Paramedic Essays (Examples)

Paramedics the Problematic Autonomy of Australia's Paramedics

Paramedics

The Problematic Autonomy of Australia's Paramedics

The paramedic is a critical contributor to the effectiveness of Australia's collective healthcare system as well as of the numerous states that comprise the nation. As critical first-responders endowed with the skills, knowledge and training to provide onsite emergency and acute treatment either prior to or while transporting a patient to a hospital facility, paramedics are essential to the protection of the public health. And yet, few healthcare professions remain as hazily defined, poorly represented or shabbily treated as Australia's paramedics. As the discussion here below will demonstrate, this condition is largely a product of the fact that the occupation is allowed to operate relatively independently from the licensure, certification and centralized oversight that mark the career development of other healthcare service professions. This definitional limbo is a major cause for the long-standing absence of consistency for a qualified and state-sanctioned paramedic as…… [Read More]

Paramedic's Role in Reporting and Preventing Child Abuse and Neglect

In addition to physical indicators, the authors note that elder abuse can be recognized by behavioral or other indicators as well. Behaviorally, the elder person might be emotionally upset or agitated, withdrawn, fearful, depressed, and so on. Other indicators include an unexplained inability to pay bills, and a disparity between the income, assets and lifestyle.

To report cases of such abuse, adult protective services are available to receive and investigate reports. It is perhaps good to mention here that a paramedic should carefully examine the patient in question before making any reports. He or she should also interview the individual concerned to determine and substantiate suspected abuse. If such a report is made without grounds, it could needlessly damage the reputation of the individuals involved; which in turn could lead to legal expenses for the hospital.

However, if abuse that occurs is not reported, the consequences could be even worse,…… [Read More]

Body Language and Paramedics Among

I believe today I did everything right, because I had no gauze or bandages for the seriously injured person and had no medical training.

When I was in high school, my parents were involved in an accident, and someone tried to pull my mom out of the driver's seat when the steering wheel was actually pressed against her chest. That was a mistake, because it caused more bleeding and deeper injuries to her ribs. It is clear that when a good Samaritan stops to help an injured person, it's best to let the profession paramedics (which I plan on becoming) handle those delicate chores. Comforting the injured with positive, empathetic body language and directing traffic is about all a layperson should try to do.

In conclusion, a reader doesn't realize how little he or she knows about the power of nonverbal communication until delving seriously into the literature. The fact…… [Read More]

EMT Paramedic Paramedic Job Opportunities

Hazmedics are also called 'toxmedic, hazmat paramedic, or hazardous materials medic..." (Schnepp, 2003) Schnepp states that the hazmedic "functions as a prehospital resource for acute toxicological illness, chemical exposures, and overall health and safety and has the ability to...":

1) Recognize the setting of, or potential for, a chemical exposure, toxicological illness, or biological warfare agent exposure;

2) Render appropriate treatment for nerve agent and general industrial chemical exposures. Recommend decontamination procedures for contaminated patients. Serve as a special toxicological reference at any incident. Assist with pre- and post-incident medical monitoring and determine hazmat team member status (for example, "Cleared for entry," "Restricted from entry," "Send to rehab," and "Treatment and/or transportation required"); and 3) Assist with WMD-specific training to fire department personnel and outside jurisdictions." (Schnepp, 2003)

The requirements for certification as a 'hazmedic' is a 24-hour curriculum training program as well as the following requirements:

1. Three years…… [Read More]

Community Paramedicine in Maryland

Community Paramedicine

When it comes to healthcare in the United States, there are a number of challenges and issues that challenge everyday Americans all of the time. The common refrains are access to providers, costs and so forth. However, the devised and proposed solutions are also gaining prominence as well. One such solution has come to be known as community paramedicine. The key to community paramedicine is that emergency management services (EMS) personnel act outside of and beyond their traditional scope of duties and responsibilities. This is done as a means to enhance and improve the healthcare options that exist within the communities. This report is meant as a review and summary of the use of community paramedicine and how it can be created and expanded in the state of Maryland. While the community paramedicine methodology is still very much in its nascent stages, the potential benefits and better outcomes…… [Read More]

Addressing the Security of Pre-Hospital Care Providers

EMS and Paramedics Carry Guns on the Job

Emergency Medical Services (EMS) are a form of emergency service, whose main objective is to provide acute medical care, transportation to healthcare organizations, including special medical transport to patients of attacks due to act of terror and others of the same kind. In addition, the emergency medical services are also locally referred to as paramedic service. Other countries across the globe refer them as first aid squad, emergency squad, rescue squad, or ambulance squad. Their services mainly include the transportation of patients to other definitive points of care for them to receive urgent care. They also engage in a timely removal of patients who require the urgent medical intervention to other points of care. The job description of these personnel comes with substantial risks.

This is because the personnel put their lives at risk more than the common citizens (Grady and Revkin).…… [Read More]

EMS Systems There Are Many Different EMS

EMS Systems

There are many different EMS systems that utilize advanced life support (ALS) professionals in different ways. Some EMS systems will have an ALS professional on all first response units such as found in the Portland and Washington County. The ALS group is a team of highly trained individuals that provide more advanced medical care to patients while they are in transit and their training exceeds that of an EMT for example. Generally these teams are composed of three individuals that include a standard paramedic, a critical care paramedic, and an emergency care practitioner (FCEMS, N.d.):

Paramedic (EMT-P) - Paramedics are licensed individuals who can perform tasks beyond that of an EMT. These tasks include: cardiac monitoring, intubation, and administering IV medications.

Critical Care Paramedic (CCEMTP) - Critical care paramedics are similar to paramedics except that they are certified to provide more care to patients in critical conditions. Through…… [Read More]

Ethical Principles Apply to This

The relatives in this case state that they know the woman's wishes, and they have her regular health care provider to back their statement. Thus, it seems in the case that the on-call physician would not be in error, should he remove the support of the ventilator.

What other measures could have been placed to assure the patient's wishes were honored?

Instead of merely giving proxy to the woman's relatives, a Living Will specifying the terms that were acceptable to the woman for life support would have enabled her to put her feelings in writing when she was still functioning as an autonomous individual, and capable of making her own decisions. "Of all the various acceptable forms of evidence, a health care declaration (often called a 'Living Will') can be the best. It simply documents a person's wishes concerning treatment when those wishes can no longer be personally communicated" (Freer,…… [Read More]

Leadership a Leader Is Who

Transformational leaders have the innate ability to motivate their team members by the vision of what they are trying to accomplish together (Hur, van den Berg, Wilderom, 591). Leaders at this level also show through personal effort why sacrificing for a goal is worth it (Pryor, Oyler, Humphreys, Toombs, 18). Contrasting my own leadership style, I have learned that being able to provide subordinates with an opportunity to take on a task their own way, master it, and find purpose in it is a major step in the right direction. The concepts of autonomy, mastery and purpose as the core of motivation is what I am working to achieve today as a leader. I am also on the journey to being a better leader on this dimension as well, working to show that sacrificing for a long-term goal is worth it.

Conclusion

Leadership is a skill set that must be…… [Read More]

Issues in EMS

EMS single-tier response (STR) or a multi-Tier response (MTR) is optimal for a community?

