OCULAR TRAUMA Accidents and from High Velocity Missiles at the Workplace
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Paramedic National EMS Education Standard
NORTHWEST COMMUNITY EMERGENCY MEDICAL SERVICES SYSTEM CCCooonnntttiiinnnuuuiiinnnggg EEEddduuucccaaatttiiiooonnn SSSeeepppttteeemmmbbbeeerrr 222000111222 EEyyee && EEaarr DDiissoorrddeerrss && TTrraauummaa Questions/comments are welcome. Please direct to Jen Dyer, RN, EMT-P EMS Educator NWC EMSS Con-Ed Eye and Ear Disorders and Trauma September 2012 – page 1 Paramedic National EMS Education Standard Integrates assessment findings with principles of pathophysiology to formulate a field impression and implement a treatment/disposition plan for patients with eye and ear disorders/trauma. Objectives: Upon completion of the class and review of the independent study materials and post-test question bank, each participant will do the following with a degree of accuracy that meets or exceeds the standards established for their scope of practice: 1. Identify the anatomical structures of the eye and describe the corresponding physiologic function of each. (C) 2. Explain the physiology of normal vision. (C) 3. Identify the anatomic structures of the ear and describe the corresponding physiologic function of each. (C) 4. Explain the physiology of normal hearing. (C) 5. Explain the physiology of equilibrium. (C) 6. Select and discuss maneuvers for assessing eye structures and functions (C) and demonstrate a thorough EMS assessment of ocular structures, visual acuity, pupils and ocular movements. (P) 7. Distinguish abnormal assessment findings/conditions of the eye: blurred vision, diplopia, photophobia, changes in vision, flashing, pupil exam, Adie’s pupil, oculomotor nerve paralysis, Horner’s Syndrome, blindness, deviation/paralytic strabismus, orbit fracture, cataracts, conjunctivitis, color blindness, near sightedness, farsightedness, astigmatism, amblyopia, burns of the eye, corneal abrasions, foreign body, inflammation of the eyelid, glaucoma, hyphema, iritis, orbital cellulitis, macular degeneration and trauma. -
Week of July 27, 2015 – Eye Injuries Protecting Your Eyes from Injury Is
Week of July 27, 2015 – Eye Injuries Protecting your eyes from injury is one of the most basic things you can do to keep your vision healthy throughout your life. And the most basic step a person can take to protect his/her eyes is wearing the proper protective eyewear. According to a national survey by the American Academy of Ophthalmology, only 35 percent of respondents said they always wear protective eyewear when performing home repairs or maintenance; even fewer do so while playing sports. Eye emergencies include: cuts, scratches, getting objects in the eye, burns, chemical exposures, and blunt injuries to the eye or eyelid. Certain eye infections and other medical conditions, such as blood clots or glaucoma, also represent serious conditions. Since the eye is easily damaged, any of these conditions can lead to vision loss. A black eye is a bruise and usually caused by direct trauma to the eye or face. The bruise is caused by bleeding under the skin. The tissue around the eye turns black and blue, gradually, over a few days, it changes to purple, green, and yellow. The abnormal color disappears within 2 weeks. Swelling of the eyelid and tissue around the eye may also occur. Certain types of skull fractures may also result in bruising around the eyes, even without direct injury to the eye. Sometimes, serious damage to the eye itself occurs from the pressure of a swollen eyelid or face and can result is a hyphema; which is blood in the front area of the eye. Trauma is a common cause of the condition and is often due to a direct hit to the eye from a ball. -
