This document discusses biomedical waste management. It defines biomedical waste and describes 9 categories of biomedical waste. It discusses sources of biomedical waste and effects of improper management. The document outlines the classification, color coding, treatment and disposal methods for different categories of waste. It also summarizes a research study that assessed knowledge, attitudes and practices regarding biomedical waste management among healthcare personnel.
This document provides information on various bedside invasive procedures performed in critical care units, including arterial line placement, central venous catheter insertion, Swan-Ganz catheterization, pericardiocentesis, intra-aortic balloon counterpulsation, and temporary pacemaker insertion. Details are given on the indications, techniques, complications, and interpretations of findings for each procedure. Arterial and central lines are discussed in terms of cannulation sites, waveforms, and potential issues. Swan-Ganz catheters are described for measuring pressures in the right atrium, ventricle, and pulmonary artery to evaluate hemodynamics.
This document discusses coronary artery bypass grafting (CABG) using the left internal mammary artery (LIMA) and right internal mammary artery (RIMA). CABG is performed to improve quality of life and reduce mortality in patients with coronary artery disease. Total arterial grafting (TAG), which uses only arterial conduits like the LIMA and RIMA without saphenous vein grafts, provides better long-term outcomes than conventional CABG, though it takes more time and technical skill. While TAG increases short-term sternal wound complications, studies show reduced long-term mortality and major adverse cardiac and cerebrovascular events compared to single internal mammary artery grafting. Therefore, the evidence supports that TAG
The document discusses drugs commonly used in cardiac catheterization laboratories. It describes the uses, mechanisms of action, dosages, and side effects of various drugs including lidocaine for local anesthesia, heparin and glycoprotein IIb/IIIa inhibitors for anticoagulation during procedures like percutaneous coronary intervention, nitrates like glyceryl trinitrate for vasodilation, inotropes like dopamine and dobutamine, antiarrhythmics like amiodarone, and contrast agents like iohexol. The document provides an overview of how these drugs are utilized during different cardiac procedures performed in cath labs.
AVR - MVR all you need to know about Valve Repair & ReplacementDeepam Meditours
This document provides information about heart valve disease, symptoms, and repair or replacement procedures. It describes the location and function of the aortic and mitral valves. Aortic valve replacement is done to treat narrowing or leakage, while mitral valve repair is an open heart surgery for similar issues. Valve repair aims to correct malfunction, but replacement is needed when repair is not possible. Replacement can involve mechanical or biological valves. The risks, advantages, and surgical options for heart valve procedures are also summarized.
Minimally invasive cardiac surgery techniques are being adopted at NH MMI Hospital in Raipur, Chhattisgarh, India. The techniques include smaller incisions and ports compared to traditional full median sternotomy. Procedures performed so far include ASD closure, mitral valve replacement, aortic valve replacement, and minimally invasive CABG. The advantages over traditional surgery are less pain, bleeding, and faster recovery time. Special equipment and training are required but the techniques provide cosmetically appealing and less traumatic alternatives to full open cardiac surgery.
1) Intra-aortic balloon counterpulsation (IABP) provides systolic unloading and diastolic augmentation to improve cardiac output.
2) IABP is indicated for cardiogenic shock, high-risk PCI/CABG, and mechanical complications.
3) Potential complications include limb ischemia, infection, bleeding, and aortic injury.
4) Optimal IABP waveform analysis and timing are important to maximize hemodynamic support.
Intra Aortic Balloon Pump by Rubina Shehzadi RNRubina Shehzadi
An intra-aortic balloon pump (IABP) is a type of therapeutic device which helps heart to pump more blood. You may need it if your heart is unable to pump enough blood for your body. The IABP consists of a thin, flexible tube called a catheter. Attached to the tip of the catheter is a long balloon.
This document discusses the Bentall procedure for treating type A aortic dissection and revisits its use. It provides an overview of the history and anatomy relevant to the procedure. It then summarizes some studies comparing outcomes of the Bentall procedure versus the Ross procedure or valve-sparing surgery for acute type A dissection. The document concludes that the Bentall procedure remains a safe and less painful option for aortic root dissection with reasonable outcomes when the coronary buttons are properly placed.
This document provides information on various bedside invasive procedures performed in critical care units, including arterial line placement, central venous catheter insertion, Swan-Ganz catheterization, pericardiocentesis, intra-aortic balloon counterpulsation, and temporary pacemaker insertion. Details are given on the indications, techniques, complications, and interpretations of findings for each procedure. Arterial and central lines are discussed in terms of cannulation sites, waveforms, and potential issues. Swan-Ganz catheters are described for measuring pressures in the right atrium, ventricle, and pulmonary artery to evaluate hemodynamics.
This document discusses coronary artery bypass grafting (CABG) using the left internal mammary artery (LIMA) and right internal mammary artery (RIMA). CABG is performed to improve quality of life and reduce mortality in patients with coronary artery disease. Total arterial grafting (TAG), which uses only arterial conduits like the LIMA and RIMA without saphenous vein grafts, provides better long-term outcomes than conventional CABG, though it takes more time and technical skill. While TAG increases short-term sternal wound complications, studies show reduced long-term mortality and major adverse cardiac and cerebrovascular events compared to single internal mammary artery grafting. Therefore, the evidence supports that TAG
The document discusses drugs commonly used in cardiac catheterization laboratories. It describes the uses, mechanisms of action, dosages, and side effects of various drugs including lidocaine for local anesthesia, heparin and glycoprotein IIb/IIIa inhibitors for anticoagulation during procedures like percutaneous coronary intervention, nitrates like glyceryl trinitrate for vasodilation, inotropes like dopamine and dobutamine, antiarrhythmics like amiodarone, and contrast agents like iohexol. The document provides an overview of how these drugs are utilized during different cardiac procedures performed in cath labs.
