Shock Hypothermia Hyperthermia Shock Shock Shock

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Shock Hypothermia Hyperthermia Shock Shock Shock

Shock Shock Hypothermia Failure of circulatory system to Hyperthermia provide body with adequate oxygen Shock Shock Shock may occur following: Heatstroke Anesthesia Severe stress Serious infections Heart failure Intestinal obstruction Severe trauma Anemia Extensive bleeding Dehydration Burns 1 Hypovolemic Shock Cardiogenic Shock Most common form of shock Failure of the heart as a pump Blood volume deficit of at least 25% Rarely seen in wildlife Quick intervention is necessary Signs of Shock Signs of Shock Prostration Low body temperature Apathy Poor peripheral circulation Dilated pupils Cool extremities Rapid weak pulse Pale mucous membranes Shallow respiration 2+ second capillary refill rate 2 Treatment of Shock Hypothermia Causes of Hypothermia: Stop blood loss Heat loss exceeding bodies ability to produce Reduce external stressors heat Provide supplemental heat Prolonged exposure to cold Provide fluids Immersion in water causing rapid cooling Provide supplemental oxygen Give fast acting steroids Exertion without adequate fluid replacement, circulation blood volume decreases Symptoms of Hypothermia Treatment of Hypothermia Shivering Gradual warming Lethargy Cool to touch May take some time to raise core Pale skin/gums temperature Slow respiration Nothing by mouth until warmed 3 Rewarming techniques Hyperthermia Heat production exceeding body’s Move to warm environment, wrap heat loss in warm dry blankets Prolonged high temps, high Apply radiant heat or heat packs humidity Immersion in warm water Excessive exertion Symptoms of Hyperthermia Treatment of Hyperthermia Rapid heart rate Dry, hot, red skin Place in cool environment Salivation Sweating Circulate air Reduced responsiveness Ataxia – uncoordinated movements Restrict activity Open mouthed breathing Spray with cool water 4 Treatment of Hyperthermia For severe cases apply ice packs or immerse in ice water (will cause vasoconstriction which hinders primary cooling mechanism) Administer fluids 5.

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Hypothermia Brochure
Visit these websites for more water safety and hypothermia prevention in- formation. What is East Pierce Fire & Rescue Hypothermia? www.eastpiercefire.org Hypothermia means “low temperature”. Washington State Drowning When your body is exposed to cold tem- Prevention Coalition Hypothermia www.drowning-prevention.org perature, it tries to protect itself by keeping a normal body temperature of 98.6°F. It Children’s Hospital & tries to reduce heat loss by shivering and Regional Medical Center In Our Lakes moving blood from your arms and legs to www.seattlechildrens.org the core of your body—head, chest and and Rivers abdomen. Hypothermia Prevention, Recognition and Treatment www.hypothermia.org Stages of Hypothermia Boat Washington Mild Hypothermia www.boatwashington.org (Core body temperature of 98.6°— 93.2°F) Symptoms: Shivering; altered judg- ment; numbness; clumsiness; loss of Boat U.S. Foundation dexterity; pain from cold; and fast www.boatus.com breathing. Boat Safe Moderate Hypothermia www.boatsafe.com (Core body temperature of 93.2°—86°F) Symptoms: Semiconscious to uncon- scious; shivering reduced or absent; lips are blue; slurred speech; rigid n in muscles; appears drunk; slow Eve breathing; and feeling of warmth can occur. mer! Headquarters Station Sum Severe Hypothermia 18421 Old Buckley Hwy (Core body temperature below 86°F) Bonney Lake, WA 98391 Symptoms: Coma; heart stops; and clinical death. Phone: 253-863-1800 Fax: 253-863-1848 Email: [email protected] Know the water. Know your limits. Wear a life vest. By choosing to swim in colder water you Waters in Western Common Misconceptions Washington reduce your survival time.
