Ms. Jones is in an extremely critical situation, due to her development of cardiogenic shock and her current need for multiple catecholamines. Cardiogenic shock is the end result of substantial cardiovascular injury with myocardial infarction and emergent revascularization being at the top of the list (Levy et. al, 2015). Patients that experience cardiogenic shock need extensive care and monitoring which has landed her a place on the critical care unit. Dopamine has predominantly beta-adrenergic effects at lower doses and alpha-adrenergic effects at higher doses, but its effects are relatively weak (Vincent & Backer, 2013). If the dopamine and dobutamine used reach their therapeutic maximums, the physician may consider adding other Alpha and
epinephrine and dopamine, will have an average HR higher than the average HR of stimulants when administered separately. For daphnia 2, it can be concluded from the data that 1mM epinephrine administration resulted in average of 256 BPM, an almost 10% increase from base average BPM of 210 BPM. Administration of 1mM dopamine resulted in average BPM of 212 BPM, similar to the base average BPM of 210 BPM. Lastly, the daphnia was subjected to a combined epinephrine and dopamine solution. From the data, it can be concluded that the combined solution caused the average BPM to increase almost 4%, that is average 218 BPM, in comparison to baseline BPM of the second daphnia. From the second daphnia results: epinephrine and dopamine combined solution didn’t have any drastic increase, almost no effect, when compared to stimulants being administered separately. Hence, this hypothesis is also rejected by the data. Previous research by Barrazo has shown that stimulation of dopamine signaling pathways leads to “decreased movement with different time-courses of
The right ventricle fills up tricuspid valve closes right ventricle contracts pulmonary valve opens the blood flows into the pulmonary artery pulmonary valve closes pulmonary artery splits into two vessels each going to the lungs.
Trauma patients often present paramedics with difficult situations to handle. These patients most likely have multiple injuries that the paramedic must treat including internal and external injuries. The main concern in treating trauma patients is controlling the pain that the patient may be experiencing while not compromising the patients hemodynamic and respiratory state. The most common drugs used in pain management in the pre-hospital setting often cause undesirable side effects, such as respiratory depression, hypotension, apnea, and bradycardia. All of these side effects combined with a trauma patient who is already compromised can lead to a much bigger issue. What if there was a drug that could treat the pain, calm the patient, and not cause the nasty side effects of traditional pain management? Ketamine provides us the answer to this question.
The case I chose was published in The Baltimore Sun. The title of the article is, Prosecutors: No Charges against Baltimore officer who used Taser on teen. This article is about a 19 year-old teen named George Vonn King Jr. who died from cardiac arrest. The article states that Mr. King was tased several times by police, before going into cardiac arrest (George). This incident took place at the “MedStar Good Samaritan hospital” in Baltimore MD, where Mr. King was admitted as a patient. Mr. King suffered from Meningitis which causes seizures, along with aggressive behavior. When King was asked by hospital staff to move to the intensive care unit, he became aggressive, which may have been because of the medication he received (George). Hospital
Stephanie Clifford’s A Shot to the Heart tells the story of Peter Forcelli, a Bronx detective that had arrested and convicted Edward Garry, an innocent man. Garry was charged with the robbery of Irene’s New Hope Grocery and the murder of retired NYPD officer Oswald Potter. When the robbery occurred, Potter attempted to stop the robbery when shouting, “I am a police officer” and knocking a suspect to the ground. Later gunshots were heard coming from the grocery store as two suspects fled the scene. Potters was found collapsed in a car with a single gunshot wound to the chest and later was pronounced dead at a hospital. Forcelli the explains that the arrival of a new system called CompStat and the murder of a police officer created an immense pressure to solve the case as quickly as possible. Basing their arrest off two unconfident eyewitnesses who picked Garry out of a line up, without any physical evidence or even a confession. Not long after Forcelli joined the A.T.F. where he soon developed his interest in pursuing wrongful convictions. His new passion had reminded him of Edward Garry’s case and the idea that a man was convicted on such little evidence made him sick. Forcelli then made it his goal to exonerate Garry, an innocent man serving a life sentence. Forcelli then notes the difficulty of freeing an innocent man from his sentence is much more difficult than convicting him in the first place.