AVR - MVR all you need to know about Valve Repair & ReplacementDeepam Meditours
This document provides information about heart valve disease, symptoms, and repair or replacement procedures. It describes the location and function of the aortic and mitral valves. Aortic valve replacement is done to treat narrowing or leakage, while mitral valve repair is an open heart surgery for similar issues. Valve repair aims to correct malfunction, but replacement is needed when repair is not possible. Replacement can involve mechanical or biological valves. The risks, advantages, and surgical options for heart valve procedures are also summarized.
Minimally invasive cardiac surgery techniques are being adopted at NH MMI Hospital in Raipur, Chhattisgarh, India. The techniques include smaller incisions and ports compared to traditional full median sternotomy. Procedures performed so far include ASD closure, mitral valve replacement, aortic valve replacement, and minimally invasive CABG. The advantages over traditional surgery are less pain, bleeding, and faster recovery time. Special equipment and training are required but the techniques provide cosmetically appealing and less traumatic alternatives to full open cardiac surgery.
1) Intra-aortic balloon counterpulsation (IABP) provides systolic unloading and diastolic augmentation to improve cardiac output.
2) IABP is indicated for cardiogenic shock, high-risk PCI/CABG, and mechanical complications.
3) Potential complications include limb ischemia, infection, bleeding, and aortic injury.
4) Optimal IABP waveform analysis and timing are important to maximize hemodynamic support.
Intra Aortic Balloon Pump by Rubina Shehzadi RNRubina Shehzadi
An intra-aortic balloon pump (IABP) is a type of therapeutic device which helps heart to pump more blood. You may need it if your heart is unable to pump enough blood for your body. The IABP consists of a thin, flexible tube called a catheter. Attached to the tip of the catheter is a long balloon.
This document discusses the Bentall procedure for treating type A aortic dissection and revisits its use. It provides an overview of the history and anatomy relevant to the procedure. It then summarizes some studies comparing outcomes of the Bentall procedure versus the Ross procedure or valve-sparing surgery for acute type A dissection. The document concludes that the Bentall procedure remains a safe and less painful option for aortic root dissection with reasonable outcomes when the coronary buttons are properly placed.
This document discusses pressure changes that can occur during coronary angiography, specifically damping and ventricularization. Damping is defined as a significant decrease in pressure at the coronary ostium when the catheter is placed, accompanied by the disappearance of pressure waveforms, suggesting no antegrade flow. Ventricularization occurs when blood circulates within a coronary artery like a closed system, deforming the aortic pressure waveform. The document emphasizes the importance of the operator recognizing abnormal pressure changes to avoid complications, and provides solutions like catheter replacement or intracoronary nitroglycerin to address issues.
This document provides guidance on how to read electrocardiograms (ECGs). It explains that ECGs illustrate the conduction of electrical impulses in the heart during depolarization and repolarization of the ventricles. The document then covers ECG interpretation, including determining the rate and rhythm, identifying the heart axis, signs of hypertrophy, myocardial infarction, and arrhythmias. It provides examples of different arrhythmias and infarction patterns that may appear on ECGs.
This document discusses common drugs used in the cardiac catheterization lab. It provides details on isotonic saline, lignocaine, antiplatelets like aspirin and clopidogrel, vasodilators like nitroglycerin, adenosine, and verapamil, anticoagulants like unfractionated heparin, and inotropes. For each drug, it describes the mechanism of action, indications for use, dosages, side effects, and considerations for use in the cath lab. The document serves as a reference for professionals in the cath lab on the appropriate use of various pharmacological agents during cardiac procedures.
The document provides an overview of electrocardiography (ECG). It defines an ECG as a tracing of the heart's electrical activity. It describes how to perform and record an ECG on a patient, including electrode placement and the conduction pathway of the heart. It also lists the objectives of interpreting ECGs, such as identifying abnormalities like myocardial infarction, atrial fibrillation, and various heart blocks.
Cardioversion is a procedure that uses electric shock or drugs to convert an abnormal heart rhythm back to normal. There are two main types - electrical cardioversion, which delivers a synchronized electric shock, and pharmacological cardioversion, which uses antiarrhythmic drugs. Electrical cardioversion can be elective or emergency, while pharmacological cardioversion utilizes various classes of drugs like beta blockers, sodium channel blockers, and calcium channel blockers to restore normal rhythm. The document outlines the differences between cardioversion and defibrillation, indications and contraindications for cardioversion, recommendations, procedure steps, complications, and drug options for pharmacological cardioversion.
A comprehensive echocardiographic examination includes two-dimensional imaging, Doppler imaging, and M-mode imaging. Three-dimensional imaging is also increasingly used as a supplement. The examination obtains standard views of the heart from multiple transducer locations and angles in order to assess cardiac structure and function.
This document discusses M-mode echocardiography, including its physics, applications, and findings. M-mode provides high temporal resolution to evaluate cardiac structure movement and timing. It can be used to assess valves, walls, intervals, and morphology. Examples are given of M-mode findings in various cardiac pathologies at the mitral, aortic, pulmonary, and tricuspid valves as well as the left ventricle. Measurements like fractional shortening and ejection fraction are also reviewed.
This document provides an overview of acquired mitral valve disease, including:
1) It describes the anatomy of the mitral valve, including the annulus, leaflets, commissures, papillary muscles, and chordae tendineae.
2) It discusses mitral stenosis, including the pathophysiology of reduced orifice area leading to elevated left atrial and pulmonary pressures. Rheumatic fever is the most common cause in developed nations.
3) It outlines the clinical diagnosis of mitral stenosis through history, examination, ECG, echo, and hemodynamics. Severe untreated mitral stenosis progresses over 10 years from symptom onset to death.
