Top videos

STOP SMOKING
STOP SMOKING DrPhil 10,574 Views • 2 years ago

STOP SMOKING

2 year old boy - Parasite infection
2 year old boy - Parasite infection ommiletta 8,306 Views • 2 years ago

2 year old boy with chronic sinusitis, headache, vertigo problem, decreased vision and hearing. Repeated lung infections. Can you see it? Pay also special attention to the ears.

Women Health Tips
Women Health Tips DrPhil 1,692 Views • 2 years ago

Women Health Tips: Importance of getting a pap smear, breast exam, and mammogram

Emergency C-Section Misgav Ladach in an obese mother
Emergency C-Section Misgav Ladach in an obese mother Marco Arones 14,775 Views • 2 years ago

emergency c-section for acute fetal distress, Misgav Ladach - modified Joel Cohen technique

People Handling training DVD
People Handling training DVD shrclimited 1,846 Views • 2 years ago

The 30 minute DVD:

introduces moving and handling of people
describes safer people handling practices
features specialist guidance from a chartered physiotherapist
outlines the process for people handling risk assessments
sets out the principles of safer handling
demonstrates the key safer handling techniques:
rolling a person
inserting and removing sliding sheets
repositioning people using sliding sheets
assisting people to stand and walk with handling belts
the use of roll boards in lateral transfers
using hoists
highlights the important role you play in safer people handling

Embryonic Stem Cell Treatment esctherapy@gmail.com
Embryonic Stem Cell Treatment esctherapy@gmail.com Mona Choo 6,914 Views • 2 years ago

ESC therapy technology in China since 2006

Huge Colon Polyp Removal
Huge Colon Polyp Removal Surgeon 15,116 Views • 2 years ago

Huge Colon Polyp Removal

Endocrine System Animation
Endocrine System Animation Landging 5,328 Views • 2 years ago

http://www.landging.com/endocrine-system-animation.html
This endocrine system animation demonstrates mechanism of action of human body in 3D.

Well Test Animation
Well Test Animation Landging 5,118 Views • 2 years ago

http://www.landging.com/well-test-animation.html
This well test animation demonstrates new oil drilling technology.

digital ulcer examination
digital ulcer examination rzahora 6,762 Views • 2 years ago

How to diagnose digital ulceration in out patient clinic.

digital ulcer examination part II
digital ulcer examination part II rzahora 6,051 Views • 2 years ago

How to diagnose digital ulceration in out patient clinic. part II

digital ulcer examination part III
digital ulcer examination part III rzahora 5,926 Views • 2 years ago

How to diagnose digital ulceration in out patient clinic.part III

Ultherapy NYC Nonsurgical face lifting - Dr Ron Shelton
Ultherapy NYC Nonsurgical face lifting - Dr Ron Shelton thenyac 4,864 Views • 2 years ago

Ultherapy was designed by Ulthera to deliver intense focused ultrasound energy deep to the dermal tissues under the epidermis, without injury to the surface of the skin, to lift and tighten facial tissues. It has been used to tighten off-the-face areas too, without surgery and without down time. In just about one hour an entire face can be treated. Medication makes the procedure less uncomfortable.

laparoscopic appendcectomy
laparoscopic appendcectomy gamalantar 4,956 Views • 2 years ago

laparoscopic appendcectomy

300 Lbs tumor was removed from a woman's stomach
300 Lbs tumor was removed from a woman's stomach Magdy 12,976 Views • 2 years ago

The removal of a tumor weighing 150 kg (300 pounds) from the stomach of a woman

QuickLift Mini Facelift vs Full Facelift, Boca Raton Florida
QuickLift Mini Facelift vs Full Facelift, Boca Raton Florida Arthur Handal 2,879 Views • 2 years ago

Dr. Arthur Handal explains how and why your surgeon might suggest less or more than the procedure you originally planned for.

Plaster Cast Care
Plaster Cast Care Nigel Brown 3,263 Views • 2 years ago

The video is about taking care of your plaster cast and the after care. What you should do if you have a problem. Your questions answered.