While EMS are present in every community, each community has different needs and the response of the EMS should be tailored in a community-specific fashion. For example, some communities are far more dependent upon EMS to provide critical services because of their demographics. A large city such as New York will often have more critical incidents due to violence or safety hazards. Also, the logistics of mobility within a city can mean that a single-tiered response (STR) is more appropriate. At the other extreme, a rural area, because of a lack of medical resources such as nearby hospitals, can also benefit from a STR, given that aspects of primary care and treatment may need to be given immediately on the scene due to the lack of available resources at point of care. In terms of a…… [Read More]

Work and Occupations Crisis and

Crisis administrations have one or more committed crisis phone numbers saved for basic crisis calls. In other countries, one number is utilized for all the crisis administrations. However, every crisis administration has its own defined crisis number in very few countries (Whyte, 2002).

Portrayal

In the same way as Emergency Service, firefighter experts are vital to groups everywhere in the country. They are crucial to the principal mission of any Navy. In boats, submarines, airplane and weapons of numerous sorts, risk is a characteristic part of the occupation. If it is ordinary work or continuous missions, conditions might be unpredictable and valuable lives and unreasonable gear are always at stake (Regehr & Bober, 2007). As part of the emergency response group, an emergency responder will be there to forestall mishaps and to stabilize the scenario in case of an incident. No professional is obliged to wind up part of the…… [Read More]

Errors in the ICU

Medication Errors

One of the major challenges impact healthcare providers is medical errors. These issues are challenging, as they will have an adverse impact on quality and safety. In the case of the ICU, these challenges are becoming more pronounced. This is because of the different conditions and large number of patients they are working with. A good example of this can be seen with insights from Orgeas (2010) who said, "Although intensive care units (ICUs) were created for patients with life-threatening illnesses, the ICU environment generates a high risk of iatrogenic events. Identifying medical errors (MEs) that serve as indicators for iatrogenic risk is crucial for purposes of reporting and prevention. We describe the selection of indicator MEs, the incidence of such MEs, and their relationship with mortality. We selected indicator MEs using Delphi techniques. An observational prospective multicenter cohort study of these MEs was conducted from March 27…… [Read More]

STEMI Systematic Review

door to balloon time is an important determinant of the prognosis of STEMI patients. To reduce D2B times, most centers implement a pre-hospital triage which involves the use of pre-hospital ECG to allow direct transfer of patients with confirmed STEMI to the PCI lab. Since most health facilities do not have PCI laboratories, a quick decision needs to be made regarding fibrinolytic therapy or transfer to a PCI facility. The most important factor determining this decision is the time taken from the onset of symptoms to arrival at a hospital facility and the predicted time duration for effective transfer. Through this systemic review, we sought to analyze the role of pre-hospital management in door to balloon time (D2B), door to needle (D2N) time and the long-term mortality of STEMI patients.

Since pre-hospital delay is responsible for the greatest time loss, and is indeed the most variable factor, we tried to…… [Read More]

Termination Process When There Are

But there will also be situations where clinicians are asked to discuss with a patient whether they want to or should have resuscitation if they have had a cardiac arrest or life-threatening arrhythmia. The potential likelihood for clinical benefit in accordance with the patient's preferences for intervention and its likely outcome, involves careful consideration, as with many other medical decisions, in deciding whether or not to resuscitate a patient who suffers a cardiopulmonary arrest. Therefore, decisions to forego cardiac resuscitation are often difficult.

Cardiopulmonary resuscitation (CPR) is a set of specific medical procedures designed to establish circulation and breathing in a patient who's suffered an arrest of both. CPR is a supportive therapy, designed to maintain perfusion to vital organs while attempts are made to restore spontaneous breathing and cardiac rhythm (Braddock 2).

The standard of care is to perform CPR in the absence of a valid physician's order to…… [Read More]

Mechanics of Police Report Writing

One of the paramedics was Latina, and she translated; the female (Ms. Garcia) was married to the suspect but says she divorced him last year due to his violent episodes and his drinking and drug use, according to the translation from the Paramedic.

Witness Report:

"A neighbor in a nearby apartment knocked on the door and said she had witnessed the female being harmed by the suspect more than once. The witness, Alice Mercado, 27, bilingual and employed as a maid in a nearby motel, said she had heard fighting coming from the apartment in the past on many occasions. Sometimes she was afraid to come to see what was happening because the suspect was unpredictable and explosively violent when under the influence of alcohol and crack cocaine, she said. She told this officer that she once had a relationship with the suspect prior to his marriage to her neighbor.…… [Read More]

Chest Pain Case Study the

According to the text by Sanders (2011), the Venturi Mask is likely to be the most appropriate assistive device in this process. Sanders indicates that this particular apparatus is "advised for patients who rely on hypoxic respiratory drive. This includes, for example, patients with COPD. The main benefit of the Venturi Mask is that it allows precise regulation of the FiO2. It also permits the paramedic to titrate oxygen for the patient with COPD so as not to exceed the patient's hypoxic drive while allowing enrichment of supplemental oxygen." (Sanders, p. 422)

In addition the Venturi Mask which can help to normalize pulmonary activity, the patient is also experiencing a productive cough with thick yellow sputum. The presence of excessive mucus is also likely contributing to Mr. Hay's airway blockages. This would be an appropriate place to use the Yankeur sucker in order to help remove fluids that might be…… [Read More]

Improving Emergency Department Flow by Using a Provider in Triage

Emergency Room Efficiency

Improving Emergency Department Flow by Using a Provider in Triage

Emergency room triage plays an essential role in the speed and quality of the emergency room departments. Triage represents only one small part of the process that determines quality of patient care. Emergency rooms can be crowded. Busy times are often unpredictable, making it difficult to avoid bottlenecks in the system. This has an affect on the amount of time between arrival and when the patient sees a physician. Patients can be in for frustrating long waits while sitting in the hospital lobby.Patients often leave the emergency room waiting areas without being seen because they get tired of waiting. These patients are referred to as left-without-being seen (LWBS). Reducing LWBS rates is crucial for improving quality of patient care in emergency rooms. Long waits also cause a potential liability for the hospitals, as patients that are critically…… [Read More]

Ems System in King County

King County, WAshignton

Emergency Medical Service (EMS)

"Measure and improve" is the motto that drives King County EMS

Demographics of the System

King County, Washington - Overview

Service Area

Population Density

Economic Indicators from Census Data

Structural Attributes of the EMS System

Geographic Scope

Standard Setting and Enforcement

Division of Functions

Market Allocation

Failure to Perform -- Consequences

Business Structure

Management Level

King County EMS System Outputs

Prevention and Early Dectection

Bystander Action and System Access

911 Call Taking

First Response Dispatch and Services

Ambulance Services

Receiving Facility Interface

Medical Oversight

HallMarks of HPEMS

Accountability

Independent Oversight

Accounting of Service Costs

System Features that Ensure Economic Efficiency

System Features that Ensure Long-Term High Performance

King County EMS Performance Measures

Clinical Level 22

REsponse Time STandard 22

Cost Per Transport 25

Cost Per Unit Hour 25

Unit Hour Utilization 26

System Cost Per-Capita 26

Subsidy Per-Captia 26

Conclusion 27… [Read More]

