Transcript: Problem Statement Problems Analysis and Application of Knowledge Presented by: Shirley Chen,Nathan Cheung,Johnny Lam,Rolie Prasad, Andree Ziswiler Recommended Solutions and Actions Problems Analysis and Application of Knowledge Alternatives with explanations
Transcript: Go on Exchange present your country abroad Work with different mentalities Diversity Explore different cultures Be a Member Develop your skills Have an impact Enrich your knowledge AIESEC Be a Leader Lead your team Achieve your vision Coach others Be a mentor EXPERIENCE YOUR AIESEC JOURNEY Gives you a great experience
Transcript: 3 T's Thromboemboilc Prophylaxis Observations Fluid balance HDU/ITU After assessment of the airway, you move onto assessment of breathing. What key piece of information has been missed / not mentioned at the moment? C-spine immobilisation What is the typical circulatory blood volume in a human? Case scenario URINALYSIS Which of the following signs change earliest in shock? HR rise and decrease in urine output RR rise BP decrease What is the simplest way of assessing airway patency? The "3 T's" Epigastric / RUQ Pain Initial Management Specific bloods (eg Pancreatitis) Radiology - USS / CT / MRCP Endoscopy - OGD / ERCP / Flexi sig Pancreatitis leading to definative Dx TRAUMA On completion of your primary survey, name three further things you would do for this patient Case continued… In what situations of head injury would you consider a CT head? LIF PAIN (if unwell) Initial treatment Monitoring Further Inx RIF PAIN BUGIE ECG Causes Fresh Haemorrhoids Angiodysplasia Left colonic tumours Mixed (with stools) Malaena GAS Team Hepworth strongly advise you book onto an upcoming ATLS course. Even if you will not be a surgeon, trauma is vital for anaesthetists, emergency doctors, and in fact for any doctor, given it is the 3rd leading cause of death world wide For available course dates, please see RCS website THANK YOU Causes PUD/GORD Gallstone disease Pancreatitis Liver disease / Hepatitis Myocardial infarction Basal pneumonia Anatomical causes Bowel 1) Appendicitis 2) Colitis 3) Caecal tumours (old) / Mesenteric adenitis (young) Gynaecological 1) Ectopic pregnancy 2) Ovarian cyst 3) PID Urological 1) Pyelonephritis / UTI 2) Ureteric colic 3) Renal colic Management of PR Bleeding In grade 1 shock, ie upto 15% of blood volume loss (ie 750mls) which of the following signs would change? RR HR Urine output BP Further investigations Circulation Give 5 key life threatening A and B problems to pick up on primary survey Airway obstruction Flail chest and pulmonary contusion Tension pnemothorax Open pneumothorax Massive haemothroax Examination GCS does not return to 15 within 2 hours Focal neurological signs Open depressed scull # Basal scull # CSF rhinorrhoea Battle’s sign (bruising behind the ears Blood from ears Periorbital bruising After assessment of the airway, you move onto assessment of breathing. What key piece of information has been missed / not mentioned at the moment? The paramedics bring him into resus as a trauma call. His GCS is 15 ad he has blood on his face. You are holding the on-call SHO bleep. Vital RR O2 Saturations General Cyanosis Resp distress / Accessory muscles Neck Tracheal deviation Distended neck veins Chest Inspection Chest bruising / deformity Unequal chest expansion Chest Palpation Surgical emphysema Tenderness Chest Percussion Hyperresonance (eg pneumothorax) / dullness Chest Auscultation Decreased air entry (eg pneumothorax) BLOODS Give 5 key life threatening A and B problems to pick up on primary survey The paramedics bring in a 60 year old male who fell from the loft onto the first floor landing, and then down a flight of stairs to the ground floor into a glass cabinet, lacerating his forehead. There was a 10 minute period of LOC. The paramedics bring bring him into resus as a trauma call. His GCS is 15 and he has blood on his face. You are holding the on-call SHO bleep. 3 T's IMAGING To ensure all FY1s are equipped with the knowledge for progression to FY2. To be able to give advice on common surgical presentations when asked for a specialty opinion Be able to make good quality referrals to surgical teams as non-surgeons A Review of GI Surgical Emergencies Dr M. Rahman ARNG Mr Daniel Boctor Leg ENd Dr Samantha Low HyP Er Mr Ibnauf Suliman Don Treat the symptoms BUGIE What is the simplest way of assessing airway patency? Is the patient talking? After conducting your primary survey, your findings are as follwed: A. The pt is talking B. RR=16, O2 sats=96% OA, equal chest expansion, resonance and good air entry bilaterally C. Normal assessment D. GCS=15. Pupils equal and reactive E. Abdomen soft, non-tender. No pelvic / long bone injury The paramedics bring in a 60 year old male who fell from his loft on to the first floor landing, and then down a flight of steps to the ground floor into a glass cabinet, lacerating his forehead. There was LOC for a period of ten mins. If the pt is not verbalising, what signs should be looked for that may indicate airway compromise / obstruction? 1) Snoring / gurgling sounds 2) Stridor 3) Facial / neck injuries On completion of your primary survey, name three further things you would do for this patient 1. CT Head and C-spine (due to mechanism of injury) 2. Take an AMPLE hx A allergies Medications PMHx and Pregnancy Last meal (when) E events (ie the mechanism of injury) 3. Perform a secondary survey (ie. head to toe examination) 1 in 3 people will have had PR bleeding BUGIE 3 “T”s Monitoring Catheter / Fluid balance Consider HDU Further investigations Bloods