Shock is a serious medical issue characterized by insufficient perfusion, which can lead to sepsis and death. A patient going into shock is something that an EMT may face in the field, therefore an EMT must be able to accurately identify and diagnose all types of shock. Although there are many specific types of shock, the most widely accepted division of shock was established by authors of “The Fundamental mechanisms of shock” Hinshaw and cox. Hinshaw and cox explain that shock can be separated into four broad pieces: hypovolemic shock, cardiogenic shock, distributive shock, and extracardiac obstructive shock (Sethi).
Shock is a collapse of Circulatory function caused by severe injury, blood loss, or disease, and characterized by pallor sweating, weak pulse, and very low blood pressure .There are three basic types of shock. Cardiogenic Shock [includes tension pneumothorax, cardiac tamponede and pulmonary embolism] which is caused by the heart failing to pump as designed. Distributive shock [includes septic shock, neurogenic shock, anaphylactic shock and psychogenic shock] which is caused by poor vessel function. Lastly we have hypovolemic shock [includes hemorrhagic shock and non hemorrhagic shock]. Cardiogenic shock is basically shock that is cardiac in nature. It is also the end off of the road for all other causes of shock. Cardiogenic shock
Evidence-Based Practice, Step by Step: Asking the Clinical Question: A Key Step in Evidence-Based Practice
The purpose of this study was to determine the type of learning acquisition in dogs that were subjected to three different styles of electric shock. They wanted to determine what method of learning worked the best to avoid a shock for an extended period of time. Each of the three groups of dogs learned escape/avoidance training, however the "escape" group and the "yoked" group gained more training than the normal control group. The "escape" group was taught during their training that touching the side panels during the shock would terminate it. This was repeated 64 times in the harness and the same training was done 10 more times in the shuttle box, 24 hours later. The "yoked"
Shock is a life-threatening condition with a variety of underlying causes. Shock is caused when the cells have a lack of adequate blood supply and are deprived of oxygen and nutrients. In cases of shock, blood is shunted from peripheral areas of the body to the vital organs. Hemorrhage and decreased blood volume are associated with some, but not all, types of shock.
Participation in high intensity sporting activities is widely considered to be a contributor to positive cardiac health. However, for a portion of the athletic population, sudden cardiac arrest (SCA) poses a serious risk (Chatard, Mujika, Goiriena, & Carre, 2016). Although considered rare with estimates of one death every three days in the United States (Pigozzi, Rizzo, & Maffulli, 2009), the impact of the often-fatal event resonates through society due to the young age of the athlete and the immediacy of the decline of the perceived healthy person (Chatard et al., 2016).
Did you know that food can actually make you smarter? Not just any type of food like chips, soda, candy and basically everything that contains sugar, or what we like to call, junk food. You might know already that healthy foods are good for you but, have you ever wondered if they can actually make you more intelligent?
Cardiogenic shock is a frequently fatal complication that occurs when the heart cannot pump an adequate amount of blood in order to perfuse tissues. This hypoperfusion causes multiple organ dysfunction and damage which classifies cardiogenic shock a medical emergency. In the past, cardiogenic shock had a poor prognosis. However, currently approximately half of the people that go into cardiogenic shock survive (National Heart, Lung, and Blood Institute [NHLBI], 2011).
Global population control and environmental policies are the subject of international controversy. The rate at which human beings are populating the earth and polluting it are some of the most important factors that face the global society today. As of March 2009, the world population is about 6.76 billion. With the high rate of population increase, the global population is expected to reach 9 billion by 2040. With the number of people in the world today and the amount of consumer goods being purchased and used, these factors present a problem to the state of the environment in the near future. Over the past 50 years, the world’s population has more than doubled and more than 1 billion of the world’s people do not have enough food to
Since arriving and taking the hard decision to stay in USA, I have been dreaming and envisioning the moment I will go back home. This country with millions of miles of highways, crowded metropolises, sunny beaches, lush rainforests and endless possibilities has been a foundation for a new beginning. It wasn’t easy to preserver and succeed all alone in this new world. Falling in love, getting married and starting a family has been a blessing which gave me a purpose for all those countless days of hard work and endeavor to achieve my dreams. Even though after five years everything was coming in to place and I felt truly happy, something was still missing. The puzzle of joyful life was not complete.