Παρασκευή, 11 Μαρτίου 2016

12-Lead ECG reading: 6-step process

Review a six step process for reading and interpreting a 12-lead ECG

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12-Lead ECG reading: 6-step process

Review a six step process for reading and interpreting a 12-lead ECG

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12-Lead ECG reading: 6-step process

Review a six step process for reading and interpreting a 12-lead ECG

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Your Worst Day - an EMS Tribute

Song written and sung by the wife of a paramedic

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AIM Online EMS Software and Services Presents a Free Webinar Tuesday March 29, 2-3pm EST

See How Hundreds of EMS Agencies are Profiting from AIM Online The webinar will address topics including: The benefits of a cloud-based solution - eliminate hardware/IT headaches, spend less on maintenance/downtime Taking advantage of an online, integrated EMS workflow Gaining greater data security in the cloud Accessing your data 24x7 - anywhere, anytime from multiple devices The benefits of the new ...

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911 calls in Kansas mass shooting



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12-Lead ECG reading: 6-step process

Review a six step process for reading and interpreting a 12-lead ECG

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12-Lead ECG reading: 6-step process

Review a six step process for reading and interpreting a 12-lead ECG

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12-Lead ECG reading: 6-step process

Review a six step process for reading and interpreting a 12-lead ECG

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Your Worst Day - an EMS Tribute

Song written and sung by the wife of a paramedic

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911 calls in Kansas mass shooting



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12-Lead ECG reading: 6-step process

Review a six step process for reading and interpreting a 12-lead ECG

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12-Lead ECG reading: 6-step process

Review a six step process for reading and interpreting a 12-lead ECG

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12-Lead ECG reading: 6-step process

Review a six step process for reading and interpreting a 12-lead ECG

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Your Worst Day - an EMS Tribute

Song written and sung by the wife of a paramedic

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The SorbaView SHIELD is a useful product for fixation of continuous catheter performing in femoral nerve block

gr1.sml

The Sorba View SHIELD (Centurion Medical Products Corporation, Williamston, MI) provides effective catheter securement as part of the normal dressing procedure [1]. Therefore, it may be effective for the stability of the continuous femoral nerve catheter (Figure), which arises spontaneous tube extraction easily [2]. We studied retrospectively the stability of the continuous femoral nerve catheter achieved by using a Sorba View. We received institutional review board approval from the Showa university hospital (registration no.

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Spectral and morphological classification of different chronic and acute Taiwanese gallstones via FTIR, SEM and ESEM-EDX microanalyses

Gallstone disease is one of the leading upper gastrointestinal surgical problems in different countries.

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Volumetric laser endomicroscopy in the detection of neoplastic lesions of the esophagus

Volumetric laser endomicroscopy (VLE) in a 64-year-old man with Barrett's esophagus revealed two regions with intramucosal adenocarcinoma missed by high magnification narrow-band imaging. On VLE, these regions where characterized by lack of regular striations in the architecture, jagged shaped ducts suggestive of glandular atypia, and heterogenous signal intensity consistent with irregular nuclei (Arrows, Fig. 1; Normal, Fig. 2). Histopathology on targeted endoscopic mucosal resection showed high-grade dysplasia with focal intramucosal adenocarcinoma, and high-grade dysplasia with papillary intramucosal adenocarcinoma, respectively.

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Spectral and morphological classification of different chronic and acute Taiwanese gallstones via FTIR, SEM and ESEM-EDX microanalyses

Gallstone disease is one of the leading upper gastrointestinal surgical problems in different countries.

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12-Lead ECG reading: 6-step process

Review a six step process for reading and interpreting a 12-lead ECG

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Volumetric laser endomicroscopy in the detection of neoplastic lesions of the esophagus

Volumetric laser endomicroscopy (VLE) in a 64-year-old man with Barrett's esophagus revealed two regions with intramucosal adenocarcinoma missed by high magnification narrow-band imaging. On VLE, these regions where characterized by lack of regular striations in the architecture, jagged shaped ducts suggestive of glandular atypia, and heterogenous signal intensity consistent with irregular nuclei (Arrows, Fig. 1; Normal, Fig. 2). Histopathology on targeted endoscopic mucosal resection showed high-grade dysplasia with focal intramucosal adenocarcinoma, and high-grade dysplasia with papillary intramucosal adenocarcinoma, respectively.

