and edited it, all rights reserved to the original owner. Anyhow this presentation might be helpful for med students doing their emergency rotation/elective and especially those who don't have an instructor or any kind of mentor in their emergency elective, like me.
Triage is the term derived from the French verb trier meaning to sort or to choose
It’s the process by which patients classified according to the type and urgency of their conditions to get the Right patient to the Right place at the
Right time with the
Right care provider
Nursing tool used in a medsurg environment to detect early changes in patient conditions monitoring temperature, respirations level of consciousness and oxygen level
Transport of critically ill patient in hospital is a great task and requires, a well trained team and if not carried out with precision can lead to life threatening accidents..
I picked that presentation from the internet and edited it, all rights reserved to the original owner. Anyhow this presentation might be helpful for med students doing their emergency rotation/elective and especially those who don't have an instructor or any kind of mentor in their emergency elective, like me.
Triage is the term derived from the French verb trier meaning to sort or to choose
It’s the process by which patients classified according to the type and urgency of their conditions to get the Right patient to the Right place at the
Right time with the
Right care provider
I performed a presentation to the board of directors in Labib Medical Center on the Early Warning Score with a view to introducing this tool which has been standardised across centers in the UK. The evidence states that this tool reduces mortality and morbidity rates and also reduces admissions into Intensive Care Unit.
I performed a presentation to the board of directors in Labib Medical Center on the Early Warning Score with a view to introducing this tool which has been standardised across centers in the UK. The evidence states that this tool reduces mortality and morbidity rates and also reduces admissions into Intensive Care Unit.
A presentation used to train medical professionals to perform BLS in emergency condition. it will provide a better understanding about the steps of BLS and the order in which it should be perfomed.
CPR is a life saving emergency measure which includes BLS, ALS, prolonged life support
CPR with both compression & rescue breath is critical for victim in emergency situation
BLS includes recognition of signs of cardiac arrest, heart attack, strock, foreign body air way obstruction(FBAO) with activation of EMS
Performed by a medical professional or an ordinary citizen who trained on it
ALS includes BLS & use of defibrillation, drugs to stabilize the victim & done by specially trained medical person
The Art Pastor's Guide to Sabbath | Steve ThomasonSteve Thomason
What is the purpose of the Sabbath Law in the Torah. It is interesting to compare how the context of the law shifts from Exodus to Deuteronomy. Who gets to rest, and why?
The Roman Empire A Historical Colossus.pdfkaushalkr1407
The Roman Empire, a vast and enduring power, stands as one of history's most remarkable civilizations, leaving an indelible imprint on the world. It emerged from the Roman Republic, transitioning into an imperial powerhouse under the leadership of Augustus Caesar in 27 BCE. This transformation marked the beginning of an era defined by unprecedented territorial expansion, architectural marvels, and profound cultural influence.
The empire's roots lie in the city of Rome, founded, according to legend, by Romulus in 753 BCE. Over centuries, Rome evolved from a small settlement to a formidable republic, characterized by a complex political system with elected officials and checks on power. However, internal strife, class conflicts, and military ambitions paved the way for the end of the Republic. Julius Caesar’s dictatorship and subsequent assassination in 44 BCE created a power vacuum, leading to a civil war. Octavian, later Augustus, emerged victorious, heralding the Roman Empire’s birth.
Under Augustus, the empire experienced the Pax Romana, a 200-year period of relative peace and stability. Augustus reformed the military, established efficient administrative systems, and initiated grand construction projects. The empire's borders expanded, encompassing territories from Britain to Egypt and from Spain to the Euphrates. Roman legions, renowned for their discipline and engineering prowess, secured and maintained these vast territories, building roads, fortifications, and cities that facilitated control and integration.
The Roman Empire’s society was hierarchical, with a rigid class system. At the top were the patricians, wealthy elites who held significant political power. Below them were the plebeians, free citizens with limited political influence, and the vast numbers of slaves who formed the backbone of the economy. The family unit was central, governed by the paterfamilias, the male head who held absolute authority.
Culturally, the Romans were eclectic, absorbing and adapting elements from the civilizations they encountered, particularly the Greeks. Roman art, literature, and philosophy reflected this synthesis, creating a rich cultural tapestry. Latin, the Roman language, became the lingua franca of the Western world, influencing numerous modern languages.
Roman architecture and engineering achievements were monumental. They perfected the arch, vault, and dome, constructing enduring structures like the Colosseum, Pantheon, and aqueducts. These engineering marvels not only showcased Roman ingenuity but also served practical purposes, from public entertainment to water supply.
How to Split Bills in the Odoo 17 POS ModuleCeline George
Bills have a main role in point of sale procedure. It will help to track sales, handling payments and giving receipts to customers. Bill splitting also has an important role in POS. For example, If some friends come together for dinner and if they want to divide the bill then it is possible by POS bill splitting. This slide will show how to split bills in odoo 17 POS.
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.
We all have good and bad thoughts from time to time and situation to situation. We are bombarded daily with spiraling thoughts(both negative and positive) creating all-consuming feel , making us difficult to manage with associated suffering. Good thoughts are like our Mob Signal (Positive thought) amidst noise(negative thought) in the atmosphere. Negative thoughts like noise outweigh positive thoughts. These thoughts often create unwanted confusion, trouble, stress and frustration in our mind as well as chaos in our physical world. Negative thoughts are also known as “distorted thinking”.
How to Make a Field invisible in Odoo 17Celine George
It is possible to hide or invisible some fields in odoo. Commonly using “invisible” attribute in the field definition to invisible the fields. This slide will show how to make a field invisible in odoo 17.
How to Create Map Views in the Odoo 17 ERPCeline George
The map views are useful for providing a geographical representation of data. They allow users to visualize and analyze the data in a more intuitive manner.
