This is specially an issue in the elderly because they lack the same functional caricore system as a 30 year old and therefore they rarely will became per family tack accordic until they basically are in the peri code state so be very careful about using this as a marker for your assurance. So the first set of literature to talk about is the fact that that is absolutely untrue, that countless articles have demonstrated that you could be wordily in hamaragic shock with a low heart rate, a normal heart rate, or a high heart rate, and basically that number does not do anything good for you yes if they attack at 140 I'm more worried, but you can't look at the canvas and say, ah their pulse rate 84 they are just fine. So the first thing to talk about is that heart rate at 96 and the American culture surgeon ATLS course would tell you that the classes of harmilage are directly correlated to the patients heart rate.Īnd if you are not a tech acordic then you haven't lost that much blood. So what do you think? This guy is funny right it's not jack acordic blood pleasure is obviously okay no worry just shift them on over to fast track. Saturation 89% on amazing cannon breathing 22 times a minute GCS is 14 loose one point because you have to plot them a little open up his eyes and he's moving is extramity times four. So EMS brings them in they dump them on him journey, they show you the helmet classic trauma patient and just put them on the monitor it's got a heart rate at 96 BP of 180/20.
55 year old male, attorney during the week but on weekends he becomes a warrior when he rides his iron steed and he was riding maybe not at his best and took a turn a little bit too quick and went flying off his bike and EMS radios in to tell you that he was hypertensive in the field and then he smashed up his entire face because he has one of these ridiculous helmets that are basically just protective in name only. The other disclosure is that I had a particular bent in trauma that was engendered by the shock trauma center, so if you note any particular prejudices in terms of management there are to blame. The only thing I have to disclose is I do a podcast called Emcrit and it takes no manufacturer support and has no complex of interest either. I should say I have no conflicts of interest in my entire clinical practice is off label. You talk about trauma one of my favorite topics, we talk about critical care in the trauma patient. This 8:00 AM lectures where your desire to sleep wrestles with your desire to learn, so pride yourselves for you have won. While Goddard scientists worked with a “beta” version of the Nature Run internally for several years, they released this updated, improved version to the scientific community for the first time in the fall of 2014.All right folks we'll get started. This Nature Run simulates January 2006 through December 2006. The model is then left to run on its own and simulate the natural behavior of the Earth’s atmosphere. The visualization is a product of a simulation called a “Nature Run.” The Nature Run ingests real data on atmospheric conditions and the emission of greenhouse gases and both natural and man-made particulates. The carbon dioxide visualization was produced by a computer model called GEOS-5, created by scientists at NASA Goddard Space Flight Center’s Global Modeling and Assimilation Office. The simulation also illustrates differences in carbon dioxide levels in the northern and southern hemispheres and distinct swings in global carbon dioxide concentrations as the growth cycle of plants and trees changes with the seasons.
Plumes of carbon dioxide in the simulation swirl and shift as winds disperse the greenhouse gas away from its sources.
An ultra-high-resolution NASA computer model has given scientists a stunning new look at how carbon dioxide in the atmosphere travels around the globe.
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