TTL secondary survey - thorax, abdomen and pelvis

2022 ◽  
Author(s):  
Joshua Lauder
Keyword(s):  
Secondary Survey

scholarly journals Riding the waves: the ongoing impact of COVID-19 on a national surgical training cohort

2021 ◽  
Author(s):  
Orla Hennessy ◽  
Amy Lee Fowler ◽  
Conor Hennessy ◽  
David Brinkman ◽  
Aisling Hogan ◽  
...  
Keyword(s):  
Surgical Training ◽  
World Health Organisation ◽  
World Health ◽  
Training Methods ◽  
Viral Spread ◽  
Surgical Services ◽  
Global Pandemic ◽  
Surgical Trainees ◽  
Secondary Survey ◽  
The Impact

Abstract Background The World Health Organisation declared a global pandemic on the 11 March 2020 resulting in implementation of methods to contain viral spread, including curtailment of all elective and non-emergent interventions. Many institutions have experienced changes in rostering practices and redeployment of trainees to non-surgical services. Examinations, study days, courses, and conferences have been cancelled. These changes have the potential to significantly impact the education and training of surgical trainees. Aim To investigate the impact of the COVID-19 pandemic on training, educational, and operative experiences of Irish surgical trainees. Methods Surgical trainees were surveyed anonymously regarding changes in working and educational practices since the declaration of the COVID-19 pandemic on 11 March 2020. The survey was circulated in May 2020 to both core and higher RCSI surgical trainees, when restrictions were at level five. Questions included previous and current access to operative sessions as well as operative cases, previous and current educational activities, access to senior-led training, and access to simulation-/practical-based training methods. A repeat survey was carried out in October 2020 when restrictions were at level two. Results Overall, primary and secondary survey response rates were 29% (n = 98/340) and 19.1% (n = 65/340), respectively. At the time of circulation of the second survey, the number of operative sessions attended and cases performed had significantly improved to numbers experienced pre-pandemic (p < 0.0001). Exposure to formal teaching and education sessions returned to pre-COVID levels (p < 0.0001). Initially, 23% of trainees had an examination cancelled; 53% of these trainees have subsequently sat these examinations. Of note 27.7% had courses cancelled, and 97% of these had not been rescheduled. Conclusion Surgical training and education have been significantly impacted in light of COVID-19. This is likely to continue to fluctuate in line with subsequent waves. Significant efforts have to be made to enable trainees to meet educational and operative targets.

Burn Resuscitation

2018 ◽  
Author(s):  
Nicole Gibran ◽  
Samuel P Mandell ◽  
Theresa L. Chin
Keyword(s):  
Wound Care ◽  
Rescue Therapy ◽  
Initial Period ◽  
Total Body Surface Area ◽  
Inhalation Injury ◽  
Accurate Estimation ◽  
High Dose ◽  
Post Injury ◽  
Secondary Survey ◽  
Burn Resuscitation

Resuscitation of adult patients with burn size greater than 20% total body surface area (TBSA) and pediatric patients with burn size greater than 15% TBSA is essential for early survival due to the fluid shifts that occur after injury. After the primary and secondary survey, burn resuscitation is different from resuscitation from other types of shock because it is based on continuous fluid administration. Judicious use of fluids reduces fluid creep and complications of over-resuscitation. Accurate estimation of TBSA will improve the use of crystalloids. Furthermore, inhalation injury, chemical injury, electrical injury, and preexisting comorbidities can complicate resuscitation of these patients. Although crystalloids are the mainstay of therapy, adjuncts to resuscitation such as colloids, plasma exchange, and high-dose vitamin C have been considered to reduce complications of over-resuscitation or support patients who are refractory to typical resuscitation strategies in the initial period post injury. Wound care should never precede the primary and secondary survey and most often can wait until definitive care at a burn center. This review contains 5 figures, 6 tables and 54 references Key Words: burn, colloid, crystalloid, failing resuscitation, rescue therapy, resuscitation

scholarly journals Flood Disaster Vulnerability Factors in Solok Selatan Regency

2019 ◽  
Vol 3 (1) ◽  
pp. 31-35
Author(s):  
Miftahul Jannah ◽  
Amsyar Azim Ibrahim
Keyword(s):  
Road Construction ◽  
Structured Interview ◽  
Flood Disaster ◽  
General Description ◽  
Exploratory Research ◽  
Vulnerability Factors ◽  
Flood Vulnerability ◽  
Analysis Technique ◽  
Slope Factor ◽  
Secondary Survey

ABSTRACT The purpose of this research was to find the vulnerability factors of flood disaster in Solok Selatan Regency. This is a descriptive exploratory research, using primary and secondary survey as methods of data collection. The primary survey was done through semi structured interview with stakeholders, selected from government group. Secondary survey was conducted by institutional survey to obtain a general description of area and flood area in Solok Selatan Regency. To know the vulnerability factors of the floods, the researcher used an analysis technique called content analysis. The result showed that the factors of flood vulnerability in Solok Selatan were: high rainfall, poor drainage condition, slope, factor of road construction vulnerable to water, many meanders, factor of total population affected by floods, siltation caused by waste. Key words : vulnerability factors, flood disaster, Solok Selatan Regency