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Your Worst Day - an EMS Tribute

Song written and sung by the wife of a paramedic

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Editorial Board



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Editorial Board



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EMT/Fire Fighter - Ute Mountain Ute Fire/Rescue

EMT/Fire Fighter Staff ALS Ambulance, 48/96

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7 more public-safety inventions and ideas by women

As we continue to celebrate Women's History Month, here are seven more EMS inventions and ideas led by women

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Evidence for a Complex Relationship Among Weight Retention, Cortisol and Breastfeeding in Postpartum Women

Abstract

Objective To assess the relationship between cortisol slope, a biologic marker of stress, and postpartum weight retention. Methods We included 696 women in a secondary analysis from a multi-site study conducted using principles of community-based participatory research to study multi-level sources of stress on pregnancy outcomes. As a stress marker, we included salivary cortisol slope; the rate of cortisol decline across the day. Pre-pregnancy weight and demographic data were obtained from the medical records. At 6 months postpartum, patients were weighed and returned saliva samples. We built stepwise regression models to assess the effect of demographic variables, cortisol slope and cortisol covariates (wake time, tobacco use and breastfeeding) on postpartum weight retention. Results 45.5 % of participants were African American, 29.2 % White, and 25.3 % Hispanic. Of the Hispanic women 62.5 % were Spanish speaking and 37.5 % were English speaking. In general, participants were young, multiparous, and overweight. Postpartum, almost half (47.6 %) of women studied retained >10 lbs. In multivariable analysis including age, pre-pregnancy BMI and public insurance, cortisol slope was significantly associated with weight retention (β = −1.90, 95 % CI = 0.22–3.58). However, when the model was adjusted for the cortisol covariates, breastfeeding (β = −0.63, 95 % CI = −1.01 to −0.24) and public insurance (β = 0.62, 95 % CI = 0.20–1.04) were the two strongest correlates of weight retention. Conclusions for Practice The association between cortisol slope and postpartum weight retention appears to be influenced breastfeeding status.



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Topography and indexing of nutrient foramina of tibia—a study in Vindhya region

2016-03-11T11-48-30Z
Source: International Journal of Medical Science and Public Health
Nidhi Agrawal, Amrish Tiwari, Arjun Singh Parmar.
Background: Clinically, longitudinal stress fractures are more commonly associated with the tibia. The healing of fractures, as of all injuries, is reliant upon blood supply. So, detailed anatomical study of position and number of nutrient foramina is must. Nutrient foramen is an opening into the bone shaft which gives way to the blood vessels of the medullary cavity of a bone, for its nourishment and growth. Objective: To investigate the number, position, size, and direction of nutrient foramina of tibia and calculation of foraminal index (FI). Materials and Methods: The study was done in Department of Anatomy, Shyam Shah Medical College, Rewa, Madhya Pradesh, India, in 80 adult human tibiae. We have measured all the four parameters in each bone according to standard method. Result: According to FI, most of the nutrient foramina of tibia were situated in the proximal third (type 1) below the soleal line. The mean FI was 32.96 ± 6.06, with the FI ranging between 27.20% and 37.25% of the bone length. Conclusion: To conclude that our detailed study of topographic anatomy and morphology of nutrient foramina of tibia provides additional information to orthopedicians before planning surgeries on tibia.


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Instructor / Assistant Professor – Emergency Medical Service - Oregon Tech



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WPSG Announces the Passing of Bob Hlavacek

Witmer Public Safety Group Announces the Passing of Robert "Bob" Hlavacek March 11, 2016 It is with a heavy heart that we announce the passing of Robert Hlavacek, who most of you probably know as Bob. Bob passed away on March 10, 2016 after an arduous battle with Muscular Dystrophy. After graduating from West Chester University in 1989 with a B.S. in Marketing, Bob held several roles that ...

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What's the weirdest 911 call you've ever received?

Check it out and add your own thoughts in the comments

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What's the weirdest 911 call you've ever received?

A question posted recently on Quora asked, "What was the weirdest call ever received on 911"" Farah Rogers, a 911 dispatcher and trainer, gave her opinion on the topic below. Check it out and add your own thoughts in the comments.

