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Interhospital Transfer Capabilities Still Pose Major Issues

ACEP Now

Two years ago, an ACEP Now article covered the issue of transfer challenges resulting from early pandemic operations. 1 As fresh challenges of the pandemic and hospital operations changed emergency medicine practice, one of the more challenging areas was the movement of admitted patients out of the first emergency department (ED).

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Early Modern Resuscitators

Advanced Emergency Nursing from AENJ

Review of the Wellcome Library movies on YouTube (1945) [ links below in references ] is instructive as to resuscitative methods of the 1930s and 1940s: Manual methods; gas bag or bellows operated by hand or machine; an anesthesia gas machine; or iron lung. Evaluation: Manually Operated Resuscitators (1971) Emergency Care Research Institute.

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"The crowner hath sat on her and finds it Christian burial." [Hamlet]

Advanced Emergency Nursing from AENJ

" [Coroners Society] King Richard I (the Lionheart) needed vast sums of money for the Third Crusade, operation of the kingdom, and for his ransom fro m Duke Leopold of Austria. All efforts to identify the decedent by hospital staff, law enforcement agencies or social service agencies should be well documented in the medical records.

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Milestones of Modern Progress in Emergency Care

Advanced Emergency Nursing from AENJ

Farrington] Rebuilding of outdated hospitals put emergency rooms on ground level with nearby X-ray service, and, ideally, sometimes closer to the Blood Bank and the Operating Rooms. Organization and Specialization in Emergency Nursing. Emergency Medicine Specialization, Recognition, and Organization. EDNA->ENA.

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Ballistic Follies

Advanced Emergency Nursing from AENJ

It is critically important to document the physical findings in a plain-seeing, plain-speaking, non-judgmental manner that will not color or taint future investigations. Accurate time entries are important to document. Natural psycho-physiological responses may alter perceptions during the life-threatening event. 8, 2012 12:12 a.m.

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Oxygen Powered Resuscitators

Advanced Emergency Nursing from AENJ

It wrongly frightened some medical personnel as it was operated by a 50 psi wall source or from a step-down regulator from a tank (some thought the patient received wall 50 psi or 1500 psig from the tank directly to the lung. Accessed July 28, 2014 **Quoting original documents of fascinating history. Grainge, C. Copass, M.

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Assume the position … ??Awkward Airway Positions

Advanced Emergency Nursing from AENJ

Pull out the manikins (or use a volunteer; BVM only) and run some awkward codes! Most airway management is done with the patient supine and on a table. Most training is likewise done with the patient on a table. Patients in their moment of crisis may not be in such a position! Readers must verify validity to their own practice.