Paramedic Essays (Examples)

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 ashington 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…

Works Cited

Barnett, J. (2011, April 26). New Jersey's Two Tier ALS System. Time to Advance? Retrieved from Fire EMS: http://www.theemsblog.com/2011/04/26/new-jerseys-two-tier-als-system-time-to-advance/

FCEMS. (N.d.). Advanced Life Support (ALS). Retrieved from FC Emergency Medical Services:  http://www.fcems.org/advanced-life-support.html 

Hicks, J. (2011, August 23). FULLY INVOLVED | ALS vs. BLS: What's The Difference? Retrieved from Kitsap Sun:  http://www.kitsapsun.com/lifestyle/fully-involved-als-vs.-bls-whats-difference

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…

References

Joaquin Camps, and Hannia Rodriguez. "Transformational leadership, learning, and employability. " Personnel Review 40.4 (2011): 423.

Hur, Y., P. van den Berg, and C. Wilderom. "Transformational leadership as a mediator between emotional intelligence and team outcomes. " Leadership Quarterly 22.4 (2011): 591.

Pryor, M., J. Oyler, J. Humphreys, and L. Toombs. "The people cried - a case of compassionate, transformational leadership. " Journal of Business Cases and Applications 4.(2011): 1-20.

Smith, M.. "Are you a transformational leader? " Nursing Management 42.9 (2011): 44.

EMS single-tier response (ST) or a multi-Tier response (MT) 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 (ST) 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 ST, 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…

References

Blackwell, T.H. & Kaufman, J.S. (2002). Response time effectiveness: comparison of response time and survival in an urban emergency medical services system. Academy of Emergency Medicine, 9(4):288-95.

Criss, E. (1994). EMS research. Retrieved from:

 http://www.pcrf.mednet.ucla.edu/pcrf/pdf1.pdf 

EMS dispatch and response. (1983). Fire Chief Magazine. Retrieved from:

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 (egehr & 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…

References

Angle, J. (2010). Occupational safety and health in the emergency services. Clifton Park, NY: Thomson/Delmar Learning.

McEvoy, M. (2009). Straight talk about stress: A guide for emergency responders. Quincy, Mass: National Fire Protection Association.

Regehr, C., & Bober, T. (2007). In the line of fire: Trauma in the emergency services. Oxford: Oxford University Press.

Walter, a.A., Edgar, C.N., & Rutledge, M.L. (2012). First responder handbook: Fire service edition. Clifton Park, NY: Delmar Learning.

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…

References

Data and Statistics. (2014). CDC. Retrieved from:  http://www.cdc.gov/hai/surveillance/ 

Marcucci, L. (2012). Avoiding Common ICU Errors. Hoboken, NJ: Wiley.

Marino, P. (2012). ICU Book. Thousand Oaks, CA: Sage.

McClean, S. (2011). Intelligent Patient Management. New York, NY: Springer.

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 (CP) is a set of specific medical procedures designed to establish circulation and breathing in a patient who's suffered an arrest of both. CP 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 CP in the absence of a valid physician's order to…

References

Braddock, C.H. (1998) Termination of life-sustaining treatment. University of Washington School of Medicine. Seattle: Department of Medical History and Ethics. Retrieved 3/12/07 at  http://depts.washington.edu/bioethx/topics/termlife.html .

Frequently asked questions. (2007). The World Federation of Right to Die Societies. Retrieved at  http://www.worldrtd.net/faqs/qna/?id=8 .

Guru, V., Verbeek, P.R. And Morrison, L.J. (1999). Response of paramedics to terminally ill patients with cardiac arrest: an ethical dilemma. CMAJ. 61 Nov; 161(10).

Hilz, L.M. (1999). Psychology Terms: Transference and countertransference. Kathy's Mental Health Review. Riverside, CA: Mental Health. Retrieved at  http://www.toddlertime.com/mh/terms/countertransference-transference-3.htm .

organizational culture and diversity helps me to understand my current workplace and the issues we face. All organizational theories provide some insight into the organization, with diversity theories and organizational culture and management theories being especially relevant because we are a small company with a diverse workforce. In spite of the tremendous benefit and opportunities presented by diversity in the workplace, I do not see that our current owner/chief executive understands well enough how to capitalize on diversity. The chapter on diversity in the text points out how diversity management is fast becoming a critical management strategy not just because of ethics and social justice, but also because diversity is good for business.