Transcript: 14th Week Consulting interns can be expensive Time and Money Personal Experience Preliminary Design Stage NFPA 101 and NFPA 13 New and Existing Education, Business, and Mercantile Definition of Project This app would be used to provide interns and recent graduates with an outline of guidelines for how to design and review designs of specific occupancies. With the given time frame, I will be writing the information that will go into the app Begin parametric study: Speak with my mentor and Jason to understand more about what critical variables I could concentrate on for this app. Choose those parameters and begin my study Gather information from NFPA 101 and NFPA 13 for new and existing education, business, and mercantile occupancies. By: Breanne Thompson Next Steps (Continued) Finish preparing for Draft of Analysis Pull together and discuss results of project Draw my conclusions and state future work needed Turn in Final Paper! 10th and 11th Week Turn in my parametric study Begin draft of analysis Map out the process of the app for the key elements 15th Week References Next Steps 7th Week Prepare for Final Presentation Summarize my draft of analysis into presentation Work on how to incorporate a live demonstration for my presentation App Development Background Information 8th-9th Week Continuous Process Objective-C for Apple products Java for Android products 6 months of studying Places to Learn: Codecademy, iOS Dev Center, Android Developers Training Hire App Developer will cost thousands Prepare Final Paper Dive into Shark Tank! 1. http://lifehacker.com/5401954/programmer-101-teach-yourself-how-to-code 2. http://www.bluecloudsolutions.com/blog/cost-develop-app/ 6th Week Background Presentation 12th-13th Week
Transcript: Real action and accountability Amnesty International Non-state actors/ Rebel Groups?? ...and what about men?? ignoring male rape victims? would rape exist without a man? Weapons of War: Rape UN as an Arena - NGO's - Discussion and dialogue Arena Instrument Actor Critical Thinking Weapons of War: Rape UN as an instrument UNSC Resolution 1820 (2008) UN as an Actor - UN Action Against Sexual Violence in Conflict Weapons of War: Rape Problems with 1820 "Roles and Functions of International Organizations" "Sexual violence, when used as a tactic of war in order to deliberately target civilians or as a part of a widespread or systematic attack against civilian populations, can significantly exacerbate situations of armed conflict and may impede the restoration of international peace and security… effective steps to prevent and respond to such acts of sexual violence can significantly contribute to the maintenance of international peace and security" (UNSC Resolution 1820, p. 2)" http://www.stoprapenow.org/uploads/advocacyresources/1282164625.pdf Background Presentation- Kristin Mann Weapons of War: Rape Brief Insight - used to manipulate social control - destabilize communities - weaken ethnic groups and identities Examples: - Sudanese Militia - Rwanda Genocide - DRC Critical Thinking http://www.womenundersiegeproject.org/blog/entry/the-need-for-numbers-on-rape-in-warand-why-theyre-nearly-impossible-to-get Critical Thinking Increased Data Collection by international organizations - determine humanitarian responses - ensures justice and reparation - provides recognition and dignity
Transcript: Insurance - Oral Surgery - Ear nose and throat surgery Thank You! Out-of-pocket Lydia Siler A surgical clinic is surgery that does not require a hospital stay. The purpose of a surgical clinic is to keep the hospitals cost down, as well as saving the patients time. - Medicare -Gynocologist Definition of a surgical clinic Three agencies in the community that provide similar services: -Anesthesiologist Services Provided: - Medicaid Surgical Clinic - Randolph Hospital - Randolph Gastroenterology Center Health Care professionals employed by a surgical clinic: -General Surgery Sources of finances for a surgical clinic : -General Surgeon - Randolph Orthopedics & Sports medicine - Blue Cross and Blue Shield - Minor surgery 62 ECG bpm
Transcript: Greece ΡRethymno, Crete 4 C I T I E S ? - Religion & Political Theory - Theories of Democracy - Social Theory: K. Marx - M. WeberΣοψι - Plato's Republic - State & Regulation - State & Public Policies - Urban & Regional Policies 6-month voluntary teaching of Greek language to migrant kids (primary school) Constantinos Kogiomtzis Background Presentation Magouliana, Arcadia Vienna ΑλεχανδροθπολισAlexandroupolis, Thrace Customs broker Political Science - Political Theory - Public Policy - Political Economy (Thesis: "Debate between structural and instrumental Marxism on the State: Miliband vs. Poulantzas") Transport company department of exports & customs clearance Thank you for your attention!!! Istanbul Istanbul - a city with rich heritage and diverse population - currently under rapid transformation - large-scale projects (gated communities, business centres, malls, touristic developments) # environmental threats, segregation, gentrification of inner-city - motivations/socioeconomic consequences of grassroots resistance movements to the new urban regime. Property transfer and displacement. Physical upgrading or improvement of the inhabitants' living conditions?
Transcript: SURGERY Topic 1 Where was this MOTO developed/created? - The earliest from of surgery was "trephening" (drilling a hole in the skull of a living person) - Was discovered in 5000 BCE in Ensisheim, France - Was used to cure migraines, to "let-out" illnesses Topic 2 Topic 2 Subtopic 1 Subtopic 1 Topic 3 Topic 3 Subtopic 1 Subtopic 1 Topic 4 Topic 4 Subtopic 1 Subtopic 1 Topic 5 Topic 5 Subtopic 1 Subtopic 1
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