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Mechanical ventilation

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 Mechanical ventilation: (1) Parameters: (a) Rate: Number of mechanical breaths delivered per minute (b) FiO 2 : Fraction of oxygen in inspired gas (c) PIP: Peak inspiratory pressure attained during respiratory cycle (d) Positive end-expiratory pressure (PEEP): Distending pressure that increases functional residual capacity (FRC), or volume of gas at the end of exhalation (e) Mean airway pressure (P aw ): Average airway pressure over entire respiratory cycle, which correlates to mean alveolar volume (f) Tidal volume (V T ): Volume of gas delivered during inspiration (g) Time: May indicate a function of time spent in inspiration (T in high pressure (T high ), or in low pressure (T low ) i (2) Modes of ventilation: (a) Controlled ventilation: Ventilation is completely mechanical with no spontaneous ventilation efforts expected from the patient. (i) Pressure-controlled ventilation (PCV): A preset respiratory rate and T i deliver a pressure-limited breath (the set pressure is maintaine...

NBA preseason 2024

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  NBA standings today ; NBA standing ; NBA 2024-25 standings ; NBA schedule today ; NBA games today ; Lakers ; Celtics ; NBA preseason schedule; NBA preseason games https://youtu.be/qct6lkQuwLo?si=J_TWvHvFOfDQUfrJ NBA standings today ; NBA standing ; NBA 2024-25 standings ; NBA schedule today ; NBA games today ; Lakers ; Celtics ; NBA preseason schedule; NBA preseason games NBA standings today When does the 2024-25 NBA season start? Opening night date and schedule The 2024-25 NBA preseason is currently underway and will run for another week before the NBA opening night on October 22. The opening night will feature an exciting doubleheader: the New York Knicks versus the Boston Celtics and the Minnesota Timberwolves against the Los Angeles Lakers. The defending champion Celtics, who had a remarkable performance in the previous season, will host the Knicks, who have recently acquired two star players, Karl-Anthony Town...

PREVALENCE 0F POLYPHARMACY AMONG THE GERIATRIC POPULATION IN THE FIELD PRACTICE AREA OF URBAN HEALTH TRAINING CENTRE

PREVALENCE 0F POLYPHARMACY AMONG THE GERIATRIC POPULATION IN THE FIELD PRACTICE AREA OF URBAN HEALTH TRAINING CENTRE. Dr. Chandan Kumar INDEX S.No CONTENTS PAGE NO. 1. INTRODUCTION 5-6 2. AIMS AND OBJECTIVES 7 3. REVIEW 8-9 4. METHODOLOGY 10-12 5. OBSERVATION AND RESULTS 13-30 6. DISCUSSION 31-34 7. CONCLUSION AND SUMMARY 35-36 8. REFERENCES 37-39 9. ANNEXURE 40-43   INTRODUCTION The growing size of the elderly population in developing world including India is undoubtedly posing mounting pressures on various socio-economic fronts including increased interpersonal and health problems, health care expenditures. Polypharmacy in a managed care setting presents a unique set of challenges and opportunities. Despite improved health care system issues of elderly health are yet not well addressed. Polypharmacy, a preventable and significant contributor to morbidity and mortality in the geriatric population. Aging is associated with multiple chronic diseas...

CHEST PAIN - Stroke

 Quick guide to important ED Differentials of Chest Pain Acute Coronary Syndrome   Patient with central chest wall heaviness/ dyspnoea/ giddiness/ ghabrahat/syncope  Associated sweating, nausea, vomiting  Exertional symptoms  Radiation anywhere from jaw to epigastrium or either arms  ECG:  New ST/T changes OR conduction blocks  STEMI: ST elevation of minimum 1mm in contiguous leads except in v2,v3 > 1.5 mm (F) ; > 2mm (M) ST elevation II,III, aVF: Inferior wall STEMI STE V1-V4 : Anterior wall STEMI STE  I, aVL, V5, V6 : Lateral wall STEMI NSTEMI New onset ST elevation, depression or T inversion (not fitting into above criteria) Or elevated Troponin I Unstable angina Typical angina symptoms lasting for > 20 minutes, crescendo pattern with no new ECG changes and NO troponin elevation Troponin elevation > 99 percentile (see reference value as per the test) ECHO: RWMA (regional wall motion abnormality) Expedite initial treatment : ECG within 10 ...

TRIAGE

 TRIAGE Triage is the process of determining the priority of patients' treatments by the severity of their condition or likelihood of recovery with and without treatment. In the Emergency department, sequence of treatment of patients is determined by patient’s triage category and not first cum first serve basis. In case of large number of patients and longer waiting times, periodic reassessment & re-triaging of patients is important.  Triage categories: RED, YELLOW & GREEN RED   First priority   Require immediate assessment & care  Compromised primary survey A - Noisy breathing/ Stridor/ Pooling of secretions       Angioedema involving face B - RR < 10 or > 24/minute, SpO2 < 94% Increased work of breathing , audible wheeze C - HR < 50 or >120 (without fever)        SBP < 90 or >200 , DBP >110       Shock index (pulse rate/SBP >1)        Presen...

MLB 2022 TODAY

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 MLB playoff picture: The postseason bracket is set, but history still at stake for Aaron Judge in Game 162 The 2022 MLB season is at the finish line. Across baseball, teams will begin Game 162 at about 4 p.m. ET on Wednesday, and then look toward the playoffs ... or a long winter of regrets or rebuilding. Here's what you need to know heading into the final day of the regular season. What does MLB’s playoff format look like in 2022? First things first: You might remember that as part of the collective bargaining agreement that ended the lockout, the team owners and players expanded the postseason. There are now six teams from each league, three division winners and three wild cards. That means a new path to the World Series, and different considerations for watching the races come down to the wire. When each league’s field is set, it will go like this: The Nos. 1 and 2 seeds — the two best division winners — get byes into the Division Series, a huge advantage. The other four teams ...

NFL 2022

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  NFL Week 5 scores live updates: Eagles remain undefeated, Texans earn first win Week 5 of the NFL season has arrived. On Thursday, the Indianapolis Colts outlasted the Denver Broncos in a 12-9 overtime victory. Both teams labored without a touchdown in the game -- much to the dismay of fans in attendance. In the early slate, the New York Giants defeated the Green Bay Packers in London, England. Giants star Saquon Barkley had 106 total yards and a touchdown in the 27-22 victory. Week 5 also featured a lot of divisional matchups. Tampa Bay Buccaneers quarterback Tom Brady remained undefeated against the Atlanta Falcons. The Jacksonville Jaguars outlasted the Houston Texans.  Meanwhile, Buffalo Bills receiver Gabe Davis and New England Patriots running back Rhamondre Stevenson had career days in the early slate. Week 5 concludes with two primetime matchups. The Cincinnati Bengals and Baltimore Ravens renew their AFC North rivalry on Sunday evening. The Las Vegas Raiders and Kan...