A business-focused diversity management strategy would help our small private ambulance/paramedic company improve our branding, attract a broader clientele, and expand the business. Equally as important, a cohesive diversity management strategy would help our company retain top…

References

Arvinen-Muondo, Raisa, and Stephen Perkins. Organizational Behaviour. Kogan Page. 2013.Skillsoft. (Accessed May 16, 2017)

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.…

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…

Works Cited:

Australian Nursing and Midwifery Council. (2006). National competency standards for the midwife. Retrieved from:  http://www.nursingmidwiferyboard.gov.au/Codes-and-Guidelines.aspx#competencystandards 

Ambulance Victoria. (2012). Ambulance Victoria clinical practice guidelines for ambulance and MICA paramedics. Retrieved from:  http://www.ambulance.vic.gov.au/Paramedics/Qualified-Paramedic-Training/Clinical-Practice-Guidelines.html .

Courtney, M. (2005). Evidence for nursing practice. Marrickville NSW: Livingstone Churchill Elsevier. Page 19 of 24.

Johnson, R. & Taylor, W. (2010). Skills for midwifery practice (3rd ed.). Edinburgh: Elsevier.

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 esponse Dispatch and Services

Ambulance Services

eceiving 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

Esponse 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

eferences 29…

References

Anderstone, B. (2014, January 21). Seattle as liberal bastion? Think again. . Retrieved from Crosscut:  http://crosscut.com/2014/01/political-heat-map-shows-seattle-not-liberal/ 

Bissel, R., Eslinger, D., & Zimmerman, L. (1998). The Efficacy of Advanced Life Support: A Review of the Literature. Prehospital and Disaster Medicine, 69-79.

Blackwell, T., & Kaufman, J. (2002). Response Time Effectiveness: Comparison of Response Time and Survival in an Urban Emergency Medical Services System. Clinical Practice, 288-295.

Chapter 5. (n.d.). Becoming Responsive by Building Long-Term Customer Relationships. In Relevance Regained.

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…

Bibliography

Sykes, L., Richards, P., Kim W-Y., Armitage, J., Jacob, K., & Lerner-Lam, Art. (2001) Seismograms recorded by LCSN Station PAL (Palisades, NY) New York, Columbia University. Retrieved February 18, 2008 at  http://www.ldeo.columbia.edu/LCSN/Eq/20010911_wtc.html 

TRADE. (2008). The Training Resources and Data Exchange Washington, D.C., FEMA. Retrieved February 18, 2008, at  http://www.usfa.dhs.gov/nfa/trade/index.shtm 

LLIS. (2008) Lessons Learned Information Shared Washington, D.C., Department of Homeland Security, Retrieved February 18, 2008, from https://www.llis.dhs.gov/index.do

RKB. (2008) Responder Knowledge Base. Washington, D.C., Department of Homeland Security, Retrieved February 18, 2008, from https://www.rkb.us

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…

Bibliography

Medi-Smart University of Cincinnati. Emergency Care: Responsibilities and Alternatives at http://www.medi-smart.com/gslaw-ama.htm

Barton, L. Good Samaritan Laws and AEDs.n Published March 4, 2004, at  http://www.momsteam.com 

Legislative Assembly of Manitoba. Retrieved December 5, 2006, at  http://www.gov.mb.ca 

Wagner, K. Good Samaritan Stature Under Scrutiny. Retrieved October 23, 2002 at  http://www.law.com

Health Information & QR Codes

asic 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…

Bibliography

Harrington, C. (2012, Mar 7). Maryville company uses QR codes to share medical histories in emergencies. Retrieved from knoxvillebiz.com:  http://www.knoxnews.com/news/2012/mar/07/marville-company-uses-qr-codes-to-share-medical/ 

How it Works. (n.d.). Retrieved from Lifesquare: https://www.lifesquare.com/how

Staff, T.N. (2012, Sep 26). New QR Codes Tell Paramedics Your Medical Info. Retrieved from Tech News Daily: http://www.technewsdaily.com/6264-new-qr-codes-tell-paramedics-your-medical-info.html

