obstetric and gynaecological emergencies

... the fetus and removes waist products The cord is typically between one and three feet in length Amniotic sac - "Bag of Water" (BOW)- a sac filled with amniotic fluid that surrounds and protects ... often involved are the uterus, fallopian tubes, and ovaries Sometimes intestines and peritoneum can also be involved Most common cause is gonorrhea and chlamdial infections, which will progress, ... infant as it is delivered • Suction Oropharynx • Suction nasopharynx • Clamp and tie cord • Stimulate and warm baby • Warm and dry • Provide supplemental oxygen if needed • CPR if needed Goals of...

Ngày tải lên: 22/03/2014, 11:20

... and classified different categories of medical and surgical emergencies Only events that actually happened in the air after take-off and before landing were included rpk values were also obtained ... medical emergencies American and European viewpoints on the duties of health care personnel Lakartidningen 2002, 99:3596-3599 23 Rosenberg CA, Pak F: Emergencies in the air: problems, management, and ... Critical Care Vol 13 No Sand et al patients [3] Recent data on IMEs is sparse, often based on a single airline and a short time period, and is not correlated to revenue passenger...

Ngày tải lên: 25/10/2012, 10:31

... Identify and treat medical and psychological needs Provide open airway Do not disturb evidence Examine genitals ONLY if severe bleeding Discourage from bathing Report as required Name and describe ... be taken to resuscitate a newborn infant Name and describe several possible complications of delivery Name and describe several possible predelivery emergencies DOT Directory What should be the ... movement, skin color Pulse greater than 100 bpm Vigorous crying Moving extremities Blue coloration hands and feet ONLY Reassess after minutes Warmth & clear airway Suction Establish breathing Assess...

Ngày tải lên: 05/03/2014, 15:20

... cares during obstetrical emergencies also prevent so many of complications The importance of the obstetric and gynecology nursing are: - Equip the nurse with the knowledge and understanding of the ... pelvis and some adptation between skull and pelvis must take place during labour.An understanding of the landmarks and measurements of the fetal skull enables to recognize normal presentation and ... family guidance and family spacing - Be ready to offer advice to support the mother and understand her problems as a mature, kind and helpful nurse CHAPTER TWO ANATOMY OF FEMALE PELVIS AND THE FETAL...

Ngày tải lên: 28/03/2014, 12:20

... medicine and surgery Low referral rates in obstetrics and gynecology departments have also been noted in Western studies,(12,15,16) and Tsai and colleagues reported a 0.3% referral rate for obstetric ... physicians, and only 11.7-3.1% are referred for psychiatric consultation.(9-11) Few studies have focused on the psychiatric comorbidities of obstetric and gynecological inpatients and their referral ... compatible with those of previous studies, and demonstrated a low referral rate for psychiatric consultation in obstetric and gynecologic patients Depression and past psychiatric history attracted...

Ngày tải lên: 28/03/2014, 14:20

... background and context Sample and setting The study took place in four rural mission hospitals in Malawi in July 2007 The study population of interest was 'MLPs of emergency obstetric and neonatal ... management and supervision; training and career progression; incentives http://www.human-resources-health.com/content/7/1/14 and retention factors; resource constraints; motivation; and status ... sections, and all this would be seen on the Internet To compare and contrast what other people are doing and what you are doing so that you can improve." (CO7) Resource constraints Human and material...

Ngày tải lên: 18/06/2014, 17:20

... http://www.intjem.com/content/4/1/28 Page of health facility [2] Health, social and infrastructure problems of a mixed developed and developing world result in a very high demand for EMS inter-facility transfers METRO EMS is ... time target for metropolitan Priority One calls and a 40min target for rural Priority One calls [3] Within METRO EMS, the standard of maternal and neonatal transfers has historically been reported ... the prolonged response times and poorly equipped vehicles [4,5] Cape Town Data for this study were collected from the Computer Aided Dispatch programme The obstetric and neonatal Flying Squad Prior...

Ngày tải lên: 21/06/2014, 03:20

... thyrotropin [TSH] but normal free T4 and free T3), and is probably more common than generally believed Overt clinical hyperthyroidism presents with typical signs and symptoms Thyroid storm is the ... underlying hypothyroidism [3] One large study performed in England found the prevalence of hypothyroidism to be around 18/1000 women and less than 1/1000 men in the general population studied [4] ... Hyperthyroidism is a hypermetabolic state that results from excess synthesis and release of thyroid hormone from the thyroid gland Thyrotoxicosis is a general term referring to all causes of excess...

Ngày tải lên: 10/08/2014, 18:21

... against acidosis, and can adsorb toxins and heavy metals Calcium, phosphate, and magnesium are minerals vital to the function of all cells They are tightly regulated by several hormones, and disorders ... article, bone structure and function, and mineral metabolism are reviewed Conditions leading to bone loss are discussed, as diseases increasing bone density are rare and less likely to be encountered ... providing strength, support for the body, and serving as the attachment for muscles to allow movement to occur, bone is extremely active on a metabolic level and is important in the regulation of...

Ngày tải lên: 10/08/2014, 18:21

... inborn errors of metabolism, jaundice, and electrolyte abnormalities The disorders are grouped based on symptomatology, and have simple guidelines for work-up and management, with an emergency department ... phrases ‘‘newborn workup’’ and ‘‘metabolic disease’’ are, at best, uncomfortable This article, however, provides a simple approach to the recognition, evaluation, and treatment of infants with ... Emergency Department Approach to Newborn and Childhood Metabolic Crisis Ilene Claudius, MD, Colleen Fluharty, MD*, Richard Boles, MD Department of Emergency and Transport Medicine, Children’s Hospital...

