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Trendelenburg Position
In the Trendelenburg position (), the body is supine position, lain supine, or flat on the back on a 15–30 degree incline with the feet elevated above the head. The reverse Trendelenburg position, similarly, places the body supine on an incline but with the head now being elevated. The Trendelenburg position is used in surgery, especially of the abdomen and genitourinary system. It allows better access to the pelvic organs as gravity pulls the intra-abdominal organs away from the pelvis. Evidence does not support its use in Hypovolemia, hypovolaemic shock, with concerns for negative effects on the lungs and brain. The position was named for the German surgeon Friedrich Trendelenburg (1844–1924). Current uses *The Trendelenburg position can be used to treat a venous air embolism by placing the right ventricular outflow tract inferior to the right ventricular cavity, causing the air to migrate superiorly into a position within the right ventricle from which air is less likel ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Cesarean Section
Caesarean section, also known as C-section, cesarean, or caesarean delivery, is the surgical procedure by which one or more babies are delivered through an incision in the mother's abdomen. It is often performed because vaginal delivery would put the mother or child at risk (of paralysis or even death). Reasons for the operation include, but are not limited to, obstructed labor, twin pregnancy, high blood pressure in the mother, breech birth, shoulder presentation, and problems with the placenta or umbilical cord. A caesarean delivery may be performed based upon the shape of the mother's pelvis or history of a previous C-section. A trial of vaginal birth after C-section may be possible. The World Health Organization recommends that caesarean section be performed only when medically necessary. A C-section typically takes 45 minutes to an hour. It may be done with a spinal block, where the woman is awake, or under general anesthesia. A urinary catheter is used to drain the ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Recovery Position
In first aid, the recovery position (also called semi-prone) is one of a series of variations on a lateral recumbent or three-quarters prone position of the body, often used for unconscious but breathing casualties. An unconscious person, a person who is assessed on the Glasgow Coma Scale (GCS) at eight or below, in a supine position (on the back) may not be able to maintain an open airway as a conscious person would. This can lead to an obstruction of the airway, restricting the flow of air and preventing gaseous exchange, which then causes hypoxia, which is life-threatening. Thousands of fatalities occur every year in casualties where the cause of unconsciousness was not fatal, but where airway obstruction caused the patient to suffocate. This is especially true for unconscious pregnant women; once turned on to their left side, pressure is relieved on the inferior vena cava, and venous return is not restricted. The cause of unconsciousness can be any reason from trauma ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
High Fowler's Position
In medicine, Fowler's position is a standard patient position in which the patient is seated in a semi-sitting position (45–60 degrees) and may have knees either bent or straight. Variations in the angle are denoted by high Fowler, indicating an upright position at approximately 90 degrees and semi-Fowler, 30 to 45 degrees; and low Fowler, where the head is slightly elevated." It is an intervention used to promote oxygenation via maximum chest expansion and is implemented during events of respiratory distress. Fowler's position facilitates the relaxing of tension of the abdominal muscles, allowing for improved breathing. In immobile patients and infants, the Fowler's position alleviates compression of the chest that occurs due to gravity. Fowler's position increases comfort during eating and other activities, is used in postpartum women to improve uterine drainage, and in infants when signs of respiratory distress are present. Fowler's position is also used when oral or na ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Recovery Position
In first aid, the recovery position (also called semi-prone) is one of a series of variations on a lateral recumbent or three-quarters prone position of the body, often used for unconscious but breathing casualties. An unconscious person, a person who is assessed on the Glasgow Coma Scale (GCS) at eight or below, in a supine position (on the back) may not be able to maintain an open airway as a conscious person would. This can lead to an obstruction of the airway, restricting the flow of air and preventing gaseous exchange, which then causes hypoxia, which is life-threatening. Thousands of fatalities occur every year in casualties where the cause of unconsciousness was not fatal, but where airway obstruction caused the patient to suffocate. This is especially true for unconscious pregnant women; once turned on to their left side, pressure is relieved on the inferior vena cava, and venous return is not restricted. The cause of unconsciousness can be any reason from trauma ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Undersea And Hyperbaric Medical Society