Synchronized cardioversion uses a sensor to deliver a low energy shock that is timed to the peak of the QRS complex. This avoids delivering a shock during cardiac repolarization. Common indications are atrial fibrillation, atrial flutter, and supraventricular tachycardias when medications fail. Unsynchronized defibrillation delivers a high energy shock as soon as the button is pressed, used for pulseless ventricular tachycardia or fibrillation or if synchronization fails in an unstable patient. Biphasic waveforms may be as effective as higher energy monophasic shocks.
Contrast echocardiography uses microbubble ultrasound contrast agents to improve image quality. These microbubbles remain in the intravascular space and allow for assessment of cardiac structure, function, and perfusion. Second generation contrast agents use an inert gas encapsulated by albumin or phospholipid shells. They interact with ultrasound by reflecting at fundamental frequencies and resonating to produce harmonic frequencies. Continuous infusion provides steady contrast levels needed for perfusion assessment. Contrast echocardiography is a non-invasive technique that improves evaluation of the heart.
The document discusses various coronary artery anomalies that can be identified through angiography. It presents several case examples of different anomalous coronary artery origins and courses, including the left main coronary artery arising from the right coronary sinus and coursing between the aorta and pulmonary artery, which is the highest risk type. It also discusses anomalies like an anomalous right coronary artery taking off from the left coronary sinus. The cases are demonstrated through angiographic images.
Go through the cybercrimes which are occuring recently
Hacking devices are a new method of killing people.
Technologies have been so much advanced.
How to be safe from this?
Go through my works then. :)
Be aware.. Your parents are being treated with devices while treatment.. be sure to know the cybersecurity features of it.
Portable devices (Insulin pumps etc) are also in threat.
Pacemakers are electronic devices that can be used to initiate a heartbeat when the heart's intrinsic electrical system cannot effectively generate an adequate heart rate. There are temporary pacemakers, which are used until the underlying condition resolves, and permanent pacemakers. A pacemaker system consists of a pulse generator and pacing leads. The pulse generator delivers electrical pulses through the leads to stimulate the heart. Pacemakers can pace one or both chambers of the heart and are programmed with settings for rate, output, and sensitivity. Nurses monitor for pacemaker function and complications and educate patients on pacemaker care.
A 30-year-old male presented with cough, cold, and myalgia symptoms for several days. An ECG was performed which showed the following abnormalities: positive P waves, right axis deviation, and reversal of the normal QRS pattern with the tallest amplitude in V1 diminishing to V6. Chest X-ray and echocardiogram revealed dextrocardia with situs inversus totalis, a rare condition where the internal organs are mirrored. The ECG findings are consistent with this anatomical anomaly.
This document describes procedures for aortic valve replacement and repair. It discusses excising the native aortic valve and implanting a prosthetic valve using sutures placed around the annulus. For small annuli, the aortic root can be enlarged using techniques like the Nicks-Nunez or Konno-Rastan methods which involve patching the aortic wall. The document also outlines techniques for reconstructing valves, including patching leaflet perforations or tears.
The document provides an overview of cardiology basics and the physical exam of the heart. It discusses the importance of the heart in pumping blood and removing waste. Key points include:
- The heart's function is determined by cardiac output, which depends on stroke volume and heart rate.
- Auscultation of heart sounds can detect murmurs or arrhythmias while lung sounds may reveal crackles or wheezes.
- Physical exam also involves assessing vital parameters and looking for signs of dyspnea or weakness.
- Common cardiac conditions addressed include murmurs, arrhythmias, congestive heart failure, and atrial thromboembolism in cats.
This document provides an overview of how to interpret common ECG abnormalities through 3 sentences or less summaries:
1) It outlines how to measure rate, rhythm, intervals, complexes, and waves on an ECG and identifies what is considered normal.
2) Key abnormal rhythms, rates, intervals, and waves are defined along with their potential causes, such as sinus bradycardia, atrial fibrillation, various heart blocks, ventricular tachycardia, ST segment changes, T wave inversions, bundle branch blocks, and more.
3) Methods for localizing myocardial infarctions and abnormalities seen in conditions like hyperkalemia and hypothermia are also summarized.
1. The document discusses biomedical waste, its classification into 9 categories, sources, effects, and methods of management. Biomedical waste is classified based on type such as infectious, pathological, sharps, pharmaceutical etc. 2. Management involves steps like segregation by color coding, collection, storage, transportation, and treatment which includes incineration, autoclaving, chemical treatment. 3. A study found that while medical staff had better knowledge of management than sanitary staff, all need improvement in properly applying practices related to biomedical waste handling.
The document discusses biomedical waste, its classification, sources, effects, and management. It defines biomedical waste and explains its nine main categories. The sources of biomedical waste are described as healthcare establishments, households, industries, and blood banks. Improper management of biomedical waste can cause air, water, and land pollution. The steps of biomedical waste management include segregation by color coding, storage, collection, transportation, and treatment. A research study assessed the knowledge, attitudes, and practices of healthcare personnel regarding biomedical waste management.
This document discusses pressure changes that can occur during coronary angiography, specifically damping and ventricularization. Damping is defined as a significant decrease in pressure at the coronary ostium when the catheter is placed, accompanied by the disappearance of pressure waveforms, suggesting no antegrade flow. Ventricularization occurs when blood circulates within a coronary artery like a closed system, deforming the aortic pressure waveform. The document emphasizes the importance of the operator recognizing abnormal pressure changes to avoid complications, and provides solutions like catheter replacement or intracoronary nitroglycerin to address issues.
This document provides guidance on how to read electrocardiograms (ECGs). It explains that ECGs illustrate the conduction of electrical impulses in the heart during depolarization and repolarization of the ventricles. The document then covers ECG interpretation, including determining the rate and rhythm, identifying the heart axis, signs of hypertrophy, myocardial infarction, and arrhythmias. It provides examples of different arrhythmias and infarction patterns that may appear on ECGs.