Der Prozess Der Deutschen Wiedervereinigung Aus Der Sicht Der Angelsächsischen Partner, Dem Vereinigten Königreich Und Den Vereinigten Staaten Von Amerika
1 Dissertation Der Prozess der deutschen Wiedervereinigung aus der Sicht der angelsächsischen Partner, dem Vereinigten Königreich und den Vereinigten Staaten von Amerika von Jörg Beck betreut durch Herrn Professor Dr. Hermann Hiery Lehrstuhl für Neueste Geschichte an der Universität Bayreuth Zweitkorrektor: Professor Dr. Jan-Otmar Hesse 2 Zum sehr großen Dank für die extrem starke Unterstützung an meine Mutter Frau Ilse Beck 3 Vorwort Die Dissertation „Der Prozess der Deutschen Wiedervereinigung aus der Sicht der angelsächsischen Partnerstaaten, dem Vereinigten Königreich und den Vereinigten Staaten von Amerika“ an der Kulturwissenschaftlichen Fakultät der Universität Bayreuth wurde begutachtet von Herrn Professor Dr. Hermann Hiery, Inhaber des Lehrstuhls für Neueste Geschichte an der Kulturwissenschaftlichen Fakultät der Universität Bayreuth und Herrn Professor Dr. Jan-Otmar Hesse, Inhaber des Lehrstuhls für Wirtschafts- und Sozialgeschichte an der Kulturwissenschaftlichen Fakultät der Universität Bayreuth. Die Dissertation wurde am 15. November 2017 angenommen. Jörg Beck Bayreuth, 24. Juli 2019 4 5 Inhaltsverzeichnis Seite Einleitung 8 A Problembereich und Fragestellungen 8 B Zum Forschungsinteresse der Kapitel im Einzelnen 9 C Forschungsstand 12 C 1 Forschungsstand in der Sekundärliteratur 12 C 2 Überblick und Kritik der verwendeten Quellen 15 Methodik 25 Materialzugang 25 Der Prozess der deutschen Wiedervereinigung aus der Sicht der angelsächsischen Partner, dem Vereinigten Königreich und den Vereinigten Staaten von Amerika 29 1 Das -
Revising the World with Speech in Franz Kafka, Robert Walser and Thomas Bernhard
Monologue Overgrown: Revising the world with speech in Franz Kafka, Robert Walser and Thomas Bernhard by Paul Joseph Buchholz This thesis/dissertation document has been electronically approved by the following individuals: Schwarz,Anette (Chairperson) Gilgen,Peter (Minor Member) McBride,Patrizia C. (Minor Member) MONOLOGUE OVERGROWN: REVISING THE WORLD WITH SPEECH IN FRANZ KAFKA, ROBERT WALSER AND THOMAS BERNHARD A Dissertation Presented to the Faculty of the Graduate School of Cornell University In Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy by Paul Joseph Buchholz August 2010 © 2010 Paul Joseph Buchholz MONOLOGUE OVERGROWN: REVISING THE WORLD WITH SPEECH IN FRANZ KAFKA, ROBERT WALSER AND THOMAS BERNHARD Paul Joseph Buchholz, Ph. D. Cornell University 2010 My dissertation focuses on unstable, chronically unpublished prose texts by three key 20th century prose writers, quasi-novelistic texts whose material instability indicates a deep discomfort with the establishment of narrative authority qua narrative violence. I argue that Franz Kafka, Robert Walser and Thomas Bernhard, radically refunctionalized the device of interpolated “character monologue,” turning characters' speech from a narrative function, into a site where a text can be rewritten from within. In the Bildungsroman tradition, extended oral interpolations serve as an engine for the expansion and exposition of the plotted work, deepening the epic narrative world and exhaustively presenting a perspective that will be incorporated into biographical trajectory. I locate an estrangement of this practice: moments when oral monologues of fictional interlocutors “overgrow,” becoming an interventionary force that doubles, disrupts and re-frames the narrative discourse out of which it first sprouted. In showing how the labor of ‘world-making’ is split and spread across different competing layers of these texts, my dissertation contributes to the study of the narrative phenomenon of metalepsis. -