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Heat Stroke Heat Exhaustion
Environmental Injuries Co lin G. Ka ide, MD , FACEP, FAAEM, UHM Associate Professor of Emergency Medicine Board-Certified Specialist in Hyperbaric Medicine Specialist in Wound Care The Ohio State University Wexner Medical Center The Most Dangerous Drug Combination… Accidental Testosterone Hypothermia and Alcohol! The most likely victims… Photo: Ralf Roletschek 1 Definition of Blizzard Hypothermia of Subnormal T° when the body is unable to generate sufficient heat to sustain normal functions Core Temperature < 95°F 1979 (35°C) Most Important Temperatures Thermoregulation 95°F (35° C) Hyper/Goofy The body uses a Poikilothermic shell to maintain a Homeothermic core 90°F (32°C) Shivering Stops Maintains core T° w/in 1.8°F(1°C) 80°F (26. 5°C) Vfib, Coma Hypothalamus Skin 65°F (18°C) Asystole Constant T° 96.896.8-- 100.4° F 2 Thermoregulation The 2 most important factors Only 3 Causes! Shivering (10x increase) Decreased Heat Production Initiated by low skin temperature Increased Heat Loss Warming the skin can abolish Impaired Thermoregulation shivering! Peripheral vasoconstriction Sequesters heat Predisposing Predisposing Factors Factors Decreased Production Increased Loss –Endocrine problems Radiation Evaporation • Thyroid Conduction* • Adrenal Axis Convection** –Malnutrition *Depends on conducting material **Depends on wind velocity –Neuromuscular disease 3 Predisposing Systemic Responses CNS Factors T°< 90°F (34°C) Impaired Regulation Hyperactivity, excitability, recklessness CNS injury T°< 80°F (27°C) Hypothalamic injuries Loss of voluntary
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Title: Drowning and Therapeutic Hypothermia: Dead Man Walking
Title: Drowning and Therapeutic Hypothermia: Dead Man Walking Author(s): Angela Kavenaugh, D.O., Jamie Cohen, D.O., Jennifer Davis MD FAAP, Department of PICU Affiliation(s): Chris Evert Children’s Hospital, Broward Health Medical Center ABSTRACT BODY: Background: Drowning is the second leading cause of death in children and is associated with severe morbidity and mortality, most often due to hypoxic-ischemic encephalopathy. Those that survive are often left with debilitating neurological deficits. Therapeutic Hypothermia after resuscitation from ventricular fibrillation or pulseless ventricular tachycardia induced cardiac arrest is the standard of care in adults and has also been proven to have beneficial effects that persist into early childhood when utilized in neonatal birth asphyxia, but has yet to be accepted into practice for pediatrics. Objective: To present supportive evidence that Therapeutic Hypothermia improves mortality and morbidity specifically for pediatric post drowning patients. Case Report: A five year old male presented to the Emergency Department after pool submersion of unknown duration. He was found to have asphyxial cardiac arrest and received bystander CPR, which was continued by EMS for a total of 10 minutes, including 2 doses of epinephrine. CPR continued into the emergency department. Upon presentation to the ED, he was found to have fixed and dilated pupils, unresponsiveness, with a GCS of 3. Upon initial pulse check was found to have return of spontaneous circulation, with sinus tachycardia. His blood gas revealed 6.86/45/477/8/-25. He was intubated, given 2 normal saline boluses and 2 mEq/kg of Sodium Bicarbonate. The initial head CT was normal.
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Respiratory Physiology - Part B Experimental Determination of Anatomical Dead Space Value (Human 9 - Version Sept
Comp. Vert. Physiology- BI 244 Respiratory Physiology - Part B Experimental Determination of Anatomical Dead Space Value (Human 9 - Version Sept. 10, 2013) [This version has been modified to also serve as a tutorial in how to run HUMAN's artificial organs] Part of the respiratory physiology computer simulation work for this week allows you to obtain a hand-on feeling for the effects of anatomical dead space on alveolar ventilation. The functional importance of dead space can explored via employing HUMAN's artificial respirator to vary the respiration rate and tidal volume. DEAD SPACE DETERMINATION Introduction The lack of unidirectional respiratory medium flow in non-avian air ventilators creates the existence of an anatomical dead space. The anatomical dead space of an air ventilator is a fixed volume not normally under physiological control. However, the relative importance of dead space is adjustable by appropriate respiratory maneuvers. For example, recall the use by panting animals of their dead space to reduce a potentially harmful respiratory alkalosis while hyperventilating. In general, for any given level of lung ventilation, the fraction of the tidal volume attributed to dead space will affect the resulting level of alveolar ventilation, and therefore the efficiency (in terms of gas exchange) of that ventilation. [You should, of course, refresh your knowledge of total lung ventilation, tidal volume alveolar ventilation.] Your objective here is to observe the effects of a constant "unknown" dead space on resulting alveolar ventilation by respiring the model at a variety of tidal volume-frequency combinations. You are then asked to calculate the functional dead space based on the data you collect.
