Introductions Emergency Medical Services (EMS) in Singapore has been established for few decades. Local EMS is still advocating the direct pressure or pressure dressing to arrest extremity haemorrhage first, and if can’t be arrested, to use tourniquet or as a last resort. Many studies have been done oversea in military settings but not in Singapore, to show the benefits of tourniquet application in severe extremity injuries. Battles casualty survival rates are consistently high with emergency tourniquets use to stop bleeding, and morbidity rate remain low (Kragh J. J. et al, 2011). Evidence indicates that when used at the right time in the right way, emergency tourniquets are lifesaving (Kragh J. J. et al, 2011). Only few studies have been done for civilian in prehospital settings and over past few years many researchers have started relating military experience in tourniquet application to …show more content…
Out of 167 articles, 5 articles were finally chosen for their cohort study after eliminating those irrelevant and duplicate copy. 1 study was chosen for this assignment: “A multi-institutional analysis of prehospital tourniquet use (Schroll R. et al, 2015)”. An appraisal checklist to assist in the critique will be ‘Critical Appraisal Checklist for Cohort Studies’ by ‘The Joanna Briggs Institute Reviewers’ Manual: 2016 edition’. The term ‘article’ will be used to refer ‘Schroll R. et al, 2015’ article and used for the appraisal below. Nonexperimental Studies The researched done in this article involved non-experimental studies. There are various reasons for doing a non-experimental study, including situations in which independent variable inherently cannot be manipulated or which it would be unethical to manipulate the independent variable (Polit & Beck,
Beating the enemy and saving lives are top foci of combat, both accomplished through innovations to make armies more effective and efficient as seen in the American Civil War. The Minie Ball, a cylindrical round, was innovated by Claude-Etienne Minie in 1848 within France to load rifles more rapidly than the sphere style ammunition it replaced (A, B). The closure of a sucking chest wound was innovated by Benjamin Howard in the United States during 1863 as a procedure to save lives by applying an air tight seal to a wound that was proven as “certain death” in previous battles (D). The Minie Ball and the closure of a sucking chest wound were both great innovations used during the American Civil War, but the Minie Ball had a much greater impact before the year 1900 as it allowed armies to eliminate more enemy soldiers than the closure of the sucking chest wound saved. On a global platform, each innovation made huge influences in the way the world’s armies progressed
On that note, we need to know how these injured soldiers were helped medically. Back in The Civil War (April 12, 1861 – May 9, 1865) they did not have the technology we have today. The medical tools used were things such as amputation saws, scissors to cut through tissue, and a tools called straight forceps which were used to remove bullets or lead projectiles. Medical care was overall very
According to The Things They Carried “ Thank god for Rat Kiley. Every so often, maybe four times altogether, he trotted back and forth to check on me.” (Tim O’Brien, 189)This is when O’Brien was shot and Rat Kiley gave him medical care in the midst of a battle, checking on him four times, and then helping O’Brien to the helicopter where he was sent to a hospital to recover. Secondly, going back to ancient times when medics were not out on the field, while injured soldiers had to lay there and suffer with no medical attention. This also occurred in the vietnam war as well due to poor training and laziness.
The authors also use statistics which shows they have done their research. This allows the audience to believe this article is a reliable
Have you ever come to wonder as to how people got treated back in the Civil War when they got injured? What tools did they use? How did they do it? Was it safe to use? Was there an alternative option?
Unit 1 Test Multiple Choice Questions 1.Who usually takes over the emergency medical care of a patient at the scene after an emergency medical responder has initiated care? a.Physicians b.Emergency department staff c.EMTs d.Treatment center specialists 2.Dressings, bandages and other equipment that have been used in emergency care should be replaced − a.when you finish your work shift. b.when you check equipment and supplies at the beginning of your shift. c.as soon as possible.
Stop the bleeding and place a sterile bandage or clean cloth on the wound. Press the bandage firmly with your palm to control bleeding. Maintain pressure by binding the wound tightly with a bandage or a piece of clean cloth. Secure with adhesive tape. Use your hands if nothing else is available.
Each article was logical in its presentation of results and refrained from outside input. This effectiveness characterizes Milgram and Zimbardo as credible sources and well-rounded
The many hundreds of injuries encountered on the daily caused big challenges for transporting patients. Surgeons had to deal with the horror of being on the battle field while searching
In 2005, a family friend by the name of Randy Birdsong was a patient at Audie L. Murphy Memorial VA Hospital located in San Antonio, Texas. The Veteran Affairs (VA) medical staff was performing surgery on his abdomen. After the surgery, he was notified that there was insufficient space to accommodate his continued care. The V.A. advised him to keep his wound clean with a fresh roll of gauze, and sent him on his merry way. A few days later, Randy was back at the V.A. hospital with a noticeable infection taken place in his abdominal region.
INTRODUCTION The purpose of this essay is to conduct a comprehensive critical appraisal of a research paper titled ‘Chloramphenicol treatment for acute infective conjunctivitis in children in primary care’ that was carried out by Rose et al. (2005) in the United Kingdom (UK). The aim of evaluation is to critically concentrate on the strength and limitation of the study. Firstly, a clear definition of critical appraisal and its importance will be highlighted, going on further will be the critical, analysis, discussion and evaluation of the peer reviewed paper contents so as to ascertain the validity and reliability of the study.
There was an experience where a nurse was assigned to him and she gave him hundred percent attention and took complete care of him. She kept him relaxed, communicated on a personal level and listened to him. Consequently, as we discussed earlier, this has improved Mr.Taylor’s experience. Key facilitators for Mr. Taylor’s health care experience Mr.Taylor is generally satisfied with the health care provided by the dp clinic chosen by him. The surgeon he visited was brutally honest with him which helped Mr.Taylor understand the seriousness of the injury.
Going into my first my first clinical rotation I was not sure what exactly to expect. Within in our first 2 semester we covered orthopedics and in our third semester we covered as much acute care as possible. The UIW DPT program did an adequate job informing us with as much knowledge relevant to acute care in order prepare those students being assigned to hospital settings. I found myself only having to look few things up ranging from lab values to pharmacology.
Needlestick injuries are injuries due to exposed and improper use of needles or sharps. The ANA in 2010, commemorated the 10th anniversary of the Needlestick Safety and Prevention Act, which improved protection against these injuries that expose health care workers to potentially deadly blood borne pathogens. These injuries, unfortunately, are still occurring today and far too often. The Centers for Disease Control and Prevention (CDC) in March 2000, estimated that approximately 62-88 percent of sharps and needlestick injuries are preventable. Health care workers that handle sharp devices or equipment like scalpels, sutures, needles, phlebotomy devices or blood collection devices are all at risk but nurses are at a very high risk for being exposed to these preventable injuries which exposes them to numerous bloodborne pathogens especially deadly viruses such as hepatitis B, hepatitis C, and HIV/AIDs.
(2016) in the Philippines utilizing cross-sectional study shows that there is a gap appreciating disaster nursing protocol in their own workplace. While, Romer & Hebda (2013) enumerates roles of bedside nurses during a disaster utilizing five tier triage systems. The study putted thrust on how nurses should respond in times of disaster focusing on the safety of the patient as well as the nurses’ safety. However, it has not test the level of compliance to the hospital protocol in order to assess implication to existing incident command systems.