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Emergency Intraosseous Infusion
Emergency Intraosseous Infusion samer kareem 3,517 Views • 2 years ago

For patients in extremis from respiratory failure or shock, securing vascular access is crucial, along with establishing an airway and ensuring adequacy of breathing and ventilation. Peripheral intravenous catheter insertion is often difficult, if not impossible, in infants and young children with circulatory collapse. Intraosseous (IO) needle placement, shown in the images below, provides a route for administering fluid, blood, and medication. An IO line is as efficient as an intravenous route and can be inserted quickly, even in the most poorly perfused patients.

Closure of Wound by Stress Relaxation
Closure of Wound by Stress Relaxation samer kareem 1,712 Views • 2 years ago

Stress-relaxation is a well-established mechanism for laboratory skin stretching, with limited clinical application in conventional suturing techniques due to the inherent, concomitant induction of ischemia, necrosis and subsequent suture failure. Skin defects that cannot be primarily closed are a common difficulty during reconstructive surgery. The TopClosure tension-relief system (TRS) is a novel device for wound closure closure, providing secured attachment to the skin through a wide area of attachment, in an adjustable manner, enabling primary closure of medium to large skin defects. The aim of this study was to evaluate the efficiency of the TopClosure TRS as a substitute for skin grafting and flaps for primary closure of large soft tissue defects by stress-relaxation. We present three demonstrative cases requiring resection of large to huge tumors customarily requiring closure by skin graft or flaps. TRS was applied during surgery serving as a tension-relief platform for tension sutures, to enable primary skin-defect closure by cycling of stress-relaxation, and following surgery as skin-secure system until complete wound closure. All skin defects ranging from 7 to 26 cm in width were manipulated by the TRS through stress-relaxation, without undermining of skin, enabling primary skin closure and eliminating the need for skin grafts and flaps. Immediate wound closure ranged 26 to 135 min. TRS was applied for 3 to 4 weeks. Complications were minimal and donor site morbidity was eliminated. Surgical time, hospital stay and costs were reduced and wound aesthetics were improved. In this case series we present a novel technology that enables the utilization of the viscoelastic properties of the skin to an extreme level, extending the limits of primary wound closure by the stress-relaxation principle. This is achieved via a simple device application that may aid immediate primary wound closure and downgrade the complexity of surgical procedures for a wide range of applications on a global scale.

Systemic Inflammatory Response Syndrome (SIRS Criteria) - MEDZCOOL
Systemic Inflammatory Response Syndrome (SIRS Criteria) - MEDZCOOL samer kareem 7,042 Views • 2 years ago

Learn the SIRS Criteria and how to calculate it. Greater than or equal to 2 or more of the following: Temperature Fever of greater than 38°C (100.4°F) or Less than 36°C (96.8°F) Heart Rate Greater than 90 beats per minute Respiratory Rate Greater than 20 breaths per minute or PaCO2 of less than 32mm Hg White Blood Cell Count Greater than 12,000cells/mm³ or Less than 4,000cells/mm³ or Greater than 10% Bands

Tracheostomy
Tracheostomy Doctor 41,850 Views • 2 years ago

Tracheostomy

new sepsis definitions
new sepsis definitions samer kareem 8,368 Views • 2 years ago

new sepsis definitions

Face Transplant Surgical Animation
Face Transplant Surgical Animation Mohamed Ibrahim 6,896 Views • 2 years ago

Cameron Underwood Face Transplant Surgical Animation 2018 Eduardo D. Rodriguez, MD, DDS, chair of the Hansjörg Wyss Department of Plastic Surgery, and the Helen L. Kimmel Professor of Reconstructive Plastic Surgery, details the recent face transplant he performed on Cameron Underwood in January 2018 at NYU Langone Health.

Mini Dental Implants...what a difference!
Mini Dental Implants...what a difference! Paul Cash 1,353 Views • 2 years ago

We have just enhanced the smile of another wonderful patient! She just received 6 mini dental implants place by DR. Jue www.sugarlanddentalspa.com.

Yervoy Approved in Canada for Deadly Skin Cancer
Yervoy Approved in Canada for Deadly Skin Cancer News Canada 5,316 Views • 2 years ago

How revolutionizing advancements helps patients with metastatic melanoma kick start the body’s immune system to increase survival.

bone cancer Signs and symptoms
bone cancer Signs and symptoms samer kareem 1,840 Views • 2 years ago

Bone cancer symptoms. Possible symptoms of bone cancer include: Bone pain: Pain is the most common sign of bone cancer, and may become more noticeable as the tumor grows. Bone pain can cause a dull or deep ache in a bone or bone region (e.g., back, pelvis, legs, ribs, arms).

Uniateral Cleft Lip Repair
Uniateral Cleft Lip Repair plastic_surgeon 12,545 Views • 2 years ago

4 mth old child with left incomplete cleft lip repaired with advancement-rotation flap. Markings, steps of procedure recorded

ingrown toenail surgical procedure
ingrown toenail surgical procedure samer kareem 31,665 Views • 2 years ago

irregular, curved toenails. footwear that places a lot of pressure on the big toes, such as socks and stockings that are too tight or shoes that are too tight, narrow, or flat for your feet. toenail injury, including stubbing your toe, dropping something heavy on your foot, or kicking a ball repeatedly. poor posture.

