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Chapter 4 human body anatomy and physiology
Chapter 4 human body anatomy and physiology
Anatomy of the human body.
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The Day I Decided I Didn't Want to be a Doctor
We've got one unconscious 14-year old male, struck by a train. Breathing is labored and shallow. A weak carotid pulse is 42. BP is 80 over 60. Skin is cyanotic, moist, and clammy. Pupils are dilated and non-reactive. Multiple complicated injuries: broken ribs protruding through left side, tension pnuemothorax, distended abdomen with obvious internal bleeding, fractured humerus, and pelvis. Massive injuries to head and face: lacerated nose, fractured zyogos, fractured cranium with obvious ecchymosis around eyes, hemorrhaging and leaking cerebrospinal fluid from ears and cranium. Have the trauma team ready when we arrive.
I chose to do my clinical on a Friday night because I wanted a big messy injury like the ones in our class videos; but so far it's been a rather uninteresting evening. The only injuries, a fractured arm, an avulsed finger, a lacerated chin, and, of course, herds of complaining geriatrics. Just my luck. Being enthusiastically bored with these trivial injuries, I stroll up to the central call-in desk and slump down on a wooden, three-legged stool and insipidly finger the plastic ID badge clipped to my front collar. WAIT, what is this. The trauma team has assembled and is impatiently waiting by the accordion glass door. Something big must have happened. Through the glass door, brightly flashing red and white lights ignite the emergency room. An ambulance has just arrived. The glass doors fold open and a sea of blue and teal scrubs frantically attacks the wheeled stretcher. This is it; this is the big one I've been waiting for. A spark of excitement shoots down my veins. Adrenaline jump-starts my heart and my mind is immediately racing. I launch from my stool and shuffle around the swarming sea of blue and teal. A blaring voice rattles off the patient's latest diagnosis: a 14-year old struck by a train. BP is 68 over 40, pulse is 34, broken ribs, tension pnuemo, fractured cranium . . .
The stretcher is wheeled to an isolated back room. A boy's tattered body lay quiet and still. Two, latex-gloved male nurses grasp each end of the spine board on which the boy is strapped and lift it onto a rectangular, white padded bed. A football-sized pool of bright red blood remains on the white padded stretcher where the boy once lay. The small body, stripped of all clothing except for a small white towel covering his genitalia, is grotesquely deformed.
Dr. Jey Arthur, of Sutter Memorial Hospital, is an idol when it comes to physicians within a hospital’s Emergency Room. During his shift, the entire atmosphere of the Emergency Room changes. Nurses become more interactive with their patients and the patient’s rooms are no longer filled with misery and hopelessness. From the second the patient is assigned a room, Dr. Arthur is constantly visiting keeping the patient well informed and up to date on what the physicians and nurses are doing and their progress. From my time shadowing Dr. Aurther, not a single patient had lost a smile when he left the room. Beyond the care of the patient, Dr. Arthur has established absolute order with those working in the Emergency Room. Dr. Arthur has made himself
Fanon’s work fit well into the reading list of many Black Power activists. And this article suggests that it did so because Fanon’s Wretched of the Earth combined familiar themes that have long been present in African American Political Thought and have shaped Black social and political activism for decades, if not centuries. In addition, and particularly important with regard to the Black Power Movement long-term impact, Fanon’s outlook provided an important “defense” against the new reading of the old “cultural pathology-theme,” which White politicians and scholars revived in the wake of African American demands for more economic and social equality. In sum, Fanon’s authority on matters of psychology, read as a clear appeal for Black self-care,
...ut if nothing is attempted the actual people that live and reside within the Detroit metropolitan are will become decay too
There is no refuting that the railroad companies transformed business operations and encouraged industrial expansion. The raw materials required for construction of the transcontinental railroad directly resulted in the expansion of the steel, lumber and stone industries. (Gillon p.652) The railroad stimulated growth in manufacturing and agriculture providing an efficient manner to ship raw materials and products throughout the country. Which in turn, increased consumerism and introduced t...
There is nothing traumatizing in the world has adding pain to where it already exists. This is the hell situation which every medical error victim is exposed. As the statistics are currently showing, the fatalities are increasing day by day. The trend seems to be hiding on the old ideology of “man is to error”. However this is not being tolerated any more and the American medical facilities are being held 100% accountable for the mistakes they make in their service delivery. Professional diligence is not a matter of negotiation in this generation and probably future generations. If a medical facility cannot treat people diligently, then the only better option remaining for that facility is to be made to account for the losses they have caused on affected patients and be closed down immediately.
