DVT Case Studies

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

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)

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

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).

“You are too young to help anybody, and I am too old” (Maclean 81). The novel River Runs Through It by Norman Maclean, written in 1909, is a life changing story that presents criticism of the society of the time and today’s society through the topic of help. Throughout the book, Norman presents the issue and, ultimately, the danger of not helping those in need and being too stubborn to accept help. In the case of the novel, these issues ultimately lead to the death of Paul. So, Maclean wants us to understand that it is difficult to help a person without knowing what to do to help, and if the person is too stubborn to accept it.

The bleeding occurs following trauma to the tissue this could be an overload of a tissue or even external force. One of the bodies first initial haemodynamic responses to bleeding is vasoconstriction which narrows the blood vessels causing decreased blood velocity, in 2008 (Watson) states that this is due to the release of noradrenaline(norepinephrine); the reaction last lasts only a few seconds to a minute. It is also explained by (Terkeltaub & Ginsberg, 1988) that both lymphatic and blood vessels are plugged to limit any fluid loss and platelet, aggregation is stimulated by the presence of thrombin. Vasoconstriction responds primarily to haemostasis which is a response to prevent blood loss and a platelet plug is formed to support the prevention of excessive

Venous thromboembolism (VTE) is an epidemic that rain rapid in Australia and was a very big concern. The study of this sickness was a major Problem as it had affected the demographic area of Perth, Australia. The epidemic is a very big problem as VTE is connected with the trauma, surgery, and cancer and this sickness is caused while

     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

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

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

Many children in the United States and throughout the world have been orphaned, put under foster care, or had something similar happen that results in the child being alone, in a sense. These children will often be entered into an adoption agency. All the children on the records of these adoption agencies have something in common no matter what race or religion they are a part of; they all need a home and a family. Through adoption any person of any race can provide a child of a different ethnicity or of the same ethnicity as himself or herself, so long as he or she qualifies; however, the ethnicity of a child in comparison to his or her adoptive parent or parents may affect the ability of the

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

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

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

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