Introducing ARTAS in Cocoona Dubai - Hair Transplant Robot
Introducing ARTAS in Cocoona Dubai - Hair Transplant Robot Nimish Gupta 3,091 Views • 2 years ago

Introducing ARTAS in Cocoona Delhi & Dubai by Dr Sanjay Parashar - Hair Transplant Robot

Male to Female Sex Change Surgery 3D Animation
Male to Female Sex Change Surgery 3D Animation Surgeon 61,172 Views • 2 years ago

Sex reassignment surgery for male-to-female involves reshaping the male genitals into a form with the appearance of, and, as far as possible, the function of female genitalia. Prior to any surgeries, patients usually undergo hormone replacement therapy (HRT), and, depending on the age at which HRT begins, facial hair removal. There are associated surgeries patients may elect to, including facial feminization surgery, breast augmentation, and various other procedures

Venipuncture: Butterfly Method
Venipuncture: Butterfly Method Mohamed Ibrahim 26,976 Views • 2 years ago

What is Venipuncture? While venipuncture can refer to a variety of procedures, including the insertion of IV tubes into a vein for the direct application of medicine to the blood stream, in phlebotomy venipuncture refers primarily to using a needle to create a blood evacuation point. As a phlebotomist, you must be prepared to perform venipuncture procedures on adults, children, and even infants while maintaining a supportive demeanor and procedural accuracy. Using a variety of blood extraction tools, you must be prepared to respond to numerous complications in order to minimize the risk to the patient while still drawing a clean sample. In its entirety, venipuncture includes every step in a blood draw procedure—from patient identification to puncturing the vein to labeling the sample. Patient information, needle placement, and emotional environment all play a part in the collection of a blood sample, and it's the fine details that can mean the difference between a definite result and a false positive. After placing the tourniquet and finding the vein, it's time for the phlebotomist to make the complex choice on what procedure will best suit the specific situation. Keeping this in mind, it should be noted that the following information is not an instructional guide on how to perform these phlebotomy procedures. Rather, the information below is intended to serve as an educational resource to inform you of the equipment and procedures you will use. Venipuncture Technqiues Venipuncture with an Evacuated or Vacuum Tube: This is the standard procedure for venipuncture testing. Using a needle and sheath system, this procedure allows multiple sample tubes to be filled through a single puncture. This procedure is ideal for reducing trauma to patients. After drawing the blood, the phlebotomist must make sure the test stopper is correctly coded and doesn't contact exposed blood between samples. Venipuncture with a Butterfly Needle : This is a specialized procedure that utilizes a flexible, butterfly needle adaptor. A butterfly needle has two plastic wings (one on either side of the needle) and is connected to a flexible tube, which is then attached to a reservoir for the blood. Due to the small gauge of the needle and the flexibility of the tube, this procedure is used most often in pediatric care, where the patients tend to have smaller veins and are more likely to move around during the procedure. After being inserted into a vein at a shallow angle, the butterfly needle is held in place by the wings, which allow the phlebotomist to grasp the needle very close to the skin. Phlebotomists should be careful to watch for blood clots in the flexible tubing. Venipuncture with a Syringe: This technique is typically only used when there is a supply shortage, or when a technician thinks it is the appropriate method. It uses the classic needle, tube, and plunger system, operating in a similar manner to the vacuum tube but requiring multiple punctures for multiple samples. Additionally, after the blood is drawn it must be transferred to the appropriate vacuum tube for testing purposes. If you choose to use this method, remember to check for a sterile seal, and use a safety device when transferring the sample. Fingerstick (or Fingerprick): This procedure uses a medical lance to make a small incision in the upper capillaries of a patient's finger in order to collect a tiny blood sample. It is typically used to test glucose and insulin levels. When performing a Fingerstick, the phlebotomist should remember to lance the third or fourth finger on the non-dominant arm. Never lance the tip or the center of the finger pad; instead, lance perpendicular to the fingerprint lines. Heelstick (or Heelprick): Similar to the Fingerstick procedure, this process is used on infants under six months of age. A medical lance is used to create a small incision on the side of an infant's heel in order to collect small amounts of blood for screening. As with a Fingerstick, the incision should be made perpendicular to the heel lines, and it should be made far enough to the left or right side of the heel to avoid patient agitation. Before performing a Heelstick, the infant's heel should be warmed to about 42 degrees Celsius in order to stimulate capillary blood and gas flow. Therapeutic Phlebotomy: This involves the actual letting of blood in order to relieve chemical and pressure imbalances within the blood stream. Making use of a butterfly needle, this therapy provides a slow removal of up to one pint of blood. Though the blood removed is not used for blood transfusions, the procedure and concerns are the same as with routine blood donation. As with any phlebotomy procedure, one should pay close attention to the patient in order to prevent a blood overdraw. Bleeding Time: A simple diagnostic test that is used to determine abnormalities in blood clotting and platelet production. A shallow laceration is made, followed by sterile swabbing of the wound every 30 seconds until the bleeding stops. Average bleed times range between one and nine minutes. As a phlebotomist, you should familiarize yourself with the application and cross-application of these procedures in order to recognize when a procedure is necessary, and what the risks are for each.

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