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…

References

Incorvaia M., (2015). Lawmaker: Allow more first responders to give antidote to opiate overdoses. Retrieved February 20, 2014 from http://cronkitenewsonline.com/2015/01/lawmaker-wants-more-first-responders-allows-to-deliver-antidote-to-opiate-overdoses/

Wenner D., (2014). Pa. expands use of heroin overdose antidote, provides 'good Samaritan' protection in overdose cases. Retrieved February 20, 2014 from  http://www.pennlive.com/midstate/index.ssf/2014/09/pennsylvania_heroin_good_samar.html 

EMS1, (2015). 85,000 Emergency Responders Reduce Response Time with IamResponding.com. Retrieved February 20, 2014 from  http://www.ems1.com/ems-products/communications/press-releases/1033418-85-000-Emergency-Responders-Reduce-Response-Time-with-IamResponding-com/ 

Heightman A.J., (2014). Should Naloxone Be Available to All First Responders? Retrieved February 20, 2014 from  http://www.jems.com/article/administration-and-leadership/should-naloxone-be-available-all-first-r

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…

Fire-ased 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…

Bibliography

Axelsson, H. (2012, 08-23). The Corporate Social and Environmental Responsibility and Human Resource Division Manager/Deputy Chief Operating Officer. (H. de Joussineau, Interviewer)

Bruce ML, Klonoski E. Schools Out! The pros and cons of distance education in EMS. Emerg Med Serv. 2004;33:49-54.

Boyd DR. The conceptual develop- ment of EMS systems in the United States: part II. Emerg Med Serv. 1982;11:27 -- 35.

http://www.med.und.nodak.edu/depts/rural/pdf/remsi.pdf. Accessed September 24, 2005

ule Exempt Employee

The Final ule 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 egion" (Colunga & Atterberry, 2015). This region is currently the South where the pay is…

References

Blue-collar workers and the part 541 exemptions under the Fair Labor Standards Act (FLSA). (2008). Washington, DC.

Colunga, G. & Atterberry, R. (2015). DOL: Guidance on Misclassification of Workers; Notice of Proposed Rule on White-Collar FLSA Exemption; Interim and Final Rules Relating to the H2-B Worker Program; Proposed Black Lung Benefits Act Rule; Proposed Rule to Help Retirement Investors • OSHA: F. Employment Relations Today, 42(3), 51-57.  http://dx.doi.org/10.1002/ert.21525 

Colunga, G. & Atterberry, R. (2016). DOL: Proposed Rule on Workers' Compensation for Energy Employees; Final Rule to Promote Pay Transparency; FLSA Final Rule on Direct-Care Workers Upheld • OSHA: Final Rule on Retaliation Complaints of Railroad and Public Transportation Employees; Proposed. Employment Relations Today, 43(1), 63-68.  http://dx.doi.org/10.1002/ert.21552 

Kastrinsky, H. (2014). DOL: Final Rule to Require Minimum Wage and Overtime for Home Health-Care Workers; Process Begins for Rules Concerning Projection of Retirement Income • Three Agencies Explain When Employers Must Recognize Same-Sex Marriages for Federal Purposes • OFCCP:. Empl. Rel. Today, 40(4), 53-60.  http://dx.doi.org/10.1002/ert.21434

1966, the Committee on Trauma and Committee on Shock, the Division of Medical Sciences, the National Academy of Sciences, and the National esearch 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 esearch Council, 1966, p. 5). Those numbers have since risen…

References

Centers for Disease Control and Prevention (2014). Accidents or unintentional injuries. Retrieved online:  http://www.cdc.gov/nchs/fastats/accidental-injury.htm 

Committee on Trauma and Committee on Shock, Division of Medical Sciences, National Academy of Sciences, & National Research Council (1966). Accidental Death and Disability: The Neglected Disease in Modern Society. Available from: Emergency Medical Services Division.

Edgerly, D. (2013). Birth of EMS: The history of the paramedic. JEMS. 8 Oct, 2013. Retrieved online:  http://www.jems.com/articles/print/volume-38/issue-10/administration-and-leadership/birth-ems-history-paramedic.html

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…

References

Bloche, Maxwell Gregg. (2003) "The privatization of health care reform: legal and regulatory perspectives" Oxford University Press.