Vial Medication Administration: How to Withdraw Vial Medication Nursing Skill
Vial Medication Administration: How to Withdraw Vial Medication Nursing Skill nurse 82 Views • 2 years ago

Vial medication administration nursing skill. Learn techniques to withdraw medication from a vial using a syringe with a needle.

Medications can come in different forms, such as ampules, vials, tablets, capsules, and so forth. When withdrawing medication from a vial, there are a few things you'll want to know as a nursing student or nurse.

First, there are different needles that can be attached to the syringe. You can use a traditional needle with a beveled tip; you can use a blunt-tip needle to reduce the risk of needle sticks; or you can use a filter needle, which is sometimes required or recommended when drawing medication from a vial, particularly in cases of reconstituted medication.

When withdrawing from a vial, you'll want to do these things (assuming they fit with the protocols and manufacturer's instructions):


NOTE: Some medications or vaccines may require a different technique, so always consult with the manufacturer's instructions.

-gather your supplies
-perform hand hygiene
-clean the vial's top with alcohol prep
-attach the appropriate needle
-stick the needle using a technique to prevent coring of the rubber on the vial (start with 45 degree angle, and as you puncture the vial, rotate the needle to a 90 degree angle in one smooth motion).
-push air into the vial equal to the amount of medication you plan to draw
-invert the vial to withdraw medication
-remove air bubbles
-and much more

See more Nursing Skills: https://www.youtube.com/playli....st?list=PLQrdx7rRsKf


Notes: https://www.registerednursern.....com/how-to-withdraw-

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Popular Playlists:

NCLEX Reviews: https://www.youtube.com/playli....st?list=PLQrdx7rRsKf
Fluid & Electrolytes: https://www.youtube.com/playli....st?list=PLQrdx7rRsKf

heart dissection
heart dissection samer kareem 23,661 Views • 2 years ago

heart dissection / cardiac anatomy

Every Ethics Question on a Medical Exam
Every Ethics Question on a Medical Exam DrPhil 122 Views • 2 years ago

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Thyroid Clinical Exam - Clinical Skills - Medical School OSCE Revision - Dr Gill
Thyroid Clinical Exam - Clinical Skills - Medical School OSCE Revision - Dr Gill DrPhil 93 Views • 2 years ago

How to perform a Thyroid Gland Examination - Clinical Skills Revision

The thyroid examination is one of the first sessions of the clinical skills block for medical students at Warwick Medical School - largely as it touches lightly on to other clinical areas, such as the cardiac examination, and the peripheral neurological examination making it an excellent starting point for building further knowledge


This is a clinical examination of the thyroid gland is performed by Dr James Gill following the approach in Macleod’s Clinical examination.


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Please note that there is no ABSOLUTE way to perform a clinical examination. Different institutions and even clinicians will have differing degrees of variations - the aim is the effectively identify medically relevant signs.


However, during OSCE assessments. Different medical schools, nursing colleges and other health professional courses will have their own preferred approach to a clinical evaluation - you should concentrate on THEIR marks schemes for your assessments.


The examination demonstrated here is derived from Macleods Clinical Examination - a recognised standard textbook for clinical skills.


Some people may experience an ASMR effect from watching this medical clinical examination

#ThyroidExamination #ClinicalSkills #DrGill #ASMR

Hand Clinical Examination - 4K - Warwick Medical School
Hand Clinical Examination - 4K - Warwick Medical School DrPhil 121 Views • 2 years ago

A clinical examination of the hands using the standard Look, Feel, Move approach. Specific​ examination structure derived from MacLeod's Clinical Examination 14th edition. Performed by Dr James Gill

Laparostomy Surgical Closure
Laparostomy Surgical Closure Mohamed 10,333 Views • 2 years ago

Laparostomy is a surgical condition in which the abdomen is left open to contrast a condition named Abdominal Compartment Syndrome

Moderate Nevus Removal
Moderate Nevus Removal samer kareem 990 Views • 2 years ago

Most people develop several moles (nevi) throughout adulthood. Moles can be found anywhere on the body, usually in sun-exposed areas, and are usually brown, smooth, and slightly raised. In most cases, a nevus is benign and doesn't require treatment. Rarely, they turn into melanoma or other skin cancers. A nevus that changes shape, grows bigger, or darkens should be evaluated for removal.

Robotic Hiatus Hernia Surgery
Robotic Hiatus Hernia Surgery samer kareem 12,622 Views • 2 years ago

What is Lymphoedema ?
What is Lymphoedema ? samer kareem 1,368 Views • 2 years ago

The condition is caused by a blockage in the lymphatic system, part of the immune and circulatory systems. Lymphedema is most commonly caused by lymph node removal or damage due to cancer treatment. The main symptom is swelling in an arm or leg that may be accompanied by pain or discomfort. Exercise, wrapping, massage, and compression can help.

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