Attacks on the World Trade

Emergency management is also a vital part to the planning for a disaster. Training will have to be conducted at periodic intervals to maintain the preparedness of the emergency response team and to evaluate the condition and the operational difficulties if any that may arise due to the equipment being used. The procedures will have to be critiqued and constantly evaluated to determine if a better, safer or more efficient method can be used in the procedure. A clean up task force will also have to be set up to help clean and restore the area to as near as possible, its pre-disaster state. Sufficient funds will have to be allocated to keep the emergency response team properly outfitted. An emergency fund may also be required to be set up to take care of the clean up activities that may be required. This fund would have to be very liquid…… [Read More]

Good Samaritan Law Its Concept

Kelly a. Wagner of Connecticut Law Tribune has written in an article entitled Good Samaritan Statute Under Scrutiny that a patient dies because of the Turkey sandwich given to her while she was on board with the paramedics while going to the hospital. It was found out that the patient has no teeth or salivary glands, which led to the choking of the patient. It was argued that the paramedics should have known the medical condition of the patient. The situation then could have been avoided. The suspect's attorney argued that the employees do not have any civil liability because the Good Samaritan Law covered what happened. The law, which was passed in 1963, offers immunity from liability for dentists, school personnel, police, firemen, EMTs and others who provide emergency medical assistance or first aid during a crisis. (Wagner, 2002, Good Samaritan Statute Under Scrutiny, par. 14). The final verdict…… [Read More]

We Can but Should

Health Information & QR Codes

Basic medical information and medical history is critical in case of medical emergencies. If first responders do not have that information patients can be put at risk for medication reactions, medical complications, and treatment processes can take longer as healthcare providers are left to explore the patient's condition in the dark. When the medical information is non-attainable, patients can also be put at risk for death in cases of coronary and heart health issues. QR codes are scanned by smartphone or mobile phones containing camera software that link to a website URL to retrieve basic medical information that is used to get the patient help.

ERMedStat (Harrington, 2012) is a company that uses QR codes and smartphones to provide first responders with basic medical history. The information contains blood type, emergency contacts, allergic reactions, medical complications, and a list of medications. The company does not…… [Read More]

First Responder Overdose Medication

legislation on PA SB 1299

The General Assembly of Pennsylvania

Senate Bill No. 1299

Session of 2014

Introduced by: Ward, Pileggi, Erickson, Schwank, Washington, White and Baker.

The significance of PA SB 1299 Bill

Preamble

The deaths from overdose on opioids have been a common occurrence across the nation with many of the people falling victims to either ignorance or intentional negligence by the people around then when they suffer the overdose symptoms to death. Initially, there were rampant incidences of the arrest and prosecution of the volunteers who called the law enforcement and the first responders to the scene since they too were often found to have used the drugs. The first responders were also not allowed to administer opioid antagonist at the scene to the person suffering obvious signs of overdose on the opioids hence the death rates from the overdose kept increasing even amidst the knowledge that…… [Read More]

Police Field Now or Within

Subsequently, the primary focus of this editorial is to urge Police Magazine, individual law enforcement offices across the country, as well as law enforcement officers themselves, to implement these type of measures (which allowed for such a coordinated response from these disparate entities) across the country. The benefits of implementing programs such as the Metropolitan Medical Response System in cities and states throughout the U.S. would certainly be manifold, as it would dramatically assist in the work efforts of the aforementioned departments were they previously familiarized with working together in the face of adversity.

I do realize, of course, that the coordination of this type of municipal cooperation would require a substantial amount of training for the various employees involved, which would ideally be an addition to the training necessary for the respective jobs in these organizations. I am also aware that such organization would require a significant amount of…… [Read More]

Iaff Fire-Based EMS

Fire-Based providers as the sole form of EMS

EU member states do not follow a uniform EMS model. This often leads to difficulties at the times of crisis as the preliminary response to the situation varies from state to state. Each region is characterized by a unique set of geographical, cultural, linguistic and medical systems. The vast differences that occur can and do hamper response procedures and critical time. Health professionals and politicians need to have instant access to data of updated EMS structure from each member state to enhance proper care promptly.

Short-term recommendations:

The main issues that should be addressed in the uniform code for EMS services in the EU should include the academic qualifications to be possessed by the members of the response team, medical facilities and equipments that the in-hospital and out-of- hospital emergency services should mandatorily be equipped with, a reliable mode of communication between…… [Read More]

Government Employees Overtime Rules

Rule Exempt Employee

The Final Rule that was announced and published on May 18, 2016, seeks to update the overtime regulations applicable in the U.S. This rule is expected to provide overtime pay protections for over 4 million workers in the first year of its implementation. It is expected that many workers in the U.S. would get a boost to their wallets and seek to ensure that the adequate compensation is given to people for their hard work.

The new rule seeks to cover a number of primary issues that include the updating of the salary and the compensation levels for Executives, Administrative and Professional workers to be exempted. The rule that was announced "sets the standard salary level for workers at the 40th percentile of earnings of full-time salaried workers in the lowest-wage Census Region" (Colunga & Atterberry, 2015). This region is currently the South where the pay is…… [Read More]

The Education of the EMS Professional

1966, the Committee on Trauma and Committee on Shock, the Division of Medical Sciences, the National Academy of Sciences, and the National Research Council collaborated on a seminal report on accidental injury. The report covers everything from ambulance services to research on shock and trauma. Therefore, the report, entitled Accidental Death and Disability provides thorough groundwork for the emergency medical services professions and the educational systems that support those professions.

One of the express goals of the report was to raise awareness about the public health concerns associated with accidental emergency and death. As of 1965, the year prior to the report's publication, 52 million accidental injuries killed 107,000 people, permanently disabled 400,000 people, and temporarily disabled 107,000 people in the United States (Committee on Trauma and Committee on Shock, Division of Medical Sciences, National Academy of Sciences, & National Research Council, 1966, p. 5). Those numbers have since risen…… [Read More]

Globalization and American Health Care

Globalization and American Health Care

What explains the directionality of flows in health care? Patients, health workers, managerial practices?

Globalization has brought in the information revolution and this has again brought changes in the medical profession and the way health care is being administered. It has also brought in unforeseen problems and expansion of the health care issues and running debates on health care is still strong. The flows of healthcare primarily have to deal with the patient -- how the patient is induced to seek treatment and the process of the treatment and the final discharge and post treatment care. This also involves lot of information exchange, and abiding by insurance contracts, payment options and quality care for the patients. (Phillips, 2005)

The second set is the personnel who include doctors, paramedics and all staff. The flow of work of these sections follows the patient and there are changes…… [Read More]

Kindness Many Are the Times We Are

Kindness

Many are the times we are called upon to help other people without expecting to receive anything in return. In basic terms, an act of kindness should be random. Early this year, I chose to attend a football match between my favorite team and another popular team. The stadium was packed to capacity with fans wildly cheering on their favorite team. From time to time, people would rise from their seats either in celebration or frustration depending on how their preferred team was performing in the field. Things went on smoothly for the first-half of the match with my favorite team managing to score one goal against their opponents. Most of those seated around me were excited. Things however took a dramatic turn in the second-half session of the match with the opponent team scoring two swift goals against my favorite team. While this strange turn of events surprised…… [Read More]

Treatment to Patients the Main Objective of

Treatment to Patients

The main objective of providing treatment to patients is to relieve symptoms along with decreasing the progression of the disease as well as the mortality or morbidity. However, in some cases, this objective is not fully achieved, especially in the case of the patients who are admitted to the ICU with some serious and almost always a terminal stage of the disease. For example, when old patients are admitted in the ICU, their immunity is extremely low and this is the perfect time for the opportunistic infections to make matters worse for these patients. There are many infections that are specifically associated with patients admitted in the hospitals. Pseudomonas Aurigeonosa is a micro-organism that is well documented to cause bacterial pneumonia and bacteremia in the patients who are terminally ill and are receiving treatment in the hospital setting. Since most of the patients in the ICU are…… [Read More]

Change in Practice

Policy Change

The Center for Disease Control (CDC) endorsed the policy of replacing peripheral intravenous catheters (PIVC) within 48 hours following insertion in order to prevent and decrease local catheter infections. The institution that this author is employed at also made a policy to establish such a procedure based on the CDC's actions. However, there is a large body of empirical research that indicates that the length of the time that the PIVC remains in a patient does not appear to be a major factor that results and infections and/or phlebitis. Thus, this policy of changing the PIVC with 48 hours may be unnecessary.