Briesacher, Becky; et al. (2003) "Racial and Ethnic Disparities in Prescription Coverage and Medication Use" Health Care Financing Review, vol. 25, no. 2, pp: 63-66.

Edelheit, Jonathan. (2007) "Understanding the American Healthcare System" Global

Healthcare Magazine, Retrieved 14 June, 2011 from  http://www.globalhealthcaremagazine.com/issue-detail.php?item=5&issue=1

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…

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…

Bibliography:

Beekmann, SE;Diekema, DJ; Chapin, KC;Doern, GV (2003) Effects of rapid detection of bloodstream infections on length of hospitalization and hospital charges.J ClinMicrobiol, 41:3119-3125.

Boussekey, N, Leroy, O, Georges, H, Devos, P, d'Escrivan, T, Guery, B (2005).Diagnostic and prognostic values of admission procalcitonin levels in community-acquired pneumonia in an intensive care unit.Infection, 33:257-263.

Charles, PE, Dalle, F, Aho, S, Quenot, JP, Doise, JM, Aube, H, Olsson, NO, Blettery, B: Serum procalcitonin measurement contribution to the early diagnosis of candidemia in critically ill patients. Intensive Care Med, 32:1577-1583.

Digiovine, B; Chenoweth, C; Watts, C; Higgins, M (1999)The attributable mortality and costs of primary nosocomial bloodstream infections in the intensive care unit. Am J. RespirCrit Care Med, 160:976-981.

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 avert (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…

References

Lee, W.L., Chen, H.L., Tsai, T.Y., Lai, I.C., Chang, W.C., Huang, C.H., & Fang, C.T.

(2009). Risk factors for peripheral intravenous catheter infection in hospitalized patients:

A prospective study of 3165 patients. American Journal of Infection Control, 37, 683

Lee, W.L., Liao, S.F., Huang, C.H., & Fang, C.T. (2010). Soft tissue infections related to peripheral intravenous catheters in hospitalized patients: A case control study. Journal of Hospital Infection, 76, 124 -- 129.

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.…

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…

Bibliography

1. Balridge National Quality Program (2002). Criteria for performance excellence. Gaithesburg: National Institute for Standards and Technology

2. The Customer Communicator (TCC) (2005). Alexander Communications Group, 28 (1) 2.

3. National Highway Traffic Safety Administration (2009). Emergency Medical Services: Performance Measures, Recommended Attributes and Indicators for System and Service performance.

4. Bruce, J. (2004). Application of EMS Customer Satisfaction Survey Data to Improve Service Delivery at Rialto Fire Department.

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…

References:

1. Atkin, C., Freedman, I., Rosenfeld, J., Fitzgerald, M., & Kossman, T. (2005). The evolution of an integrated state trauma system in Victoria, Australia. International Journal of the Care of the Injured, 2643, 1- 11.

2. Cameron, P., Gabbe, B., Cooper, J., Walker, T., Judson, R., & McNeil, J. (2008). A statewide system of trauma care in Victoria: Effect on patient survival. The Medical Journal of Australia, 189, 546- 550.

3. Veitch, C., Sheehan, M., Turner, R., Siskind, V., & Pashen. D. (2005). The economic, medical and social costs of road traffic crashes in rural north Queensland: a 5-year multi-phase study. Electronic Proceedings of the

8th National Rural Health Conference, Alice Springs, March, 2005.

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…

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,…

References

Anderstone, B. (2014, January 21). Seattle as liberal bastion? Think again. . Retrieved from Crosscut:  http://crosscut.com/2014/01/political-heat-map-shows-seattle-not-liberal/ 

Duke, M. (2012, October 27). Population-Weighted Density: How Seattle Stacks Up. Retrieved from Seattle Transit:  http://seattletransitblog.com/2012/10/27/population-weighted-density-how-seattle-stacks-up/ 

King County. (2013, June 5). King County's Changing Demographics. Retrieved from King County:  http://www.kingcounty.gov/~/media/exec/PSB/documents/AGR/KingCountyDemographics2012.ashx?la=en 

Pubic Health - Seattle and King County. (2013, April 10). Medic One/Emergency Medical Services. Retrieved from 2014-2019 Strategic Plan.

