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Coronary vascular disorders
Coronary vascular disorders
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Silent Killer Today was like supposed to be just like every other day. On another early Monday morning, just like every time I had to get up 2 hours before school, I woke up and went downstairs for breakfast at 6:30. I clean the mess from last night’s dinner with my brother and get ready to go with my carpool to school, because just like every other day, gas is expensive. Funny thing about the carpool, which comes at 7:00 sharp, 7:30 came and she didn’t show up, Therefore, we ended up waking up my father and dragging his tired angry self to school. I had forgotten my wallet at home, so I wasn’t going to have lunch and I didn’t eat breakfast either. Around 11:00, I start my pre-calculus class where we are doing long division of polynomial functions when it hits me. Pain. Intense sharp needle like pain in my chest. Subtle at first, but as I continue breathing, the pain gets worse. So, to solve this, I thought my chair was too tight to the desk. I moved back. Not helping. Clenched at the chest and bent over. Breathed slower. Not helping. Tore off my jacket and bent over in my chair fully. Not helping. And my breath kept getting shorter and shorter until I was barely gasping one every 5 seconds. I reached over and hit my friend and she got the point. Mr. Courtney phoned the principal, vice principal and school administrator. They all came down and told me to lie on the floor. By this time, I was nauseous and convulsing because of lack of oxygen and trauma. I lie there shaking as my teacher moves tables and finds jackets so that I can get my head elevated. The students leave the classroom. My teeth start chattering and I am near tears when the paramedics come in, 8 grown men with machines, clipboards, walkie talkies, and suits storm into the classroom and strap things on me. A red-lighted finger clamp to check my pulse, a blood pressure thing on my arm to check my blood, and 4 sticky clamps attached to wired to check other vitals of some sort. After 15 minutes, the pain subsides almost completely, except when I started to stand. Vital signs, good. Blood pressure, Good. Pulse, strong steady and fast. Adrenaline rush, maybe. Anxiety attack, maybe. Hospitalization, not necessary. By that time, they had called my mom and she came down from North Scottsdale in 14 minutes.
Of the two representations of the “Tell-Tale Heart”, the live action version is best. The live action was more accurate to the original story than the animated version was. The animated version was mostly for entertainment and got some facts wrong. In the live action, he killed the man in the same way and it had all the narrative of the story. The narrator wasn't Poe, like he was in the animated version. He disposed of the body the same and acted the way the character did in the original book. In the live action, the old man’s eye was completely covered by the film. He also panicked the same way as the book.
Women, however, may not experience these common symptoms. Women may experience chest pain or discomfort that feels like squeezing or fullness, pain can be felt anywhere in the chest, not just on the left side. Other symptoms may include pain in the arms, back, neck or jaw which can be gradual or sudden. Shortness of breath may occur with or without chest pain. Additional symptoms may include, cold sweats, nausea/vomiting, lightheadedness or fatigue.
History of present illness: The patient is a 71 year old male of the Veteran Association. His past medical history includes coronary artery disease and chronic obstructive pulmonary disease. The patient was involved in a contraindication at home where he was thrown into a dresser and hit his lower back. Shortly following the incident the police were contacted. During this time the patient consequently began to develop some substernal chest pain with a radiation to the left arm; the patient also became diaphoretic and somewhat out of breath. Emergency medical services (EMS) were contacted. EMS gave the patient aspirin and nitroglycerin and started a saline lock. EMS brought the patient to the emergency department. The patient had
Fine Maron, Dina. "Gene Therapy Shows Promise for Treating Heart Attack Victims." Scientific American. Scientific American, 19 Feb. 2014. Web. 23 Apr. 2014. .
An acute myocardial infraction is commonly known as a heart attack. A heart attack is a serious medical emergency that can cause death if not taken serious! “Every year, there are more than 3 million cases in America.” Says Mayo Clinic. Although, a heart attack can happen at any age the majority of the victims are 40 and up. An attack occurs when the blood supply to a part of the heart is damaged or interrupted. Heart attacks are usually caused by obesity, stress, high blood pressure, smoking and many other diseases or poor decision.
The term “failure to rescue” refers to a clinical scenario where hospital doctors, nurses, or caregivers fail to recognize symptoms. Responders do not respond adequately to clinical signs that would prevent harm (Morse, 2008, p.2). Dr. Jeffery H. Silber, Director of the Center for Health Outcomes and Policy Research, first coined the term “failure to rescue” in the 1990’s. He characterized the matrix of institutional and individual errors that contribute to patient deaths as “failure to rescue” (Aleccia, 2008). Since 1990, it has been well documented patients usually exhibit signs and symptoms of impending cardiac or respiratory arrest 6-8 hours before an arrest (Schein, Hazday, Pena, Ruben, & Spring, 1990). Buist, Bernard, Nguyen, Moore, and Anderson’s (2004) research reported similar findings. They found patients had documented clinically abnormal signs and symptom prior to arrest (Buist, et al., 2004). When certain abnormal signs and symptoms are identified early, critical bedside consultat...
