DVT Case Studies

Dugdale, D. (2012, June 22). Cardiogenic Shock. U.S National Library of Medicine. Retrieved November 23, 2013, from http://www.nlm.nih.gov/medlineplus/ency/article/000185.htm

Venous thromboembolism refers to the formation of a blood clot in a blood vessel. While clots can form in an artery or a vein, this article focuses only on clots that occur in a vein ("," 2015). Critically ill patients are at an increased risk of a venous thromboembolism (VTE) due to VTE can manifest as a deep venous thrombosis (DVT) or a pulmonary embolism (PE). Risk factors include venous stasis, vascular injury, and hypercoagulable disorders. A majority of ICU patients carry at least one risk factor for VTE; additional risk factors are considered to have a cumulative effect…it is impossible to predict which patients will experience a

     This essay is not intended to criticize any emergency medical or hospital staff. I am writing this essay out of concern for patients who come into the emergency room that may have a jeopardized spinal cord resulting from an injury or suspected injury to their cervical spine. I am a certified emergency medical technician, farm-medic instructor and currently a medical diagnostic student doing clinicial's. In the United States each year there are approximately 10,000 reported cervical spine injuries that come into emergency rooms. Motor vehicle accidents account for approximately 45%, falls approximately 30%, the remaining 25% from sports and miscellaneous. Although only a small amount of

In the events of the shootings of Dallas Police Department by Micah Xavier Johnson, the DPD released and operated a robot attached with an explosive that went in and was triggered to exploded near Johnson. This action was done to end the multiple hours of gunfire between the officers and Johnson. This has now formed a debate regarding the ethics of using this form of deadly force. I believe that the DPD was correct and ethical in using this tactic for the reason that using this robot prevented hours of gunfire and possibly saved the lives of officers engaged in the gunfire between them and the shooter. Even though it’s a new irregular way to subdue the suspect with deadly force, it’s purpose to end the hour of violence and prevent any other

What is an appropriate focused assessment and care to provide a patient with a suspected DVT?

The risk factors associated with VTE are surgeries of general kind, orthopedic surgery, spinal cord injury, fracture caused in hips, long bones or pelvis, Trauma of multiple nature, malignancy, myocardial infarction, respiratory failure and congestive heart. In addition to this, another risk factor for the disease includes the past, age, immobility, pregnancy, puerperium and hereditary factor of the population. In order to avoid VTE, several preventive measures are

Funding of an individual’s quest for DWD may be costly. Expenses to consider include the various physician consults in addition to the prescription barbiturate itself which may cost as much as $5000 (Death with Dignity, n.d.). The Assisted Suicide Funding Restriction Act (1997) bans the use of federal funding, such as Social Security, Medicare, or Medicaid, for any type of assisted suicide or euthanasia. Private insurance companies vary and may decide which doctor’s visits, prescriptions, and procedures they will cover and this varies by state. Life, health, or accident insurance policies are to be unaffected by PAS as indicated in the DWDA (1994).

V-1 was attempting to make a left turn from the center turn lane on PP Highway onto Sterling Drive.

Update to EDP should be entered as necessary, hopefully once per quarter (therefore, the old formula 128+129 =205 is not valid any longer –you should have more 205 that 128 and 129 combined)

Hemorrhagic shock results from a life-threatening loss of blood and leads to tissue ischemia and insufficient evacuation of cellular metabolic degradation products. Mortality is linked directly to massive blood loss or occurs indirectly due to secondary multiple organ failure. In particular, loss of gastrointestinal, renal, hepatic, and pulmonary function is frequent after hemorrhagic shock (1). Current guidelines for nonsurgical treatment of hemorrhagic shock recommend rapid volume resuscitation by using crystalloids to restore the intravascular volume (2). However, this practice is controversial because aggressive restoration of intravascular volume with a rapid increase in blood pressure before controlling hemorrhage can lead to increased

Please let me know if you could provide a training to Dan Wright, CSPIN DVOP, so he can start managing Chapter 31 cases. In the past, Toni was able to provide 2 hrs. training to new DVOPs so they can work with Chapter 31 Veterans before attending NVTI training. Dan was a LVER before, and he knows the job, just need a clearance to start managing Chapter

According to Vickery (2001) however, the spinal board is considered to be the gold standard for spinal immobilisation during the pre-hospital phase of trauma management. For some patients, effective spinal immobilisation is beneficial and can also be vital in preventing the devastating effects of cord damage however it has been suggested that for many the excessive use of this preventative measure may not be prudent or necessary. It has been estimated that over 50% of trauma patients with no complaint of neck or back pain were transported with full spinal immobilisation (McHugh & Taylor 1998). Inappropriate spinal immobilisation may lead to patients experiencing unnecessary pain, skin ulceration, aspiration and respiratory compromise, which in turn may lead to further unnecessary procedures, a longer hospital stay which then incurs increasing costs to the National Health Service (Kwan, Bunn & Roberts, 2001). Shooman & Rushambuza (2009) report that immobilisation is a crucial part of the management of a trauma patient. They believe that if the mechanism of injury is uncertain, the patient should remain immobilised until further imaging even if there are no symptoms of spinal instability after log rolling. However, in a recent study by Pandie, Shepherd & Lamont (2010) they concluded that on its own, standard

• DVT – the formation of a blood clot within a deep vein that may partially

This study suggested that providing VTE prophylaxis training to nurses would prevent VTE from occurring. To prevent VTE and other vascular disorders the nurses should get appropriate training. Furthermore, nurses must encourage their patients to use anticoagulant such as low-dose unfractionated heparin (LDUH), low molecular weight heparin (LMWH), Fondaparinux, Rivaroxaban and Dabigatran and mechanical devices such as Compression Stockings and Intermittent and pneumatic Compression (IPC) consecutively that decrease the development of VTE 51-80%. The research also encourages nurses and other health care professional to educate patients and their family member to prevent VTE from occurring that include early ambulation post-surgery and proper

DIC develops as a consequence of systemic activation and consumption of the clotting factors; It does not occur by itself but as a complicating factor from another underlying condition such as sepsis, trauma, head injury, burns, hemorrhage, end stage liver disease, and snake envenomation. Clinically, it can range from mild to severe, and may lead to massive bleeding, the formation of thrombi, and multiorgan dysfunction/failure. Regardless of the triggering event of DIC, once initiated, the pathophysiology of DIC is similar in all conditions. One critical mediator of DIC is the release of a transmembrane glycoprotein called tissue factor (TF) After exposure to inflammatory proteins, TF is thought to activate the coagulation cascade throughout