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…

References

Alanazi, A.F. (2012). Emergency medical services in Saudi Arabia: A study on the significance of paramedics and their experiences on barriers as inhibitors of their efficiency. International Journal of Applied Medical Research, 2(1), 34-37. Retrieved from  http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3657988/ 

D'Alessandro, K., Edd, W.L. & Al Mubarek, H. (2013). Muslim Mass Pilgrimage Poses Logistical and Planning Challenges. Journal of Emergency Medical Services. Retrieved from  http://www.jems.com/articles/print/volume-38/issue-9/major-incidents/muslim-mass-pilgrimage-poses-logistical.html 

Dees, L. (2007). Culturally competent care in the emergency medical services. Texas EMS Magazine. July/Aug 2007.

Eltahir, A. H. (2000). Development of Health Services in Hajj Seasons. Journal of Family and Community Medicine 7(1): 13-14.

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…

References

Anderstone, B. (2014, January 21). Seattle as liberal bastion? Think again. . Retrieved from Crosscut:  http://crosscut.com/2014/01/political-heat-map-shows-seattle-not-liberal/ 

Duke, M. (2012, October 27). Population-Weighted Density: How Seattle Stacks Up. Retrieved from Seattle Transit:  http://seattletransitblog.com/2012/10/27/population-weighted-density-how-seattle-stacks-up/ 

King County. (2013, June 5). King County's Changing Demographics. Retrieved from King County:  http://www.kingcounty.gov/~/media/exec/PSB/documents/AGR/KingCountyDemographics2012.ashx?la=en 

Pubic Health - Seattle and King County. (2013, April 10). Medic One/Emergency Medical Services. Retrieved from 2014-2019 Strategic Plan.

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…

References

Dripps, D., Boyce, R. & Perkins, R. (2013). Criminal law and procedure: cases and materials (12th ed.). New York, NY: Foundation Press.

Hendel, R.A. (2006). Criminal Law -- Murder -- Proof of Malice. Biddle v. Commonwealth, 206Va 14 (1965). William & Mary Law Review, 7(2), 399-402.

Hobart Community Legal Service Inc. (2013). Negligence and the Duty of Care. Retrieved February 22, 2017, from  http://www.hobartlegal.org.au/tasmanian-law-handbook/accidents-and-insurance/negligence/negligence-and-duty-care 

Justia -- U.S. Law (n.d.). Davis v. Comm. Retrieved February 22, 2017, from  http://law.justia.com/cases/virginia/supreme-court/1985/841043-1.html

This report analyzes the case between Bryan Stow v. Los Angeles Dodgers revealing the detailed information about the incident, the trial, and verdict. The report also examines the party that is wrong in the case.

Fact: On 31 March, 2011, Bryan Stow, aged 42, a paramedic from Santa Cruz, California, who was the plaintiff in this case, traveled with his three fellow paramedics to the Dodger Stadium to watch the opening day game between the San Francisco Giants, and the Los Angeles Dodgers. Stow, who was the fan of SA Giants was walking in the parking lot of the stadium following the 2-1 Dodger victory. Suddenly, Louie Sanchez punched him on the head provoking Stow to lay flat on the ground. While Stow laid on the ground, Sanchez, and his friend named Marvin Norwood subsequently kicked Stow on the head making him sustain traumatic brain injuries. Bryan Stow was a…

Air Force Military Training 4
Aviation Tactical Force- to- Force Exercise
Military operations entails an interaction of multiple forces, hence sequencing their interaction during training is essential in promoting inter-service cooperation (Col Gopaul, 2017). Efficiency in training is determined by how well the training mirrors the battlefield. The sequencing of the battlefield is configured engaging in multi-service training exercises referred to as force- to- force exercise.
Force- to- force exercise training is a form of training that entails training with simulation equipment to realism to training as the training. Tactical force-to-force exercises essentially entail simulation and configuration of battlefield complexities to support basic training of pilots, mission commanders, and operators. The operation entails the interaction of technologies and forces with different operation experience (Kishore, 2017). The simulated exercises ensure warfighting competencies and swift execution and successful spectrum of operations as well as interforce relationship building (Col Gopaul, 2017). Force- to-…

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…

References

Australasian College for Emergency Medicine.( 1993a) Triage (policy document).

