nurse to reflect on the information provided during the didactic and assess their understanding and application of the CALS protocol. During the simulation, nurses applied the psychomotor domain by participating in a mock re-sternotomy, internal defibrillation and cardiac massage. Observation of skill, performance, and procedure guided the assessments. The affective domain includes emotions, attitudes, and values. In a class setting, this can be assessed by observing participation and…
happily ever after so peaceful, calm, melodic then . . . . . . . . . .BAM ...your dead Time of death ten forty eight P.M. doctor said. Beep . . . Beep . . . . . Beep. False alarm Diiiinnnnnnnnnngggggg! We’re losing him, code black code black! Defibrillation. Gel. Alright, On one two . . . Beep . . . beep . . . .beep, heartbeat going slowly going back to normal. Beep . . . . . skips a beat . . . . beep Wait, why is that child in the operating room? Get her out of here, immediately!…
hobby, ectopic foci of excitation or mixture of these. In ventricular traumatic inflammation (VF) the heart paintings is useless, fibrillating ventricals are not pumping blood and the circulation stops. As an effective remedy of VF there comes a defibrillation. Ventricular extrasystole is a contraction that arises from ectopic foci in the place of Purkinje fibers, it has extensive QRS complex. Supraventricular extrasystole is characterized through…
A heart rhythm disorder is an abnormal variation from the normal heartbeat. Heart rhythm disorders involve abnormalities of one or more of the following: heart rate, regularity of beats, sites where electrical impulses originate, or sequence of activation of heartbeats. Heart rhythm disorder is also referred to as an arrhythmia. The primary function of the heart is to supply blood and nutrients to the body. The regular beating, or contraction, of the heart moves the blood throughout the body.…
Technology plays a very vital role in health care system and this system is persistently going through modifications in which application of technology covers important element. Technology, as defined by Merriam-Webster (2012) is the “practical application of knowledge especially in a particular area;” Nursing is one of the honorable professions but is also one of the most tough and challenging profession both physically and mentally. Spread of technology in nursing is really helping to make…
When thinking of ethics it's good to know what's neutral such as ventilation, CPR, defibrillation, and prolonged artificial nutrition. These things aren't looked at either way but as what's best for the individual patient. When these options are not providing positive outcomes for the patient it's a good time to look at what is best for the…
Below I shall describe every part of my work in detail 1.11 I Used the Concession Agreement and the contractual obligations that come with it to set up an Annual Maintenance Schedule which serves as a guideline for all the maintenance works, this is further analyzed to a monthly and weekly schedule and finally comes down to the daily schedule in which I designate the proper personnel, equipment, vehicles and materials. 1.12 I plan Regular works through this schedule, consult the corresponding…
Did you know that more than 47,000 people die from overdose in the US every year? This number is 137% higher since the year 2000. There is a huge drug problem in the US and there is not much that is being done about it. This is why interventions are now being made in the EMS community. Advocates are pushing for more invasive measures for all members of public safety. Nearly half a million people have in the last 15 years due to overdose and that number is on the rise. Drugs are becoming a bigger…
lipids, chronic back pain for which he takes medications of atorvastatin and oxycodone. Patient receives diazepam and hydromorphone, but is not monitored appropriately. Respiratory depression occurs along with ventricular fibrillation. CPR and defibrillation is completed,and patient is placed on life support. Next, determined to be brain dead, removed from life support, and expires. A root cause analysis (RCA)…
The practice of internal medicine in a conflict zone is a unique challenge. In counter insurgency/ counter terrorism (CI/CT) areas, the hostile environment, austere conditions and limited logistics makes the decision making more difficult. There is enough literature available on the role of surgeon in combat zone both internationally and in Indian armed forces1,2, however there is paucity of literature on the role of internal medicine specialists in combat zone 3, 4. This article is aimed at…