Ngày tải lên: 10/08/2014, 18:21

... toxicity, 780–781 iron and, 776–777 isoniazid and, 776 ketoacidoses and, 774–775 methanol and, 773 paraldehyde and, 775 uremia and, 773–774 hyperchloremic, acetazolamide and, 782 etiologies of, ... hyperchloremic anion gap acidoses and, 782 Addison’s disease, 692 Adolescents, abuse of steroids by, 821 Adrenal emergencies, recognition and management of, 687–702 Adrenal gland, incidentalomas of, 699 ... 782–784 hyperalimentation and, 781–782 in diarrhea and diuretics use, 783–784 in pancreatic fistula, 784 in ureteroenterostomy, 784 renal tubular acidoses and renal insufficiency and, 782–783 Anorexia...

Ngày tải lên: 10/08/2014, 18:21

... han- Figure Shows the gold command and control room Shows the gold command and control room dle all support functions within the command and control centre (Figure and 2) A system with a duty officer ... regional command and control in case of major incidents involving the healthcare sector [7,9] The centre's premises were made suitable for running command and control over days and weeks with ... in 1999, and was initially paper-based, but since 2006-01-01, a webbased log (Saltwater™) has been used [10] The informa- Figure Gold command and control centre in action Gold command and control...

Ngày tải lên: 25/10/2012, 09:56

... from industry and municipalities) and diffuse sources (e.g from agriculture and traffic) and through the prevention of industrial incidents and accidents; and b) preserving, improving and restoring ... assessment and understanding the scenarios that could lead to an incident and the potential impact Coordinated response - Clear chains of command and interagency cooperation provide a coordinated and ... Council of China Officials and experts of SEPA, Ministry of Water Resources, and Ministry of Land and Resources reviewed the draft report and provided valuable comments and suggestions for its revision...

Ngày tải lên: 06/03/2014, 16:20

... reduce maternal and perinatal morbidity and mortality Geographical accessibility to health care facilities in the country is good with over 85% and 97% of the population living within km and km of ... women with obstetric emergencies report to a medical facility for assistance [9] Thus, a great proportion of women requiring life-saving obstetric services not get to such services Understanding ... luck"[15] We included five categories of obstetric emergencies defined according to disease-specific criteria based on management and/ or clinical signs and symptoms: hemorrhage at any pregnancy...

Ngày tải lên: 14/03/2014, 16:20

... process by expanding the program and by realizing community capacity-building through awareness and skill development and by expanding disaster management studies within the school system and staff ... with, resist and recover from the impact of a hazard and is influenced by the Crisis and Conflict Theory (control of assets and resources, capacities to manage crisis situations and resolve conflicts), ... Examining the Implications of Hazards, Emergencies and Disasters question; (ii) perturbations and stressors/stresses5 that emerge from this conditions and process‐ es; and (iii) the coupled human – environment...

Ngày tải lên: 17/03/2014, 12:20

... design in collaboration with SB FK, AC and EM contributed in preparing the documents and the protocol for implementing the study CP, GCC, SB and EM prepared and completed the final analysis of data ... system with adequate essential supplies; facilities for emergency obstetric care, both basic and comprehensive; social, cultural and political factors; as well as the absence of skilled attendants ... medical officers (MOs)) are licensed to practice independently and perform major emergency and elective surgery Unlike in Mozambique [9,10] and Tanzania [11], the delegation of major surgery to non-doctors...

Ngày tải lên: 18/06/2014, 17:20

... capacity to diagnose and handle patients adequately Thus, in Senegal in 2002, maternal morbidity was significantly better diagnosed and treated by doctors and midwives than by nurses and traditional ... Rwanda, Southern Sudan, and Uganda International Journal of Gynaecology & Obstetrics 2005, 88:208-215 Santos C, Diante D Jr, Baptista A, Matediane E, Bique C, Bailey P: Improving emergency obstetric ... material, human and organizational resources Process includes the clinical, technical and interpersonal aspects of care Results include maternal and newborn health indicators and the users' assessment...

Ngày tải lên: 18/06/2014, 17:20

... management of in- and out-patients and reviewed data on obstetric care and outcome Institutional maternal mortalities and fresh stillbirths were used as indicators for assessing the quality of obstetric ... indicated and be able to perform such procedures; • Ability to diagnose and treat problems of the newborns (selected conditions) The training programmes took three months and involved both hands-on and ... and documentation of the human and physical resources needed for effective learning and teaching The main emphasis of both training curricula included the underlying principles in obstetric and...

Ngày tải lên: 18/06/2014, 17:20

... in Cameroon, Kenya, Uganda, Rwanda, Tanzania, and Ethiopia (Moeyerson 1988; 1989a; 1989b; Davies 1996; Westerberg and Christiansson 1998; Ngecu and Mathu 1999; Ingang’a and Ucakuwun 2001; Muwanga ... landslide, the 1991 Phalombe landslide and the 1997 Banga landslide (Poschinger et al 1998; Cheyo 1999; Msilimba 2002; Msilimba and Holmes 2005) This chapter is based on data from numerous landslides ... heavy and prolonged precipitation These landslides killed four people, destroyed houses and crops, flooded the Mzinga River and dammed the Lutowo River The chapter presents and discusses landslide...

Ngày tải lên: 29/06/2014, 03:20

... vestibule and the examining fingers of the right hand are inserted The cervix is palpated and any hardness or irregularity noted The hand on the abdomen is placed just below the umbilicus and the ... contain sebaceous and sweat glands and a few specialized apocrinc glands In the deepest part of each labium is a core of fatty tissue continuous with that of the inguinal canal and the fibres of ... kept moist by secretions from the uterine and cervical glands and by some transudation from its epithelial lining It has no glands The epithelium is thick and rich in glycogen, which increases in...

Ngày tải lên: 05/08/2014, 16:20