This document discusses common drugs used in the cardiac catheterization lab. It provides details on isotonic saline, lignocaine, antiplatelets like aspirin and clopidogrel, vasodilators like nitroglycerin, adenosine, and verapamil, anticoagulants like unfractionated heparin, and inotropes. For each drug, it describes the mechanism of action, indications for use, dosages, side effects, and considerations for use in the cath lab. The document serves as a reference for professionals in the cath lab on the appropriate use of various pharmacological agents during cardiac procedures.
The document provides an overview of electrocardiography (ECG). It defines an ECG as a tracing of the heart's electrical activity. It describes how to perform and record an ECG on a patient, including electrode placement and the conduction pathway of the heart. It also lists the objectives of interpreting ECGs, such as identifying abnormalities like myocardial infarction, atrial fibrillation, and various heart blocks.
Cardioversion is a procedure that uses electric shock or drugs to convert an abnormal heart rhythm back to normal. There are two main types - electrical cardioversion, which delivers a synchronized electric shock, and pharmacological cardioversion, which uses antiarrhythmic drugs. Electrical cardioversion can be elective or emergency, while pharmacological cardioversion utilizes various classes of drugs like beta blockers, sodium channel blockers, and calcium channel blockers to restore normal rhythm. The document outlines the differences between cardioversion and defibrillation, indications and contraindications for cardioversion, recommendations, procedure steps, complications, and drug options for pharmacological cardioversion.
A comprehensive echocardiographic examination includes two-dimensional imaging, Doppler imaging, and M-mode imaging. Three-dimensional imaging is also increasingly used as a supplement. The examination obtains standard views of the heart from multiple transducer locations and angles in order to assess cardiac structure and function.
This document discusses M-mode echocardiography, including its physics, applications, and findings. M-mode provides high temporal resolution to evaluate cardiac structure movement and timing. It can be used to assess valves, walls, intervals, and morphology. Examples are given of M-mode findings in various cardiac pathologies at the mitral, aortic, pulmonary, and tricuspid valves as well as the left ventricle. Measurements like fractional shortening and ejection fraction are also reviewed.
This document provides an overview of acquired mitral valve disease, including:
1) It describes the anatomy of the mitral valve, including the annulus, leaflets, commissures, papillary muscles, and chordae tendineae.
2) It discusses mitral stenosis, including the pathophysiology of reduced orifice area leading to elevated left atrial and pulmonary pressures. Rheumatic fever is the most common cause in developed nations.
3) It outlines the clinical diagnosis of mitral stenosis through history, examination, ECG, echo, and hemodynamics. Severe untreated mitral stenosis progresses over 10 years from symptom onset to death.
Synchronized cardioversion uses a sensor to deliver a low energy shock that is timed to the peak of the QRS complex. This avoids delivering a shock during cardiac repolarization. Common indications are atrial fibrillation, atrial flutter, and supraventricular tachycardias when medications fail. Unsynchronized defibrillation delivers a high energy shock as soon as the button is pressed, used for pulseless ventricular tachycardia or fibrillation or if synchronization fails in an unstable patient. Biphasic waveforms may be as effective as higher energy monophasic shocks.
Contrast echocardiography uses microbubble ultrasound contrast agents to improve image quality. These microbubbles remain in the intravascular space and allow for assessment of cardiac structure, function, and perfusion. Second generation contrast agents use an inert gas encapsulated by albumin or phospholipid shells. They interact with ultrasound by reflecting at fundamental frequencies and resonating to produce harmonic frequencies. Continuous infusion provides steady contrast levels needed for perfusion assessment. Contrast echocardiography is a non-invasive technique that improves evaluation of the heart.
The document discusses various coronary artery anomalies that can be identified through angiography. It presents several case examples of different anomalous coronary artery origins and courses, including the left main coronary artery arising from the right coronary sinus and coursing between the aorta and pulmonary artery, which is the highest risk type. It also discusses anomalies like an anomalous right coronary artery taking off from the left coronary sinus. The cases are demonstrated through angiographic images.
Go through the cybercrimes which are occuring recently
Hacking devices are a new method of killing people.
Technologies have been so much advanced.
How to be safe from this?
Go through my works then. :)
Be aware.. Your parents are being treated with devices while treatment.. be sure to know the cybersecurity features of it.
Portable devices (Insulin pumps etc) are also in threat.
Pacemakers are electronic devices that can be used to initiate a heartbeat when the heart's intrinsic electrical system cannot effectively generate an adequate heart rate. There are temporary pacemakers, which are used until the underlying condition resolves, and permanent pacemakers. A pacemaker system consists of a pulse generator and pacing leads. The pulse generator delivers electrical pulses through the leads to stimulate the heart. Pacemakers can pace one or both chambers of the heart and are programmed with settings for rate, output, and sensitivity. Nurses monitor for pacemaker function and complications and educate patients on pacemaker care.
A 30-year-old male presented with cough, cold, and myalgia symptoms for several days. An ECG was performed which showed the following abnormalities: positive P waves, right axis deviation, and reversal of the normal QRS pattern with the tallest amplitude in V1 diminishing to V6. Chest X-ray and echocardiogram revealed dextrocardia with situs inversus totalis, a rare condition where the internal organs are mirrored. The ECG findings are consistent with this anatomical anomaly.
This document describes procedures for aortic valve replacement and repair. It discusses excising the native aortic valve and implanting a prosthetic valve using sutures placed around the annulus. For small annuli, the aortic root can be enlarged using techniques like the Nicks-Nunez or Konno-Rastan methods which involve patching the aortic wall. The document also outlines techniques for reconstructing valves, including patching leaflet perforations or tears.
The document provides an overview of cardiology basics and the physical exam of the heart. It discusses the importance of the heart in pumping blood and removing waste. Key points include:
- The heart's function is determined by cardiac output, which depends on stroke volume and heart rate.
