Advanced emergency care - a critical evaluation Essay

Advanced emergency care - a critical evaluation - Essay Example ribed by Kouwenhoven et al as a means to resuscitate hearts that stopped beating, the intent was to use the procedure for sudden unexpected cardiac arrests in patients who were otherwise in good physiological condition. Kouwenhovens method of closed-chest cardiac compression improved the outcome of cardiopulmonary resuscitation (CPR) dramatically. In his first report of 20 patients undergoing CPR, Kouwenhoven had a 70% success rate (survival up to discharge). During the 40 years since the introduction of modern cardio-pulmonary resuscitation (CPR), there have been many advances in the field of emergency cardiovascular care (ECC). Contrary to Kouwenhoven’s report, recent research has shown that people who experience traumatic cardiac arrest rarely survive outside the hospital. If the person has suffered blunt trauma, cardiac arrest prior to reaching the hospital carries a 99% mortality rate in spite of ongoing efforts at resuscitation after arrival at the hospital(Perina, 2005) . Approximately 1% to 6% of patients suffering out-of-hospital cardiac arrest ultimately survive the event, and although survival rates are somewhat better for in-hospital arrest patients, a recent comprehensive report observed that only 17% of these patients were discharged alive( Engdahl J,2002) Unsatisfactory results of cardiopulmonary resuscitation procedures have for the most part attributed to its indiscriminate use. Various individual factors interfere with recovery from cardiopulmonary arrest. Despite the fact that the prediction of an individual outcome of such resuscitation is of great medical, ethical, and socio-economic interest, doubts about the decision whether or not to resuscitate a given patient, as well as about the consequences of either attitude, persist (Rogov, 1995). This decision should not be made only at the moment of cardiopulmonary arrest, but should also take the previous medical condition of the patient into account (Landry, 1992). Cardiopulmonary

Comparing and contrasing web and class learning Essay

Comparing and contrasing web and class learning - Essay Example It does not require the student to go to the school and attend regular classes, but it is done in one’s own comfort and one can gain much intellectually. This form of learning involves use of computer supported learning, virtual and also digital teamwork. The topic in the discussion is then transferred to the internet, privately owned computer network, extranet, CD-ROM, audio and videotape, and via satellite television (Prunuske, 2012). It is crucial to those who have no time to move from different places. It is an expedient way of training and learning. It is good for those who have a job to hold them during the day and still want to pursue their studies. This is because they can freely study from home after work or any time they are free without the pressure of attending classes. It is student focused form of training and learning. It authorizes all types of learners to get access the superlative materials, learning and referral resources, tutoring and teaching lessons from the instructors. In addition, with this program, no student is left out of the topic when he is willing either at home or even in hospitals. It just involves clicking into the internet (Prunuske, 2012, p. 14). This gives a chance to the learner to study any subject that he wills to. It does not matter where the instructor is located. It is also cheaper than regular learning therefore it is the best study method for those who are not financially stable. Classroom learning is the type of learning where students have to attend a place or a room selected for learning purposes. It is therefore very important for the learner to ensure that he is punctual with the lessons to ensure that they move together with the tutor and other students. It requires a lot of attention and concentration. It is the most used method by a large number of students especially where the technology level is low (Prunuske, 2012). The web learners will have time for

Sources and Writing Assignment Example | Topics and Well Written Essays - 250 words

Sources and Writing - Assignment Example Approximately 200 ethnic origins are found in Canada, according to the 2013 National Household Surveys. 13 other ethnic groups have a population of more than one million people (Edward, 2014). The recent immigrant population is relatively young. Since 2006, 58.6% of the immigrants belonged to the 25-54 working age group. Canada entails a linguistically diversified country. The country is increasingly being multilingual, due to the increasing immigrants who do not understand English or French. 72.8% of the immigrant population illustrates mother tongue which is not English or French. Two thirds of the Canadian population is Christian (Doug, 2011). But, the immigration patterns illustrates the increasing levels of individuals with several other religious beliefs; for instance, Muslim, Hindu and Buddhists. Before the 1970s, majority of the immigrants to Canada were from European countries like United Kingdom, Italy and Netherlands. Presently, the levels of European immigrants have drastically reduced (Brooks, 2013). Canada entails multicultural society that has an ethno-cultural composition that has been developed by immigrants over

