Case Study Of Kerosene

Chemical suicides became prevalent in the United States around 2008. Since then, the number of suicides has been rising faster as the years go by. These forms of

Fumes in heavily oiled area can also affect the community and there is widespread concern that some workers are not being given sufficient safety equipment, including respirators — and volunteers, who may not have as much training or experience as hired workers, could be in the greatest danger. So far, more than 400 oil-exposure

“Suicide occurs when a person ends their life. It is the 11th leading cause of death among Americans. But suicide deaths are only part of the problem. More people survive suicide attempts than actually die. They are often seriously injured and need medical care” (Suicide, 2010). It is important to know the risk factors involved as well as ways to prevent suicide form occurring. As case managers, or any health care professional, it is equally important for us to know what the signs may be in order to properly address them and it is also very beneficial to know HOW to address such a sensitive issue. We have to know that not every suicidal case will be prevented but knowing it will definitely lessen the cases of those that do decide to commit

Nancy was an 80 year-old woman who was cooking dinner for her and her grandson. When the unthinkable happened, the long sleeved shirt that she was wearing caught fire. She yelled for help! Her grandson came to her rescue and helped her. 911 were called immediately. When the paramedics arrived on the scene, they evaluated Nancy and took her to the hospital due to her injuries. She sustained burns to the anterior and posterior right upper arm as well as the anterior and posterior thorax. Parts of her skin were black and charred and some parts of her skin had blisters. She was admitted into the hospital where doctors did further testing and treatment to her burns. Due to Nancy’s burns, her skin was severely affected.

According to the Centers for Disease Control and Prevention (CDC) suicide is the tenth leading cause of death in the United States (US) as of the 2015 Suicide Facts at a Glance Report. In 2013 there were 41,149 suicides in the US which calculates to a rate of 12.6 per 100,000 or 113 suicides each day or one every 13 minutes (Centers of Disease Control and Prevention [CDC], 2015). Emergency departments are often a resource for those seeking assistance for suicidal ideations. This paper will discuss many aspect of suicide including; contributing factors, scope of the problem, populations affected, significance, and approaches used to address the issue.

Susanna Kaysen, only 18 years of age, had already attempted suicide by using a bottle of aspirin and a bottle of vodka. Prior to her admittance to a mental health facility she showed symptoms of borderline personality disorder such as self-harm (banging her wrists on hard surfaces to cause bruising) which would later relate to her

There are three main types of burns, beginning with first degree burn, the most minor burn, this degree of burn only affects the epidermis, it will cause redness, swelling and pain, as the burn is healing dry skin will begin peeling off. The next type of burn is a second degree burn; these burns are more harmful because they damage more than the epidermis, it will blister and become extremely red and sore. Over time a thick, soft called tissue fibrinous exudate may develop over the wound. Excluding fourth degree burns, third degree burns are the most severe, they cause the most damage, extending through every layer of skin, there is a misconception that third degree burns are the most painful, however, with this type of burn the damage is so extensive that there may not be any pain because of nerve damage. This degree results in white or blackened, charred skin that

Burn injuries are a commonly seen in the United States. The most common mechanism of injury is a fire or flame, followed by scald, contact, electrical, and chemical burns. The majority of burns occur at a home or residence (ABA, 2017). Primary care providers should be informed of the most current evidence-based practice guidelines when caring for burn wounds. For decades, the first-line treatment of partial thickness burn wounds has been and continues to be, silver sulfadiazine (SSD) cream (Zacharevskij et al, 2017).

