Toms Basic And (Hopefully) High Speed
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This document provides an overview of trauma assessment and management. It discusses the primary and secondary surveys, including the ABCDE approach to assess immediate life threats. It covers shock classification and hemorrhage control. Specific case examples discuss management of head injuries, chest trauma, and abdominal trauma. Key concerns include increased intracranial pressure, tension pneumothorax, cardiac tamponade, and internal bleeding. The document emphasizes rapid assessment and treatment of life threats in trauma patients.
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1) Flail chest occurs when three or more ribs are broken in two or more places, causing a segment of the rib cage to become detached from the rest.
2) The detached or "flail" segment loses its attachment to the chest wall and becomes free floating.
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2. Type A dissections involve the ascending aorta and require urgent surgery, while Type B can often be initially treated medically to control blood pressure and heart rate.
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The document provides an overview of the Advanced Trauma Life Support (ATLS) protocol for treating trauma patients. It describes the primary and secondary surveys, which focus on identifying life-threatening injuries and obtaining further medical history/examination. The roles of the trauma team members are also outlined. Special considerations are given for penetrating trauma, with emphasis on rapidly identifying all entry/exit wounds and retained projectiles.
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This document discusses the evaluation and management of patients presenting with chest pain. It covers risk factors for cardiac causes, the role of enzymes and ECG in diagnosis, differential diagnoses, strategies for high-risk vs. low-risk patients, and treatments including medications, observation, cardiac catheterization, and percutaneous coronary intervention.
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2) Key considerations in differentiating potential deadly causes of chest pain like acute coronary syndrome, pulmonary embolism, aortic dissection, and pneumothorax include analyzing the description of pain, patient history, exam findings, and basic tests like ECG and CXR.
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abscess advanced trauma life support anterio advanced trauma life support antibiotics apically repositioned flap dental diseases dr dr shabeel drshabeel’s face eye trauma lidocaine anodontia management medical medicine misuse and abuse orthodontics teeth braces pharmacy pn preparation dental students for community based ed presentations s abscess abscess tooth active orthodonti shabeel shabeel"s shabeel’s shabeelpn trends of antimicrobial usage in dental practice View all
’s abscess abscess advanced trauma life support anterio abscess tooth active orthodontics adolescent advanced trauma life support aesthetic dentistry airway management alignment of teeth amalgam anesthesia in dentistry anesthetics in dentistry anterior open bite antibiotic resistanace antibiotics antibiotics and leukopenia aphthous ulcers apically repositioned flap apicoectomy appliances arch dental arch form orthodontics braces arch length orthodontics braces arch wire orthodontist braces ayurvedha baby teeth bloger boil books braces braces teeth cancer canker sore pain cavity preparation children community based learning congenitally missing teeth cosmetic dentistry csf leaks dental dental anesthetics dental restorations dental teeth dento alveolar fractures disease
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The document provides information on the assessment and management of head and spinal trauma. It outlines the ABC approach for head trauma and emphasizes preventing secondary brain injury. It describes evaluating the Glasgow Coma Scale and pupillary responses. For spinal trauma, it stresses immobilization and protecting the spine during transport. Key factors include preventing further neurological injury and addressing airway, breathing, circulation issues.
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1) Flail chest occurs when three or more ribs are broken in two or more places, causing a segment of the rib cage to become detached from the rest.
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1. It is a difficult diagnosis to make, often with delays in diagnosis. Imaging such as CT scans are most accurate for diagnosis.
2. Type A dissections involve the ascending aorta and require urgent surgery, while Type B can often be initially treated medically to control blood pressure and heart rate.
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Er management of neurotrauma
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The document discusses basic life support procedures for cardiovascular emergencies like heart attacks. It describes opening the airway, checking breathing, performing chest compressions, rescue breathing, and using an automated external defibrillator. It also covers spinal cord injuries, types of seizures, medications used to treat seizures, and appropriate first aid responses.
Management of life threatening conditions
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Management of life threatening conditions
The document discusses basic life support procedures for cardiovascular emergencies like heart attacks. It describes opening the airway, checking breathing, performing chest compressions, rescue breathing, and using an automated external defibrillator. It also covers spinal cord injuries, types of seizures, medications used to treat seizures, and appropriate first aid responses.