Definitions Essay Example | Topics and Well Written Essays - 750 words

Definitions - Essay Example While the generally accepted symptoms of autism are observable by 18 months of age characterized by inattention and undeveloped speech, the National Institute of Child Health and Human Development added more behavioral symptoms that includes problems with eye contact, not responding to one’s name, joint attention problems, underdeveloped skills in pretend play and imitation, and problems with nonverbal communication and language. They also added that there are more subtle signs of autism that would begin at eight months of age. In the investigation of O'Hearn et al, it reported that autistic people process their world slower and with fewer elements. The study reported that autistic people have â€Å"slightly fewer elements, slower serial processes, and less sensitivity to parallel/holistic processes that mature into adulthood† and this â€Å"could undermine the representation of multiple elements in several ways† (14). Early intervention is crucial for the effect ive handling of autism. The earlier the detection and intervention, the more effective it will be. It has to be clarified however that there is still no known treatment for autism disorder. Intervention for autism includes â€Å"behavioral, social, and skill-building training† (Kuangparichat 81). There are also alternative schools that address autism such as charter or magnet schools, private academies to home schooling. In the research of Kuangparichat, it was also stressed the importance of this intervention particularly the Individualized Education Plan (IEP) among public schools as an important intervention tool for those who have autism. He stress that it is in fact a right of an autistic person to have an Individual Education Program because it is mandated by law where schools must have these kind of program for students who have autism to live a normal life (82). Autism is often misunderstood by society and people who have it are readily judged to be academically and s ocially inadequate. At the onset, this may appear to be true because autistic people have relatively slower cognitive skills and awkward social skills compared to a mainstream individual (Durand and Barlow 23). This assessment however is also inadequate because it failed to recognize that contribution to the general good of society is not only limited to the ability of being in a regular class or having the regular cognitive and motor skill but rather is measured on the final output of an individual less the liability that he or she may pose. Works Cited David H. Barlow,V. Mark Durand. â€Å"Abnormal Psychology: An Integrative Approach 6th ed.† Wadsworth, Cengage Learning, 2012. Kuangparichat, Malynn. â€Å"LEGAL RIGHTS OF YOUNG ADULTS WITH  AUTISM: TRANSITIONING INTO MAINSTREAM ADULTHOOD†..  Widener Law Review.  2010, Vol. 16 Issue 1, p175-196. O'Hearn, Kirsten Franconeri, Steven Wright, Catherine Minshew, Nancy Luna, Beatriz.; â€Å"The Development of Individu ation in  Autism†.   Journal of Experimental Psychology: Human Perception and Performance. (November 12,

Assignment and paper draft Essay Example | Topics and Well Written Essays - 1250 words

Assignment and paper draft - Essay Example The effects are analyzed from the perspective of employees, employers, and the government. Each of these players has a different view regarding high minimum wage. The paper uses an exploratory approach to finding relevant facts related to the study. Sources such as books, press releases and Low Wage Commission reports were perused in order to strengthen the understanding of the concepts at hand. Jobs whose value cannot be sustained in the face of the minimum wage are likely to be eradicated. Employers may fail to pay the high wage rate for jobs that are not essential to a company. Scaling back the number of employees will in turn increase social dependency. Also, it reduces the purchasing power of individuals thus stalling economic growth. High wages stimulated mass consumption because people have more purchasing power. Mass consumption leads to excess demand. In order to satisfy the demand, industries expand and also start new plants. The effect is an increase employment and also the national income. The calculation of minimum wages considers the severity of inflation and other economic conditions. As such, setting a high minimum wage places all the employees above the poverty line. The minimum wage is set at a value where people can afford the necessities to live a comfortable life. All these add up to better living standards. According to Waltman, business costs increase as a result of an increase in the minimum wage. Some business are unable to maintain the high cost of human resources (19). As a result, they tend to increase the prices of commodities in order to maintain their profitability. A 2010 study conducted by the Low Pay Commission of the UK concluded that high minimum wage reduces the wage gap between the highly paid and the lowly paid workers (39). The Commission found that 40 percent of the lowly paid workers were moving towards the middle-income status. The above discussions show that the