For instance Zarate, Mandleco, Wilshaw, and Ravert (2008) studied emergency room trauma patients who received a PIVC. The mean number of days before there were indications of phlebitis in these patients was 3.14 days with the range of 1 to 6 days. Phlebitis rates did not…… [Read More]

Most Scary Event in My Life

Frightening Event in My Life

THE MOST FRIGHTENING EVENT IN MY LIFE

Three years ago, I was driving home from the first social affair with co- workers from my new job. It was late, but I always enjoyed driving late at night when the roads are almost empty. As the trees zipped past my windows, I was still contemplating the evening's events and trying not to obsess about the cordial way my boss had greeted me when I might have expected him to be a little friendlier, under the circumstances. Now, I understand his personality much better, but at the time I was worried that he didn't like me too much.

During the day, two-way roads such as the one I was on at the time always made me very nervous, because the two opposite directions of traffic are separated by nothing more than yellow lines painted on the asphalt.…… [Read More]

How to Evaluate Performance in the Medical World

Performance Measures for (50,000 call per year) EMS

EMS ORGANIZATIONAL PERFORMANCE MEASUREMENT

That the organization implements additional clinical performance measures, including those to evaluate the quality of the EMS.

That the organization uses survey data to evaluate and analyze customer and employee satisfaction and that a proper feedback and control mechanism is in place to use this data to implement required changes.

This report starts from the premise that Emergency Medical Services will be treated as any other service. As a consequence, this type of service reflects the relationship between the service recipient (in this case the patients) and the service provider (in this case the medium-sized organization being analyzed in this report).

This means that this report will use many of the existing research and business literature and apply business principles such as customer and employee satisfaction in presenting and analyzing a comprehensive set of recommended performance measures for…… [Read More]

Prehospital Care Includes All of

Though it is important that only fully trained and equipped first responders actively treat serious injury, in some areas there are simply not enough first responders to ensure that all accident victims receive adequate care in a timely fashion.

The discrepancy in number of fully trained personnel vs. volunteer personnel may be a contributing factor in the at times tense relationship between prehospital first response staff. It is essential in the successful transition between prehospital care and emergency room triage that emergency room staff not only accept the diagnostic and assessment information provided by first responders but also that they be willing to incorporate those first responders into the initial intake of the victim into the hospital setting (Tziotos, et al., 2006). Incorporating first responders into the first stages of emergency room care is essential in that first responders were actually at the site of the accident and as such…… [Read More]

Do-Not-Resuscitate and Ethical Standards

Resuscitate (DNR)

What is a Do Not Resuscitate (DNR) order?

First used about fifty years ago, the do not resuscitate (DNR) order continues to elicit questions and discussion among medical experts and patients. The do not resuscitate order is a directive from a patient who specifically refuses consent for certain forms of medical interventions related to life-saving actions by hospital personnel. The presence of the DNR order makes it important that informed discussions between a specific patient, family, and physicians and staff are made regarding their medical conditions. In the modern day world, advances made in medical therapy that include end-of-life treatments, have made the presence of a DNR order even more crucial.

Epidemiological research has greatly enhanced our knowledge of the different forms and outcomes of resuscitation. However it is the physicians, patients, and institutional (hospital) policies that greatly influence the occurrence of DNR orders (Loertscher, Reed, Bannon, &…… [Read More]

SJP Code of Ethics

SJP Code of Ethics to run most of these photographs. An exception may be made with respect to the EMTs doing their jobs. Photographs of grief, and raw emotion, are frequently nominated and win awards for photojournalism. While such photographs might be seen as violating the harm principle with respect to showing compassion or the fact that the family are not public figures, the grief is part of the story, and the common use of such photographs in the media points to them being acceptable. Further, this "boldly tells the story of the diversity and magnitude of the human experience."

The photographs of the paramedics working on the boy are likely to be insensitive. Getting in the way of such work would be entirely in contravention of "private people have a greater right to control information about themselves…" but also that the victim here is a young boy. It is…… [Read More]

Emergency Services and Marketing Plan

Marketing Plan for Emergency Services

One of the major concerns across the country is the emergency medical services of the nation, and the impact of societal factors on these services, such as the increasing rate of crime, the lack of employment opportunities, and the level of poverty. The Chevra Hatzalah Emergency Medical Rescue Service in the city of New York offers well-organized and professional medical service. The main objective of this marketing plan is to assist Chevra Hatzalah Emergency Medical Rescue Service to become the best and most preferred source for pre- and post-hospital emergency medical necessities in the target markets. This marketing plan will facilitate the Chevra Hatzalah Emergency Medical Rescue Service to have a competitive edge/advantage in the market targeted; this will therefore increase its level of market share. The market plan also places emphasis on the current market situation, the objectives and the goals, the applied marketing…… [Read More]

Ems System in King County

King County, WAshignton

Emergency Medical Service (EMS)

Demographics of the System

King County, Washington

Service Area

Population Density

Economic Indicators from Census Data

Structural Attributes of the EMS System

Geographic Scope

Standard Setting and Enforcement

Division of Functions

Market Allocation

Failure to Perform -- Consequences

Business Structure

Management Level

Demographics of the System

King County, Washington

King County, Washington is the most populace county in the state of Washington as well as in the top 15 most populated counties in the United States (13th). The county has a total land area of 2,307 square miles with slight over eight percent of this area being water (United States Census Bureau, 2015). The area is known for being a center for liberal politics and Seattle is one of the most liberal cities in the country and has elected socialist councilmembers, gay mayors, endorsed the "War on Christmas," has strongly supported environmental movements,…… [Read More]

Research Proposal for EMS

Emergency Medical Service (EMS)

Division of Emergency Medical Services -- King County, WA

The emergency medical services (EMS) team in King County serves nearly two million people in the local area and states that they provide lifesaving services on average of every three minutes (Public Health - Seattle & King County, 2015). Some of the key data that is included in the 2014 annual report are:

Each year, approximately 1 out of 10 of our residents will use our Medic One/EMS system.

Every year the Medic One/EMS System saves thousands of lives:

In 2013 firefighters responded to more than 172,000 calls in King County.

In 2013, paramedics responded to more than 46,000 calls for advanced life support in King County.

Compared to other cities, cardiac arrest victims are 4 to 5 times more likely to survive.

