Auditory brainstem response

by pathogens other than bacteria, such as fungi, viruses, and protozoa (Munford, 2001:63). Regardless of the causative organism, sepsis can result in systemic complications that occur as circulating chemical mediators released by the inflammatory response compromised the patients cardiovascular system (Cunha, 2003:24). Severe sepsis occurs when hypoperfusion, hypotension and organ dysfunction develop. If hypotension and perfusion abnormalities, lactic acidosis, oligoria and acute onset of mental…

Introduction: Epidemiology: Sepsis is a significant public health burden with increasingly high incidence and mortality rates. In 2010, an estimated 5.1% of deaths were attributed to sepsis in the United Kingdom. Consequently, it is a leading cause of admission to intensive care units (ICU), delays in hospital discharge and a significant cost to the economy. Therefore, it is imperative to raise awareness and prepare clinicians with the knowledge and guidance to embark on the global movement…

In 1991, The Society of Critical Care Medicine and The American College of Chest Physicians held a meeting with the aim of establishing distinct definitions regarding sepsis and its associated sequelae. Subsequently, the term systemic inflammatory response syndrome (SIRS) was made to account for patients who present with this clinical syndrome, without an identifiable source of infection, but as a consequence of a variety of clinical insults such as pancreatitis and ischemia. Sepsis was then…

Nurses are the largest group of healthcare professionals making up to 80% of the health care workforce (Wilson, Whitaker, & Whitford, 2012). Because of their unique position and sheer numbers, they are often on the front lines of disaster response and are well placed to aid in disaster planning. According to Merriam-Webster.com, a disaster is defined as unexpected event (such as a flood, tornado, fire, disease outbreak, plane crash, etc.) that happens abruptly and causes much suffering or loss…

management is the managerial function that creates the framework for communities to develop strategies to reduce hazards and manage the aftermath. There are four phases by which emergency management manages disasters and they are mitigation, preparedness, response and recovery. Emergency management is effective when the community, local, state, and federal government act responsibly by actively engaging in the activities to minimize or eliminate destruction. Mitigation is the process of…

This guides providers to tailor the fluid resuscitation rate by either increasing or decreasing the infusion in response to decreased or increased urine output respectively. Urine output should be 1-2ml/kg/hr. To monitor this output, a catheter is warranted for critical care providers to quickly address changes in fluid status and prevent complications related to a…

systems. The sepsis bundle is a good place to start, but by not trying to drive down lactic acid levels by administering oxygen and allowing the body to use the lactic acid it is producing for fuel during a sepsis crisis patients may have better responses and outcomes to therapy…

the community can edify itself on the importance of writings and words of practitioners and scholars alike. There are exercises that can help the community to get a better understanding of the realities of response through drills, tabletop exercises, functional exercise, and full-scale exercise. By engaging in these activities, one is able to identify any shortfalls or failures that may exist in planning, training, organization, or equipment (pp. 105). The planning cycle would not be complete…

they fill out unrecognized or out of date forms. Another strength the EOP has is that it uses a team approach by including various groups that are actively involved in protecting the welfare of the citizens, and have a role in emergency and disaster response…

organizations to develop a plan to incorporate all facets of emergency management in the protection of the community. The Emergency Operations Plan (EOP) for Yuma Regional Medical Center (YRMC) is part of this framework and is based on preparedness, response, mitigation, and recovery. Within the EOP, the communication plan must be foundationally strong for the overall success of the mission. Community Relations Specialists, Rebecca Larson, said that an After-Action Report from an exercise in…