Double Vision: Woman As Image and Imagemaker
double vision WOMAN AS IMAGE AND IMAGEMAKER Everywhere in the modern world there is neglect, the need to be recognized, which is not satisfied. Art is a way of recognizing oneself, which is why it will always be modern. -------------- Louise Bourgeois HOBART AND WILLIAM SMITH COLLEGES The Davis Gallery at Houghton House Sarai Sherman (American, 1922-) Pas de Deux Electrique, 1950-55 Oil on canvas Double Vision: Women’s Studies directly through the classes of its Woman as Image and Imagemaker art history faculty members. In honor of the fortieth anniversary of Women’s The Collection of Hobart and William Smith Colleges Studies at Hobart and William Smith Colleges, contains many works by women artists, only a few this exhibition shows a selection of artworks by of which are included in this exhibition. The earliest women depicting women from The Collections of the work in our collection by a woman is an 1896 Colleges. The selection of works played off the title etching, You Bleed from Many Wounds, O People, Double Vision: the vision of the women artists and the by Käthe Kollwitz (a gift of Elena Ciletti, Professor of vision of the women they depicted. This conjunction Art History). The latest work in the collection as of this of women artists and depicted women continues date is a 2012 woodcut, Glacial Moment, by Karen through the subtitle: woman as image (woman Kunc (a presentation of the Rochester Print Club). depicted as subject) and woman as imagemaker And we must also remember that often “anonymous (woman as artist). Ranging from a work by Mary was a woman.” Cassatt from the early twentieth century to one by Kara Walker from the early twenty-first century, we I want to take this opportunity to dedicate this see depictions of mothers and children, mythological exhibition and its catalog to the many women and figures, political criticism, abstract figures, and men who have fostered art and feminism for over portraits, ranging in styles from Impressionism to forty years at Hobart and William Smith Colleges New Realism and beyond. -
Karaoke Mietsystem Songlist
Karaoke Mietsystem Songlist Ein Karaokesystem der Firma Showtronic Solutions AG in Zusammenarbeit mit Karafun. Karaoke-Katalog Update vom: 13/10/2020 Singen Sie online auf www.karafun.de Gesamter Katalog TOP 50 Shallow - A Star is Born Take Me Home, Country Roads - John Denver Skandal im Sperrbezirk - Spider Murphy Gang Griechischer Wein - Udo Jürgens Verdammt, Ich Lieb' Dich - Matthias Reim Dancing Queen - ABBA Dance Monkey - Tones and I Breaking Free - High School Musical In The Ghetto - Elvis Presley Angels - Robbie Williams Hulapalu - Andreas Gabalier Someone Like You - Adele 99 Luftballons - Nena Tage wie diese - Die Toten Hosen Ring of Fire - Johnny Cash Lemon Tree - Fool's Garden Ohne Dich (schlaf' ich heut' nacht nicht ein) - You Are the Reason - Calum Scott Perfect - Ed Sheeran Münchener Freiheit Stand by Me - Ben E. King Im Wagen Vor Mir - Henry Valentino And Uschi Let It Go - Idina Menzel Can You Feel The Love Tonight - The Lion King Atemlos durch die Nacht - Helene Fischer Roller - Apache 207 Someone You Loved - Lewis Capaldi I Want It That Way - Backstreet Boys Über Sieben Brücken Musst Du Gehn - Peter Maffay Summer Of '69 - Bryan Adams Cordula grün - Die Draufgänger Tequila - The Champs ...Baby One More Time - Britney Spears All of Me - John Legend Barbie Girl - Aqua Chasing Cars - Snow Patrol My Way - Frank Sinatra Hallelujah - Alexandra Burke Aber Bitte Mit Sahne - Udo Jürgens Bohemian Rhapsody - Queen Wannabe - Spice Girls Schrei nach Liebe - Die Ärzte Can't Help Falling In Love - Elvis Presley Country Roads - Hermes House Band Westerland - Die Ärzte Warum hast du nicht nein gesagt - Roland Kaiser Ich war noch niemals in New York - Ich War Noch Marmor, Stein Und Eisen Bricht - Drafi Deutscher Zombie - The Cranberries Niemals In New York Ich wollte nie erwachsen sein (Nessajas Lied) - Don't Stop Believing - Journey EXPLICIT Kann Texte enthalten, die nicht für Kinder und Jugendliche geeignet sind. -