In 2013, Seattle & King County achieved a 62% survival rate for cardiac arrest.…… [Read More]

Specific EMS Communications Issues at Hajj

Hajj is the largest gathering in the world, attracting millions of Muslims each year. As the Muslim community worldwide grows to well over one billion, the number of pilgrims to Makkah (Mecca) also grows. In 2012, there were more than 3.5 million men and women in attendance but those numbers are expected to climb to as many as 10 million by the year 2020 (D'Alessandro, Edd & Al Mubarek, 2013). The mass gathering presents a number of concerns for EMS professionals, from acute injuries related to crowd swells to the spread of infectious diseases to cardiac arrests. Effective communication is critical for the success of all EMS efforts at the annual Hajj pilgrimage.

As the number of pilgrims increase each year, and as the local infrastructure shifts in response to those increases, EMS professionals face ongoing challenges related to communication. These challenges can be loosely grouped into five categories including…… [Read More]

Ems System in King County

King County, WAshignton

Demographics of the System

King County, Washington

Service Area

Population Density

Economic Indicators from Census Data

Structural Attributes of the EMS System

Geographic Scope

Standard Setting and Enforcement

Division of Functions

Market Allocation

Failure to Perform -- Consequences

Business Structure

Management Level

Demographics of the System

King County, Washington

King County, Washington is the most populace county in the state of Washington as well as in the top 15 most populated counties in the United States (13th). The county has a total land area of 2,307 square miles with slight over eight percent of this area being water (United States Census Bureau, 2015). The area is known for being a center for liberal politics and Seattle is one of the most liberal cities in the country and has elected socialist councilmembers, gay mayors, endorsed the "War on Christmas," has strongly supported environmental movements, and is among the…… [Read More]

a healthcare bill about paramedical ems

EMS Bill is primarily designed to modernize and transform the current Emergency Medical Services System. One of the cornerstones of the bill is improved integration of services, to provide better coordination of service delivery. Currently, the EMS system is fragmented with several disparate federal, state, and local entities participating in EMS service. Resulting tensions and miscommunications are not only costly, but can also create medical errors. However, the proposed Field EMS Bill is far from perfect, and has far from universal support. One of the main EMS stakeholders, the International Association of Fire Chiefs (IAFC) has expressed concern about the way the bill is currently worded. In short, the Field EMS Bill is worded in ambiguous language that promotes core concepts like "value" over ethics and quality of care. Cost reduction seems to be a primary focus on the Field EMS Bill, rather than ensuring that first responders have access…… [Read More]

Cases on Criminal Neglience

Biddle v. Commonwealth and Davis v. Commonwealth are two cases that portray different interpretations and application of the law with regards to imputability in criminal law. These cases provide a different view of an individual's responsibility with regards to the level of care or responsibility for a parent than for a child. An analysis of the court ruling in each of these cases helps in understanding the required level of care or responsibility. This is primarily because the court decisions were based on the level of legal duty imposed by law on the parties. Even though the cases are relatively similar, there were differences in the rulings because of the differences in the legal duty of the parties involved.

Overview of the Cases

In Biddle v. Commonwealth, Shirley Mae Biddle was charged with first-degree murder of her baby on the premise that the baby was malnourished, dehydrated and had not…… [Read More]

Universal Triage System in Emergency

Our study is however geared towards the assessment of applicability of the universal triage system in emergency clinical work. The current triage systems are somehow one-sized-fits it all in their design (Veenema,2007).He points out that the main problem with the existing triage methodologies is the fact that they are not tailored for all situations such as weapons victims but are just normal pediatric scenarios. This therefore means that some of the components of the various triage systems are most likely to fail under certain circumstances as a result of the disparity in the physiological baselines used in coining the various triage systems.Veenema then ponders if the solution tom these dilemmas are held in the coining and adoption of a universal triage system.

Questions

The research questions that are to be used as the basis of forming hypothesis for the research they are:

Hypothesis 1: Does the use a universal triage…… [Read More]

1st Responders a First Responder

8). Some

additional equipment used by first responders might include both breathing masks and full-fledged gas masks (depending on the circumstances), ropes, ladders, flashlights, helmets

(some sporting lights), anchor points, buoyancy control devices, stretchers (some with wheels, others are handheld) portable radios, food, water, antibiotics, insulin, needles and even more. Much of this equipment will be a matter of not only practicality, but of necessity as well.

First responders also need clothing that reflects the nature of the emergency with which they need to address. If the situation which they are addressing is one that includes biological components the clothing they must don is a bit different than that of regular first responder's clothing. First responders clothing can include a number of different items such as; insulated, waterproofed heavy and highly visible jackets, multiple-use bandanas, public safety, police and fire vests, polyurethane overalls, parkas, coats and waterproof jackets.

Many of…… [Read More]

Development Theory Brought Forth by

For me personally, however, the empathy that I develop is directed by my spirituality and inclination to see beyond what is obvious. This combination has been most beneficial for me as a social worker (Robbins, Chatterjee and Canda, 2006; Lesser and Pope, 2007).

Furthermore, the level of loyalty and dedication that I bring to my work is something I am very proud of. As I mentioned earlier, loyalty and dedication are some of the important traits that I look for in my friends and the main reason for this is the fact that these are the traits that I personally vibe-out as well. I feel that as a social worker, perhaps the most important aspect that an individual can bring to work is dedication; as part of this world, u have to truly have a passion for it to be able to withstand the constant setbacks, financial instability and lack…… [Read More]

Niosh Fire Fighter Investigation

Recommendation: The training staff must ensure all participants in a "live" fire training exercise "have received the training and opportunities to properly perform the job." And this is pivotal to safety measures for recruits: A student's first experience "in a live burn exercise should not be in an acquired structure" (IIL).

Structures and Facilities (NFPA 1403 4.2 & 4.2.2): Buildings selected for structural fire training exercise must be properly prepared -- which in this case, the row house at 145 South Calverton Road, it was not properly prepared. A previous ventilation drill, which opened several upper floor walls to the outside air (and the wind which was 20 miles per hour at that time) made the building "unsuitable" for live fire training. Adding to the mistakes made in the exercise at 145 South Calverton Road was the serious question as to whether the fire department had permission to burn that…… [Read More]

Mobile Devices in Hospitals to

Both of these devices "allow handwritten data entry including sketching with 'electronic ink' and handwriting recognition that converts scribble into typewritten text." (Wales and Zabrek, 2003)

Full integration with hospital servers of these devices is required to realize the full benefits of these devices. These mobile devices "facilitate the entry of data for storage and processing at the servers. By storing hospital data on servers rather than on the mobile devices, a number of advantages are realized. One is that servers, unlike mobile devices, have prodigious amounts of storage capacity. In addition, if data is stored on the servers, security is enhanced. If the mobile computer is lost or stolen, there is less concern that sensitive patient data will fall into unauthorized hands, and information technology staff can centrally manage hospital information including that displayed on PDAs, smartphones, and tablet computers. With data centralized on servers, it is possible for…… [Read More]

1995 Chicago Heat Wave How

It was not until July 15 that an actual heat warning was issued by city officials and living as they did in an 'urban heat island', the elderly was the most affected. The urban heat island is caused by the overcrowding and clustering of buildings, parking lots and roads, all of which put together tend to absorb excess heat during the day, and then radiate excess heat during the night. This is the reason why there is less cooling in urban areas in comparison to rural, and in Chicago in 1995, the elderly citizens living in overcrowded urban areas, all alone, would have their windows closed in fear of crime. To add to their problems, these people had no air conditioning, or lacked the resources to operate the one they had, and this resulted in an oven like atmosphere in their houses. One must remember the important fact that Chicago…… [Read More]

Qaly Quality Adjusted Life Years

For example, and elder citizen may consider having the ability to sit and watch television or read all that is necessary to improve their quality of life, and thus demand healthcare services that would allow him or her to do just that.

