Anesthesia

On the 10/05/2016, I took care of a 29 year old female who has been on admission since 09/24/2016. EMS found her in a ditch intubated her (ETT), mechanical ventilated, and brought her to the hospital. The patient informed me that police tried to stop her and her boyfriend but her boyfriend refused to stop, so she decided to jump out of a moving vehicle. Later she informed me that her boyfriend is in jail. However, her story about her incident is unclear. Her admission record shows that she started

Devastating Knee Injury   I thought I was invincible. I tried to be the best on the team, I worked hard and everything fell into place, that is, until my junior year.   The basketball season was going well. Christmas break was coming up and after it, we would start our league games. Our first league game was Paonia, our biggest rivals yet to step into Delta County. The game started off intense.   One minute and 30 seconds into the game, Paonia fouled, so we lined up for the free throw

ROOT CAUSE ANALYSIS OF A SENTINEL EVENT Diane Swintek Western Governors University Root Cause Analysis of a Sentinel Event A root cause analysis (RCA) is a method by which we can examine a serious adverse event and identify the cause, or causes, that led up to the event. Although personnel are involved in these events, the primary purpose of the RCA is to identify the cause, not to assign blame (Agency for Healthcare Research and Quality, 2014). It is through identifying a cause, or

There are several methods to close surgical wounds. Its choice depends on the injury, on the patient and on the preference of the surgeon. The most common methods used are interrupted and continuous suture (Figure 1). In these methods, the suture goes through the tissue of on side of the wound and comes through the other side, creating a loop beneath the tissue. This loop exert tension on the surrounding tissues of the wound and can potentially lead to the formation of hernias, which is the abnormal

How is ERCP performed? By Jonas Wilson, Ing. Med. Endoscopic retrograde cholangiopancreatography (ERCP) is a medical technique that is used primarily to investigate and treat pathologies involving the biliary tree and pancreatic ducts. Indications for ERCP include gallstones, tumors, defective sphincters, sclerosis of ducts and pseudocysts, which are accumulations of fluid and tissue components. ERCP has been traditionally used for diagnostic purposes. However, with the advent of safer and less

Evidence Based Practice/ Clinical Question Pain…fever…oozing pus. Who would want to experience that? The answer is no one. Yet, out of the sixty to seventy of women who undergo a cesarean section, twelve percent will experience these symptoms due to a surgical site infection (SSI) ("Adjunctive Azithromycin Prophylaxis for Cesarean Delivery", 2017). SSI are the primary cause of mortality and morbidity amongst cesarean section women. SSI are linked to increased length of stay, hospitalization rate

Given the difficulty in finding the “Holy Grail” of behavioural pain scales for neonates, investigators have begun to look for objective physiologic tools. These pursuits have included regional oxygen saturation in the brain (as in near- infrared spectroscopy), EEG, heart rate variability, skin conductance and neurohumoral responses. Although each appears to be an objective metric that may reflect the neonate’s response to a painful stimulus, some of the metrics under investigation are invasive, others

Darren Roberts: 55-year-old male with a history of Hypertension, and Hyperlipidaemia who has gone in for a Laparoscopic Cholecystectomy. Six potential problems post-operatively in order are Airway blockage due to possible tongue blockage as evidenced by the fact that Darren is a Smoker and Obese which are both potential factors causing the tongue to block the airways after surgery adding to this is the fact that anyone who has been under aesthetic and have problems with their tongue blocking the

Bariatric Surgery Indication: No studies evaluate the commonly used indications for bariatric surgery. Consensus guidelines suggest that the surgical treatment of obesity should be reserved for patients with a body-mass index (BMI) >40 kg/m(2) or with BMI >35 kg/m(2) and 1 or more significant co morbid conditions, when less invasive methods of weight loss have failed and the patient is at high risk for obesity-associated morbidity and mortality (strength of recommendation: C, based on

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