- Auscultation of heart sounds can detect murmurs or arrhythmias while lung sounds may reveal crackles or wheezes.
- Physical exam also involves assessing vital parameters and looking for signs of dyspnea or weakness.
- Common cardiac conditions addressed include murmurs, arrhythmias, congestive heart failure, and atrial thromboembolism in cats.
This document provides an overview of how to interpret common ECG abnormalities through 3 sentences or less summaries:
1) It outlines how to measure rate, rhythm, intervals, complexes, and waves on an ECG and identifies what is considered normal.
2) Key abnormal rhythms, rates, intervals, and waves are defined along with their potential causes, such as sinus bradycardia, atrial fibrillation, various heart blocks, ventricular tachycardia, ST segment changes, T wave inversions, bundle branch blocks, and more.
3) Methods for localizing myocardial infarctions and abnormalities seen in conditions like hyperkalemia and hypothermia are also summarized.
1. The document discusses biomedical waste, its classification into 9 categories, sources, effects, and methods of management. Biomedical waste is classified based on type such as infectious, pathological, sharps, pharmaceutical etc. 2. Management involves steps like segregation by color coding, collection, storage, transportation, and treatment which includes incineration, autoclaving, chemical treatment. 3. A study found that while medical staff had better knowledge of management than sanitary staff, all need improvement in properly applying practices related to biomedical waste handling.
The document discusses biomedical waste, its classification, sources, effects, and management. It defines biomedical waste and explains its nine main categories. The sources of biomedical waste are described as healthcare establishments, households, industries, and blood banks. Improper management of biomedical waste can cause air, water, and land pollution. The steps of biomedical waste management include segregation by color coding, storage, collection, transportation, and treatment. A research study assessed the knowledge, attitudes, and practices of healthcare personnel regarding biomedical waste management.
1. The document discusses biomedical waste management, including classifications of different types of biomedical waste, sources of biomedical waste, effects of improper management, and methods for proper treatment and disposal.
2. Biomedical waste is classified into 10 categories including infectious waste, pathological waste, sharps, pharmaceutical waste, radioactive waste, and chemical waste.
3. Biomedical waste is primarily generated from healthcare establishments but also from industries, research centers, and blood banks. Improper management can cause air, water, and land pollution.
This document discusses bio-medical waste management. It defines different types of bio-medical waste and categories them based on risk level. It explains the potential health hazards posed by different types of waste and regulations for their proper treatment and disposal. The key methods of waste treatment discussed are incineration, autoclaving, chemical disinfection, and secured landfilling.
This document discusses biomedical waste management. It begins by defining biomedical waste and classifying it into different categories. It then describes the main features of the BMW Rules 2016 in India, including expanding the scope, phasing out certain materials, requiring training and authorization.
The document further discusses the sources, effects and methods of disposal of biomedical waste. It describes how waste should be segregated by category and treated. Finally, it presents results from a study on the knowledge, attitudes and practices of healthcare personnel regarding biomedical waste management in Allahabad, India, finding that doctors, nurses and laboratory technicians had better knowledge than sanitary staff.
The document discusses bio-medical waste management. It begins by introducing the types of hazardous materials generated in hospitals, including infected materials, cytotoxic drugs, and radioactive substances. It then describes the nature and quantities of hospital waste, classifying it as hazardous (15%) and non-hazardous (85%). Hazardous waste is further divided into infectious (10%) and toxic (5%) categories. The document outlines the health hazards of improper management, principles of infection control, and the Bio-Medical Waste Rules for treatment and disposal of different categories of waste.
The health of patients is important to hospitals making it imperative to properly dispose of biomedical waste. Having the proper biomedical waste containers is part of keeping patients safe from illnesses they could contract while in the hospital.
This document discusses biomedical waste management. It defines biomedical waste and classifies it into 10 categories. It describes the various treatment and disposal methods used like incineration, autoclaving, chemical treatment, and secured landfilling. It discusses the health hazards of improper waste handling and the regulations in place in India for biomedical waste management according to the Bio-Medical Waste Rules of 1998.
Biomedical waste or hospital waste is any kind of waste containing infectious (or potentially infectious) materials. ... Waste sharps include potentially contaminated used (and unused discarded) needles, scalpels, lancets and other devices capable of penetrating skin.
This document discusses the management of biomedical waste. It begins by defining biomedical waste as any waste generated during medical diagnosis, treatment, or research involving humans or animals. Only a small fraction of total waste is biomedical, but proper management is important for safety. Biomedical waste is then classified into 10 categories including infectious, pathological, sharps, pharmaceutical, radioactive, and chemical waste. The key steps for effective management are outlined as survey, segregation, collection and categorization, storage for less than 48 hours, transportation, and proper treatment including incineration or autoclaving depending on the waste type. Color coding for waste containers is also explained to aid in proper segregation.
This document provides information on biomedical waste (BMW) management. It defines BMW and discusses its sources and categories. Significant amounts of hazardous BMW are generated daily, posing infection and toxicity risks if not properly handled. The World Health Organization estimates that 15% of hospital waste is infectious and has linked contaminated medical equipment to millions of viral infections annually. The document outlines Indian and international BMW rules and treatment/disposal methods. Proper segregation, containment, transport and treatment are necessary to safely manage this waste and protect public health.
The document discusses the management of biomedical waste from hospitals. It notes that hospital waste is classified as 85% non-hazardous and 15% hazardous, with the hazardous waste further divided into infectious (10%) and toxic (5%). The key aspects of management include proper segregation of waste based on category at the point of generation, use of colored containers, treatment and disposal options according to waste type, and compliance with the Bio-Medical Waste (Management and Handling) Rules 1998 which regulate waste disposal. Improper management can pose health risks like infections to patients, staff and the public.