The Indian economy is classified into different sectors to simplify the analysis and understanding of economic activities. For Class 10, it's essential to grasp the sectors of the Indian economy, understand their characteristics, and recognize their importance. This guide will provide detailed notes on the Sectors of the Indian Economy Class 10, using specific long-tail keywords to enhance comprehension.
For more information, visit-www.vavaclasses.com
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!
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.
2024.06.01 Introducing a competency framework for languag learning materials ...
Em osce defib, bls, cpr, abcd
1. Defibrillation *VF (cardiac arrest)
A 70-year-old man with known case of hypertension and diabetes mellitus for 20 years with
poor control by medication, come to the Emergency Department with chest pain. While
managing his chest pain, the patient is suddenly collapse and CPR is immediately perform.
The cardiac monitor is showing wide and irregular QRS complex.
You as a junior doctor in ED are required to assist the resuscitation team by preparing the
defibrillator machine. Explain the technique to prepare the defibrillator machine.
Identify the rhythm - Ventricullar fibrillation
I switch on the machine, press unsynchronised button, set for 200 J
I take out the pads by open book method and I ask assistant to apply the gel
I put the pad below the right clavicle and at the apex with good contact
Im shouting: “I’m charging now by pressing orange button, everyone clear except chest
compressor”
I recheck the rhythm and fully recharge
“I’M GIVING THE SHOCK, I CLEAR, YOU CLEAR, EVERYONE IS CLEAR”
I press the shock button simultaneously
I put back the pad + Reassess the rhythm
Chest compression is continued immediately
2. Basic Life Support (BLS)
An elderly man is found unresponsive at the parking lot. A crowd of people come to the
scene to see what is happening. You as a junior doctor walking to your car and also see the
scene. The other people do not know what to do with the elderly man.
What is your immediate action as a junior doctor?
“DR SCAB”
Danger
Response
Shout
Circulation
Airway
Breathing
Danger
I assess for the scene safety, clear the crowd.
The scene is safe now.
Response
I assess for the patient’s response. “Hello sir, are you okay? Can you hear me? (Tapping
the patient’s shoulder)
Patient is unresponsive.
Shout
Appoint someone call 999 and bring an AED!
Circulation
I feel for the carotid pulse, listen for the breathing and look for the chest rise (ears at the
patient’s mouth and look at the chest)
Patient has no pulse and no breathing
CPR
I perform high quality CPR immediately
I determine the location: I locate the sternum and put my hand between the nipple line
I use my dominant hand on top of the other hand and start chest compression
5 quality CPR= 30 compression by 2 ventilation, depth 2 inch/5 cm, 100-120
compression/min, allow chest completely recoil with minimal interruption.
ONE, TWO, THREE, FOUR, FIVE, SIX, SEVEN, EIGHT, NINE, TEN…THIRTY
I will do Head tilt chin lift
Then I give 2 rescue breath using mouthpiece if available and look for chest rise
I continue chest compression for 5 cycles while waiting for the AED
After complete 5 cycles of chest compression, I feel for carotid pulse, listen for breathing,
look for chest rise
3. If there is pulse and breathing
↓
Post ROSC algorithm
Left lateral position
If no pulse, no breathing
↓
Continue CPR for 5 cycle
Airway Assesment
A young man is found unresponsive at the jogging track. The surrounding people called the
ambulance immediately. You are one of the resuscitation team come at the scene. You
assess the patient and found that the pulse and breathing is present but unresponsive.
Explain the airway management in this young man.
I assess the airway patency by asking the patient name or condition. “ Sir are okay? What is
your name?
I do head tilt chin lift and open the airway.
I look for any foreign body, if any I remove by Magil forceps
I look for any blood or secretion, if any I do suctioning by Yanker suction
Now airway is cleared
I want to maintain the airway by inserting Goudell oropharyngeal airway
I chose the correct size by measuring the angle of the mouth to the tragus
I apply gel to the oropharyngeal airway
I introduce it by pressing the tongue downward and along the hard palate
When reaching soft palate I rotate OPA 180˚
I secure the airway by tape
I give supplemental oxygen
Circulation Assessment
1. Assess AVPU =Alert, Verbal = Are you Ok? Pain = If not, pain on trapezius (picit), if not =
unconcious
2. Hands = Pale/Palmar erthema, CRT, Warm/ Cold, Pulse, Connect to monitor *BP and
Heart Rate
3. Insert 2 large bore IV cannula (14-16 G Grey/orange), draw blood for investigation,
administer IV fluid
4. Assess for external bleeding - on the floor, on the bed, check for bleeding on the chest,
abdomen, pelvic, long bone *femur. If present, I will apply compression to stop bleeding
using gauze. (Tourniquet only to amputated limb/ unsalvagedable bleeding)
5. Assess for internal bleeding - cardiac tamponade *muffle heart, elevated heart sound,
hypotension, abdomen - tenderness, distension, long bone/pelvic tenderness
6. I will ask for fast scan to search for free fluid to confirm the bleeding *Morrison pouch,
Spleenorenal, Subxiphoid, Pelvic
7. Asess for stage of hypovolemic shock - if stage 3/4 start MTP (massive transfusion
protocol)
4. Disability
1. Assess GCS *Eye, Verbal, Motor
2. Pupil reflex
3. Lateralizing sign - Tone, Power - Pasive, Active *Grading
4. Capillary blood for GRBS
5. Intervention - GCS<8 = intubate, if sluggish pupil reflex - increase ICP (CT brain, mannitol)
If trauma patient/ Head injury = CT scan Brain, Mannitol for Decrease ICP
Grade muscle Power
0 - No power
1 - flickering
2 - horizontal movement
3 - against gravity
4 - against gravity + some resistance
5 - full power