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Recommended: Case studies sepsis
The outcome of a discovery does not always have a positive outcome for all parties involved, whether it is a rediscovery of past knowledge or the uncovering of new information, both may serve to affirm or challenge beliefs, resulting in different ramifications for individuals and their worlds. The author and illustrator of allegorical picture book ‘The Rabbits’ Shaun Tan and John Marsden employs ideas of historical context relating to colonialism and the loss of culture and freedom that took place throughout the process, similarly to Shakespeare’s tragicomedy play ‘The Tempest’, where the exploitation of the character Caliban is repeatedly highlighted revealing the dystopic turn of events the native people would have experienced after the
Disseminated Intravascular Coagulation (DIC) Disseminated intravascular coagulation (DIC) is a case of uncontrolled activation of proteins that are involved in the clotting process such as thrombin, fibrinolytic proteins, platelets, and coagulation factors. DIC occurs due to inflammation, trauma, infection, and shock. The presence of mucocutaneous bleeding is an evidence of DIC. Disseminated intravascular coagulation has acute and chronic phases. In acute phase, a patient will have severe symptoms while in chronic phase a patient may suffer from inflammation of blood vessels or adenocarcinoma.
1.0 Introduction Acute respiratory distress syndrome also called adult respiratory distress syndrome. Acute respiratory distress syndrome (ARDS) was originally defined by Ashbaugh et al in 1967 as a condition identify by rapid onset tachypnoea and hypoxaemia with loss of lung compliance and bilateral infiltrates on chest radiograph. ARDS happen both adult and children. ARDS may happen in people of any age. Its rate increases with advancing age, ranging from 16 cases per 100,000 person-years in those aged 15-19 years to 306 cases per 100,000 person-years in those between the ages of 75 and 84 years.
Northwell Health created a special Task Force focused on reduction of sepsis related deaths in the Emergency Department, as stated in the article “Reducing Sepsis Mortality.” The goal is to teach medical staff to recognize the signs and symptoms within an hour of patients arriving to the Emergency Department. This recognition then leads to a course of specific actions, such as, “ Early administration of antibiotics to septic patients, returning serum lactate test results to physicians, who could identify severe sepsis, starting empiric fluids quickly and appropriately,” as explained by Friedman, Gallo, Riebling and Doerfler. Northwell Health’s dedication and desire to improve the outcome of these patients lead to an understanding of the need
Before blood transfusions were in use, soldiers kept dying because of the severe blood loss they were experiencing and no one could do much once someone lost a certain amount of blood. In 1914-1915, the use of “sodium citrate anticoagulant was introduced by Albert Hustin, Luis Agote, and Richard Lewisohn” (Pierce 3), which allowed the blood to be stored for a few days and “ended the need for donor and recipient to be in the same room” (Pierce 5). Once the war began, the transfusions done by the French and British doctors used “older, more direct methods” (Pierce 2). The greatest cause of excessive blood loss was caused by the wounded shock towards their injuries. In 1917, more physicians became familiar with transfusions and that is when Robertson drew up the plans for the every first blood bank.
The Effects of Sepsis Bundle on Mortality Rates: Background and Significance Historians in the medical field such as Hippocrates and Pasture have referenced symptomologies associated with sepsis of today (Angus & Van der Poll, 2013). Sepsis received its official definition of severe sepsis and septic shock in 1992; with terminology being based on the accompanying disease processes present (Angus & Van der Poll, 2013). The definition of severe sepsis indicates the presence of organ dysfunction along with sepsis. Additionally, septic shock is related to the presence of hypotension not responding to fluid resuscitation (Cawcutt, & Peters, 2014). A diagnosis of severe sepsis or sepsis shock has an increased risk of patient mortality, length of stay, and a higher probability of long-term disability (Cawcutt & Peters, 2014; Whittaker, et al. 2015).
Ignaz Semmelweis (1818-1865) was a Hungarian physician who is credited with the introduction of medical practices designed to reduce sepsis rates. (1). Semmelweis was hired into an obstetric clinic in Vienna and shortly after his hire, he began noticing that many mothers were dying of what they called childbed fever, otherwise known as puerperal fever. He made observations and tested various hypotheses before finally discovering the cause of the disease. Semmelweis attempted to implement practices into the medical field to help prevent childbed fever, but before he could do so effectively, he lost his job and his practices were then ignored.