This document discusses biomedical waste management in India. It defines biomedical waste and outlines the various sources that produce this type of waste, including hospitals, clinics, labs, and more. It then categorizes and classifies biomedical waste according to the Ministry of Environment and Forests into 10 categories based on the type of waste and appropriate treatment and disposal methods. Some of the key problems related to biomedical waste management in India are also discussed.
Biomedical waste generation and management.pptJayRaval48
This document provides an overview of biomedical waste generation and management in India. It discusses that biomedical waste is generated from various medical facilities and includes human tissues, blood, chemicals, and other potentially infectious materials. The waste is categorized into 10 groups and proper management includes segregation, storage, transportation, and treatment. Common treatment methods include incineration, autoclaving, chemical disinfection, and irradiation which aim to safely dispose of waste and prevent health and environmental risks. Proper biomedical waste management is important for public health.
The document discusses biomedical waste management. It defines biomedical waste and explains the need for proper management due to risks to health and environment. It outlines various categories of waste like infectious, pathological, radioactive and their appropriate treatment and disposal methods like incineration, autoclaving, chemical disinfection and others. The document provides guidance on proper waste segregation, collection, storage, transportation and treatment to safely manage biomedical waste.
The document discusses the management of healthcare waste. It defines healthcare waste as any waste generated during diagnosis, treatment or immunization of humans or animals in healthcare facilities. It notes that healthcare waste requires safe handling due to its potential for infection and injury. It then outlines the types of healthcare waste and provides examples, as well as treatment and disposal options according to regulations. Finally, it discusses how healthcare waste is managed and treated in Pimpri Chinchwad, with waste being collected and transported daily to an incinerator facility.
This presentation was provided by Steph Pollock of The American Psychological Association’s Journals Program, and Damita Snow, of The American Society of Civil Engineers (ASCE), for the initial session of NISO's 2024 Training Series "DEIA in the Scholarly Landscape." Session One: 'Setting Expectations: a DEIA Primer,' was held June 6, 2024.
ISO/IEC 27001, ISO/IEC 42001, and GDPR: Best Practices for Implementation and...PECB
Denis is a dynamic and results-driven Chief Information Officer (CIO) with a distinguished career spanning information systems analysis and technical project management. With a proven track record of spearheading the design and delivery of cutting-edge Information Management solutions, he has consistently elevated business operations, streamlined reporting functions, and maximized process efficiency.
Certified as an ISO/IEC 27001: Information Security Management Systems (ISMS) Lead Implementer, Data Protection Officer, and Cyber Risks Analyst, Denis brings a heightened focus on data security, privacy, and cyber resilience to every endeavor.
His expertise extends across a diverse spectrum of reporting, database, and web development applications, underpinned by an exceptional grasp of data storage and virtualization technologies. His proficiency in application testing, database administration, and data cleansing ensures seamless execution of complex projects.
What sets Denis apart is his comprehensive understanding of Business and Systems Analysis technologies, honed through involvement in all phases of the Software Development Lifecycle (SDLC). From meticulous requirements gathering to precise analysis, innovative design, rigorous development, thorough testing, and successful implementation, he has consistently delivered exceptional results.
Throughout his career, he has taken on multifaceted roles, from leading technical project management teams to owning solutions that drive operational excellence. His conscientious and proactive approach is unwavering, whether he is working independently or collaboratively within a team. His ability to connect with colleagues on a personal level underscores his commitment to fostering a harmonious and productive workplace environment.
Date: May 29, 2024
Tags: Information Security, ISO/IEC 27001, ISO/IEC 42001, Artificial Intelligence, GDPR
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A review of the growth of the Israel Genealogy Research Association Database Collection for the last 12 months. Our collection is now passed the 3 million mark and still growing. See which archives have contributed the most. See the different types of records we have, and which years have had records added. You can also see what we have for the future.
বাংলাদেশের অর্থনৈতিক সমীক্ষা ২০২৪ [Bangladesh Economic Review 2024 Bangla.pdf] কম্পিউটার , ট্যাব ও স্মার্ট ফোন ভার্সন সহ সম্পূর্ণ বাংলা ই-বুক বা pdf বই " সুচিপত্র ...বুকমার্ক মেনু 🔖 ও হাইপার লিংক মেনু 📝👆 যুক্ত ..
আমাদের সবার জন্য খুব খুব গুরুত্বপূর্ণ একটি বই ..বিসিএস, ব্যাংক, ইউনিভার্সিটি ভর্তি ও যে কোন প্রতিযোগিতা মূলক পরীক্ষার জন্য এর খুব ইম্পরট্যান্ট একটি বিষয় ...তাছাড়া বাংলাদেশের সাম্প্রতিক যে কোন ডাটা বা তথ্য এই বইতে পাবেন ...
তাই একজন নাগরিক হিসাবে এই তথ্য গুলো আপনার জানা প্রয়োজন ...।
বিসিএস ও ব্যাংক এর লিখিত পরীক্ষা ...+এছাড়া মাধ্যমিক ও উচ্চমাধ্যমিকের স্টুডেন্টদের জন্য অনেক কাজে আসবে ...
Executive Directors Chat Leveraging AI for Diversity, Equity, and InclusionTechSoup
Let’s explore the intersection of technology and equity in the final session of our DEI series. Discover how AI tools, like ChatGPT, can be used to support and enhance your nonprofit's DEI initiatives. Participants will gain insights into practical AI applications and get tips for leveraging technology to advance their DEI goals.
LAND USE LAND COVER AND NDVI OF MIRZAPUR DISTRICT, UPRAHUL
This Dissertation explores the particular circumstances of Mirzapur, a region located in the
core of India. Mirzapur, with its varied terrains and abundant biodiversity, offers an optimal
environment for investigating the changes in vegetation cover dynamics. Our study utilizes
advanced technologies such as GIS (Geographic Information Systems) and Remote sensing to
analyze the transformations that have taken place over the course of a decade.