There are no universal standards that are likely to be accepted by a majority of the population, or even by enough people to consider QALY assessments moral and ethical practices in healthcare (Drotar, 1998). Many also argue that healthcare authorities may favor certain populations including the young adult or pediatric population, based on the theory this group has the greatest chances for survival; this however is often not the case, as there are many older adults that have powerful enough beliefs and mature immune systems so that with proper treatment they might have just as much chance for survival than doctors may assess on first glance (Drotar, 1998).…… [Read More]

Disaster Medical Assistance Teams Dmat

This would likely have resulted in a long delay in raising suitable support to those health care professionals already at the disaster site.

Duties of the DMAT

The initial duties of the DMAT were to assist the nursing team at Charlotte Regional Medical Centre as most nurses there had been on duty for around 40 hours. This was due to the problems which relief staff had in getting to the facility and also the problems which had been caused at the hospital due to the power failures and the structural damage that had been inflicted on the hospital (Cohen and Mulvaney). This initial aid that the DMAT provided was invaluable, as if they had not been so well prepared and arrived so early there would have been far greater pressure on the staff at the hospital, which would have greatly reduced the quality of care which the patients received.

By…… [Read More]

Shortage of the Nurses and

Any insult, harm or damage brought to their personality, profession and family is considered to be an offensive act, and in past many such actions have been quoted where the nurses were mainly regarded as sex symbol, such disgrace of feminism has been widely condemned, and is possible cause towards the de-motivation of the youth and public towards the profession (Gilbert, 2004).

Conclusion

The cultural, social, legal and feminist analysis is not to be considered responsible towards the reduction in the quantum of the enrolments in the nursing school and hospital. There is no particular beneficiary from the overall exercise; rather there are different groups which can be placed into the series of the intensity of harm experienced by them, within the domain of the activity. Primarily it is the nurse itself who have suffered massively due to the reported discriminatory and unethical approach adopted towards them, secondly, it is…… [Read More]

New Vehicles the Trend to

Hybrid cars generally run quieter that the traditional IC engine cars. (Keelan, 2004) the very design of operation of the hybrid cars ensures that the engine turn off when stationary and start up on electric power and then switch to gas. This design could be risky to people who do not pay attention to the road and blind pedestrians. It is presumptuous to state that this is a negative for the hybrid cars. Any change in technology is always viewed with skepticism.

For instance, when cars with glass on all four sides were introduced, people were afraid to ride in them. This was due to the concern that they had regarding the safety of the vehicle if it met with an accident and the glass broke. (PBS, 2007) it took some time and observation of the benefits such as protection from the elements that convinced people that it was safe…… [Read More]

City Governement Budget Analysis Newport

The Property Taxes revenues' evolution is: for 2001-2002: $33,583,659; for 2002-2003: $39,474,865; for 2003-2004: $43,631,829; for 2004-2005: $56,254,917; for 2005-2006: $61,055,240; the proposed revenue for 2006-2007 is $67,102,454, with a 9.9% increase.

The Licenses and Permits revenues' evolution is: for 2001-2002: $1,956,365; for 2002-2003: $2,305,118; for 2003-2004: $3,483,020; for 2004-2005: $3,061,667; for 2005-2006: $3,027,345; the proposed revenue for 2006-2007 is $2,819,900 with a 6.85% decrease.

The Intergovernmental revenues' evolution is: for 2001-2002: $7,253,139; for 2002-2003: $6,035,742; for 2003-2004: $6,014,233; for 2004-2005: $4,266,673; for 2005-2006: $3,965,291; the proposed revenue level for 2006-2007 is 2,488,100 with a 37.25% decrease.

The Charges for current services revues' evolution is: for 2001-2002: $10,318,366; for 2002-2003: $11,099,872; for 2003-2004: $11,899,279; for 2004-2005: $13,063,134; for 2005-2006: $12,601,949; the proposed revenue level for 2006-2007 is $13,211,561 with a 4.84% increase.

The Fines, Forfeitures and Penalties revenues' evolution is: for 2001-2002: $3,252,387; for 2002-2003: $3,380,531; for 2003-2004: $3,551,515; for…… [Read More]

Non-Profit Disaster Mitigation Organization Specifically

21). When pressed, the Red Cross said they did not know if any of their recipients had received aid from other agencies, or even actually lived in the affected areas (O'Meara, 2004, p. 21). There was a controversy after the facts became known, and after the controversy hit the news, the President of the organization, Dr. Bernadine Healy resigned in October 2001 after allegations that the organization did not use all the funds collected for victim relief. In December 2005, Marsha J. Evans also resigned her position as the President And CEO, after new allegations surfaced over the terrorist attacks and problems with the relief effort in the Gulf Coast area after the 2005 hurricane season. Today, the organization posts their tax returns and annual reports on their Web site, and has a list of commonly asked questions about where their funding comes from and where it goes.

Funding may…… [Read More]

Celestina Frank and Nicholas Discuss

There's an attitude that if you're doing something you usually do with women, then you are not gay" (Rhoads, 1999, p. 136). This notion of homosexuality among Puerto Rican community is reflective of the perception elsewhere in Latin America. For instance, Rhoads adds that, "Such a perspective exists throughout much of Latin America, where activos (sexual aggressors in same-sex encounters) are typically not considered to be gay, whereas pasivos are seen as subordinate and are considered to be gay" (1999, p. 136). Finally, Nicholas is even confronted with some differences in perception among the gay community itself that may account for his reluctance to openly reveal his sexual orientation to most of his peers. For example, Rhoads addsd that, "Queer students from diverse cultural backgrounds not only face possible rejection from their racial communities for being queer, but they also face racism within the gay community. A student commented: 'On…… [Read More]

Diagnostics on Hoarding the Diagnostics

, 2011). Since hoarders are less likely to be married, it is possible that help for a hoarder who has fallen or otherwise become injured may be severely delayed. Sometimes, it can be too late. Fire is another danger faced by a hoarder. Such a large number of items can make a house more flammable, and also make it highly difficult to escape if a fire does get started (Saxena, et al., 2011). That is something that should be taken into consideration.

Impairment and Insight

The levels of impairment and insight vary with hoarders. Some of them see that they have a serious problem for which they need to get help, and some of them do not see what is wrong with the way they are living (Steketee, et al., 2010). They are generally very reluctant to part with any of their things, and they can become resentful of family…… [Read More]

People of the State of California v Conrad Robert Murray

People of the State of California v. Conrad Robert Murray

The involuntary manslaughter trial of Michael Jackson's personal doctor, Conrad Murray, was in the news seemingly every day for months. Even though the trial has concluded and the world knows that Dr. Murray was found guilty, it is important to look at the court proceedings and how the evidence led the jury to that verdict. Dr. Murray administered a powerful drug called propofol - an anesthesia drug that is only supposed to be used in closely monitored hospital settings - to Michael Jackson to help him sleep.