Santa Ana Winds Essay Example for Free

Santa Ana Winds Essay Weather can affect people’s behavior, positively and negatively. When the weather is nice and hot, it affects people positively by encouraging them to enjoy the outdoors, however, when the weather is bad, like when a hurricane hits this effects people negatively by worrying. Similarly, in the essay â€Å"Santa Ana Winds†, by Joan Dideon, the winds are so abrasive and obstructive that it engenders people to actually commit suicide. This occurs in Los Angeles. Even though Dideon provides a scientific explanation for the soft winds, she characterise hem as evil by showing their effects on people and on the environment. Dideon characterizes and demonstrates the winds as evil. She explains that the winds have an effect on people, making them act unusual. â€Å"Indians would throw themselves into the sea when the bad wind blew† Dideon is describing how the winds would permit people to actually commit suicide. The winds would create such a violent disturbance that townsmen would not even want to deal with such a thing, they would just kill themselves. The horrifying winds would also create paranoia in people. â€Å"Her husband roamed the place with a machete† This man thought there were trespassers and rattlesnakes roaming his yard. His obvious beliefs were due to scare. Dideon not only demonstrates the wind having an effect on people, but also the environment. Having a harsh effect on the hills and Route 66. A hot wind from the northeast whining down through the Cajon and San Gorgonio Passes, blowing up sandstorms out along route 66, drying the hills† Here, Dideon is explaining how the winds create sandstorms along route 66 and the hills are drying up. This not only affects the hills and highways, but in the long run will effect global warming, and drying out farms and hills will eventually create a drought. This leads to many other effects on the environment. The Santa Ana W inds effect the environment in more than one way. â€Å"For a few days now, we will see smoke back in the canyons†. Dideon is signifying wildfires occurring on the canyons. With this wildfire, not only will this wildfire burn down tree’s, but will also spread around disease. The Santa Ana Winds have many effects on the environment and people, when it is a nice, hot and a sunny day, people become encouraged to get out and spend time with their family. However, when a hurricane blows in, it creates many disturbing things, such as paranoia, droughts and wildfires. It is important to be alert and recognize the warning signs of dreadful things yet to come. Otherwise, anyone can get trapped in the middle of a storm.

