obstetric and gynecologic emergencies

... delivery about 15 minutes after delivery of baby Assessment of the Gynecological patient • Standard initial and focused assessment • Most gynecological patient have abdominal pain / discomfort or vaginal ... PERFORM AN INTERNAL VAGINAL EXAM IN THE FIELD!!!!!! Two types of gynecological emergencies • Medical • Trauma Medical Gynecological Emergencies Pelvic Inflammatory Disease (PID)- infection of the ... 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...

Ngày tải lên: 22/03/2014, 11:20

... 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 ... 20% of gynecological and obstetric outpatients, and was not detected by the physician in 77% of cases.(18) Using the same diagnostic tool, psychiatric disorders were recognized in 30.5% of gynecologic...

Ngày tải lên: 28/03/2014, 14:20

... 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

... Edition © 2009 by Pearson Education, Inc., Upper Saddle River, NJ Gynecological Emergencies Vaginal bleeding Sexual assault Gynecological Emergencies DOT Directory DOT Directory Limmer et al., Emergency ... 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...

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

... et al Sexuality and the adolescent with a physical disability: understandings and misunderstandings Issues Compr Pediatr Nurs 1999;22:183–96 26 Sulpizi LK Issues in sexuality and gynecologic care ... disabilities In: Ethics in obstetrics and gynecology/The American College of Obstetricians and Gynecologists 2nd edition Washington DC: American College of Obstetrics and Gynecology; 2004 p 56–9 ... versus 46.2% in 1991.87 Gynecologic care includes education about hygiene and management of various gynecologic issues, such as vaginal discharge, breast and menstrual disorders, and others as considered...

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

... Awareness and incorporation of such interventions is mandatory and should be followed by all surgeons and all patients have the right to benefit from the application of these measures Gynecologic ... Author details Department of Obstetrics and Gynecology, Alexandra Hospital, School of Medicine, University of Athens, Greece 2Department of Clinical and Therapeutics, Alexandra Hospital, School of ... operations, treated for gynecologic malignancies [18,21,23,26,30] Bonakdar et al [18] retrospectively reviewed 164 Jehovah Witnesses undergoing major gynecologic and obstetrical interventions...

Ngày tải lên: 13/02/2014, 06:20

... for benefit and better management of patients in the future Material and Method The authors prospectively evaluated a consecutive series of patients enrolled between November 2006 and March 2007 ... subcutaneous emphysema The end tidal CO2, mean BP, heart rate and Sat O2 before during and after CO2 insufflation are shown in Table and Fig The mean of blood pressure changed mostly in the first ... produce respiratory and hemodynamic changes due to both CO2 absorption and the effects of increased intraperitoneal pressure(1) J Med Assoc Thai Vol 91 No 2008 Pneumothorax and subcutaneous emphysema...

Ngày tải lên: 05/03/2014, 15:20

... Herbs can cause direct and indirect are of patients with gynecological cancer The prevalence 38.0 health risks and benefits 31.3 31.3 of CAM therapy use among patients with gynecological 23.7 The ... approval is enough to carry out the descriptive studies, the study was approved by the chief of Obstetric and Gynecologic Clinic of Balcalı Hospital, Çukurova University In order to obtain patient’s50.0 ... modalities, anticipated benefits and adverse effects, and communication about CAM use 100.0 with physicians or nurses were also asked Open-ended questions were used, and answers were categorized...

Ngày tải lên: 05/03/2014, 15:20

... someone says, ‘‘He or she has the hands of a surgeon,’’ as if the hands have so much to with being a good surgeon Having a steady hand and knowing the patient and how to perform surgery are given ... College of Obstetrics and Gynecology recommends a combination of non–b-lactam antibiotics These combinations include clindamycin and gentamicin, clindamycin and ciprofloxacin, clindamycin and aztreonam, ... terminology, and special instruments must be understood and shared by all members of the team There is a complication rate for every operation Patients need to understand the risks and benefits...

Ngày tải lên: 06/03/2014, 12:20

... 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