The argument by the prosecution was that Dr. Murray did this even though he knew the dangers, and that he administered too much of the drug to Jackson, resulting in a fatal overdose. At that point, Murray did not act quickly enough in calling the paramedics and did not do enough to save…… [Read More]

Decision Making Decision-Making Scenario Anderson Children's Hospital

Decision Making

Decision-making

Scenario

Anderson Children's Hospital (ACH) is an internationally known and recognized pediatric hospital that provides the full range of services from primary to critical care units, located in San Francisco, CA with affiliated care centers throughout the Bay Area. The board of directors at ACH would like to create a mobile-crisis program to be piloted in the City of San Francisco and eventually grow to service the entire Bay Area. The following sections present the process through which the Board of Directors is trying to navigate towards its final decision.

Core question

At the core of the following proposal is this 2-part question: Should ACH create a mobile crisis program to be piloted in the City of San Francisco for (up to) one year with the intent of expanding its funding, personnel, and service area over the next 3-5 years throughout the entire Bay Area and if…… [Read More]

Decontamination Plan One Major Challenge Facing the

Decontamination Plan

One major challenge facing the U.S. Homeland security is how to protect the nation's airports. The most striking thing is that the U.S. airports have continued to be vulnerable despite the enhanced security measures that have been implemented therein after the terrorist attack that occurred on September 11, 2002(Lenckus, 2011). In this paper, I will present and explain the plan and strategies for decontaminating two of the nation's airports, namely the Baltimore International Airport (BWI) and the San Francisco International Airport (SIA), in the event of a chemical terrorist attack. To promote a better understanding of the relevance of this decontamination plan, it is worth taking a brief look at why these airports are vulnerable to terrorists' attack.

Why Both Airports Are Vulnerable

Broadly speaking, due to the problem of unauthorized ramp access (a situation that have not changed even after the 9-11 terrorist attack), most international airports…… [Read More]

Recovery Plan Biological Attack in the U S

Recovery Plan: Biological Attack in the U.S. Congress

The havoc and deaths caused by the weaponized anthrax spores that were mailed to members of the U.S. Congress following the attacks of September 11, 2001 and the repeated attempted uses of botulinum toxin on U.S. Naval bases make it abundantly clear that governmental offices are vulnerable to biological pathogens. These agents have been and likely will be used by terrorists again to achieve their goals of bringing harm to the United States and it interests at home and abroad. The hypothetical comprehensive recovery plan developed in this project is in response to this type of food-borne pathogen attack and takes place in the cafeteria situated in the Rayburn House Office Building in the U.S. Congressional complex in Washington, D.C. which serves members of Congress, staff members and visitors. The scenario begins with the telephonic notification to the Capital Police that all…… [Read More]

Mobile Technology the Ever-Increasing Number of Smart

Mobile Technology

The ever-increasing number of smart devices and the mobilization of technology in general has precipitated a number of importance changes in the way people conduct their private and public lives. By examining some importance developments in the area of healthcare, commerce, and politics, this essay argues that mobile devices have already fundamentally altered the human experience of the world, and will continue to do so at an exponential rate. Examining these three areas reveals how mobile technologies serve to remove physical and monetary barriers while increasing the individual's ability to access and organize important information, both in regards to their personal lives and their public lives in both the economic and political spheres.

Over the course of the last decade, the mobilization and miniaturization of technology in the form of mobile phones and other portable devices has led to such dramatic and varied developments that one finds it…… [Read More]

Children Run Hard and Play

ER Nurses -- Evaluated situation, helped calm Hally, retook vital signs, prepared for NP

ER Nurse Practitioner -- Examined Hally, ordered X-Ray, reviewed all symptoms and signs; interpreted x-ray, with Nurse, administered muscle relaxer and anesthesia, set arm in cast.

X-Ray Technetium -- Took X-Ray films of Hally's right arm; processed for NP's review.

General Practitioner -- Follow up after ER visit, watched for signs of infection or discoloration; insured blood flow to arm, managed pain and swelling medication. Removed cast at appropriate time.

Rehabilitative Personnel -- Specialized to help Hally gain full use of her arm through exercise therapy, ultrasound, Jacuzzi, and massage therapy.

Part 3 -- in its very basic form, broken bones are quite common in children. However, there were a number of factors that needed to be assessed by health professionals during Hally's incident:

Location and type of Break -- Ensure no bone or part of…… [Read More]

Interviewed Two Parents at My

I asked them what is done for Bobby at school, and they said that inclusion has been very beneficial for him (Nelson, 2001). With a paraprofessional he has been able to stay in his home school, and importantly, continue to attend the school his friend attends. They said that the school had to work hard to learn about almost all aspects of Bobby's needs: they didn't know much about Asperger's, or working with a paraprofessional, but they feel that for the most part the school staff understand his unique needs. They have seen huge improvement, and so can see that they should continue to cooperate with the accommodations Bobby needs.

The one area they expressed lingering frustration with was with Bobby's earlier education. They said that preschools really didn't know how to deal with children who had special needs (Bricker, 2000). They would try to talk him out of being…… [Read More]

Close Scrutiny of Books Journal

2) states:

An eligible employee shall be entitled to a total of seven days of leave because of the death of a parent, spouse, son, daughter, or person for whom the employee serves as designated representative... If the deceased died in the line of duty as a member of the uniformed services. Such leave is intended to permit the employee to prepare for or attend the burial ceremony of the deceased member of the uniformed services and may be paid or unpaid leave.

Conversely, however, the United States Federal government presently has no laws in place to similarly (or otherwise, in comparable and appropriate ways) formally acknowledge and honor the passing of federal government personnel other than military personnel.

According to U.S. Code Title 5, Part III; Subpart E; Chapter 63; Subchapter II (2005), the federal government does in fact authorize, according to three separate sections of Title 5: (1)…… [Read More]

Business Plan Professional Medical Transportation In Order

Business Plan

Professional Medical Transportation:

In order to prepare a Business Plan, it is worthwhile to note that professional medical transportation can be offered both as an emergency as well as non-emergency service. Services offered could be Priority Medical Dispatch, 911 Pre-arrival instructions, Emergency Ambulance Service, Wheelchair service and Scheduled Ambulance Service. Since Priority Medical dispatch will be taking the 911 calls, it has to be ensured that ambulance possessing the most sophisticated equipment and qualified medical experts reach during emergency situations. As regards 911 pre-arrival instructions, the dispatchers will be answering 911 callers, the information they require to tackle an emergency medical situation till arrival of the ambulance. (Services we offer)

Under Emergency Ambulance Service, paramedics and emergency medical specialist have to attend to emergency calls and deal with transfers among health care facilities, round the clock, all seven days in a week. Under Wheelchair service, non-emergency patients using…… [Read More]

Comparing and Contrasting Two Right to Die Cases

Right to Die Cases

The very public, legal and ultimately political saga of Terri Schiavo brought not only national but international attention to the right to die issues and echoed a similar battle which took place some fifteen years earlier concerning Nancy Cruzan.

In "Cruzan, by her Parents and Co-Guardians v. Director, Missouri Department of Health, 497 U.S. 261,' the United States Supreme Court concurred with the lower court's ruling on June 25, 1990 (Cruzan pp).