Diagnosing Depressed Skull Fracture in a Young Child
Nursing Practice Keywords: Skull fracture/Children/ Neurology Case study Neurology Skull fractures associated with intracranial injury are a leading cause of traumatic death in childhood. Children with head injuries should be monitored for signs of deterioration Diagnosing depressed skull fracture in a young child respiratory rate 32/min and oxygen satura- In this article... tion 97% in air. He was drowsy but easily Risks associated with head injury and skull fracture roused by his parents. The Glasgow Coma Scale score was 12/15, which could indicate The importance of monitoring and early diagnosis an intracranial injury and raised intracra- nial pressure. A neurological examination revealed Authors Shameem Ahmed is assistant left-sided hemi-paresis indicative of raised professor in neurosurgery; Rupa Thenseen intracranial pressure. A right-sided lateral Frank is sister in charge, neurosurgical soft tissue swelling and haematoma along operation theatre; both at Gauhati Medical with a depression of the underlying bones College, Guwahati, India; Siba Prosad Paul was noted on palpation of his skull. is specialty trainee in neonates at South- He was reviewed by an anaesthetist and mead Hospital, Bristol his condition was considered to be stable. An urgent non-contrast computed tomog- ead injury is the most common raphy scan revealed a large depressed frac- cause of death and disability in ture (>5mm) involving the right fronto- people aged below 40 years parieto-occipital bone (Fig 1). The boy was H(National Institute for Health Fig 1. Large right fronto-parieto-occipital reviewed by the neurosurgical team and an and Care Excellence, 2014). It accounts for bone simple depressed fracture exploration and elevation of the depressed 1.4 million attendances at accident and fragment was carried out on the same day. -
5713 Theme Ideas
5713 THEME IDEAS & 1573 Bulldogs, no two are the same & counting 2B part of something > U & more 2 can play that game & then... 2 good 2 b 4 gotten ? 2 good 2 forget ! 2 in one + 2 sides, same story * 2 sides to every story “ 20/20 vision # 21 and counting / 21 and older > 21 and playing with a full deck ... 24/7 1 and 2 make 12 25 old, 25 new 1 in a crowd 25 years and still soaring 1+1=2 decades 25 years of magic 10 minutes makes a difference 2010verland 10 reasons why 2013 a week at a time 10 things I Hart 2013 and ticking 10 things we knew 2013 at a time 10 times better 2013 degrees and rising 10 times more 2013 horsepower 10 times the ________ 2013 memories 12 words 2013 pieces 15 seconds of fame 2013 possibilities 17 reasons to be a Warrior 2013 reasons to howl 18 and counting 2013 ways to be a Leopard 18 and older 2 million minutes 100 plus you 20 million thoughts 100 reasons to celebrate 3D 100 years and counting Third time’s a charm 100 years in the making 3 dimensional 100 years of Bulldogs 3 is a crowd 100 years to get it right 3 of a kind 100% Dodger 3 to 1 100% genuine 3’s company 100% natural 30 years of impossible things 101 and only 360° 140 traditions CXL 4 all it’s worth 150 years of tradition 4 all to see (176) days of La Quinta 4 the last time 176 days and counting 4 way stop 180 days, no two are the same 4ming 180 days to leave your mark 40 years of colorful memories 180° The big 4-0 1,000 strong and growing XL (40) 1 Herff Jones 5713 Theme Ideas 404,830 (seconds from start to A close look A little bit more finish) A closer look A little bit of everything (except 5-star A colorful life girls) 5 ways A Comet’s journey A little bit of Sol V (as in five) A common ground A little give and take 5.4.3.2.1. -