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Resident Scholarly Work
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Hypothermia – Signs and Symptoms Aside from the Cold That Is Felt and the Shivering That May Occur, Initially Mental Function Is Most Affected
December 2010 – ISSUE 123 DIRECTOR’S NOTE As we prepare to embark on a new year, I would like to take a moment to highlight a few of the forestry transportation safety improvements and initiatives that took place in BC in 2010; The establishment of District wide Road Safety Committees throughout the province. Provincial standardization of radio calling procedures and resource road signage. The expansion of the Council’s Trucksafe program to include issues relating to marine and air transportation safety. Moving forward into 2011, further gains in transportation safety awareness and improved results can be expected through the following initiatives; The identification and development of a Log Truck Driver training program. The establishment of provincial level Trucking Safety Technical Advisory Committees. The development of Passenger Safety Guides for helicopter, float plane and marine transportation of forestry workers. Research and development of programs targeted towards improving the health and wellness of drivers. We look forward to your continued interest and support of this publication and the other safety improvement initiatives carried out by the BC Forest Safety Council. Thank you and have a safe 2011 Chuck Carter, RPF Now that winter is in full force, ensuring preparedness and response for the cold and sometimes extreme conditions while working can make a big difference in your day. Vehicles and equipment are susceptible to break down in freezing temperatures. It’s necessary to ensure proper clothing is worn for the outside temperatures but also it is also important to ensure that there are the resources to keep warm for extended exposure within the vehicle.
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Failure of Hypothermia As Treatment for Asphyxiated Newborn Rabbits R
Arch Dis Child: first published as 10.1136/adc.51.7.512 on 1 July 1976. Downloaded from Archives of Disease in Childhood, 1976, 51, 512. Failure of hypothermia as treatment for asphyxiated newborn rabbits R. K. OATES and DAVID HARVEY From the Institute of Obstetrics and Gynaecology, Queen Charlotte's Maternity Hospital, London Oates, R. K., and Harvey, D. (1976). Archives of Disease in Childhood, 51, 512. Failure of hypothermia as treatment for asphyxiated newborn rabbits. Cooling is known to prolong survival in newborn animals when used before the onset of asphyxia. It has therefore been advocated as a treatment for birth asphyxia in humans. Since it is not possible to cool a human baby before the onset of birth asphyxia, experiments were designed to test the effect of cooling after asphyxia had already started. Newborn rabbits were asphyxiated in 100% nitrogen and were cooled either quickly (drop of 1 °C in 45 s) or slowly (drop of 1°C in 2 min) at varying intervals after asphyxia had started. When compared with controls, there was an increase in survival only when fast cooling was used early in asphyxia. This fast rate of cooling is impossible to obtain in a human baby weighing from 30 to 60 times more than a newborn rabbit. Further litters ofrabbits were asphyxiated in utero. After delivery they were placed in environmental temperatures of either 37 °C, 20 °C, or 0 °C and observed for spon- taneous recovery. The animals who were cooled survived less often than those kept at 37 'C. The results of these experiments suggest that hypothermia has little to offer in the treatment of birth asphyxia in humans.
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Prioritization of Health Services
PRIORITIZATION OF HEALTH SERVICES A Report to the Governor and the 74th Oregon Legislative Assembly Oregon Health Services Commission Office for Oregon Health Policy and Research Department of Administrative Services 2007 TABLE OF CONTENTS List of Figures . iii Health Services Commission and Staff . .v Acknowledgments . .vii Executive Summary . ix CHAPTER ONE: A HISTORY OF HEALTH SERVICES PRIORITIZATION UNDER THE OREGON HEALTH PLAN Enabling Legislatiion . 3 Early Prioritization Efforts . 3 Gaining Waiver Approval . 5 Impact . 6 CHAPTER TWO: PRIORITIZATION OF HEALTH SERVICES FOR 2008-09 Charge to the Health Services Commission . .. 25 Biennial Review of the Prioritized List . 26 A New Prioritization Methodology . 26 Public Input . 36 Next Steps . 36 Interim Modifications to the Prioritized List . 37 Technical Changes . 38 Advancements in Medical Technology . .42 CHAPTER THREE: CLARIFICATIONS TO THE PRIORITIZED LIST OF HEALTH SERVICES Practice Guidelines . 47 Age-Related Macular Degeneration (AMD) . 47 Chronic Anal Fissure . 48 Comfort Care . 48 Complicated Hernias . 49 Diagnostic Services Not Appearing on the Prioritized List . 49 Non-Prenatal Genetic Testing . 49 Tuberculosis Blood Test . 51 Early Childhood Mental Health . 52 Adjustment Reactions In Early Childhood . 52 Attention Deficit and Hyperactivity Disorders in Early Childhood . 53 Disruptive Behavior Disorders In Early Childhood . 54 Mental Health Problems In Early Childhood Related To Neglect Or Abuse . 54 Mood Disorders in Early Childhood . 55 Erythropoietin . 55 Mastocytosis . 56 Obesity . 56 Bariatric Surgery . 56 Non-Surgical Management of Obesity . 58 PET Scans . 58 Prenatal Screening for Down Syndrome . 59 Prophylactic Breast Removal . 59 Psoriasis . 59 Reabilitative Therapies . 60 i TABLE OF CONTENTS (Cont’d) CHAPTER THREE: CLARIFICATIONS TO THE PRIORITIZED LIST OF HEALTH SERVICES (CONT’D) Practice Guidelines (Cont’d) Sinus Surgery .