Petitioner Nancy Beth Cruzan was rendered incompetent as a result of severe injuries sustained during an automobile accident on the night of January 11, 1983 (Cruzan pp). Paramedics restored her breathing and heartbeat at the accident site when she was discovered without detectable respiratory or cardiac function (Cruzan pp). She was transported to a hospital in an unconscious state where an attending neurosurgeon diagnosed her as having sustained probably cerebral contusions compounded by significant…… [Read More]

Habits of Highly Effective People

The news stories coming out of this effort read like a "who's who" of caring organizations. Headlines read: "Elementary School raises money for Katrina," "Church holds fundraiser for survivors," "Sports team aids victims," "Fortune 500 lends aide to cause," "local residents help Katrina victims."

Of course, in any situation such as this, nothing is truly black and white. There are many groups that are helping out not only due to their concern for the storm victims, but their own interests as well. The media, such as programs like "Good Morning America," that have offered a great deal of help also love the PR. Also, there are many places where the needy in their own communities are now being overlooked or playing second fiddle to Katrina. Unfortunately, there are only so many resources to go around and allocation is not always perfect.

September 11 stirred up a lot of initial care…… [Read More]

Driving While Intoxicated DWI it

I'd nearly been killed by a repeat drunk driver and I was mad enough to climb into that squad car and make sure the driver got a lesson he wouldn't soon forget.

I was taken by ambulance to a local hospital for x-rays, my truck was totaled, and to this day the drunk driver or his parents have never reached out and said "sorry our son nearly killed you..." And "are you alright?" Instead there are the disclaimer letters from some high priced attorney outfit; the drunk driver's Dad is a judge. Nice; and the rules of justice bend for the killer he keeps in his house.

This is a true story and it makes you realize that drunk drivers really are killers; they murder people indiscriminately and with arrogance. The CDC (2006) states that male drivers are nearly twice as likely than female drivers to be intoxicated with a…… [Read More]

Comatose Awareness as Medical Science

They do not show what people perceive, and, in the end, this is what consciousness is (18).

According to Steinberg, PET studies of vegetative patients have indicated "that the primary sensory cortices respond to pain and sounds, but that higher-order associative cortices do not. For minimally and fully conscious people, in contrast, sounds activate associative areas as well" (18).

A study of minimally conscious patients exposed patients to recorded narratives. Similar brain activity was found in both healthy control subjects and the patients. However, when the recording was played backwards, only the healthy controls' cortices were activated, indicating that only fully conscious brains are engaged by ambiguous stimuli.

Figure 1:

Source: Steinberg 17)

Leviton concurs with Davis and Gimenez's work. Arousal is surmised to be linked with cognition. but, he cites Plum and Posner as noting that the limits of consciousness are difficult to define quantitatively and satisfactorily. Self-awareness is…… [Read More]

Starting Point One of the Great Advantages

Starting Point

One of the great advantages of performing research is that one is never alone when doing so: Even highly innovative research is based on what has gone before, and every researcher has as a guide all those who have previously engaged with the same ideas. This is the case with my research, which focuses on trauma centers. I have taken as a point of comparison and contrast -- really more as a starting point than anything else -- Christopher Gill's Advance Study in Research Methods in Public Service.

His focus is the ways in which many American trauma centers are insufficiently prepared for a major natural or social disaster. Gill's focus analyzes how operations research (a form of mathematical modeling) can be used to assess medical care by examining how individuals as well as organizations make decisions. In certain ways, this type of analysis is analogous to the…… [Read More]

Nurses During Emergency During the Tackling of

Nurses during Emergency

During the tackling of disasters, teams from varied fields, experiences expertise and education come together; these group present broad spectrums of capabilities and qualification; essential for assistance in situations of public health emergency. This article looks at the regulations, ethical practice, limitations and guidelines for regulating of nursing practices in cases of public health emergencies (Couig, Johnson & Rick, 2011). The regulations in the legal authority of action by nurses are done through education, licensure, and discipline which define the scope of practice for nurses practicing during health emergencies. Limitations to preparedness in the nursing practice brought about by burnout, depression, self-esteem, personal accomplishment, and emotional exhaustion and depersonalization problems. The environment in, which nurses practice, determines their preparedness in tackling of emergencies. Promoting the emotional well-being of nurses then becomes a beneficial aspect for the carrying out of nursing practice. It is important to provide nurses…… [Read More]

Medication Reconciliation Evidence-Based Practice and the Procedural

Medication Reconciliation

Evidence-Based Practice and the Procedural Education of Nurses

Medication reconciliation is a critical issue in healthcare reform. Today, improvement in this area of treatment could have a transformative effect on the current practices of nursing and medicine administration. The discussion, literature review and research tests that are conducted hereafter will outline the implications of medication reconciliation; justify the call for improvement in this treatment area; and offer support for the resultant recommendations using the Quality and Safety Education for Nurses (QSEN) template as a guide. The discussion will provide a background discussion on the three primary procedural steps by which medication reconciliation is defined: Verifying Medications by Collecting an Accurate Medication History; Clarifying Information by Ensuring Medications and Doses Are Appropriate, and; Reconciling and Documenting Change. Additionally, the discussion will offer a literature review as a means of providing some comprehensive knowledge of current practices in the field.…… [Read More]

Patient's History the Medical History of a

Patient's History

The medical history of a patient is a crucial first step for the appropriate evaluation of the patient. It is a list of questions given to the patient or people who known the patient well with the intent of obtaining data that is useful in formulating a diagnosis and providing quality and appropriate medical care to the individual. Within this crucial step, one must be diligent about following a checklist or system in order to ensure that one gleans the appropriate information to assist in clinical diagnosis. The medical relevant complaints from a patient, for instance are called symptoms. Clinical Signals or Clinical Signs, however, are different and are described by medical personnel examining the patient. Within the rubric of a medical history, however, there are various levels of detail necessary depending on the circumstances. For instance, a paramedic might limit detail to critical information about drug interaction…… [Read More]

Non-Intrusive Monitoring Developed by George

Similarly, this type of non-invasive acoustic and vibrational monitoring has been used by doctors to get a better assessment of in vivo hip conditions so that they can better comprehend things like total hip arthroplasty (Glaser et al., 2010).

Acoustic Signals

"Acoustic emissions are elastic waves generated by a rapid release of energy at a localized source. They are produced by events such as particle impact, gas evolution, boiling, phase transitions, precipitation. Some processes produce emissions that can be heard. A lot more emit either outside the audible frequency or at too low an intensity to be heard (McLenna, 1995, p.338). Using non-intrusive acoustic monitoring is definitely a way to monitor an entire structure continuously and effectively (Wu & Abe, 2003). Acoustic signal-based monitoring can assess individual entities and mechanisms or total structures, pinpointing abnormalities, failures or red flags which need attention (Wu & Abe, 2003). It provides experts with…… [Read More]

Decision Tree This Project Designed Practical Application

Decision Tree This project designed practical application. The Decision Tree real-Life situations designed service interventions.

First responders are the professional people who arrive first at the scene of any incident Cobb, 2007.

They include trained volunteers and public safety professionals. They are persons who have undergone a course and are certified to provide pre-hospital care in medical emergencies. First responders provide services during emergencies where additional resources and skills are required in order to bring the emergency to a safe conclusion. The individuals who are charged with initially responding to emergencies are also referred to as first responders. These individuals include law enforcement officers, firefighters, ambulance attendants, lifeguards, and forestry personnel. First responders are more skilled than basic first aiders, but they cannot provide the same level of care as emergency nurses, paramedics, or physicians. First responders arrive at the scene of an incident with standard issue tactical and protective…… [Read More]