The complex relationship between human activities and the environment has been the focus
of extensive research and worry. As the global community grapples with swift urbanization,
population expansion, and economic progress, the effects on natural ecosystems are becoming
more evident. A crucial element of this impact is the alteration of vegetation cover, which plays a
significant role in maintaining the ecological equilibrium of our planet.Land serves as the foundation for all human activities and provides the necessary materials for
these activities. As the most crucial natural resource, its utilization by humans results in different
'Land uses,' which are determined by both human activities and the physical characteristics of the
land.
The utilization of land is impacted by human needs and environmental factors. In countries
like India, rapid population growth and the emphasis on extensive resource exploitation can lead
to significant land degradation, adversely affecting the region's land cover.
Therefore, human intervention has significantly influenced land use patterns over many
centuries, evolving its structure over time and space. In the present era, these changes have
accelerated due to factors such as agriculture and urbanization. Information regarding land use and
cover is essential for various planning and management tasks related to the Earth's surface,
providing crucial environmental data for scientific, resource management, policy purposes, and
diverse human activities.
Accurate understanding of land use and cover is imperative for the development planning
of any area. Consequently, a wide range of professionals, including earth system scientists, land
and water managers, and urban planners, are interested in obtaining data on land use and cover
changes, conversion trends, and other related patterns. The spatial dimensions of land use and
cover support policymakers and scientists in making well-informed decisions, as alterations in
these patterns indicate shifts in economic and social conditions. Monitoring such changes with the
help of Advanced technologies like Remote Sensing and Geographic Information Systems is
crucial for coordinated efforts across different administrative levels. Advanced technologies like
Remote Sensing and Geographic Information Systems
9
Changes in vegetation cover refer to variations in the distribution, composition, and overall
structure of plant communities across different temporal and spatial scales. These changes can
occur natural.
This presentation includes basic of PCOS their pathology and treatment and also Ayurveda correlation of PCOS and Ayurvedic line of treatment mentioned in classics.
3. BIO-MEDICAL WASTE: -
Any waste
generated
diagnosis, treatment
which is
during the
or
immunization of human
beings or animals or in
research activities
pertaining thereto or in
the production or testing
of biological.
6. CLASSIFICATION OF BIOMEDICAL WASTE:
1. INFECTIOUS WASTE:
waste
to contain
(bacteria,
parasites, or
Infectious
suspected
pathogens
viruses,
fungi) in sufficient
quantity to cause diseases
in susceptible hosts.
7. continue…
This category includes:-
• Cultures and stocks of
infectious agents from
laboratory work.
from surgery on
with infectious
• Waste
patients
disease.
• Infected animals from
laboratories.
9. continue…
3. SHARPS:
These are the items that
could cause cuts or puncture
wounds, including;
Needles,
Scalpel and other blades,
Knives,
Infusion sets,
Saws,
Broken glass, and nails.
12. continue…
• It raises serious safety problems,
both inside hospitals
disposal, and should
and after
be given
special attention.
• It includes certain cytostatic
drugs, vomit, urine, or feces from
patients treated with cytostatic
drugs, chemicals, and radioactive
material.
14. Continue…
Chemical waste may be hazardous or nonhazardous.
It is considered to be hazardous if it has at least one
of the following properties:
Toxic,
Corrosive (acids of pH < 2 and bases of pH> 12)
Flammable,
Reactive
Genotoxic
15. Classification continue…
7. WASTES WITH HIGH CONTENT
OF HEAVY METALS:
It represents a subcategory of
hazardous chemical waste, and is
usually highly toxic.
It includes
Batteries,
Broken thermometer,
Blood-pressure gauges.
16. Classification continue…
8. PRESSURIZED CONTAINERS:
Many types of gas are used in
health care, and are often stored in
pressurized cylinders, cartridges,
and aerosol cans.
Most common gases used in health
care includes:
Anesthetic gases
Ethylene oxide
Oxygen
Compressed air
17. Classification continue…
9. RADIOACTIVE WASTE:
It includes the X- rays, α- and β-
particles, and γ- rays emitted by
radioactive substances.
are heavy
charged, and
protons and
• α-particles,
positively
include
neutrons.
• They have low penetration
power, and are hazardous to
humans mostly when inhaled
or ingested.
18. continue…
• β- Particles, are negatively or
positively charged electrons with
significant ability to penetrate
human skin, they affect health
through ionization of intracellular
proteins and proteinaceous
components.
• γ- Rays, are electromagnetic
radiations similar to X- rays but to
shorter wavelength. Their
penetrating power is high and lead
shielding is required to reduce
their intensity.
19. SOURCES OF BIOMEDICAL WASTE:
care
• It is generated primarily from health
establishments, including
• Hospitals,
• Nursing homes,
• Veterinary hospitals,
• Clinics and general practitioners,
• Dispensaries,
• Blood blanks,
• Animal houses and research institute.
20. Sources continue…
OTHER SOURCES:
1. Households:
The domestic sector generates biomedical waste to
a small extent which is less than about 0.5% of the
total waste generated in a household.
The type of biomedical waste generated in a
household are syringes, cotton swabs, discarded
medicines, bandages, plaster, sanitary napkins,
diapers etc.
21. Sources continue…
2. INDUSTRIES, EDUCATION INSTITUTES AND
RESEARCH CENTERS:
These also generate bio-
medical waste in substantial
quantities.
The type of waste generated
from an animal houses is
typically animal tissues,
organs, body parts, carcasses,
body fluids, blood etc., of
experimental animals.
22. Sources continue…
3. BLOOD BANKS AND
CLINICAL
LABORATORIES:
Blood banks and
laboratories generate
most of the categories
of biomedical waste.
