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Tracheotomy and tracheostomy are surgical procedures that create an opening in the trachea (windpipe) to help patients breathe when they have difficulty doing so through the nose or mouth. Though they are similar in purpose, there are some key differences between them.

Tracheotomy is a temporary procedure that involves creating a small incision in the trachea to insert a breathing tube. The tube is typically removed once the patient no longer requires it, and the incision heals on its own. Tracheostomy, on the other hand, is a more permanent solution that involves creating a hole in the trachea and inserting a tracheostomy tube, which remains in place for an extended period.

Indications for these procedures include:

Airway obstruction due to trauma, tumors, or infection
Severe respiratory distress or failure
Prolonged mechanical ventilation
Inability to protect the airway due to neurological disorders or impaired consciousness
Steps for performing a tracheotomy and tracheostomy:

Preparation: The patient is positioned, and the neck area is cleaned and draped. Local anesthesia is often administered, although general anesthesia may be used in some cases.
Incision: A small incision is made in the neck, and the muscles and tissues are carefully separated to expose the trachea.
Tracheal opening: A small opening is made in the trachea, typically between the second and third tracheal rings.
Tube insertion: A tracheotomy tube is inserted through the incision and into the trachea for a tracheotomy, while a tracheostomy tube is inserted for a tracheostomy. Both tubes are secured in place.
Confirmation: Proper placement of the tube is confirmed by listening for breath sounds and checking for adequate ventilation.
Pre-operative care typically involves a thorough assessment of the patient's medical history, as well as any necessary imaging studies or lab tests to ensure the procedure is appropriate and safe. Informed consent should be obtained from the patient or their legal representative.

Post-operative care includes monitoring the patient's vital signs, ensuring the tube remains secure and patent, and managing any pain or discomfort. For tracheostomy patients, regular cleaning and maintenance of the stoma (the opening in the trachea) and the tracheostomy tube are essential to prevent infection and other complications. Long-term care may involve speech therapy, respiratory therapy, and support from a multidisciplinary team to address any ongoing needs.

It's crucial to remember that these procedures should only be performed by trained medical professionals in a clinical setting.



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Clinical Examination of the respiratory system

This video shows you how to conduct a clinical examination of the shoulder and to identify common causes of pain.

This video clip is part of the FIFA Diploma in Football Medicine and the FIFA Medical Network. To enrol or to find our more click on the following link http://www.fifamedicalnetwork.com

The Diploma is a free online course designed to help clinicians learn how to diagnose and manage common football-related injuries and illnesses. There are a total of 42 modules created by football medicine experts. Visit a single page, complete individual modules or finish the entire course.

The network provides the opportunity for clinicians around the world to meet and share ideas relating to football medicine. Ask about an interesting case, debate current practice and discuss treatment strategies. Create a profile and log on to interact with other health professionals from around the globe.

This is not medical advice. The content is intended as educational content for health care professionals and students. If you are a patient, seek care of a health care professional.

In this video, we show a sports hernia self treatment we give many of our clients. It is not the only part of treatment. Grabbing the skin around the region of the groin strain can reduce pain and stiffness with turning and twisting. Sports hernias are often misdiagnosed with hip labrum tears, hip impingement, adductor tendonitis and abdominal strains.

Option 1: Groin On-Demand Webinar https://bit.ly/37thtNF
Option 2: eBook Unveiling The Mystery Behind Groin Pain in Athletes https://www.p2sportscare.com/p....roduct/understanding
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Option 3 (the best): Work With Us https://www.p2sportscare.com/

Sports Hernia Diagnosis

What Is A Sports Hernia?

A sports hernia is tearing of the transversalis fascia of the lower abdominal or groin region. A common misconception is that a sports hernia is the same as a traditional hernia. The mechanism of injury is rapid twisting and change of direction within sports, such as football, basketball, soccer and hockey.

