Y Secuelas Del Gran Quemado

El autor del cuento Agueda, pío Baroja, forma parte de la generación del 98, este Grupo es un grupo de escritores los cuales son conocidos por la cantidad de escepticismo y pesimismo la generación del 98 fue fundada en un periodo en cual la nación española estaba en guerra y tenia una crisis económica. Pío Baroja nació en 1872 vivió por la mayoría de su vida en Madrid el estudió medicina pero después lo deja todo para dedicarse a escribir y convertirse en una figura muy importante de España.

Una de las principales fuentes de riesgo que presenta Pecom ante este escenario, es sin duda el

The patient did have black soot around his nose and mouth. Thats when first responders started manual ventilation's via BVM and 02 at 15 LPM. At this time Medic 1 assumed patient care. Medic 1 assigned first responders to obtaining vitals signs that are stated in the vital section of the report. It was at this time that Medic 1 applied a OPA after first measuring on what size to use. First responders also applied fast patches to the patients right upper chest and left midaxillary line At this time Medic 1 assigned first responders to start chest compressions a 15:2 ratio. Medic 1 at this time started a IO in the patients plateau region of the right leg. The Plateau region is inferior and lateral to the knee cap. At this time Normal Saline bolus was started with a 60 drop per ML set. Medic 1 found the patient to be in a sinus rhythm At this time miscommunication with Medic 1 and first responders happen with chest comparisons started. We then secured the patient on the cot via 4 straps and transported a code red patient to the nearest hospital. While enroute to hospital radio report was given with chief compliant and treatments listed in the appropriate category of the report. Vitals was continued to be taken every 5

Vaca, he was born around 1490 to a decent family in Spain. His name means

Sin Nombre, loosely translated as “without name”, is an independent film released in 2009 under the skillful direction of Cary Fukunaga. Fukunaga, a film graduate from New York University, also attended a French university and carries a bachelor’s degree in history from the University of California at Santa Cruz. During his studies and New York University, he made a short film titled Victoria Para Chino, a film about a group of immigrants who died in a refrigerated trailer when immigrating to America; The inspiration behind Sin Nombre came from that short film. In his first major production, Fukunaga continued his interest in the topic of immigration, and came up with the creation of Sin Nombre. The film follows both a young gangster of

Mexican culture is encompassed very closely as a family. When a family member is ill the whole family comes together to care for the individual. The mother of the family traditionally makes healthcare decisions. Health risks commonly associated within the Mexican heritage are alcohol consumption, smoking, disinclined to practice seat belts or helmets and common safe sex condom practices (Purnell, p.295. 2009). Genetic health conditions connected to the Mexican culture pertain to lactase deficiency, diabetes mellitus, cardiovascular disease and hypertension (Purnell, p.294. 2009). Four accompanied Mexican cultural illnesses involve, “Empacho (blocked intestines), Mal de ojo (evil eye), Caida de mollera (fallen fontanel), and Susto (magical

The Author will firstly discuss why the ‘Vital Signs’ would be; followed by both the immediate treatment that should be given and the intervention needed from more advanced medical personnel.

Upon arriving at the scene, the advanced care paramedic would begin the primary survey. All dangers would be assessed, including environmental dangers, animals, agitated bystanders and any other alarming cues. Once all dangers have been assessed the ACPs begin investigating the patient’s responsiveness using the acronym AVPU (QLD.gov.au, 2016). An assessment of their alertness, verbal response, response to painful stimuli or unconsciousness is completed. Once assessed, the patient’s airway is then checked to be clear of any obstructions to ensure proper respiration can occur, at this point, the triple airway manoeuvre would be adjusted to only the opening of the mouth and the jaw thrust (QLD.gov.au, 2015). If the patient complains of neck and back tenderness, neurological deficit, evidence of intoxication or a distracting injury (QLD.gov.au, 2016. 2) spinal immobilisation is required to ensure no further damage to the spinal cord occurs or an aid to keep the patient as calm as possible if a distracting injury (Hodegetts et al., 2011). The patient's breathing should then be assessed now that the spine in immobilised to ensure the depth, rate and rhythm of the breaths are adequate. If needed an oropharyngeal airway may need to be inserted into the mouth to keep the tongue from blocking the airway if it is tolerated (Higginson et al,. 2013). Lastly, in the primary survey, the

“Come on in ma’am” I uttered in Spanish to the women clad in a colorful Mayan dress near the entrance of the clinic. It was my first day as a medical volunteer in Guatemala and I had been assigned the duty of interviewing patients and formulating differential diagnoses under the supervision of Dr. Reyes, the clinics' head physician. “Tell me about your headache” I said to the patient as she took her seat. She professed that her headache, which had bothered her for two weeks, was intermittent, diffuse and of moderate intensity. Her headache was often associated with a dry mouth and bouts of fatigue, especially after long days of working under the hot Guatemalan sun. Having neither a pharmacy within walking distance nor money to spare, she had resorted to using cold compresses to aid with her discomfort.