The Mask of Benevolence Essay Example for Free

The Mask of Benevolence Essay The Mask of Benevolence BY sarniJ010 The Mask of Benevolence was honestly shocking to me and made me rethink a lot. I thought it was interesting and intriguing that it discussed the views of most hearing people and talked about why they arent necessarily right. Many of the facts, opinions, and details of how things had been dealt with in the past completely surprised me. One of the most surprising things for me was how each culture viewed one another; which was almost all negative. Of course, not all people in each category have those thoughts. The book was an amazing read for me because I was able to see nd understand some things as the deaf culture does because the author, Harlan Lane, was so specific and explained things through the thoughts she heard from people within the deaf community. In the beginning of the book, Lane discusses how the deaf culture views cochlear implants and the oral communication of deaf people. And though I was unsure why there was there was such a strong dislike of these things, it soon made sense to me. Deaf children that are forced to get an implant or to rely on oral communication get lost in an in between world of deaf and hearing. Lane stated, the implanted child will not move easily in the hearing world, it is unlikely that he will learn American Sign Language (ASL) fluently and make his own fundamental values of that community. So there is a real danger that he will grow up without any substantive communication, spoken or signed. (p4). This was extremely eye opening because although I had never thought negatively in any way about the deaf community I did have the impression that medical advancements and such implants would be viewed incredibly highly to the deaf. As most hearing people are, I uppose I was simply uneducated on the facts of cochlear implants. Lane claims that the result of the discrepancies between the implant and the natural mechanism of hearing is a sound that many formerly hearing adults have trouble interpreting and sometimes even localizing. (p219). On page 20, Lane tells a story about a woman from a large deaf family and hoped dearly that her daughter, too, would be deaf. Deaf people do not wish to hear, they simply wish for people to be more aware of their culture. They are not impaired, they were simply born into a small culture; like eing Hispanic or Jewish, why would you wish to wake up and be white one day? That is not who you are. Lane discusses so many negative things of how the hearing think of the deaf that not only completely blew me away but also made me feel disgusted toward the majority of hearing people that do look down on the deaf community. I was astonished. I honestly never knew there were that many naive people out there that saw hearing people as that much better and higher than the deaf; simply because I have never known anyone who thought that way and I never even considered that! I was in shock when I saw Lane quoting an American psychiatric publication from 1985 that stated, Profound deafness that occurs prior to the acquisition of verbal language is socially and psychiatrically devastating. (p35). Devastating?! The view of the deaf from so many hearing is outrageous! After quoting the publication, Lane went on the list several characteristics that the hearing culture has labeled to all deaf people. These characteristics included aggressive, irritable, egocentric, and even shy. How would a nearing person know it a deat person is sny or isolated? Hearing people see that the deaf person is not communicating with them and automatically assumed these things. However, how do you expect someone who does not share the same language as you chat and visit with you? That is extremely egotistically of all hearing people that think that way. And that Just goes back to hearing people expecting the deaf to learn our language. How unbelievably naive! Its not like the Hispanic culture moving here that have the ability and resources to learn English yet refuse to. The deaf have the most unique language in the world and are imply unable to learn any other language fluently. How can you learn to speak a language fluently when you are unable to hear it? As I Just stated, sign language, which I will refer to as ASL from now on even though sign is not exclusive to America, is simply the most unique language in the world. And those that deny it as a language are simply Just incredibly uneducated. Something I found interesting was when Lane discussed storytelling in the deaf community on page 16. She explained how deaf children learn the importance of storytelling and they practice at a very young age. Lane states that clear communication is highly valued; stories should be rich in detail, start at the beginning and end at the end, and contain plain talk; hinting and vague talk in an effort to be polite are inappropriate and even often offensive (p16). How is that not talking about a culture with a rich language? In fact, I feel as though the deaf can actually communicate more than the hearing. Because not only do they have the language like we do, their facial expressions and attention to detail are way beyond the average hearing person. Another point from early on in he book that I wanted to discuss was a something that I could relate to. The chapter entitled The Paternalism Indictment discusses the flaw with the teachings for deaf children. That market is completely controlled by hearing people who hardly understand the deaf and their culture and so it is all basically based of stereotypes. On page 49 Lane states, It is said to be conducted in the interest of deaf people, but the profits go almost exclusively to hearing people. And I got to see this first hand when I was a sophomore in high school. My long time best friend, Rachel, was born rofoundly deaf in one ear. She can hear fine and is in no way deaf or a part of that culture. She never once required any special treatment in school. However she did use a hearing aid or speaker box in elementary from time to time. All throughout middle school and our first year of high school she maintained a pretty high GPA. One day while we were sophomores, she randomly received a new schedule from the office. Following the new schedule, she went to her first class and discovered that they had put her in all special education classes. Obviously she was confused and pset, so she called her mother and they went to the office to sort out what was clearly a mistake. The office stated that it was not a mistake. Apparently, the school had been claiming Rachel as profoundly deaf, which she was in one ear, and requiring the special attention of any other child with a severe impairment. And of course, the school was getting large additional funds because of Rachels impairment; Shame on the school for knowing that they would receive additional benefits for claiming Rachel. And shame on the state for that matter for giving the chool extra funds because the poor school was Just so kind as to deal with all of Rachels special needs due to hearing impairment. Lane stated there are paternalistic universals and parallax in the attributions, and a claim to a civilizing burden that fails to mask the benefactors economic interest (p49).