Primary retrieval

Chapter 16 of the Oxford Handbook of Retrieval Medicine refers us to the initial stages of retrieval in the prehospital arena. Preparation of self (prior to retrieval) and team briefing remind clinicians to structure their preparation before missions. Highly specialized rescue equipment highlights the essential interaction between prehospital clinicians and other rescue services with emphasis on understanding other team roles. The principles of scene management provide a framework to practise from in the hostile environment with profoundly sensible advice about extrication planning and dealing with multi-victim incidents.

Author(s):  
J.A. Panitz

The first few atomic layers of a solid can form a barrier between its interior and an often hostile environment. Although adsorption at the vacuum-solid interface has been studied in great detail, little is known about adsorption at the liquid-solid interface. Adsorption at a liquid-solid interface is of intrinsic interest, and is of technological importance because it provides a way to coat a surface with monolayer or multilayer structures. A pinhole free monolayer (with a reasonable dielectric constant) could lead to the development of nanoscale capacitors with unique characteristics and lithographic resists that surpass the resolution of their conventional counterparts. Chemically selective adsorption is of particular interest because it can be used to passivate a surface from external modification or change the wear and the lubrication properties of a surface to reflect new and useful properties. Immunochemical adsorption could be used to fabricate novel molecular electronic devices or to construct small, “smart”, unobtrusive sensors with the potential to detect a wide variety of preselected species at the molecular level. These might include a particular carcinogen in the environment, a specific type of explosive, a chemical agent, a virus, or even a tumor in the human body.


2014 ◽  
pp. 384-406
Author(s):  
Bob Moore

During the German occupation of the Netherlands between 1940 and 1945, around 75% of the country’s Jewish population were deported and killed, primarily in the extermination camps of Auschwitz and Sobibor. Much attention has been paid to the factors which explain this, but this article questions how any Jews managed to survive in an increasingly hostile environment where there were no ‘favorable factors’ to aid them. The analysis centers on the attitudes of the Jews towards acting illegally, their relationships with the rest of Dutch society, and the possible opportunities for escape and hiding. It also looks at the myriad problems associated with the day-to-day experiences of surviving underground


2016 ◽  
Vol 46 (2) ◽  
pp. 260-274 ◽  
Author(s):  
James Little

This essay analyses J.M. Synge's construction of domestic and institutional space in his debut play The Shadow of the Glen. The Richmond Asylum and Rathdrum Union Workhouse, the two institutions of confinement which are mentioned in the play, are seen as playing important roles in constructing a threatening offstage space beyond the cottage walls. The essay reads Nora's departure from the home at the end of the play as an eviction into this hostile environment, thereby challenging the dominant interpretation of The Shadow as a woman's choice between her home and the road. By drawing on historical research and Synge's travel writing to delineate contemporary attitudes towards the asylum and the workhouse, the essay aims to provide a deeper understanding of the play's dynamics of place.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Dalal Al Hasan ◽  
Ameen Yaseen ◽  
Mohammad Al Roudan ◽  
Lee Wallis

Abstract Background The objective of this study was to describe the epidemiology of severe hypoglycaemia in Kuwait, aiming to provide a preliminary background to update the current guidelines and improve patient management. Method This was a prospective analysis of severe hypoglycaemia cases retrieved from emergency medical services (EMS) archived data between 1 January and 30 June 2020. The severe hypoglycaemia cases were then sub-grouped based on EMS personal initial management and compared in terms of scene time, transportation rate, complications and outcomes. The primary outcomes were GCS within 10–30 min and normal random blood glucose (RBS) within 10–30 min. Results A total of 167 cases met the inclusion criteria. The incidence of severe hypoglycaemia in the national EMS was 11 per 100,000. Intramuscular glucagon was used on scene in 89% of the hypoglycaemic events. Most of the severe hypoglycaemia patients regained normal GCS on scene (76.5%). When we compared the two scene management strategies for severe hypoglycaemia cases, parenteral glucose administration prolonged the on-scene time (P = .002) but was associated with more favourable scene outcomes than intramuscular glucagon, with normal GCS within 10–30 min (P = .05) and normal RBS within 10–30 min (P = .006). Conclusion: Severe hypoglycaemia is not uncommon during EMS calls. Appropriate management by EMS personals is fruitful, resulting in favourable scene outcomes and reducing the hospital transportation rate. More research should be invested in improving and structuring the prehospital management of severe hypoglycaemia. One goal is to clarify the superiority of parenteral glucose over intramuscular glucagon in the prehospital setting.


2021 ◽  
pp. 1-25
Author(s):  
Kyong Jun Choi ◽  
Jonson N. Porteux

Abstract We argue that the 2014 Sewol ferry disaster in South Korea, in which 304 passengers perished, was a result of the mode and process of privatization of South Korea's maritime police and rescue services. Through the development of a nuanced theory of privatization and use of a novel conceptualization of corruption, coupled with empirical analysis, our study shows that the outcome was symptomatic of a wider trend of systematic bureaucratic rent-seeking. A pro-active private sector ready to capitalize on the opportunity, in conjunction with a permissive political environment, resulted in a reduction of state capacity, with devastating consequences.


2021 ◽  
pp. 001872672110311
Author(s):  
James Brooks ◽  
Irena Grugulis ◽  
Hugh Cook

Why does so much literature on unlearning ignore the people who do the unlearning? What would we understand differently if we focused on those people? Much of the existing literature argues that unlearning can only be achieved, and new knowledge acquired, if old knowledge is discarded: the clean slate approach. This might be a reasonable way of organising stock in a warehouse, where room needs to be created for new deliveries, but it is not an accurate description of a human system. This article draws on a detailed qualitative study of learning in the UK Fire and Rescue Services to challenge the clean slate approach and demonstrate that, not only did firefighters retain their old knowledge, they used it as a benchmark to assess new routines and practices. This meant that firefighters’ trust in, and consent to, innovation was key to successful implementation. In order to understand the social aspects of unlearning, this research focuses on the people involved as active agents, rather than passive recipients or discarders of knowledge.


1995 ◽  
Vol 77 (1) ◽  
pp. 79-82 ◽  
Author(s):  
Carol L. Baird ◽  
Nora L. Bensko ◽  
Paul A. Bell ◽  
Wayne Viney ◽  
William Douglas Woody

Perceptions of sexual harassment were investigated as a function of perpetrators' and recipients' gender. Undergraduate students (100 women, 98 men) were presented 34 scenarios of men and women interacting at work. Participants were asked to read carefully each scenario and indicate on a scale anchored by 1 (strongly disagree) and 7 (strongly agree) their opinions as to whether the scenario represented an incident of sexual harassment. Analysis indicated that women rated “hostile environment” scenarios as more harassing than men, and male perpetrators were rated as more harassing than female perpetrators. Even though some scenarios were rated as more harassing than others, the full range of the 7-point scale was used on every scenario, indicating a lack of agreement on what constitutes harassment. This lack of agreement highlights the debate within the legal community about whether the “reasonable person” or the “reasonable woman” standard should be used to judge sexual harassment in the workplace.


Sign in / Sign up

Export Citation Format

Share Document