“Ouch”, I said as the pain in my chest got worse. I told my teacher and she sent me to the nurse. The nurse just gave me pain medicine. I ended up going to the nurse three times that day until the nurse finally took my temperature.I had a bad fever. I had to go home, The first day at home I felt the same with the chest pains and shoulder pains. On the second day of the sickness my fever went highermy chest hurt worse and I was getting a bad cough that hurt my chest horribly. My step dad took me to the doctor. The nurse took some xrays and I had to lift my arm up and take deep breathsit felt like knives stabbing my chest and shoulder.
Heart attacks are known in the medical community as myocardial infractions. Some of the most common symptoms or warning from a heart attack may include chest discomfort due to an uncomfortable pressure, fullness, squeezing or pain in the center of the chest (angina). Another symptom is the discomfort in other areas of the upper body because of pain or discomfort in one or both arms, the back, neck, jaw or stomach. The next one is shortness of breath with or without chest discomfort. Lastly, there are other signs such as nausea, dizziness, lightheadedness or cold sweat. There are some cases when these symptoms are not present or the person is considered to be healthy and a heart attack can strike without any warning sings. (Causes,
For my first clinical observation, I was assigned to the trauma unit and it was not what I expected it to be. I thought the trauma unit would be fast pace and there would be nurses and doctors rushing everywhere, however, I did not see any of that. Instead, it was quite peaceful and this was probably because my clinical observation was from 10-12 p.m. When I met up with my senior nurse, she showed me a binder that contained all of her patients’ diagnoses, lab reports, treatments, and vital signs, which was a lot to take in because most of the terms she used, I had no idea what they were. After looking at the reports, she showed me a patient who had gunshot wounds on his back and abdomen. I could tell he was in a lot of pain by the tone of
The treatment priorities of the registered nurse upon admission to the emergency department are as follows; within the first 10 minutes of Mr. Bronson’s arrival to the emergency department begin a 12 lead ECG. Assess Mr. Bronson’s vitals heart rate, blood pressure, respiratory rate, oxygen saturation, and administer oxygen 2-4 liters via nasal cannula (Sen, B., McNab, A., & Burdess, C., 2009, p. 19). Assess any pre hospital medications, and if he has done cocaine in the last 24 hours. At this time, the nurse should assess Mr. Bronson’s pain quality, location, duration, radiation, and intensity. Timing of onset of current episode that brought him to the emergency room, any precipitating factors, and what relieves his chest pain.
"Hello! This is Cornwall ER. How may I help you?" The nurse answered the phone call. Like every Friday, I was volunteering in the INOVA Emergency room. It was a very busy day in the ER, where all the room including the triages were full. The rescue squads were coming with one patient after another, and the doctor, PA and nurses were very busy. I looked at the nurse’s face, and she seemed very concerned. That was because it was a trauma case, and the patient was going in a cardiac arrest. The nurses started preparing the trauma room and I assisted them in the process. That was my first time observing a trauma case after I started volunteering in the ER. I was very anxious. After about 10 minutes, the ambulance arrived. Four rescue squad rushed in with the patient. They were using a defibrillator, and the patient was oozing out blood. One member of the squad was covered in blood, and everyone’s face was extremely tensed. The doctor and the nurses rushed in and started assisting the paramedics. I was praying for the trauma patient as I was delivering a blanket to a patient
In March of 1998, my father was rushed to the hospital because of a heart attack. I remember getting home from basketball practice without my mother home. Instead, my sister was there with her children. The fact that my sister was there was familiar to me, but something did not seem right. My sister stayed with me and did not tell me what happened. Later that night, after my sister left, the news that followed would prepare me to encounter the most defining moment of my life.
It was a gloomy Tuesday despite the fact that it was late August. I had missed the first day of school because I always hated the idea of introductions and forced social situations during those times. I hated my particular school ever since I started as a freshman the
I remember the day as if it were yesterday; I was sitting in my sixth grade classroom deliberately packing my belongings away in my jam-packed locker. As I reached for my belongings, I endured all of the eventful memories that took place in that school and in my home state. All the friendships that I made would abolish. My friends sobbed as I sobbed. I anticipated this very day for about six months. As all of my belongings were finally packed, I gave my final good-byes and headed out. The mixed emotions trembled through my head. I became exceedingly furious then miserable then furious again. Hatred filled my eyes as we drove farther away. I became bitter with my family and secretly blamed it all on my
As usual I woke up to the sound of my father pounding on my bedroom door, hollering, “Get up! Get on your feet! You’re burning daylight!” I met my brother in the hallway, and we took our time making it down the stairs, still waking up from last night’s sleep. As we made our way to the kitchen, I thought about what to have for breakfast: fried eggs, pancakes, an omelet, or maybe just some cereal. I started to get hungry. As usual, mom and dad were waiting in the kitchen. Mom was ready to cook whatever we could all agree on, and dad was sitting at the table watching the news. The conversation went as usual, “Good morning.” “How are you today?”