Causes and Characteristics of Peri-Orbital Contusions and Their Relationship with Intracranial Injuries in Inward Patients in Two Tertiary Care Hospitals in Sri Lanka
Medico-Legal Journal of Sri Lanka, 2020 December Vol. 8, Issue 2 Original article Causes and Characteristics of Peri-Orbital Contusions and Their Relationship with Intracranial Injuries in Inward Patients in Two Tertiary Care Hospitals in Sri Lanka Warushahennadi J1*, Senavirathne AS2, Godakandage SSP3, Pathirana MD4, Jayarathne UGB5, Ambepitiya SGH2 1Department of Forensic Medicine, Faculty of Medicine, University of Ruhuna, Sri Lanka, 2Office of the Judicial Medical Officer, District General Hospital, Matara, Sri Lanka, 3Family Health Bureau, Sri Lanka, 4National Hospital of Sri Lanka, 5Office of the Judicial Medical Officer, Teaching Hospital, Karapitiya, Sri Lanka Abstract Introduction: The peri-orbital contusion (PC) is a common injury in day to day surgical casualties. It is a common injury observed in patients who are in an unconscious state following head injuries. The aim of the study is to describe characteristics of PC and understand its relationship with associated injuries, especially with facial injuries and intracranial injuries. Methods: This retrospective study reviewed the medico-legal examination forms (MLEF) of 67 inward patients in Teaching Hospital, Karapitiya and District General Hospital, Matara with peri-orbital contusions following trauma during a period of six months from January 2020 to June 2020. Results: A total number of 67 patients were included with 81% being male patients. The commonest soft tissue injuries around the PCs were abrasions (n=39, 71%) and 25 (38%) of the study sample had fractures of the skull. The majority (n=22, 88%) of them had fractures of facial bones followed by vault and basal skull fractures. The majority of PCs (45%) were blue in colour and only 8% were red. -
Head Injury Policy
Date January 2020 Review Date January 2021 Responsibility Senior Sister HEAD INJURY POLICY The following has been developed in accordance with NICE clinical guideline 56 - Head Injury, International Rugby Board Concussion Guidelines and the RFU Guidelines for schools and colleges. Background Injuries to the head can occur in many situations in the school environment i.e. any time that pupil’s head comes into contact with a hard object such as the floor, a desk, or another pupil’s body. The potential is probably greatest during activities where collisions can occur such as in the playground, during sport and PE, and if messing around indoors during breaks. The nature of rugby means that concussion can occur during both training and in matches. Concussion is a disturbance of the normal working of the brain without causing any structural damage. It usually follows a blow directly to the head, or indirectly if the head is shaken when the body is struck. It is important to recognise that it is not necessary to lose consciousness to sustain a concussion following a blow to the head. The risk of injury is dependent upon the velocity and the force of the impact, the part of the head involved in the impact, and any pre-existing medical conditions. Symptoms may not develop for some hours, or even days, after a knock to the head, and in rare cases can develop weeks after a head injury. Whilst an initial concussion is unlikely to cause any permanent damage, a repeat injury to the head soon after a prior, unresolved concussion can have serious consequences. -