The term “sports hernia” is becoming mainstream with more professional athletes being diagnosed. The following are just to name a few:

Torii Hunter
Tom Brady
Ryan Getzlaf
Julio Jones
Jeremy Shockey
If you follow any of these professional athletes, they all seem to have the same thing in common: Lingering groin pain. If you play fantasy sports, this is a major headache since it seems so minor, but it can land a player on Injury Reserve on a moments notice. In real life, it is a very frustrating condition to say the least. It is hard to pin point, goes away with rest and comes back after activity, but is hardly painful enough to make you want to stop. It lingers and is always on your mind. And if you’re looking for my step-by-step sports hernia rehab video course here it is.

One the best definitions of Sport hernias is the following by Harmon:
The phenomena of chronic activity–related groin pain that it is unresponsive to conservative therapy and significantly improves with surgical repair.”

This is truly how sports hernias behave in a clinical setting. It is not uncommon for a sports hernia to be unrecognized for months and even years. Unlike your typical sports injury, most sports medicine offices have only seen a handful of cases. It’s just not on most doctors’ radar. The purpose of this article is not only to bring awareness about sports hernias, but also to educate.

Will you find quick fixes in this article for sports hernia rehab?
Nope. There is no quick fix for this condition, and if someone is trying to sell you one, they are blowing smoke up your you-know-what.

Is there a way to decrease the pain related to sports hernias?
Yes. Proper rehab and avoidance of activity for a certain period of time will assist greatly, but this will not always stop it from coming back. Pain is the first thing to go and last thing to come. Do not be fooled when you become pain-free by resting it. Pain is only one measure of improvement in your rehab. Strength, change of direction, balance and power (just to name a few) are important, since you obviously desire to play your sport again. If you wanted to be a couch potato, you would be feeling better in no time. Watching Sports Center doesn’t require any movement.

Why is this article so long?
There is a lot of information on sports hernias available to you on the web. However, much of the information is spread out all over the internet and hard for athletes to digest due to complicated terminology. This article lays out the foundational terminology you will need to understand what options you have with your injury. We will go over anatomy, biomechanics, rehab, surgery, and even the fun facts. The information I am using is from the last ten years of medical research, up until 2016. We will be making updates overtime when something new is found as well. So link to this page and share with friends. This is the best source for information on sports hernias you will find.

Common Names (or Aliases?) for Sports Hernias
Sportsman’s Hernia
Athletic Pubalgia
Gilmore’s Groin
How Do You Know If You Have A Sports Hernia?
Typical athlete characteristics:
Male, age mid-20s

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#ComprehensiveClinicalClass
History, Examination and Management of Hernia
Mentor: Dr. Nishanth, Consultant Surgeon, Bengaluru.

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Inguinal or groin hernias are the most common type of hernias and most of the time occur in men. We talked with CU Medicine surgeon, Dr. Sam Phinney, about groin hernias and how they are treated. https://www.cumedicine.us/abou....t-cu-medicine/health

Business Insider's Michelle Yan has been nearsighted since she was 9 years old. After laser eye surgery, she has 20/20. She walks us through the pre-surgery steps, the actual surgery, as well as the recovery process.

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What does a fistula for dialysis look like?
A fistula for dialysis is a surgical connection between a vein and an artery.
In this video, I will show you a real fistula and how we should evaluate it before a dialysis connection.

Additional videos:
💉How to properly cannulate a fistula: https://youtu.be/IqoHnzFyhJQ
💉 What is a fistula for dialysis treatment: https://youtu.be/B5EEf-MklFk
💉 The 10-second assessment for fistulas: https://youtu.be/Uqo0LhjZSI8

💉 If you would like to be trained as a dialysis professional focused on offering quality of care to renal patients, visit our program details here: https://utopiahcc.com/hemodialysis-technician/

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Additional resources:

What Does a Healthy AV Fistula Look Like? | Azura Vascular ...
www.azuravascularcare.com infodialysisaccess healt...
Jul 17, 2018 — An AV fistula is a surgically-created permanent access located under the skin, making a direct connection between a vein and an artery. An AV fistula is typically created in the non-dominant arm. If the veins in your arm are not large or healthy enough to support a fistula, it may be created in your leg.

Preparing for Dialysis (AV Fistula) Fact Sheets Yale ...
www.yalemedicine.org › conditions › preparing-dialysi...
To undergo dialysis, patients need a surgical procedure to create an access point for the dialysis machine. An AV fistula is the most common access point.