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The document discusses basic life support procedures for cardiovascular emergencies like heart attacks. It describes opening the airway, checking breathing, performing chest compressions, rescue breathing, and using an automated external defibrillator. It also covers spinal cord injuries, types of seizures, medications used to treat seizures, and appropriate first aid responses.
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Initial approach to trauma
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Discusstheclinicalmanifestationsmanagementofacute 150423161917-conversion-gate02
Discusstheclinicalmanifestationsmanagementofacute 150423161917-conversion-gate02
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The choice of an operating system plays a pivotal role in shaping our computing experience. For decades, Microsoft's Windows has dominated the market, offering a familiar and widely adopted platform for personal and professional use. However, as technological advancements continue to push the boundaries of innovation, alternative operating systems have emerged, challenging the status quo and offering users a fresh perspective on computing.
One such alternative that has garnered significant attention and acclaim is Nitrux Linux 3.5.0, a sleek, powerful, and user-friendly Linux distribution that promises to redefine the way we interact with our devices. With its focus on performance, security, and customization, Nitrux Linux presents a compelling case for those seeking to break free from the constraints of proprietary software and embrace the freedom and flexibility of open-source computing.
GraphSummit Singapore | Enhancing Changi Airport Group's Passenger Experience...
Dr. Sean Tan, Head of Data Science, Changi Airport Group
Discover how Changi Airport Group (CAG) leverages graph technologies and generative AI to revolutionize their search capabilities. This session delves into the unique search needs of CAG’s diverse passengers and customers, showcasing how graph data structures enhance the accuracy and relevance of AI-generated search results, mitigating the risk of “hallucinations” and improving the overall customer journey.
HCL Notes and Domino License Cost Reduction in the World of DLAU
Webinar Recording: https://www.panagenda.com/webinars/hcl-notes-and-domino-license-cost-reduction-in-the-world-of-dlau/
The introduction of DLAU and the CCB & CCX licensing model caused quite a stir in the HCL community. As a Notes and Domino customer, you may have faced challenges with unexpected user counts and license costs. You probably have questions on how this new licensing approach works and how to benefit from it. Most importantly, you likely have budget constraints and want to save money where possible. Don’t worry, we can help with all of this!
We’ll show you how to fix common misconfigurations that cause higher-than-expected user counts, and how to identify accounts which you can deactivate to save money. There are also frequent patterns that can cause unnecessary cost, like using a person document instead of a mail-in for shared mailboxes. We’ll provide examples and solutions for those as well. And naturally we’ll explain the new licensing model.
Join HCL Ambassador Marc Thomas in this webinar with a special guest appearance from Franz Walder. It will give you the tools and know-how to stay on top of what is going on with Domino licensing. You will be able lower your cost through an optimized configuration and keep it low going forward.
These topics will be covered
- Reducing license cost by finding and fixing misconfigurations and superfluous accounts
- How do CCB and CCX licenses really work?
- Understanding the DLAU tool and how to best utilize it
- Tips for common problem areas, like team mailboxes, functional/test users, etc
- Practical examples and best practices to implement right away
Best 20 SEO Techniques To Improve Website Visibility In SERP
Boost your website's visibility with proven SEO techniques! Our latest blog dives into essential strategies to enhance your online presence, increase traffic, and rank higher on search engines. From keyword optimization to quality content creation, learn how to make your site stand out in the crowded digital landscape. Discover actionable tips and expert insights to elevate your SEO game.
GraphRAG for Life Science to increase LLM accuracy
GraphRAG for life science domain, where you retriever information from biomedical knowledge graphs using LLMs to increase the accuracy and performance of generated answers
Pushing the limits of ePRTC: 100ns holdover for 100 days
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Presentation of the OECD Artificial Intelligence Review of Germany
Consult the full report at https://www.oecd.org/digital/oecd-artificial-intelligence-review-of-germany-609808d6-en.htm
AI 101: An Introduction to the Basics and Impact of Artificial Intelligence
Imagine a world where machines not only perform tasks but also learn, adapt, and make decisions. This is the promise of Artificial Intelligence (AI), a technology that's not just enhancing our lives but revolutionizing entire industries.