There is no way to know what the weirdest call at any agency is but I can tell you the weirdest call I ever recieved.

I got a 911 call from a female for her husband having chest pains. The ambulance checked out on scene and it ended up being a schizophrenic male chasing a female (and now my ambulance crew) with a machete. He then took off into the woods naked with said machete. Officers got dispatched and couldn't find him, a helicopter got sent and couldn't find him.

I got a second 911 call from a cell phone pinging next door about an hour later from a man laying on a garage floor saying a demon attacked him and he couldn't get up.

I thought maybe the first naked guy had attacked him.

That caller ended up being the naked guy with the machete. He hit himself with the machete. Officers got there and he started stabbing himself in the chest. They tazed him, disarmed him, took him to the hospital and got him on meds.

He barely had cuts (maybe a dull blade). He's fine now. He brought us cookies last weekend.



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What do 911 dispatchers know that 'regular' people don't?

Check it out and add your own thoughts in the comments

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Human intrahepatic Treg are functional, require IL-2 from effector cells for survival and are susceptible to fas ligand mediated apoptosis

Hepatology

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High risk of drug-induced microscopic colitis with concomitant use of NSAIDs and proton pump inhibitors

Alimentary Pharmacology and Therapeutics

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Effect of high-grade disease on outcomes of surgically treated colon cancer

Annals of Surgical Oncology

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Use of transient elastography in patients with HIV-HCV co-infection: A systematic review and meta-analysis

Journal of Gastroenterology and Hepatology

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Is there any role of adjuvant chemotherapy for T3N0M0 or T2N1M0 gastric cancer patients in stage II in the 7th TNM but stage I in the 6th TNM system?

Annals of Surgical Oncology

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Calcium-sensing receptor: A new target for therapy of diarrhea

World Journal of Gastroenterology

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Effect of endoscopic variceal obliteration by band ligation on portal hypertensive gastro-duodenopathy: endoscopic and pathological study

Hepatology International

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Phase II trial of biweekly docetaxel, cisplatin, and 5-fluorouracil chemotherapy for advanced esophageal squamous cell carcinoma

Cancer Chemotherapy and Pharmacology

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Scintigraphic Evaluation of Mild to Moderate Dysphagia in Motor Neuron Disease

Clinical Nuclear Medicine

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Screening and surveillance for gastric cancer in the United States: Is it needed?

Gastrointestinal Endoscopy

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Outcomes of resected colorectal cancer lung metastases in routine clinical practice: A population-based study

Annals of Surgical Oncology

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Modeling the Influence of Early Skin-to-Skin Contact on Exclusive Breastfeeding in a Sample of Hispanic Immigrant Women

Abstract

Using data from a longitudinal study of breastfeeding in Hispanics, this study evaluated the influence of early skin-to-skin contact (SSC) on initiation and sustained exclusive breastfeeding (EBF) at 1 month postpartum. Two-thirds of the women in the sample participated in early SSC. At discharge, over half of the women were EBF; this proportion decreased to one-third at 1 month postpartum. Controlling for demographic and clinical variables in the model, participation in early SSC was associated with a greater than sevenfold increase in the odds of EBF at discharge (p = .005) but was not predictive of EBF at 1 month post-discharge (p = .7). Younger maternal age and increased prenatal infant feeding intention were associated with an increased likelihood of EBF across both timepoints. Promoting early SSC may help with initiation of EBF, while further breastfeeding support may be needed to maintain EBF following discharge for this vulnerable population.



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ACG clinical guideline: Management of patients with acute lower gastrointestinal bleeding

The American Journal of Gastroenterology

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Vitamin D deficiency in patients with either rheumatic diseases or inflammatory bowel diseases on biologic therapy

Internal and Emergency Medicine

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Curcumin as a potential therapeutic candidate for Helicobacter pylori associated diseases

World Journal of Gastroenterology

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Simultaneous urodynamic and anorectal manometry studies in children: insights into the relationship between the lower gastrointestinal and lower urinary tracts

Neurogastroenterology & Motility

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Bedbugs infest Tenn. ambulance service

One employee noticed bug bites; the service's two stations and all of the ambulances have been treated

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