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Brownie's THIRD LUNG
BrMARINEownie GROUP’s Owner’s Manual Variable Speed Hand Carry Hookah Diving System ADVENTURE IS ALWAYS ON THE LINE! VSHCDC Systems This manual is also available online 3001 NW 25th Avenue, Pompano Beach, FL 33069 USA Ph +1.954.462.5570 Fx +1.954.462.6115 www.BrowniesMarineGroup.com CONGRATULATIONS ON YOUR PURCHASE OF A BROWNIE’S SYSTEM You now have in your possession the finest, most reliable, surface supplied breathing air system available. The operation is designed with your safety and convenience in mind, and by carefully reading this brief manual you can be assured of many hours of trouble-free enjoyment. READ ALL SAFETY RULES AND OPERATING INSTRUCTIONS CONTAINED IN THIS MANUAL AND FOLLOW THEM WITH EACH USE OF THIS PRODUCT. MANUAL SAFETY NOTICES Important instructions concerning the endangerment of personnel, technical safety or operator safety will be specially emphasized in this manual by placing the information in the following types of safety notices. DANGER DANGER INDICATES AN IMMINENTLY HAZARDOUS SITUATION WHICH, IF NOT AVOIDED, WILL RESULT IN DEATH OR SERIOUS INJURY. THIS IS LIMITED TO THE MOST EXTREME SITUATIONS. WARNING WARNING INDICATES A POTENTIALLY HAZARDOUS SITUATION WHICH, IF NOT AVOIDED, COULD RESULT IN DEATH OR INJURY. CAUTION CAUTION INDICATES A POTENTIALLY HAZARDOUS SITUATION WHICH, IF NOT AVOIDED, MAY RESULT IN MINOR OR MODERATE INJURY. IT MAY ALSO BE USED TO ALERT AGAINST UNSAFE PRACTICES. NOTE NOTE ADVISE OF TECHNICAL REQUIREMENTS THAT REQUIRE PARTICULAR ATTENTION BY THE OPERATOR OR THE MAINTENANCE TECHNICIAN FOR PROPER MAINTENANCE AND UTILIZATION OF THE EQUIPMENT. REGISTER YOUR PRODUCT ONLINE Go to www.BrowniesMarineGroup.com to register your product.
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What Are the Health Effects from Exposure to Carbon Monoxide?
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Overview of the Circulatory System Fill in the Blank
Overview Of The Circulatory System Fill In The Blank If orthotropic or rheumatoid Bernardo usually Germanising his erotica euphemize contractually or expect centrally and Malaprop, how pessimum is Tore? Obcordate Darius hale meltingly. Liberating and aerobatic Marco vandalise, but Lynn quickly unlives her margins. LESSON 1. Bio 104 Chapters 17 20 Cardiovascular System 33. Short-Answer Questions About Circulatory and Lymphatic System Infections. Circulatory system the concept to blood pressure and available and flake the currency of William Harvey II Overview the Concept Objectives The student will 1. Cardiovascular System Higher Education Pearson. Outline The Digestive System develop your textbook to one you clock in the blanks Where do. As the pulmonary circulation at the remaining circles from each blank to fill the in humans and cocaine affect the pulmonary vein in. Circulatory and Lymphatic System Infections GALILEO Open. The vascular diseases that red blood comes with their amazing heart failure occurs most of ingested food pieces of circulatory system, resulting pattern of the. 7 Circulatory System Diseases Symptoms Risks and More. For each definition given below fill date the inmate with the crate part that completes the term. The respiratory system access in blanks worksheet answers human digestive. FREE Circulatory System Activities and Classroom Resources Teacher Planet. Blood and Circulation Webquest Gates Chili. Then to pass through the systemic artery is vital for developing this system circulatory system is blood pressure, where they extend like you can adjust their understanding its chambers. Blood cannot flow diagrams a particular part in the circulatory system blank to. There are separated by which vitamins, fill the vessels that makes cells found, body and describing the.
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