Australasian College for Emergency Medicine (1993b)). A National Triage Scale for Australian Emergency Departments (position paper).

Canadian Association of Emergency Physicians. (1999) Canadian Emergency Department Triage and Acuity Scale. Journal of the Canadian Association of Emergency Physicians, 1, 1-24

George, J.E. (1995) Triage protocols. Journal of Emergency Nursing, 21, 65-66

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…

References

American Red Cross (2011) First aid/CPR/AED, accessed at website:  http://www.redcross.org/portal/site/en/menuitem.d8aaecf214c576bf971e4cfe43181aa0/?vgnextoid=aea70c45f663b110VgnVCM10000089f0870aRCRD , on March 15, 2011

Borio, L.; Inglesby, T.; Peters, C.J.; Schmaljohn, a.I.; Hughes, J.M.; Jarhling, P.B.; Ksiazek, T.; Johnson, K.M.; Meyerhoff, a.; O'Toole, T.; Ascher, M.S.; Bartlett, J.; Breman, J.G.; Eitzen, Jr., E.M.; Hamburg, M.; Hauer, J.; Henderson, D.A.; Johnson, R.T.; Kwik, G.; Layton, M.; Lillibridge, S.; Nabel, G.J.; Osterholm, M.T.; Perl, T.M.; Russell, P.; Tonat, K.; (2002) Hemorrhagic fever viruses as biological weapons, Journal of American Medical Association, Vol. 287, Issue 18, pp. 2391-2405

NFPA-1006 (2008) Standard for technical rescuer professional qualifications -- 2008 edition, National Fire Protection Association, 2008

Rockland Fire Equipment Company, Inc. (2011) Bio-Chemical protective suits for first responders, accessed at website:  http://www.rocklandfire.com  / on March 15, 2011

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 (obbins, 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…

References

Correll, D. (2005). News and Views…from ICSW. International Social Work. 48:5, 688-691.

Hofer B.K. And Pintrich, P.R. (1997). The Development of Epistemological Theories: Beliefs About Knowledge and Knowing and Their Relation to Learning. Review of Educational Research, Vol. 67, No. 1, 88-140.

Long, D.D. And Holle, M.C. (2007) Macro Systems in the Social Environment (2nd edition). Belmont, CA: Thompson, Brooks/Cole.

Lesser, J.C. And Pope, D.S. (2007). Human Behavior and the Social Environment: Theory and practice. Boston: Pearson/Allyn and Bacon.

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…

Works Cited

BCFD Preliminary Investigation Into The Line Of Duty Death Of Recruit Racheal M. Wilson

On February 9, 2007. (2007). Retrieved November 12, 2009, from http://www.minnesotafireservice.com/pubs_open/20070226bcfd_wilsonreport.pdf.

Goodrich, Art. (2007). Baptism by Fire or Death by Diversity? Retrieved November 12,

2009, from http://chiefreasonart.com/about-2/.

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…

References

Angel, Jim. The 1995 Heat Wave in Chicago, Illinois. Illinois State Water Survey. 2007. http://www.sws.uiuc.edu/atmos/statecli/General/1995Chicago.htm

Buchanan, John M. Being Church, becoming community. Westminster John Knox Press.

Dying alone: An interview with Eric Klinenberg.  http://www.press.uchicago.edu/Misc/Chicago/443213in.html 

Hooke, William H; Rogers, Paul G. Public health risks of disasters, communication, and infrastructure. National Academies Press. 2005.

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).…

References

Bergner, M., Bobbitt, R.A., Carter, W.B., & Gilson, B.S. (1981) the sickness impact profile: Development and final revision of a health status measure. Medical Care, 19: 787-805.

Drotar, D. (1998) Measuring health-related quality of life in children and adolescents:

Implications for research and practice. Mahwah: Lawrence Erlbaum Associates.

Kaplan, R.M., Bush, J.W. & Berrgy, C.C. (1976) Health status: Types of validity and the index of well being. Health Services Research, 11(1): 478-507.

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 egional 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…

References

Cohen, Sharon S. And Karen Mulvaney. "Field observations: Disaster Medical Assistance Team response for Hurricane Charley, Punta Gorda, Florida, August 2004." Disaster Management and Response 3.1 (2005): 22-27.