Vascular Access for Hemodialysis - Life Options
lifeoptions.org living-with-kidney-failure vascular-a...
Jump to How a Catheter Looks and Feels — This makes a pattern that looks a bit like a rope ladder. The next best way—for fistulas ONLY—is the “Buttonhole ...
‎Fistula or Graft Surgery · ‎Needle Fear · ‎How a Fistula or Graft Looks...

Taking Care of Your Fistula - DaVita
www.davita.com dialysis preparing-for-dialysis › ta...
An arteriovenous (AV) fistula is a type of access used for hemodialysis. ... access because it utilizes the patient's own vessels and does not require permanent placement of foreign materials such ... Look for redness or swelling around the fistula area. ... This sound may change from a whooshing noise to a whistle-like sound.

Vascular Access for Hemodialysis - Department of Surgery
surgery.ucsf.edu conditions--procedures vascular-ac...
The patient does not need anesthesia for this procedure. ... A vascular surgeon performs AV graft surgery, much like AV fistula surgery, in an outpatient center or ...

Frequently Asked Questions about Dialysis Access Surgery ...
www.bidmc.org transplant-institute frequently-aske...
Dialysis access surgery creates the vascular opening so a needle can be inserted for ... fluid and to correct electrolytes like potassium, sodium, phosphate and calcium, to name a few. ... Where are AV fistulas located and how long do they last?

Fistula and Graft Placement (Eric K. Peden, MD) - YouTube
www.youtube.com watch
Mar 28, 2016 — ... Bootcamp 2015 August 14 - 16, 2015 "Dialysis Access" Fistula and Graft Placement (Eric K. Peden, MD) DICET@Houstonmethodist.org.

For more information please visit: https://www.yalemedicine.org/c....onditions/acl-injury

Serious injuries, by and large, cause a lot of swelling in the knee. Especially in younger patients. Now, someone could be arthritic and they overdo it going for a big long hike and they get some swelling the next day. But rapid onset of swelling, it's like hard to make out where your kneecap is, is a pretty big cardinal sign that there's something serious that's happened to your knee. Rapid onset swelling is usually due to blood in the joint. "A meniscus that really tears and flips in the front. You tear your quad or your patellar tendon, your kneecap dislocates, you tear a little blood vessel, your ACL tears, a piece of cartilage in bone gets knocked off and causes bleeding. So a lot of the really significant injuries, people get rapid onset swelling within three to four hours and they should seek attention There's always exceptions to rules, but if your knee looks like a grapefruit, you should go get it checked.

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1. What is hemodialysis?
2. Why do you do hemodialysis?
3. How does hemodialysis remove body waste?
4. What are the symptoms and side effects of hemodialysis?
5. How should I eat food when I do hemodialysis?
6. What are some precautions for patients during hemodialysis?


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Today I will discuss about hemodialysis.
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00:00 Introduction
02:53 Hemodialysis
06:06 Dialysis Apparatus
07:59 Dialysis Mechanism
13:27 Vascular Access
18:55 Nursing Considerations
25:07 Nursing Management for HD
27:57 NCLEX Practice Questions

Hemodialysis is a procedure where a dialysis machine and a special filter called an artificial kidney, or a dialyzer, are used to clean your blood.

I will also discuss about hemodialysis procedure, how hemodialysis machine works and its benefits for patients.

If you're interested in learning more about hemodialysis, or if this just seems like something you should know for nursing school or for the NCLEX exam, check out this video!

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If you’ve suffered a sporting knee injury, how do you know when it’s serious? In this short video, Yorkshire Knee Clinic’s Dave Duffy reveals the two key tests that tell you whether your knee needs urgent, specialist attention.

𝗡𝗼𝘁𝗲𝘀 𝗳𝗼𝗿 𝘁𝗵𝗲 𝘀𝗾𝘂𝗲𝗮𝗺𝗶𝘀𝗵: This video features only features a model of the knee. There is no live footage from operations.

Discover more about sports knee injuries: https://yorkshirekneeclinic.com/sports-injuries/
Discover more about Dave Duffy: https://yorkshirekneeclinic.com/about/dave-duffy/

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