24. EFFECTS OF BIOMEDICAL WASTE: -
The
management
improper
of
biomedical waste causes
serious environmental
problems in terms of
Air,
Water and
Land pollution.
25. Effects continue…
1. AIR POLLUTION:
• Air pollution can be caused in both indoors
and outdoors.
generates air
• Biomedical waste that
pollution is of three types-
• Biological,
• Chemical and
• Radioactive.
26. Air pollution continue…
A. Indoor air pollution:-
Hospital Acquired Infections
(Nosocomial infection).
Indoor air pollution can
caused due to:
• Poor ventilation
• The paints, carpet,
furniture, equipment’s, etc.,
used in the rooms.
• Use of chemicals,
disinfectants, fumigants etc.
27. continue…
can be caused by
B. Outdoor air pollution:
Outdoor air pollution
pathogens.
When waste without pretreatment is being
transported outside the institution, or if it is
dumped openly, pathogens can enter the
atmosphere i.e. drinking water, food stuff, soil
etc.
28. Effects continue…
2. WATER POLLUTION:
• Biomedical waste can cause water pollution. If the
waste is dumped in low- lying areas, or into lakes
and water bodies, can cause severe water pollution.
• Treatment or disposal option can also cause water
pollution.
• Water pollution can either be caused due to
biological, chemicals or radioactive substances.
29. Effects continue…
3. LAND POLLUTION:
• Open dumping of biomedical waste
is the greatest cause for land
pollution.
• Soil pollution from bio-medical
waste is caused due to infectious
waste, discarded medicines,
chemicals.
• Heavy metals such as cadmium,
lead, mercury, etc., which are
present in the waste will get
absorbed by plants and can then
enter the food chain.
30. Methods of disposal of bio-medical
waste and their segregation
WASTE CATEGORY TYPE OF WASTE TREATMENT AND
DISPOSAL
OPTION
Category No. 1 Human Anatomical Waste (Human tissues, organs, body
parts)
Incineration@ /
deep burial*
Category No. 2 Animal Waste
(Animal tissues, organs, body parts, carcasses, bleeding
parts, fluid, blood and experimental animals used in
research, waste generated by veterinary hospitals and
colleges, discharge from hospitals,)
Incineration@ /
deep burial*
Category No. 3 Microbiology & Biotechnology Waste (Wastes from
laboratory cultures, stocks or specimen of live
microorganisms, human and animal cell cultures used in
research and infectious agents from research and
industrial laboratories, wastes from production of
biological, toxins and devices used for transfer of cultures)
Local
autoclaving/
microwaving /
incineration@
31. Category No. 4 Waste Sharps (Needles, syringes, scalpels,
blades, glass, etc. that may cause puncture
and cuts. This includes both used and unused
sharps)
Disinfecting (chemical
treatment@@ / autoclaving /
microwaving and mutilation /
shredding
Category No. 5 Discarded Medicine and Cytotoxic drugs
(Wastes comprising of outdated,
contaminated and discarded medicines)
Incineration@ / destruction and
drugs disposal in secured
landfills
Category No. 6 Soiled Waste (Items contaminated with body
fluids including cotton, dressings, soiled
plaster casts, lines, bedding and other
materials contaminated with blood.)
Incineration@ / autoclaving /
microwaving
Category No. 7 Solid Waste (Waste generated from
disposable items other than the waste sharps
such as tubing, catheters, intravenous sets,
etc.)
Disinfecting by chemical
treatment@@ / autoclaving /
microwaving and mutilation /
shredding# #
32. Category No. 8 Liquid Waste (Waste generated
from the laboratory and washing,
cleaning, housekeeping and
disinfecting activities)
Disinfecting by
chemical
treatment@@
and discharge
into drains
Category No. 9 Incineration Ash (Ash from
incineration of any biomedical
waste)
Disposal in
municipal landfill
Category No.10 Chemical Waste (Chemicals used
in production of biological,
chemicals used in disinfecting, as
insecticides, etc.)
Chemical
treatment @@
and discharge
into drains for
liquids and
secured landfill
for solids.
33. STEPS IN THE MANAGEMENT OF
BIOMEDICAL WASTE:-
Survey of waste
generated.
Segregation
of hospital
waste.
Collection &
Categorization
of waste.
Storage of
waste.( Not
beyond 48 hrs. )
Transportation
of waste.
Treatment of
waste.
34. COLOR CODING FOR SEGREGATION OF
BIOMEDICAL WASTE: -
COLOR WASTE TREATMENT
Yellow Human & Animal anatomical waste /
Micro-biology waste and soiled
cotton/dressings/linen/beddings etc.
Incineration / Deep burial
Red Tubing's, Catheters, IV sets. Autoclaving / Microwaving /
Chemical treatment
Blue /
White
Waste sharps
( Needles, Syringes, Scalpels, blades etc.
)
Autoclaving / Microwaving /
Chemical treatment &
Destruction / Shredding
Black Discarded medicines/cytotoxic drugs,
Incineration ash, Chemical waste.
Disposal in secured landfill
36. RESEARCH ARTICLE
A cross-sectional study was conducted among
hospitals (bed capacity >100) of Allahabad city on
“Knowledge, Attitude, and Practices about
Biomedical Waste Management among Healthcare
Personnel”
Medical personnel included were
Doctors (75),
Nurses (60),
Laboratory technicians (78), and
Sanitary staff (70).
37. RESULTS:
• Doctors, nurses, and laboratory technicians have
better knowledge than sanitary staff regarding
biomedical waste management.
• Knowledge regarding the color coding and waste
segregation at source was found to be better
among nurses and laboratory staff as compared to
doctors.
• Regarding practices related to biomedical waste
management, sanitary staff were ignorant on all
the counts.