Spatial Distribution and Reserves Estimation of Soil Organic Carbon Based on GIS in Maiji Area of Tianshui

2013 ◽  
Vol 316-317 ◽  
pp. 299-306
Author(s):  
Ai Hong Gai ◽  
Ren Zhi Zhang ◽  
Fang Chen ◽  
Xiao Long Wang
Keyword(s):  
Organic Carbon ◽  
Soil Organic Carbon ◽  
Average Density ◽  
Soil Survey ◽  
Soil Conditions ◽  
Carbon Density ◽  
Deep Soil ◽  
Soil Organic Carbon Density ◽  
Secondary Survey ◽  
Organic Carbon Storage

The soil organic carbon density and storage of Maiji Area of Tianshui was estmiated, using the data of 6060 soil profile from the second soil survey of China and formulating fertilization for soil conditions in 2008. Integrating the soil map, land use status map and district map of Maiji Area of Tianshui, the index of the characteristic of soil organic distribution in different soil and soil layers were analyzed. Results showed: the soil of Maiji area have low average density, when soil secondary census, depths of 5cm,20cm,1m average density of organic carbon are 0.92kg•m-2,3.31kg•m-2,7.79kg•m-2 respectively, average density of organic carbon at depth of 20cm is 2.43 kg•m-2 in 2008 years, As a standard of Yu Dongsheng’s (2005) estimation of average density of 9.60 kg•m-2 in the depth of 1m all over the China, Maiji area 1m deep soil organic carbon density is lower 1.91kg•m-2 than the average density of whole country; The calculation of the secondary survey, reserves of organic carbon in surface soil (0-5cm) is about 4.83×106t, reserves of organic carbon in fall (0-20cm) is about 12.46×106t, reserves of soil organic carbon in 1m depth is about 45.17×106t, reserves of soil organic carbon in fall (0-20cm) is about 18.55×106t in 2008 years. In a word, the soil organic carbon storage was relatively indigent in Maiji Area of Tianshui.

scholarly journals Workplace aggression and organisational effectiveness: The mediating role of employee engagement

2018 ◽  
Vol 43 (4) ◽  
pp. 614-631 ◽  
Author(s):  
Anya Johnson ◽  
Helena Nguyen ◽  
Markus Groth ◽  
Les White
Keyword(s):  
Employee Engagement ◽  
Workplace Aggression ◽  
Jel Classification ◽  
Social Capital Theory ◽  
Healthcare Sector ◽  
Capital Theory ◽  
Important Indicator ◽  
Organisational Effectiveness ◽  
Mediating Role ◽  
Secondary Survey

We investigate the relationship between the prevalence of workplace aggression and two key outcomes: employee engagement and organisational effectiveness. Drawing on social capital theory, we propose that the level of employee engagement within the organisation helps explain the association between workplace aggression and organisational effectiveness. We used secondary survey data and an important indicator of organisational effectiveness in the healthcare sector (i.e. rates of hospital-acquired infections (HAIs)) from 101 hospitals in NSW, Australia. We found that hospitals with higher rates of workplace aggression had higher rates of patients with HAIs and that employee engagement was an important mechanism that helped explain this effect. These findings underscore the potential benefits of management policies and practices that are aimed at preventing workplace aggression and support greater employee engagement. JEL Classification: L120

TTL secondary survey

2022 ◽  
Author(s):  
Joshua Lauder
Keyword(s):  
Secondary Survey

Trauma

2020 ◽  
pp. 151-282
Author(s):  
Ian Greaves ◽  
Keith Porter
Keyword(s):  
Soft Tissue Injuries ◽  
Neck Injuries ◽  
Chest Injuries ◽  
Traumatic Cardiac Arrest ◽  
Joint Injuries ◽  
Pelvic Injuries ◽  
Assessment And Treatment ◽  
Secondary Survey ◽  
Animal Bites ◽  
Time Critical

This chapter starts with assessment and treatment of the time-critical trauma patient. It describes the primary survey in detail, with clear highlighted sections on areas of express concern or danger. The ‘two Hs’ and ‘two Ts’ of traumatic cardiac arrest are fully covered. The secondary survey is outlined, before moving on to specific forms of trauma and management. Head and neck injuries, maxillofacial injuries, chest injuries, abdominal and genitourinary trauma, bone and joint injuries are all covered, including causes, treatment, and potential problems. Regional injuries are then covered, including the upper limb, the wrist, finger fractures, pelvic injuries, and the lower limb. Complications of fractures are explained. Soft tissue injuries are also covered by region. Human and animal bites and tetanus-prone wounds, spinal injuries, amputation, blast and gunshot injuries, burns, and inhalation injuries are also explained.

Secondary survey bij respiratoire aandoeningen

APLS compact ◽  
2019 ◽  
pp. 8-8
Author(s):  
Nigel M. Turner ◽  
Anneliese Nusmeier
Keyword(s):  
Secondary Survey

Trauma – secondary survey

APLS compact ◽  
2019 ◽  
pp. 57-57
Author(s):  
Nigel M. Turner ◽  
Anneliese Nusmeier
Keyword(s):  
Secondary Survey
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