Blood plasma, according to the American National Red Cross, is “the liquid portion of blood – a protein-salt solution in which red and white blood cells and platelets are suspended... Plasma contains albumin (the chief protein constituent), fibrinogen (responsible, in part, for the clotting of blood) and globulins (including antibodies). ” Blood plasma is essential for cell function, and it also became vital in treating the wounded on the battlefield. Dr. Charles Drew’s discovery of the application of blood plasma lead to the saving of thousands, even millions of people.
The purpose of the eICU is to: - Accurately monitor and enhance care delivery to the ICU patients remotely - Reduce the time from when the problem is identified till some action is taken over it - Help bring better results, reduction in costs and smaller stays - 10 percent of inpatient beds nationwide are allocated to ICUs, the percentage is higher in tertiary-care centers. - The highest acuity is for the ICU patients. The mortality rate of the ICU patients exceeds 10 percent, and their daily costs are four times higher as compared to those of other inpatients. - They experience more incidents of medical errors (1.7 per patient per day), and because of their inherent instability, they have greater chance to get harmed from suboptimal care.
During the war, wounded soldiers and victims who lost blood died due to lack of blood or sustainable donors who would donate blood. At this time there were no means of storing blood and transfusion was done directly from donor to recipient. For this reason, researchers from New York started to study on how they would store and preserve fresh blood. As a result, they realized that salt solution would preserve fresh blood while sodium citrate would prevent blood clotting. In the application of this methodology, the medics started storing blood but with great difficulty because the blood would only be fresh for less than 28 days.
For the Technical Communications Rhetorical Analysis assignment, I have reviewed two instructional documents. The first document is an instructional document for patientsreceiving steroid pulse therapy for the treatment of autoimmune diseases and the effect of instruction on patient knowledge by Yu-Chu Pai who works for BioMed Central Ltd. The second document is also a letter about blood transfusion errors by American Society of Registered Nurses. The purpose of this memo is to outline the similarities and differences that I have discovered during my rhetorical analysis of these two pieces.
My request is to have one of your producers explore the sepsis challenge and our mission. This story needs national attention. I have enclosed a brief slide summary that provides background on sepsis and our program initiatives. I encourage you to visit other informative websites including the Sepsis Alliance (www.sepsis.org), the Rory Staunton Foundation (www.rorystauntonfoundation.org), and the Global Sepsis Alliance (www.global-sepsis-alliance.org). I am looking forward to your
Hypovolemic shock occurs when the total volume of blood in the body falls well below normal. This can occur when there is excess fluid loss, as in dehydration due to severe vomiting or diarrhea, diseases which cause excess urination (diabetes insipidus, diabetes mellitus, and kidney failure), extensive burns, blockage in the intestine, inflammation of the pancreas (pancreatitis), or severe bleeding of
Question 8 As a health professional, in all circumstances, places and time periods, the first priority should be to protect and conserve the well-being of the patient, seek adequate and successful treatment methods, and above all, be a knowledgeable and friendly face to provide advice and care for all types of injuries and disease. With difficult diagnoses, this process and responsibility becomes even more difficult, yet of even greater significance and importance. Furthermore, to ensure quality of life of the patient and encourage them to seek support in their diagnoses, it is beneficial for the physician to provide the patient with resources that may aid them in coping with the diagnosis, management of the condition, and provide them with information and a network of similar patients. As a physician in the late 1980’s, it would be hard to provide adequate care and a sufficiently thorough diagnosis of the HIV virus and the subsequent progression to AIDS to a newly HIV positive patient.
Haemostasis is a physiological process of blood clotting and dissolution of the clot, followed by the repair of injured tissue. It results from interplay of vascular endothelium, platelets, coagulation factors, anti-coagulation mechanisms and fibrinolytic system. The fluidity of blood in the absence of injury is maintained by the balance between pro-coagulant pathway, and the mechanisms that inhibit the pro-coagulant pathway. Imbalance between the two mechanisms, for example during clinical illnesses or preoperative period, predisposes a patient to either bleeding or thrombosis. To stop bleeding after injury, a complex process is initiated within seconds.