Principal, let’s talk about emotions: some lessons COVID-19 taught us about emergency situations and leadership

Background: Objective evaluation of the management of patients with ruptured infrarenal aortic aneurysm in emergency situations has been described rarely. Patients and methods: Fifty-two consecutive patients with ruptured infrarenal aortic aneurysm (mean age, 70.3 years; range, 56–89 years; SD 7.8) were admitted between January 1993 and March 1998. Emergency protocols, final reports, and follow-up data were analyzed retrospectively. APACHE II scores at admission and fifth postoperative day were assessed. Results: The time between the appearance of first symptoms and the referral of patients to the hospital was more than 5 hours in 37 patients (71%). Thirty-eight patients (71%) had signs of shock at time of admission. Ultrasound was performed in 81% of patients as the first diagnostic procedure. The most frequent site of aortic rupture was the left retroperitoneum (87%). Intraoperatively, acute left ventricular failure occurred in four patients, and cardiac arrest in two others. The postoperative course was complicated significantly in 34 patients. The overall mortality rate was 36.5% (n = 19). In 35 patients, APACHE II score was assessed, showing a probability of death of more than 40% in five patients and lower than 30% in 17 others. No patient showing probability of death of above 75% at the fifth postoperative day survived (n = 7). Conclusions: Ruptured aortic aneurysm demands surgical intervention. Clinical outcome is also influenced by preclinical and anesthetic management. The severity of disease as well as the patient’s prognosis can be approximated using APACHE II score. Treatment results of heterogenous patient groups can be compared.

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Challenges Faced in Managing Children in Emergency Situations in Pakistan

PsycEXTRA Dataset ◽

10.1037/e516542013-109 ◽

2012 ◽

Author(s):

Naeem Zafar

Keyword(s):

Emergency Situations

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Impact of the urban construction solutions on the safety population

Issues of Risk Analysis ◽

10.32686/1812-5220-2020-17-2-66-73 ◽

2020 ◽

Vol 17 (2) ◽

pp. 66-73

Author(s):

R. D. Oktyabrskiy

Keyword(s):

Traffic Congestion ◽

Urban Population ◽

Road Network ◽

Residential Development ◽

Emergency Situations ◽

Urban Construction ◽

Safety Population ◽

Peace And War ◽

The City

The article is devoted to the justification of the need to reduce the population density in the residential development of cities. The analysis of vulnerability of the urban population from threats of emergency situations of peace and war time, and also an assessment of provision of the city by a road network is given. Proposals have been formulated to reduce the vulnerability of the urban population in the long term and to eliminate traffic congestion and congestion — jams.

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CONHECIMENTO DOS PROFESSORES DE EDUCAÇÃO FÍSICA SOBRE PRIMEIROS SOCORROS NAS ESCOLAS DE SANTA CECILIA-SC

Professare ◽

10.33362/professare.v7i1.982 ◽

2018 ◽

Vol 7 (1) ◽

pp. 82

Author(s):

Angélica Wrublak ◽

Elaine Caroline Boscatto

Keyword(s):

Physical Education ◽

Daily Life ◽

Cardiopulmonary Arrest ◽

School Context ◽

Real Life ◽

First Aid ◽

Basic Knowledge ◽

Physical Education Teachers ◽

Emergency Situations ◽

Santa Cecilia

Acidentes e fatalidades podem acontecer desde simples contusões até as mais urgentes hemorragias e parada cardiorrespiratória. Os primeiros socorros realizados de forma adequada podem minimizar os agravos e até mesmo salvar vidas. No âmbito escolar, situações de emergência fazem parte do cotidiano e é essencial que Professores de Educação Física tenham um conhecimento básico para atender as necessidades escolares. O presente estudo teve como objetivo verificar o conhecimento dos Professores de Educação Física (EF) da rede pública de Ensino da Cidade de Santa Cecilia-SC com relação aos Primeiros Socorros (PS). Caracterizou-se em natureza descritiva, transversal, com análise quanti-qualitativa dos dados. Participaram do estudo 11 Professores de EF. Para a coleta de dados, foi desenvolvido um questionário abordando aspectos conceituais, procedimentos e atitudes referentes ao cotidiano profissional. Do total, apenas um professor não teve a disciplina de PS na graduação. Os professores na sua minoria se sentem aptos a prestar os PS e inclusive assumir as situações, demonstrando conhecimento satisfatório na teoria, mas na prática sentem-se inseguros para agir diante de situações mais graves. Destaca-se que mais de 80% sabem como agir em atendimentos menos agravantes. Já nas situações de parada cardiorrespiratória (RCP) e hemorragias, os mesmos relataram que necessitam de um treinamento mais atualizado. Em crianças principalmente eles não sentem muito seguros em prover o auxílio. Foi possível concluir que os professores de EF apresentaram um nível de conhecimento satisfatório na teoria, mas sugerem atualizações periódicas em forma de cursos.Palavras-chave: Primeiros Socorros. Docentes. Educação Física e Treinamento.<h3>ABSTRACT</h3>Accidents and fatalities can occur from simple bruises to the most urgent hemorrhages and cardiopulmonary arrest. First aid performed properly can minimize the aggravations and even save lives. In the school context, emergency situations are part of the daily life and it is essential that Physical Education Teachers have a basic knowledge to carry out the school needs. This study verified the Physical Education (PE) Teachers knowledge from Santa Cecilia-SC public teaching related to first aid. It featured in descriptive nature, transversal, with quantitative and qualitative analysis of the data. Eleven PE teachers participated of the study. For the data collection, it was developed a questionnaire addressing conceptual aspects, procedures and attitudes concerning professional daily life. From the total, only one teacher did not have the first aid subject at the college. Teachers in their minority feel able to provide the first aid and even take on the situations, showing satisfactory theory knowledge, however in real life they feel insecure to act on before serious situations. It points out that more than 80% know how to act before less aggravating calls. Nonetheless, during cardiopulmonary arrest (CPR) and hemorrhages, they reported the need of an updated training. Mainly in children, they do not feel safe to provide the aid. It was possible to conclude that Physical Education Teachers showed a satisfactory level of knowledge in theory, however it suggest courses periodic updates.Keywords: First Aid. Faculty. Physical Education and Training.

