The richest native americans know as the Northwest Coast Indians are believed to have begun living on the northwest coast of North America over 10‚000 years ago. This area includes what we know as Alaska‚ Washington State‚ Oregon‚ California‚ and British Columbia‚ Canada. This stretch of land has the ocean on one side and the mountians on the other side. Some of the tribes that make up the Northwest Coast Indians are the Bella Coola‚ Haida‚ Nootka‚ and Tlingit. Living along the coast‚ there was
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Northwest Airlines and American Airlines will be compared thoroughly in many aspects. Globalization‚ diversity‚ ethics and technology will be addressed in various ways. All four themes will be addressed through the strength‚ fit and adaptive ness of both company’s cultures. The overall organizational culture of both Northwest Airlines and American Airlines will be clear. Globalization Globalization can be defined as "making worldwide in scope or application"(1). In this comparison of the
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REVIEW-NARRATIVE Management of Ischemic Stroke: Part 1. Emergency Room Management Christine Lu-Emerson‚ MD 1 David Likosky‚ MD 2‚3 Alpesh Amin‚ MD‚ MBA‚ FACP 4 David Tirschwell‚ MD‚ MSc 1‚5 1 Department of Neurology‚ School of Medicine‚ University of Washington‚ Seattle‚ Washington. 2 Stroke Center‚ Evergreen Hospital Medical Center‚ Seattle‚ Washington. 3 Clinical Faculty‚ School of Medicine‚ University of Washington‚ Seattle‚ Washington. 4 Department of Medicine‚ Hospitalist Program
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A 24-year-old male presents to the trauma bay of an emergency department after being struck as a pedestrian by a car. Upon arrival‚ his Glasgow consciousness scale (GCS) is 15 and the patient is hemodynamically stable. Examination reveals left lower leg deformity with a 1 cm overlying skin wound. There is some fat visible in the wound‚ but no bone or gross contamination is identified. There is slow‚ but steady‚ dark blood oozing from the wound. Radiographs obtained in the trauma bay are shown below
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Table 3. The Recorded Chief Complaint for 309 Emergency Department Visits (EDVs). Chief complaint No. % Pain 141 45.6 Abdomen 92 29.8 No specific site 15 4.9 Back 10 3.2 Chest 10 3.2 Headache 6 1.9 Mouth 5 1.6 Lower limb 4 1.3 Neck 4 1.3 Pelvis 3 1 Upper limb 1 0.3 Dyspnea 41 13.3 Vomiting 38 12.3 Fatigue/weakness 34 11 Altered consciousness 32 10.3 Fever 21 6.8 Bleeding 16 5.2 Diarrhea 15 4.9 Cough 13 4.2 Anorexia 11 3.6 Constipation 10 3.2 Care for catheter/intravenous line 7 2.3 Nausea 6 1.9 Dehydration
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and non-verbal communications‚ that must be understood to prevent misunderstandings. Another‚ ex. There was a Cambodian women‚ who had outstanding sales for the month‚ she was given an award and gift. She was asked to come to the front of the room to get her award‚ she acted reluctantly. It is not customary to receive praise‚ it is seen as bad manners in Southeastern Asian cultures. In the workplace‚ it is important to know the customs‚ values‚ and beliefs of the people you work with
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of the Emergency Room Physician. Commonly faced issues include patient “dumping”‚ organ donation‚ and Do-Not Resuscitate orders. These issues have ethical and legal considerations for the Emergency Room Physician in regards to their responsibilities and actions. The ethical right for individuals to have access to health care already has a form of legal binding within the United States as seen in the Emergency Medical Treatment and Active Labor Act. “In 1986‚ Congress passed the Emergency Medical
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Deforestation of the Pacific Northwest One of the most controversial areas associated with the global problem of deforestation is the Pacific Northwest of the US. The problem can be broken down into several issues that all tie in together. These include the near extinction of the Northern Spotted Owl‚ the "business" aspect of logging versus the environmental aspect‚ and the role of the government in this problem. In 1973‚ the Endangered Species Act (ESA) was passed. This enabled the Dept. of
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General Surgery Case Study Brief Summary Background: Barbara Norris grew up in a small town in western Massachusetts. She developed a fond respect and admiration for the nursing profession due to her mother and grandmother both being nurses. She knew that nursing was the career she wanted to peruse. She obtained her nursing degree from Eastern Massachusetts University‚ and began to work at EMU in the emergency room. She was an ER nurse for four years then transferred
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The Delta-Northwest Merger Some airlines have struggled to stay in business for years. Due to the tough economic times‚ it has affected companies such as Delta and Northwest and the whole airline industry. The competition is intense and some of the global airlines are on the verge of going out of business. Recently‚ Delta and the Northwest Airlines have stated that they are merging together to create America’s premier global airline. Rising fuel prices is one of the primary reasons the airline
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