PAIN MANAGEMENT IN THE EMERGENCY MEDICINE DEPARTMENT Associate Professor Peter Manning Emeritus Consultant Emergency Medicine Department National University Hospital‚ Singapore Jan 2004 Revised Aug 07 / Feb 08 / Nov 09 / Dec 11 / Dec 12 Accepted practice patterns must be questioned – implementation of pain score to vital signs We underestimate the pain produced by common practical procedures Analogy – just as we vary antibiotics according to sensitivities‚ perhaps we should be prepared
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Grameen Bank in Bangladesh’‚ Research Report 65‚ International Food Policy Research Institute‚ Washington‚ D.C. Khalily‚ Imam and Khan: Efficiency and Sustainability of Formal and Quasi-formal Microfinance Programmes - An Analysis of Grameen Bank and ASA‚ Quarterly Journal of The Bangladesh Development Studies‚ BIDS‚ VOL-XXVI‚ June-Sept. 2000. Khandker‚ S.R‚ Khalily‚ B and Khan‚ Z. 1995: Credit Program for the Poor; Household and Inter-household Impacts and Program Sustainability by BIDS and the World
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trademark for “French Wine Cola-Ideal Nerve Tonic Stimulant”. He eventually changed the formula by taking out the wine and adding caffeine and Kola nut. Thus‚ Coca Cola was born. Pemberton sold the rights to Coca Cola in 1889 to Georgia business man Asa Candler. Candler sold the syrup to wholesalers who mixed the syrup with carbonated water‚ and sold it to soda fountain proprietors. Also in 1899 Benjamin Thomas and Joseph Whitehead approached Candler with a proposition to bottle Coke. Candler thought
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1. What are business ethics? Business ethics are moral principles that guide the way a business behaves. The same principles that determine an individual”s actions also apply to business. Acting in an ethical way involves distinguishing between “right” and “wrong” and then making the “right” choice. It is relatively easy to identify unethical business practices. For example‚ companies should not use child labour. They should not unlawfully use copyrighted materials and processes. They should
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conception (Kumar‚ Nirmalya. 2006). All the production of Ikea is involved the basic idea that low price can make household items‚ various in kind‚ attractive and useful‚ reached by everybody. So Ikea is always emphasizing the strategy of low price (Åsa Thelander 2009). Thus‚ it constantly strives to put every one thing to do better through more simple and efficient way‚ in order to make it more cost-effective. It is difficult to set at a very low price by the designers themselves to finish a
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In Chicago‚ Coca-Cola makes its first appearance a World’s Fair. Coca-Cola is first put into bottles in Vicksburg‚ Mississippi‚ by Joseph Biedenharn. “Coca-Cola is sold and consumed in every state and territory of the United States‚” proclaims Asa Candler. The Coca-Cola Company branded urns and clocks. Large-scale bottling begins in Chattanooga‚ Tennessee. The annual advertising budget for Coca-Cola surpasses the $100‚000 mark for the first time. The first magazine ads for Coca-Cola appear
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NURS 3530: Caring for Adult Clients I HEART FAILURE CASE STUDY Your client‚ Mr. Black‚ is a 72-year-old man who called his TeleNurse Line from home and‚ based on the symptoms he described‚ was advised to go directly to the Emergency Department at his local hospital. His admitting diagnosis is exacerbation of heart failure (HF). His Ht is: 5’9”‚ Wt. 235 lbs. He states that his usual weight is about 220. Upon admission‚ his symptoms are: extreme shortness of breath; unable to tolerate lying
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STUDY GUIDE: MODULE 5 Harbin: Chapter 14 How did Rehoboam manage to lose most of his kingdom? He refused to cut taxes and threaten to raise them. Why is Asa viewed as a good king but given a mixed review? His lack of faith in God to assist with attack on Baasha in Northern Kingdom. How did Jehoshaphat show piety on the one hand but political naivete on the other? He went thru the country removing pagan shrines and sent teachers in the land teaching the law. he was judged for helping the
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alkalosis – too much bicarbonate pH up / HCO3 up Loss of gastric acid (vomiting) Overuse of antacids Potassium wasting diuretics 6 ABG Analysis Metabolic acidosis – too little bicarbonate pH down / HCO3 down Diarrhea Renal failure Shock ASA overdose Diabetic ketoacidosis Sepsis 7 ABG Analysis Acid pH < 7.35 Normal 7.35 – 7.45 Alkaline > 7.45 PaCO2 >45 35 – 45 <35 HCO3 < 22 22 - 26 >26 Acid Normal Alkaline 8 ABG Analysis Compare patient’s ABG results to acid-base
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inventory system that is customized to the need of computer retailers like PC Quarter. The system tracks purchasing ‚ daily sales‚ inter-branch sales‚ returned merchandise‚ pull-out‚ and expenses. Quantum X incorporated features like diskette reports asa well as remote dial up support that allows management to
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