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SOME FEATURES OF CRIMINAL PROCEDURE IN RUSSIA IN CONNECTION WITH THE SPREAD OF CORONAVIRUS INFECTION (COVID-19)

Sociopolitical sciences ◽

10.33693/2223-0092-2020-10-3-149-154 ◽

2020 ◽

Vol 10 (3) ◽

pp. 149-154

Author(s):

YURI FRANCIFOROV ◽

◽

MARINA BARANOVA

Keyword(s):

Preliminary Investigation ◽

Preventive Measure ◽

Judicial System ◽

Emergency Situations ◽

Judicial Proceedings ◽

Coronavirus Infection ◽

The Russian Federation ◽

The Government ◽

Judicial Actions ◽

Emergency Measures

The purpose of the article is to consider the peculiarities of investigative and judicial actions that are caused by their postponement, the inability to attract a lawyer, as well as the suspension of the preliminary investigation during the period of emergency measures taken by the government of the Russian Federation in response to the outbreak of the coronavirus infection pandemic (COVID-19). The authorsanalyze the features of the courts activity in connection with the coronavirus pandemic, which is associated with minimizing the personal reception of citizens and submitting documents via electronic Internet reception offices of courts or by Russian Post, as well as the possibility of conducting online court sessions. The authors come to the conclusion that the judicial system was not sufficiently prepared for the pandemic, and therefore it is urgently necessary to adopt a special normative act that would regulate the implementation of judicial proceedings in emergency situations, allowing to continue to consider urgent cases, including materials on the election, extension, cancellation or change of a preventive measure.

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Formalization of the Structure, the Problems and the Synthesis of the Optical-Decision Making in Emergency Situations

Telecommunications and Radio Engineering ◽

10.1615/telecomradeng.v53.i4-5.70 ◽

1999 ◽

Vol 53 (4-5) ◽

pp. 45-49

Author(s):

N. M. Zatserklyani ◽

Yu. Ye. Khoroshailo ◽

I. Ye. Semochkin

Keyword(s):

Decision Making ◽

Emergency Situations

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Recording of the Cavitation Phenomena when Modeling Flows in the Trunk Pipelines

Occupational Safety in Industry ◽

10.24000/0409-2961-2020-11-7-14 ◽

2020 ◽

pp. 7-14

Author(s):

A.M. Sverchkov ◽

◽

S.I. Sumskoy ◽

Keyword(s):

Occupational Safety ◽

Linear Part ◽

Simple Wave ◽

Pressure Profile ◽

Real Problem ◽

Flow Modeling ◽

Oil Pipeline ◽

Emergency Situations ◽

Hydraulic Shocks ◽

The Waves

In the article, it is proposed to use a numerical method based on the approach of S.K. Godunov to simulate boiling in a pipeline. The paper presents a statement of the real problem of modeling a water hammer, considering possible boiling of the transported liquid on a real object — an oil pipeline. When solving the problem, two variants of flow modeling when closing the valve installed at the end of the pipeline were carried out. In the first Наука и техника 14 Безопасность Труда в Промышленности • Occupational Safety in Industry • № 11'2020 • www.safety.ru case, the possibility of liquid boiling was not considered. In the second case, this opportunity was considered. The performed numerical simulation showed that in the pipeline in emergency situations, liquid columns can be formed, separated by the cavitation zones and oscillating in different phases, respectively, at the collapse of the cavitation zones, which serve as a kind of pressure dampers, the collisions of liquid columns occur, which can lead, depending on the ratio of velocities, to hydraulic shocks that occur not on the valves, but on the linear part of the pipeline (local hydraulic shocks). The waves from these collapses, interacting with each other, create the new pressure peaks that do not coincide with the pattern of simple wave circulation, which are predicted in the simulations that do not consider possible liquid boiling. As a resul t, the pressures reached in the pipeline during fluid hammer is significantly different from what it would be in the absence of boiling. When boiling is considered, the maximum reached pressures are 40 % higher. Moreover, this excess is repeated. The detailed analysis of the pressure profile in the pipeline is given in the article. Based on the results of solving this problem, it is concluded that when modeling pre–emergency and emergency situations in the pipeline, it is necessary to consider the process of possible liquid boiling, since sometimes, as in the presented case, the values of the pressure surges can be higher than the values of the pressure surges in the liquid without considering boiling, which increases the likelihood of emergency depressurization.

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