5 parts of the run free essay sample

1. scene survey/ ABCDE’s A. scene survey a. location b. clues at scene c. weather d. time of day e. patient position f. determine MOI or nature of illness g. consider back up h. Anything about the patient that jumps out at you! i. Age, sex/Wt. Walk up to patient introduce yourself and check for pulse. Determine the C/C B. ABCDE’s   C-spine if any suspected trauma or injuries r/o later if not needed a. Airway-determine if the airway is open if closed open with head tilt chin lift or in trauma jaw trust maneuver. If the patient is alert and responsive the airway is patent. Assess, intervene, reassess b. Breathing- determines if breathing is adequate or inadequate (lung sounds, O2 sat). Asses breathing by looking listening and feeling for amount of air in/out (tidal volume, place hand on chest) and the rate of breathing. Look for any obvious signs such as JVD, apnea, nasal flaring, trachea tugging, outside the rate 8-24 adult and unequal movement. We will write a custom essay sample on 5 parts of the run or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page If adequate o2 therapy if not BVM. Assess, intervene, reassess. c. Circulation-pulse; assess if there is a pulse or no pulse if no pulse in wrist (80mmHg) go to brachial (70mmHg) then carotid (60mmHg) determine the regularity and strength(EKG), possible major bleeding; control any arterial bleeding or venous bleeding by placing gloved hand and then getting pressure dressing, skin color: assessing color, temperature and condition, capillary refill (immediate2sec).assess, intervene, reassess d. Disability- alert and orientation use AVPU or BRIM or Glasgow coma scale. What, where, when, how it occurred, recall event (AOX4), events leading to injury. Causes of ALOC AEIOUTIPS, e. Expose, Examine, Environment- expose any life threating injuries or pertinent negatives (chest pain expose chest, abdominal pain expose abdomen etc)  examine for pertinent negatives (intercostals muscle use, abdominal rigidity, guarding, JVD etc†¦) consider environment affecting patient( cold dangerous etc..) Consider status of patient: Mild (0to1 sign and symptom, moderate 2to3 signs and symptoms, acute 3 or more signs and symptoms) General impression and transport decision split with partner here. 2. Investigation of C/C chief complaint: Medical Trauma or ALOC, language barrier OnsetBreathing tidal volume, effectiveness ProvokedResponse (person, place, time, event) QualityI eyes (PERL) Radiation, relief, reoccurrence, regionMotor sensation (MAEX4) SeverityChest (pertinent negatives) TimeAbdomen (pertinent negatives) Cap Refill (immediate or delayed) May have to do Y/N questions. Follow up with bystanders Special questions when find pertinent negatives (physical findings) 3. Paramedic Vitals/signs Pulse LOC Respirations Lungs Sounds O2 SaturationSugar Blood PressureSkins EyesTemp EKG Prioritize vitals Marry vitals to C/C (lung sounds, respirations, O2 Sat) Always do first set If done in initial assessment do again! Act on abnormal vitals Consider specialize vitals Orthostatic (lying flat, sitting up, standing) 4. Focused history and physical exam, special questions( narrow down C/C): Complete Head to toe (secondary) or a rapid trauma assessment (for patients with ALOC or significant MOI, or critical findings in Initial assessment and for unknown injuries suspected) Focused trauma assessment(focused on injury site, for No MOI, no multiple injuries, No ALOC, No critical findings on initial assessment) same for medical either focused or rapid medical(head to toe) Obtain Sample (use team effort radio person can obtain) special questions with pertinent negatives (JVD, intercostal muscle use are you have chest pain with SOB etc)

Genius

Genius Genius Genius By Maeve Maddox A reader has asked for a post on the word genius, commenting, Its part of the word engineering but, in French, engineering is genie, which I associate with Aladdins lamp. Then, there is the genius spirit that ancient Romans associated with places. This comment offers much to address. I’ll begin with the Latin origin of the word. In classical religious belief, every human being was allotted a personal spirit at birth. This guiding spirit was called a genius, plural, genii. The role of the genius was to govern a person’s fortunes, determine his character, and to conduct him out of the world at death. The Latin word comes from a Greek verb meaning â€Å"to be born, to come into being.† This quotation from the OED show the word used in the sense of â€Å"guardian spirit†: Let their Guardian Genii still be watchful. N. Rowe Ambitious Step-mother. In addition to the kind of genii assigned to individual human beings, there was the genius loci, â€Å"genius of the place.† This spirit presided over a particular place: Watchd by the Genius of this Royal place. Dryden To Dr. Charleton in W. Charleton Chorea Gigantum. The â€Å"emperor worship† that the early Christians objected to involved burning a bit of incense not to the emperor, but to the emperor’s genius: Christianswho would die rather than fling into the altar-flame a pinch of incense to the Genius of the Emperors. F. W. Farrar Witness of Hist.   Ã‚   Genius in the sense of a guiding spirit is applied to abstract nouns and to periods of history. One may speak of â€Å"the genius of Democracy† and â€Å"the Genius of the Age.† Nowadays the word genius is often replaced by the word spirit. We’ve all seen cartoons showing a character being tempted: on one shoulder sits a little angel trying to restrain him, while on the other, a little red devil eggs him on. This depiction reflects the idea that people have not one, but two guiding genii: (a persons) good, evil genius: the two mutually opposed spirits (in Christian language angels) by whom every person was supposed to be attended throughout his life. Hence applied to a person who powerfully influences for good or evil the character, conduct, or fortunes of another. Genie and genii came to be used for demons or spiritual beings in general. Arabic jinn, the word for a class of spirits that may be good or evil, came to be spelled genii in English; singular genie became the word for one of these spirits, for example, one that might be imprisoned in a bottle. The use of genius as adjective meaning â€Å"intellectually superior† and a noun meaning â€Å"an intellectually superior person† developed in the 18th century as art critics began using genius to describe â€Å"native endowment† contrasted with â€Å"aptitudes that can be acquired by study.† This question on a homework site illustrates how this use of genius has obscured the word’s earlier meanings: If Hitler killed so many people, why is he called a genius? The youngster asking this question has no doubt seen Hitler referred to as â€Å"an evil genius† by someone who did not understand the meaning of the term. The answer given to the student’s question reflects the same confusion: You can say Hitler was a genius because he was so good at manipulating people.   He was able to get people to go along with his ideas even when they seemed to be completely crazy.  Because he was able to do this, you would have to say he was a genius.   Sadly, he used his great talents for one of the most evil goals ever. Hitler might be seen as the evil genius who influenced German doctors and prison camp directors to do abominable things, but labeling him â€Å"an evil genius† without reference to another person or persons is meaningless. The term â€Å"evil genius† refers to any personof whatever degree of intellectwho influences another person to do evil: The evil genius of the second half of Hitlers career was Goebbels. Ernst Hanfstaengel, Hitler: The Missing Years (1957). Finally, gà ©nie is the French word for engineering, but not because it has anything to do with the word genius. French gà ©nie means the same things that English genius does. The fact that the French word for engineering is also spelled gà ©nie is a coincidence: it’s a homonym derived from Middle French engigneour, â€Å"person who designs and constructs military works for attack and defense.† Want to improve your English in five minutes a day? Get a subscription and start receiving our writing tips and exercises daily! Keep learning! Browse the Vocabulary category, check our popular posts, or choose a related post below:20 Words with More Than One Spelling50 Idioms About Fruits and VegetablesUlterior and Alterior