Mace, Sharon E., Jaszmine T. Jones and Andrew I. Bern. "An analysis of Disaster Medical Assistance Team (DMAT) deployments in the United States." Prehospital Emergency Care 11 (2007): 30-35.

McEntire, David a. Disaster Response and Recovery: Strategies and Tactics for Resilience. Indianapolis: Wiley, 2007. 156-157.

South Florida Regional DMAT FL 5 / IMSuRT South. 2007. South Florida Regional DMAT FL5. 31 October 2007  http://www.fl5dmat.com/ .

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…

References

Barbara Sibbald. Nursing shortage more severe, urgent than expected. Canada Medical Association Journal. 2003

Harriet R. Feldman. The Nursing Shortage: Strategies for Recruitment and Retention in Clinical Practice and Education. Springer Publishing Company. 2003.

Gilbert G. Gonzalez. Labor vs. Empire: Race, Gender, and Migration. Rout ledge. 2004.

Bernice Buresh, Suzanne Gordon. From Silence to Voice: What Nurses Know and Must Communicate to the Public. Cornell University Press. 2006.

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…

Valdes-Dapena, Peter. (2006). Hybrids: Seven worries, seven answers. CNN. Retrieved June 16, 2007, from the World Wide Web:  http://money.cnn.com/2006/03/14/Autos/tipsandadvice/hybrid_worries/index.htm 

Verhoeven, Peter. (2007). Silence of hybrid vehicles concerns blind pedestrians. Retrieved June 17, 2007, from the World Wide Web: http://www.magnifiers.org/news.php?action=fullnews&id=232

Wood, Douglas S. (2001). The relationship between the automobile and the suburbs. CNN. Retrieved June 17, 2007, from the World Wide Web: http://www.cnn.com/SPECIALS/2000/democracy/sprawl/stories/auto.history/index.html

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…

Reference List

Profile of General Demographic Characteristics: 2000. U.S. Bureau of Census, Census 2000. Retrieved February 4, 2007 at  http://www.city.newport-beach.ca.us/PLN/demo_main.htm .

Profile of Selected Social Characteristics: 2000. U.S. Bureau of the Census, Census 2000. Retrieved February 4, 2007 at

21). When pressed, the ed 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…

References

Editors. (2006). American Red Cross. Retrieved from the RedCross.org Web site:  http://www.redcross.org/index.html1  Dec. 2006.

Editors. (2006). Northern Nevada Chapter American Red Cross. Retrieved from the NevadaRedCross.org Web site:  http://www.nevada.redcross.org/1  Dec. 2006.

O'Meara, Kelly Patrick. Are They Cheating on 9/11 Payouts? (2004, March 15). Insight on the News 21.

There's an attitude that if you're doing something you usually do with women, then you are not gay" (hoads, 1999, p. 136). This notion of homosexuality among Puerto ican community is reflective of the perception elsewhere in Latin America. For instance, hoads 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, hoads 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…

References

Christiansen, S.L. & Palkovitz, R. (1998). Exploring Erikson's psychosocial theory of development: Generativity and its relationship to paternal identity, intimacy, and involvement in childcare. The Journal of Men's Studies, 133.

Hoare, C.H. (2002). Erikson on development in adulthood: New insights from the unpublished papers. New York: Oxford University Press.

Linn, S. (2003). Children and commercial culture: Expanding the advocacy roles of professionals in education, health, and human service. The Journal of Negro Education,

72(4), 478-479.

, 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…

References

Anderson, S.W. Domasio, H., & Domasio, A.R. (2005). A neural basis for collecting behaviour in humans. Brain, 128, 201-212

Frost, R. & Gross, R. (1993). The hoarding of possessions. Behaviour Research and Therapy, 31, 367-382

Saxena, S., Ayers, C.R., Maidment, K.M., Vapnik, T., Wetherell, J.:. Brstritsky, A. (2011). Quality of life and functional impairment in compulsive hoarding. Journal of Psychiatric Research, 45, 475-480

Steketee, G., Frost, R.O., Tolin, D.F., Rasmussen, J. & Brown, T.A. (2010). Waitlist-controoled trial of cognitive behavior therapy for hoarding disorder. Depression and Anxiety, 275, 476-484

People of the State of California v. Conrad obert 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…

References

Kepner v. United States, 195 U.S. 100 (1904).

