TRAUMA AND EMERCENCY NURSING BY SEELAA SEGARAN The nursing care and management of a client with Tension Pneumothorax. INTRODUCTION ANATOMY OF THE LUNG DEFINATION OF TENSION PNEUMOTHORAX PROGRESSIVE BUILDUP OF AIR WITHIN THE PLEURAL SPACE DUE TO A LUNG LACERATION AIR TO ESCAPE INTO THE PLEURAL SPACE BUT NOT TO RETURN ’ONEWAYVALVE’ EFFECT PUSHES THE MEDIASTINUM OBSTRUCTS VENOUS RETURN = CIRCULATORY INSTABILITY TRAUMATIC ARREST. SYMPTOMS Respiratory distress Distended neck vein
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The expansion of Western Europe started with the Iberian phase. Spain and Portugal‚ the two countries of the Iberian Peninsula‚ had a short-lived yet important role in European expansion. European expansion then turned to Western Europe. Western Europe consists of the Dutch‚ French‚ and British. While Western Europe was exploring new worlds overseas‚ the Russians were expanding westward across all of Eurasia. Religion played a major role in expansion for both the Portuguese and the Spanish due
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doubled the size of the United States. The move westward was not justified and was forcing people out their homes and they were getting killed. Westward expansion supported the US and was not fair to the nearby places. Us gained much land after the Louisiana Purchase and Thomas Jefferson supported the expansion. The US Westward expansion made US get more money and grow in population. When we gained California we
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The most underrated factor of westward expansion would have to be the railroad. Many would think of the most important factor as the gold rush of 1848‚ but before mass droves of people could move westward‚ an easier way of traveling had to be constructed and railroads were the answer. Before railways‚ the Oregon Trail lead people from major cities like Independence‚ Missouri to Oregon City or Sacramento in Oregon and California. This ‘train’ of sorts moved as low as 350‚000 people across America
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Thermal Expansion and Contraction Most of the matters‚ without some exceptions‚ expand with the increasing temperature. When you give heat to matters; speed of its particles increase and distance between them also increase which results in the increase of the volumes of matters. All expansions occurs in volume of the substance however‚ sometimes some of the dimensions of them expand more with respect to others. In this case we neglect the less expanded ones and assume expansion like linear expansion
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Early American Expansions Ever since the beginning of time it has been in the nature of man to move and expand their area whether it be for food or greed. Although‚ most cases in history will show that expansion was done for greed such as the Roman Empire from 800 BC to 500 AD or the Crusades that were on and off from 1096 AD – 1272 AD. That same urge to expand did not stop when the America’s were discovered. It all started with the transatlantic migration to the New World. The settlers of
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Psychology presentation PTSD and biological factors The signs and symptoms of PTSD‚ therefore‚ appear to reflect a persistent‚ abnormal adaptation of neurobiological systems to the stress of witnessed trauma. The neurobiological systems that regulate stress responses include certain endocrine and neurotransmitter pathways as well as a network of brain regions known to regulate fear behavior at both conscious and unconscious levels. Not surprisingly‚ much research has consequently focused on exploring
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The Original Store Expansion Strategy: In 1992 and 1993 Starbucks developed a three-year geographic expansion strategy that targeted areas with favorable demographic profiles‚ that could be serviced and supported by the company’s operations infrastructure. A large city was selected to serve as a focal point for each targeted region. Starbucks professional teams were strategically positioned at these focal points to supervise opening of another 20 stores in each city in the first two years. Following
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America‚ is the second largest banking center in the United States. As corporate partnerships with the 8 Fortune 500 companies in the metropolitan area will be a cornerstone in our business plan‚ it is necessary to include them in our vision. Choosing a neutral name such as “Engines” allows us to acknowledge the business community without alienating our lower-income fans. The team colors are red‚ white‚ and blue‚ exemplifying patriotism. The primary logo is a revving engine (with a face)‚ and the
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THE MEDIA PRESENTATION Slide 1 Media of the UK consist of several different types of Communications: TV‚ radio‚ newspapers‚ magazines and websides Slide 2 TV British people watch a lot of television. They are also reported to be the the world’s most dedicated home-video users. Watching TV is the most common leasure activity for 8/10 men and women. In 2008 on average people spent 26 hours per week watching TV. People in non-manual occupation watched about 7 hours less per week than those in
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