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My work week is Friday to Monday, 8 p. As I listened to the tele, there happened to be a police officer who was there for an unrelated incident. I saw him looking at his radio.
At that point, I put into action a plan that I had thought of beforehand. It might sound odd, but I had thought about these problems well ahead of time because of the way I always approached resuscitations: The first thing I did was tell the secretaries I needed every operating room open.
I needed every scrub tech, every nurse, every perfusionist, every anesthesiologist, every surgeon—they all need Shooting stars essay get here right away.
They immediately began making phone calls. I told the trauma nurses that I needed all the treatment areas completely clear.
Nurses were instructed to keep an eye out for crashing patients and make sure that all patients had bilateral gauge IVs ready for the moment that they would decompensate.
That night I was working with Dr. Patrick Flores and Dr. I know how these guys work. We are like brothers. We also had a new guy, Dr. Michael Tang, who just graduated residency and had been there for a few months.
Allan MacIntyre was the Trauma Surgeon working that night. Station 1 has a central desk with four trauma bays. Trauma 1 and 2 have two beds in each bay. Trauma 3 and 4 have one bed in each bay. The most critical care traumas usually go to Trauma 3 and 4.
Also attached to Station 1 is our critical care pod. That has four beds in it. Adjacent to that is our psychiatric area where we fit eight beds close together.
Station 2 is down the hallway from Station 1. Station 2 has a central nurse desk surrounded by eight beds that are in line of sight. Station 4 is the end of the hallway after Station 2.
It opens up to a large room with a central desk with eight beds surrounding a wide U-shaped hallway. Taking the U-shaped hallway of Station 4 all the way around will lead you to the Med Room to the left, Rapid Track, and Station 3 to the right.
The Med Room is an open room with recliners typically used to give medications. Rapid Track is a row of chairs in the hallway. In my mind, that was the worst place to put any of these traumas, so I told the nurses to not put anybody into those rooms.
Station 2 was going to have our orange tags, patients with threatening gunshots in critical areas, but had not crashed yet. This is not in the textbook. In my mind, these orange tags were expected to crump near the end of the Golden Hour.
Rapid Track and Med room would hold the green tags, staffed by two PAs, were just going to end up sitting on the floor or stuffed into an area with people watching over and making sure that none of them crumped.
The ER doctors would resuscitate and send the resuscitated patients to Trauma 3 or 4 for the trauma surgeon to prioritize to the OR. In preplanning, I knew that as we started to get some of these red tags stabilized, the anesthesiologists and surgeons would start arriving and we could open up more ORs.
I can resuscitate four or five people, but that operating room was going to be the key to stopping the bleeding and saving lives. In a high volume penetrating MCI like this, you really need flow. You need people to get stabilized and into the operating room, not sitting around perseverating about what test to order next.
Getting those ORs staffed and opened was my biggest priority.A school shooting is an attack at an educational institution, such as a school or university, involving the use of a firearm(s).Incidents that involve four or more deaths are also categorized as mass shootings.
According to studies, factors behind school shooting include family dysfunction, lack of family supervision, and mental illness. August 6th, Antony and the Johnsons - CUT THE WORLD video Directed by Nabil, staring Willem Dafoe, Carice van Houten and Marina Abramovic.
August 1st, Antony takes over Dazed Digital this week featuring articles everyday, so far including interviews with Laurie Anderson, Planningtorock, Cyclobe, Antony and Buffy Sainte .
"If I really wanted to keep my children safe I needed to do something," the actress writes after the Florida school shooting. From internationally celebrated directors Paolo and Vittorio Taviani (Padre Padrone) comes this "extraordinary" film (Los Angeles Times) about a Tuscan village struggling against Nazi oppression during the final days of World War caninariojana.com is the Night of San Lorenzo, the night when dreams come true.
While watching shooting stars, Cecilia tells her son about a similar night in , when she was. Texas pastor accused of shooting dead his nephew in church on Sunday morning. The Belgrade Baptist Church pastor has reportedly been charged with murder after the shooting death of a man in his.
The Night of the Shooting Stars () Italian Classic [Eng Subs] by Omero Antonutti.