Artillery Shells
2017 New ITEM LINEUP #17593 #17213 #17215 #17554 #17336 #17331 325 SHOT PARADISE CITY VENOMOUS WICKED SUPER NOVA FMJ SHELLS SUPER SATURN #17431 #17231 #17538 #17212 #17220 #17202 REDNECKERY Black ICE COMMITTED ORANGE THUNDER INSOMNIAC THE BIG 12 5” SHELLS #17123 #17243 #17153 #17157 #17217 #17731 ORANGE IS THE NEW Paranormal TOXIC UNLEASHED DOUBLE trouble APOCALYPSE NOW BLACK ActiVity #17237 #17235 #17401 #17405 #17507 #17508 COSMIC WISH Boom Boom Pow RAINBOWLICIOUS LIGHT SABER MAGNIFICENT MOON FOUNTAIN FOUNTAINS #17408 #17214 #17502 #17480 #17548 #17742 BIG GUN Just Trippin M-1000 SUPER PACK SUPER JUMBO NEON ERUPTION DRUM LINE SMOKE BALLS 2017 New ITEM LINEUP 17593 325 SHOT SUPER SATURN 200 GRAM AERIAL REPEATERS 2030 CR 6 PACK CRACKLING BAG PACK ARTILLERY SHELLS 17213 PARADISE CITY 200 GRAM AERIAL REPEATERS 2030 WH 6 PACK WHISTLING BAG PACK ARTILLERY SHELLS 17215 VENOMOUS 200 GRAM AERIAL REPEATERS 17331 FMJ SHELLS ARTILLERY SHELLS 17121 GENDER REVEAL 200 GRAM AERIAL REPEATERS 17502 M-1000 SUPER PACK FIRECRACKERS 17554 WICKED 3 INCH SUPER FINALES 17403 BIG TRUCKER ASSORTMENT FOUNTAIN & NOVELTY ASSORTMENTS 17235 BOOM BOOM POW 3 INCH SUPER FINALES 17594 PYRO TECHNICIAN TRAY FOUNTAIN & NOVELTY ASSORTMENTS 17336 SUPER NOVA 3 INCH SUPER FINALES 17401 RAINBOWLICIOUS FOUNTAINS 17404 MASSIVE RED STROBE 500 GRAM AERIAL REPEATERS 17405 LIGHT SABER FOUNTAINS FOUNTAINS 17406 MASSIVE WHITE STROBE 500 GRAM AERIAL REPEATERS 17507 MAGNIFICENT FOUNTAINS 17421 THE LAST RIDE 500 GRAM AERIAL REPEATERS 17508 MOON FOUNTAIN FOUNTAINS 17431 REDNECKERY 500 GRAM -
International Council of Ophthalmology and Based on Their Curriculum 2009
HANDBOOK FOR JUNIOR RESIDENTS AND MEDICAL STUDENTS LEARNING EMERGENCY OPHTHALMOLOGY Compiled by The Task Force on Undergraduate Teaching in Ophthalmology of the International Council of Ophthalmology and based on their curriculum 2009 1 In this booklet we have put together common ophthalmic emergency conditions that we think you need to know and key ophthalmic disorders we think you need to have seen. There are descriptions and colour pictures of these conditions. This pocket sized book summaries the key points in the ophthalmology curriculum complied by the Task Force of the International Council of Ophthalmology and is a format that is very portable! Sue Lightman, Do Nhu Hon and Peter McCluskey On behalf of the International Council of Ophthalmology and Vietnam National Institute of Ophthalmology, Hanoi Medical University 2010 Other Contributing Authors with thanks Anh Dinh Kim , Anh Nguyen Quoc, Chau Hoang Thi Minh, Dong Pham Ngoc, Ha Tran Minh, Hon Do Nhu, Ngoc Do Quang, Quan Bui Dao, Richard Andrews, Thang Nguyen Canh, Thanh Pham Thi Kim, Thuy Nguyen Thi Thu, Thuy Vu Thi Bich, Tung Mai Quoc, Van Pham Thi Khanh, Van Pham Trong, Yen Nguyen Thu, Simon Taylor 2 Have you seen? Tick Do you Tick Note for you: if yes know if yes Remember how it is to look it up caused and treated? Trauma Periorbital haematoma Orbital blowout Lid laceration Subconjunctival Haemorrhage Chemical burns – cornea and conjunctiva Foreign body Corneal abrasion Hyphema Iridodialysis Cataract Lens subluxation /dislocation Intraocular foreign body Scleral rupture 3 Painful Red Eye Chalazion Dacryocystitis Orbital cellulitis Conjunctivitis Scleritis Episcleritis Viral keratitis Bacterial keratitis Shingles Uveitis Acute angle-closure glaucoma Endophthalmitis Sudden Painless Loss of Vision Vitreous haemorrhage Retinal tear/detachment Central retinal artery occlusion Central retinal vein occlusion Others 4 Proptosis VII nerve palsy TRAUMA Ocular trauma is very common, especially in developing countries.