The last definition given by the CDC is suicidal ideation which is referred to as thinking about committing suicide with or without a plan (CDC, 2015). Other members of this population include their family members and healthcare workers that work hard each and every day to make sure their holistic needs are met. In conjunction with these definitions mentioned above, many reasons why one would chose to commit suicide include problems with an intimate partner, financial issues, losing a job, and/or a previous diagnosis of a health problem. Once we understand who this population is and why they are vulnerable, it is important that we mention the methods that these individuals may resort to in order to end their life, so that there may be a chance to prevent them for causing harm to themselves. These methods are, but not limited to, gunshot wounds to areas on the body, predominantly the head and chest, overdosing on pain medication, suffocation, drowning, electrocution, and many other

A burn is a type of injury to skin, or other tissues, caused by heat, cold, electricity, chemicals, friction, or radiation. Most burns are due to heat from hot liquids, solids, or fire. While rates are similar for males and females the underlying causes often differ. When the injury extends into some of the underlying skin layer, it is a partial-thickness or second-degree burn. The burn is often black and frequently leads to loss of the burned part. Burns are generally preventable. Treatment depends on the severity of the burn. Tetanus toxoid should be given if not up to date. In the United States, approximately 96% of those admitted to a burn center survive their injuries. The long-term outcome is related to the size of burn and the

Fifty-eight patients with 3rd degree burns were studied. Samples of eschar were taken from the center of the wounds between 2 and 46 days. Skin biopsies from 5 control patients were taken from surgical wounds immediately after the first incisions were made (1). The tissue samples were mounted, fixed and stained with hematoxylin and eosin. Some were used for immunohistochemistry to detect complement and CRP. These tissue sections were incubated with either polyclonal rabbit anti-human complement C3d at 1:2000 dilution or with a 1:400 dilution of monoclonal mouse anti-human CRP or with a 1:400 dilution of monoclonal mouse anti-human CD68 (to detect macrophages) or with a 1:500 dilution of polyclonal rabbit anti-human myeloperoxidase (to demonstrate neutrophils) (1). Control slides were not stained with primary antibody. The Cd3 and CRP levels were analyzed with a scoring system of 0-3 with 0 being negative and 3 being strongly positive (1). The macrophage and neutrophil levels were assessed by choosing 10 high powered fields (at 400x magnification) per section and counting the cells staining positively for CD68 and MPO respectively. The average number of cells per field was considered to be the score of the biopsy (1).

A study conducted by Cheek, Nestor & Liu (2015) found Injection drug use was positively associated with suicide attempts, but not suicide ideation or suicide plans. This study also can be explained by the Interpersonal Theory of Suicide, which stated you needed to remove the fear of death to go from ideation to attempter (Joiner, 2005). In this study injection drug use removed the fear of death. Also injection drug use was associated with the suicide attempts among suicide planners (Cheek, Nestor & Liu, 2015). Which further supports the concept that substance use can remove the fear of dying and can take an individual from suicide ideation to suicide

A Hazardous material tanker carrying 7,000 gallons of gasoline and diesel fuel overturned on the southbound off-ramp of Interstate 75, spilling fuel onto the roadway.

When burn wounds present to a health care setting, they should be assessed and the provider should decide if it is treatable for their setting, or if a higher level of care is in order. For patients who present with deep partial thickness burns to a localized area such as the arm and hand, an initial cleaning of the wound should be performed. All blisters should be deroofed, and once the wound is cleansed, it should be placed in a hydrocolloid dressing (Zacharevskij et al., 2017). SSD cream should not be placed on these wounds.

Surgical smoke is generated during the cutting or coagulation of tissue by a wide variety of devices including laser, vessel sealing devices and electro cautery. Quantity of smoke generated is variable based on the amount of tissue, open or closed procedure, device utilized and functional temperature of the device. The contents of the smoke generated contain numerable volatile organic compounds. Several carcinogenic particles have been isolated in surgical smoke. Both viral and bacterial components have been identified in smoke particles. The size of particles in surgical smoke is predominantly smaller than 2.5µM. Inhaled small particles have known negative health effects. Smoke temperature was not identified as an evaluated vector of risk in the literature. The literature does not definitively link surgical smoke exposure to injury or disease. Preventing workplace exposure to tobacco smoke has reduced mortality. Operating room personnel are likely at risk from chronic exposure to toxins, small particle inhalation and possible infectious transmissions from smoke. Smoke evacuation systems can provide