Video Streaming: Then, Now, and in the Future
In his public lecture, Christian Timmerer provides insights into the fascinating history of video streaming, starting from its humble beginnings before YouTube to the groundbreaking technologies that now dominate platforms like Netflix and ORF ON. Timmerer also presents provocative contributions of his own that have significantly influenced the industry. He concludes by looking at future challenges and invites the audience to join in a discussion.
Let's Integrate MuleSoft RPA, COMPOSER, APM with AWS IDP along with Slack
Discover the seamless integration of RPA (Robotic Process Automation), COMPOSER, and APM with AWS IDP enhanced with Slack notifications. Explore how these technologies converge to streamline workflows, optimize performance, and ensure secure access, all while leveraging the power of AWS IDP and real-time communication via Slack notifications.
Programming Foundation Models with DSPy - Meetup Slides
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Observability Concepts EVERY Developer Should Know -- DeveloperWeek Europe.pdf
Monitoring and observability aren’t traditionally found in software curriculums and many of us cobble this knowledge together from whatever vendor or ecosystem we were first introduced to and whatever is a part of your current company’s observability stack.
While the dev and ops silo continues to crumble….many organizations still relegate monitoring & observability as the purview of ops, infra and SRE teams. This is a mistake - achieving a highly observable system requires collaboration up and down the stack.
I, a former op, would like to extend an invitation to all application developers to join the observability party will share these foundational concepts to build on:
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Toms Basic And (Hopefully) High Speed
- 1. Toms basic and (hopefully) high speed Trauma and EMS Lecture …or…To much for one lecture, but here we go anyway….
- 3. Primary Survey - Immediate Threats to Life (Only!) A = Airway Obstructed? B = Breathing Breath Sounds Present? Bilaterally? C = Circulation Peripheral Pulse? Femoral? Carotid? (Not BP Measurement.)
- 4. Primary Survey - Immediate Threats to Life (Only!) D = Disability Global (AVPU or GCS) Gross Motor Function (i.e. spinal cord integrity) E = Exposure Nekkid!
- 5. Secondary Survey Now find out what happened, what’s injured. History (AMPLE) Physical. Organized, complete head to toe exam. Roll, check back. Remember TM’s and rectal. Foley. NG or OG tube.
- 6. Things to remember… The Ideal Trauma Resuscitation Roles are pre-assigned Clear direction & communication Pertinent findings verbalized in proper order All team members know all findings Rapid, Efficient Calm & Quiet!
- 7. 5places you can bleed out Chest Belly (and/or retroperitoneum) Thighs Pelvis Street
- 8. Things to remember… Classification of Shock Class EBL Pulse BP Mental Treatment I <15% (<750ml) - - nl Fluids II 15-30% (750-1.5L) - +/-anxious Fluids III 30-40% (1.5L-2.0L) anxious Fluids + Blood IV >40% (>2.0L) confused Fluids + Blood
- 9. Case for head injury 24yo fall off ladder in construction site Per EMS…awake, short tempered, perseverating What do you want to do? What are you worried about?
- 10. Types of bleeding in the head Epidural Subdural Subarachnoid Intraparenchymal Intraventricular
- 11. Why do we care about bleeding in the head Increased intracranial pressure Seizures Prognosis
- 12. Cerebral perfusion pressure Balance of forces Blood pressure Intracranial pressure CPP = MAP - ICP
- 14. Management of Severe Head Injuries (increased ICP) Secure airway - role of lidocaine Hyperventilation Mannitol 1g/kg HOB 30o Seizure prophylaxis ICP monitors Craniotomy
- 15. Case for chest trauma 24yo stabbed in chest Per EMS…fine originally, then started complaining about short breath What do you want to do now? What are you worried about?
- 16. Life Threatening problems TensionPTX Flail chest Tamponade Massive HTX / PTX Esophageal disruption Aortic disruption Diaphragm hernia Tracheal disruption Pulmonary contusion Myocardial contusion Simple PTX
- 17. Case for belly trauma 45yo male crushed between truck and wall C/O dull achy pain right under ribs Per EMS pain getting worse, getting confused and anxious looking… What do you want to do?? What are you worried about?
- 18. How can you evaluate the belly? Serial abdominal exams CT DPL US RUG/cystogram Take a look (in the OR)
- 19. Neck Trauma Clear c-spine/NEXUS X-ray vs CT Zones of the neck