The Undersea and Hyperbaric Medical Society (UHMS) is an organization based in the US which supports research on matters of hyperbaric medicine and physiology, and provides a certificate of added qualification for physicians with an unrestricted license to practice medicine and for limited licensed practitioners, at the completion of the Program for Advanced Training in Hyperbaric Medicine. They support an extensive library and are a primary source of information for diving and hyperbaric medicine physiology worldwide. History The Undersea Medical Society (UMS) grew from the close associations of a small group of scientists. These men realized after a series of ''International Symposia on Underwater Physiology'', initiated by the University of Pennsylvania and the Office of Naval Research that there was a need to stimulate in the field of undersea medicine. This group consisted of diving and aerospace Dr's Edward L. Beckman, Jack L. Kinsey, Christian J. Lambertsen, Walter F. Ma ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Air Embolism
An air embolism, also known as a gas embolism, is a blood vessel blockage caused by one or more bubbles of air or other gas Gas is a state of matter that has neither a fixed volume nor a fixed shape and is a compressible fluid. A ''pure gas'' is made up of individual atoms (e.g. a noble gas like neon) or molecules of either a single type of atom ( elements such as ... in the circulatory system. Air can be introduced into the circulation during surgical procedures, Barotrauma#Causes, lung over-expansion injury, Decompression (diving), decompression, and a few other causes. In flora, air embolisms may also occur in the xylem of vascular plants, especially when suffering from water stress. Underwater diving, Divers can develop ''arterial'' gas embolisms as a consequence of lung over-expansion injuries. Breathing gas introduced into the venous system of the lungs due to pulmonary barotrauma will not be trapped in the alveolar capillaries, and will consequently be circulated ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Decompression Sickness
Decompression sickness (DCS; also called divers' disease, the bends, aerobullosis, and caisson disease) is a medical condition caused by dissolved gases emerging from Solution (chemistry), solution as bubbles inside the body tissues during Decompression (diving), decompression. DCS most commonly occurs during or soon after a decompression ascent from underwater diving, but can also result from other causes of depressurisation, such as emerging from a Caisson (engineering), caisson, decompression from Saturation diving, saturation, flying in an Cabin pressurization, unpressurised aircraft at high altitude, and extravehicular activity from spacecraft. DCS and Air embolism, arterial gas embolism are collectively referred to as decompression illness. Since bubbles can form in or migrate to any part of the body, DCS can produce many symptoms, and its effects may vary from joint pain and rashes to paralysis and death. DCS often causes air bubbles to settle in major joints like knee ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Scuba Diving
Scuba diving is a Diving mode, mode of underwater diving whereby divers use Scuba set, breathing equipment that is completely independent of a surface breathing gas supply, and therefore has a limited but variable endurance. The word ''scuba'' is an Acronym#Normal case and acronyms, acronym for "Self-Contained Underwater Breathing Apparatus" and was coined by Christian J. Lambertsen in a patent submitted in 1952. Scuba divers carry their own source of breathing gas, affording them greater independence and movement than surface-supplied divers, and more time underwater than freedivers. Although the use of compressed air is common, other gas blends are also used. Open-circuit scuba systems discharge the breathing gas into the environment as it is exhaled and consist of one or more diving cylinders containing breathing gas at high pressure which is supplied to the diver at ambient pressure through a diving regulator. They may include additional cylinders for range extension, de ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Shock (circulatory)
Shock is the state of insufficient blood flow to the tissues of the body as a result of problems with the circulatory system. Initial symptoms of shock may include weakness, tachycardia, hyperventilation, sweating, anxiety, and increased thirst. This may be followed by confusion, unconsciousness, or cardiac arrest, as complications worsen. Shock is divided into four main types based on the underlying cause: hypovolemic, cardiogenic, obstructive, and distributive shock. Hypovolemic shock, also known as low volume shock, may be from bleeding, diarrhea, or vomiting. Cardiogenic shock may be due to a heart attack or cardiac contusion. Obstructive shock may be due to cardiac tamponade or a tension pneumothorax. Distributive shock may be due to sepsis, anaphylaxis, injury to the upper spinal cord, or certain overdoses. The diagnosis is generally based on a combination of symptoms, physical examination, and laboratory tests. A decreased pulse pressure ( systolic blood pre ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Passive Leg Raising Test
Passive leg raise, also known as shock position, is a treatment for shock or a test to evaluate the need for further fluid resuscitation in a critically ill person. It is the position of a person who is lying flat on their back with the legs elevated approximately . The purpose of the position is to elevate the legs above the heart in a manner that will help blood flow to the heart. This test involves passively raising a person’s legs, without their active participation, which causes gravity to pull blood from the legs, thus increasing circulatory volume available to the heart ( cardiac preload) by around 150-300 milliliters, depending on the amount of venous reservoir. The real-time effects of this maneuver on hemodynamic parameters such as blood pressure and heart rate are used to guide the decision whether or not more fluid will be beneficial. The assessment is easier when invasive monitoring is present (such as an arterial catheter). The maneuver might be reinforced ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