My favorite board game that I introduce to the agency is “My Journey to the United States” “Mis Pasos a los Estados Unidos”. The game is extremely useful where each player will land in the colored footsteps, them we will take a card and the questions are about their immigrant experience, it affords each player the opportunity to speak about it and to foster group cohesiveness as they recognize similar feelings. At the same time there is a spinner which asks questions about positive memories of their country of origin. There are positive reinforcement cards. It is an excellent game to help the new comers to break the ice, explore feelings, seek for similarities, and break the silence in a fun way. Most of the time, the children do not even notice how personal the questions are while we are playing.

The Universal Determination of Death Act provides a comprehensive base for determining death in all situations. In 1979, the American Medical Association created the Model Determination of Death statute due to modern advances in lifesaving technology. A person may be artificially supported for respiration and circulation after all brain functions come to an end. The medical profession, has developed techniques for determining loss of brain functions while cardiorespiratory support is administered. The definition of death can’t assure recognition of these techniques, and can be demonstrated by the absence of spontaneous respiratory and cardiac functions.

Throughout this class we were given various plays to read and each play has made me think and reflect about life and how I view history. Of all the plays we have read my favorite by far was El sí de las chicas. Although I enjoyed many of the plays that we have read in this course this play was by far my favorite. This play is about a young girl who is forced to marry a man much older than her. She is forced into this engagement but is in love with another man. She is willing to go against tradition and fight for her rights and beliefs by trying to run off with her one true love. In the end she is given a choice by the man she was promised to wed and she made her decision based on what she believed was her right.

In life, we all encounter some form of incidents and accidents, but Maria’s accident is more tragic. Maria is a thirteen-year-old girl who was involved in a hit and run car accident that left her in a vegetative state. When one is in a vegetative state they are unconscious. They have no awareness themselves or the environment around them and are unable to make decisions for themselves. Maria has tubes attached to her that are sustaining her life by providing her with nutrition and hydration. No one knows for certain if she will recover from the persistent vegetative state, but the prognosis does not look well. Maria does not have a living to assist her family and friends with decision making, and they are divided on the decision whether they should remove the tubes that are providing her with nutrition and hydration, or leave them in place for a little longer. Removing the tubes that are providing her with nutrition and hydration will contribute to her death.

Toleró que el primer día Fester se presentase a medio día, alegando una presunta reunión con el Doctor Jerrald, sin reprocharle nada como probablemente hubiera hecho con cualquier otro miembro del equipo que se hubiera ausentado de una reunión sin previo aviso.

La intoxicación aguda es una de las situaciones clínicas clásicas que se dan en la medicina de urgencias, estos pacientes son atendidos principalmente en los Servicios de Urgencia, tanto de Atención Primaria como Hospitalarios y por los Servicios de Emergencias extrahospitalarios1,2. En Norteamérica, donde los casos de intoxicaciones son atendidos en su mayoría de forma telefónica y registrados en los centros antitóxicos (Posion Conctrol Centres)3,4 , el Instituto Nacional de Toxicología solo recibe un 30% de consultas provenientes del sistema sanitario, por lo cual su registro de actividades solo arroja resultados parciales sobre los problemas de intoxicaciones en España5 . En la actualidad las intoxicaciones agudas son un problema social que implica aspectos diversos, económicos, demográficos, socioculturales y psicológicos. Esto hace que crezcan día a día sus repercusiones sanitarias. Si queremos tener una idea objetiva de lo que ocurre toxicológicamente hablando en nuestro entorno, es imprescindible realizar estudios que nos ilustren sobre las tendencia del momento. Hay que conocer tanto los agentes tóxicos usados con más frecuencia y los posibles tratamientos para formar al personal sanitario y dotar de medios necesarios a los servicios de urgencia, tanto hospitalarios como de Atención primaria6. Según datos de la Organización Mundial de la Salud (OMS) el uso nocivo de alcohol es el responsable de 2,5 millones de muertes al año, siendo un alto porcentaje jóvenes7. En