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Boating trauma

EM SIM Cases

JoAnne is a nurse (background in emergency nursing) and one of the Sim Knowledge Coordinators based at the Pritchard Simulation Centre in Kelowna, BC. JoAnne has her master of nursing degree and nurse practitioner designation and is passionate about all things sim!

Shock 52
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Early Modern Resuscitators

Advanced Emergency Nursing from AENJ

Although told several times, the story of the development by Henning Ruben of the prototypical modern manual resuscitator, the self-refilling bag with unidirectional non-rebreathing valves which now dominate the world of resuscitation, is still not well-known. What were its recent antecedents? What further developments occurred?

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??I would have been thankful for, in days of yore …

Advanced Emergency Nursing from AENJ

If doing what was called "the one-man-band resurrection shuffle" [single person CPR in the back of a moving ambulance], this worked very well, as the bag would stay hanging there on the patient's face. How useful these would have been to let us know how well the patient was oxygenating and ventilating!

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The Nexus of Violence, Law Enforcement, and Nursing

Advanced Emergency Nursing from AENJ

Yet, it must be noted that Nurses are compelled to be in the middle. Both occupations, it must be said, are creatures of law whose licensed/appointed employment is created, regulated, and disciplined by operation of law; and those with high professional tenets swear an oath to perform at awesome ethical levels. Susan Sarkauskas. "

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Ballistic Follies

Advanced Emergency Nursing from AENJ

If you think your patient is the perpetrator, he may well be an innocent, or even an off-duty or undercover officer. ET Hostile Fire Environments Murphy’s Law of Combat Operations [includes coarse military humor] Firearms in the Entertainment Industry International Movie Firearms Database Horman, GS. Do not compromise your care.

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Mouth-to-Airway (adjunct)

Advanced Emergency Nursing from AENJ

The idea of placing one's mouth on the mouth of an apparently dead victim, particularly where the mouth may be covered with foam, mucus or blood, as often the case in asphyxia victims, as well as the fear of possible transmittal of disease is revolting to the average person and is difficult to overcome." Bauer, Robert O.

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Mask Ventilation and Bagging Errors That Will Kill or Hurt Your Patient!

Advanced Emergency Nursing from AENJ

Greenland's two-curve theory); unloads the visceral weight that impedes the diaphragm, thus, increasing functional reserve capacity; and may well minimize silent aspiration of regurgitation. One hand may maintain this maneuver (so-so) but it's harder to initiate and may not maintain it as well under adverse conditions.