Neubauer, D.W. & Fradella, H.F. (2010). America's courts and the criminal justice system, 10th ed. New York: Wadsworth.

People v. Broussard, 76 Cal.App.3d 193, 197 (1977).

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…

References

Liese, Friedrich and Miescke, Klaus-J. (2008). Statistical Decision Theory: Estimation, Testing, and Selection. Springer.

Bernardo, JE & Smith, Adrian (2000). Bayesian theory. New York: Wiley.

Ahrens, J., & Dieter, U. (1982). Computer Generation of Poisson Deviates. ACM Transactions on Mathematical Software 8 (2): 163 -- 179.

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…

References

Farah J.(2011): Customs Whistleblower: Airports still Vulnerable. World Net Daily.

Retrieved May 25, 2011 from  http://www.wnd.com/?pageId=23081 

Lenckus D.(2011): Airports Vulnerable Despite Higher Level of security. Business Insurance. Retrieved May 25, 2011 from  http://www.businessinsurance.com/article/20020505/ISSUE01/10009526 

Okumura T., Kondo H., Nagayamu H., Makino T., Yoshioka T. & Yamamoto Y.(2007):

ecovery 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 ayburn 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…

References

Botulinum toxin. (2011). State of Delaware Health and Social Services. Retrieved from http://

www.dhss.delaware.gov/dph/files/botulismems.pdf.

Dando, M. (2001). The new biological weapons: Threat, proliferation, and control. Boulder,

CO: Lynne Rienner.

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

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

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

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

ehabilitative 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…

REFERENCES

Kids and their Bones: A Guide for Parents. (January 2011). NIH Osteoporosis and Related Bone Diseases National Resource Center. Retrieved from:  http://www.niams.nih.gov/health_info/bone/Bone_Health/Juvenile/default.asp 

Wrist Bone Connected to the…. (2011). Castoo.com. Retrieved from:

http://www.casttoo.com/Casttoo.com/Design_Catagories/Entries/2007/10/14_Bones_&_X-rays.html

Baniukiewicz, a., et.al., (2011). Broken Arm. EMedicineHealth. Retrieved from:

I asked them what is done for obby 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 obby'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 obby needs.

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

Bibliography

Bricker, Diane. 2000. "Inclusion: How the scene has changed." Topics in Early Childhood Special Education, April.

Diamond, Karen E. 1999. "Parents who have a child with a disability." Childhood Education, March 22.

DiPipi-Hoy, Caroline, and Jitendra, Asha. 2004. "A Parent-Delivered Intervention to Teach Purchasing Skills to Young Adults with Disabilities." Journal of Special Education 38:3, p. 144, October.

Graham, Steve. 2003. "Self-determination for students with disabilities: views of parents and teachers." Exceptional Children, Sept. 22.

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)…

References

Acuff, J. (c2004). The relationship edge in business: Connecting with customers and colleagues when it counts. Hoboken, N.J.: Wiley.

Andrus, P. (2005). Grief in the workplace. Martin & Castille. Retrieved February 3, 2005 at  http://www.mourning.com/your_grief_workplace.html .

Banusiewics, J.D. (2004). Customs of military funerals reflect history, tradition.

United States Department of Defense. Retrieved January 31, 2005, at  http://www.defenselink.mil/news/Jun2004/n06102004_200406106.html .

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…

References

Medicaid/Reach up Program. Vermont Public transport Association. Retrieved from  http://www.vpta.net/publicservice_medical.html  Accessed on 6 February, 2005

Medical Transportation. Prince William Health System. Retrieved from http://www.pwhs.org/patients/transportation / Accessed on 6 February, 2005

Services we offer. Allina Hospitals and clinics. 2004. Retrieved from  http://www.allina.com/ahs/transport.nsf/page/AMT_services  Accessed on 6 February, 2005

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…

Work Cited

Cruzan, by her Parents and Co-Guardians v. Director, Missouri Department of Health.

http://www.law.umkc.edu/faculty/projects/ftrials/conlaw/cruzan.html

Terri Schiavo

 http://en.wikipedia.org/wiki/Terri_Schiavo