Rail in Chicago is essential to Railroads throughout the country of North America. Chicago is also the known for it’s center in the railways throughout America. In comparison to any other city in the country, Chicago offers more railroad tracks to the surrounding states. “Chicago today remains the busiest rail hub in the United States. Each day, nearly 1,300 trains pass through the region (500 freight and 760 passenger). Chicago handles one-fourth of the nation's freight rail traffic, each day handling 37,500 railcars” (About CREATE). Being the center for American freight Chicago also is known for it railyards. The railyards are gateways to the other rail tracks. It is home t...
...hould publish data on serious incidents for independent review” (Nursing Standard, 2014, p.10). In order to fully decrease the amount of never events occurring staff members need to be fully trained on how to properly use checklists, how to prepare for a surgery, and how to conclude a surgery. These trainings will stress the necessity of using checklists, and because of it most Never Events that transpire will only be serious occurrences.
“The Death Penalty in America: A Cultural and Historical Analysis.” Supreme Court Debates (2004): pp. 259-288.
Alterman, D. M. (2013, August 2). Considerations in Pediatric Trauma. In Medscape. Retrieved March 25,
Louie, Wason, and Ryan Wippler. "Marijuana: It's Role in the Medical Arena." Alternative Medicine. Creighton University Medical Center, Feb. 2005. Web. 28 Feb. 2012
Since the 1700’s forms of the death penalty have been used for one reason or another, but today some disagree with this judicial practice. The death penalty is the ultimate punishment imposed for murder or other capital offenses, and in Alabama a capital offense is murder with eighteen aggravating factors. In 1972 the Supreme Court moved away from abolition, holding that “the punishment of death does not invariably violate the constitution” (Bedau, Case against 2). Since 1900, in this country, there have been on the average more than four cases each year in which an entirely innocent person was convicted of murder (Bedau 7) and because of these startling numbers people are against capital punishment. It is a horrible reality to convict an innocent person of a crime and even worse to put this person on death row. There are even more horrific stories, like the one of Roger Keith Coleman, who was executed in Virginia despite widely pu...
As an UConn graduate, I strive to practice UConn School of Nursing PRAXIS – professionalism, respect, accountability, excellence, integrity and service. Two weeks following the orientation on postpartum unit, I knew taking care of four mother-baby couplets overnight was not going to be an easy job at a level I trauma center, where we care for the sickest of the sick. After a thorough plan of care for each patient and tailoring it to their needs for the night, I felt more confident in my skills and time management. It wasn’t until I got a call from a 14 hour post-op c-section patient at 0455 complaining of dizziness, lightheaded, blurry vision and “feeling hot”, who an hour ago was walking to the bathroom, breastfeeding baby and eating with no complains of pain. I left my workstation behind to discover a pale, diaphoretic patient with low blood pressure. I froze. Screamed for resident down the hall. Rapid response team and more professionals were there in no time while I stood by my patient holding her hand, echoing the story to residents and attending MD I’ve told previously. After twenty minutes of stabilizing the patient and diagnosing at bedside with ultrasound and abdominal x-ray, the patient suffered internal hemorrhage from tubal ligation site. She was rushed to operating room. Speaking to her husband was even harder. I froze again. I sat on my knee, held his hand and cried with him. In
This assignment is based on the case study of Leigh Richards (School of Nursing & Midwifery 2013). Leigh Richards is a 39-year-old male who has three (3) children, he lives in Murray Bridge and works as an irrigation consultant; Leigh was in a rally car as it crashed into a tree while going high speeds on a dirt road. Leigh has been diagnosed with pneumothorax and a small subdural hematoma but these will not be discussed within the assignment (School of Nursing & Midwifery 2013). This paper will encompass the anatomy and physiology of the skeletal and muscular system, the pathophysiology that relates to the areas surrounding the diagnosis of injury that Leigh has acquired, two of the signs and symptoms that Leigh has will be elaborated on and
I went to the operating room on March 23, 2016 for the Wilkes Community College Nursing Class of 2017 for observation. Another student and I were assigned to this unit from 7:30am-2:00pm. When we got their we changed into the operating room scrubs, placed a bonnet on our heads and placed booties over our shoes. I got to observe three different surgeries, two laparoscopic shoulder surgeries and one ankle surgery. While cleaning the surgical room for the next surgery, I got to communicate with the nurses and surgical team they explained the flow and equipment that was used in the operating room.
Although students were not allowed in the recovery unit, I was able to talk to one of the recovery nurses. I learned that a nurse’s duty of care includes monitoring the patient’s vital signs and level of consciousness, and maintaining airway patency. Assessing pain and the effectiveness of pain management is also necessary. Once patients are transferred to the surgical ward, the goal is to assist in the recovery process, as well as providing referral details and education on care required when the patient returns home (Hamlin, 2010).