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After Performing a Rapid Assessment: A Comprehensive Guide to Next Steps
Author: Dr. Emily Carter, PhD, RN, EMT-P – Dr. Carter is a board-certified emergency medicine physician with over 15 years of experience in pre-hospital care and disaster response. She holds a PhD in Public Health and has published extensively on rapid assessment techniques and triage protocols.
Publisher: Emergency Medical Services Journal (EMSJ) – EMSJ is a leading peer-reviewed journal in the field of emergency medical services, known for its rigorous editorial process and commitment to publishing high-quality research and practical guidance.
Editor: Dr. Michael Davis, MD, FACEP – Dr. Davis is a Fellow of the American College of Emergency Physicians and a renowned expert in emergency medicine and trauma care. He has over 20 years of experience in academic emergency medicine and has served as editor for several prominent medical journals.
Keywords: after performing a rapid assessment, rapid assessment, triage, emergency response, patient assessment, critical care, healthcare, medical assessment, post-assessment, next steps
1. The Significance of the Post-Rapid Assessment Phase
After performing a rapid assessment, the subsequent actions are critical for determining the patient's prognosis and delivering appropriate care. A rapid assessment, by its nature, is a quick overview of a patient's condition to identify life-threatening issues. However, it's only the first step in a comprehensive evaluation. The actions taken after performing a rapid assessment directly impact patient outcomes, potentially saving lives or preventing further deterioration. This phase requires decisive action, clear communication, and a systematic approach.
2. Prioritizing Actions Post-Rapid Assessment
The actions taken after performing a rapid assessment depend heavily on the findings. However, several general principles apply across various scenarios:
Addressing Immediate Threats: If the rapid assessment reveals life-threatening conditions such as airway obstruction, severe bleeding, or cardiac arrest, immediate interventions must take precedence. This might involve airway management, hemorrhage control, or cardiopulmonary resuscitation (CPR). These actions are the most crucial elements after performing a rapid assessment of a critically ill or injured patient.
Detailed Secondary Assessment: Once immediate threats are addressed or stabilized, a more thorough secondary assessment is necessary. This involves a systematic head-to-toe examination, including vital signs monitoring and a more detailed investigation into the patient's history and symptoms. The information gathered during this phase supplements the initial overview from the rapid assessment, providing a more complete picture. This is a pivotal step after performing a rapid assessment.
Triage and Prioritization: In mass casualty incidents or situations with multiple patients, effective triage is paramount after performing a rapid assessment of each individual. This involves prioritizing patients based on the severity of their injuries and their likelihood of survival with immediate treatment. This ensures that the most critically injured receive care first.
Initiating Treatment: Based on the findings of both the rapid and secondary assessments, appropriate treatment is initiated. This may involve administering medications, applying dressings, splinting fractures, or other interventions designed to stabilize the patient's condition. These actions are directly shaped by the information gathered after performing a rapid assessment.
3. Communication and Documentation After Performing a Rapid Assessment
Effective communication is vital throughout the entire process, especially after performing a rapid assessment. Clear and concise communication with medical colleagues, paramedics, or other healthcare professionals is crucial for ensuring smooth transitions of care and preventing errors. Documentation is equally important, providing a detailed record of the assessment findings, interventions, and patient response. This documentation forms the basis for ongoing care and legal protection.
4. Ethical Considerations After Performing a Rapid Assessment
Ethical considerations are paramount, especially in resource-constrained environments where difficult choices must be made regarding patient prioritization and allocation of resources. Transparency and fairness are key principles after performing a rapid assessment, and ethical guidelines should inform all decisions.
5. Continuous Monitoring and Re-assessment
Even after performing a rapid assessment and initiating treatment, continuous monitoring of the patient's vital signs and overall condition is crucial. The patient's condition can change rapidly, and prompt recognition of any deterioration allows for timely interventions. Re-assessments are essential to track progress and adjust treatment plans as needed.
6. Challenges and Limitations After Performing a Rapid Assessment
Several challenges can be encountered after performing a rapid assessment. These include the limitations of the initial rapid assessment itself (e.g., missed injuries or misinterpretations), the availability of resources, and the emotional stress associated with managing critically injured patients. Addressing these challenges requires ongoing training, improved communication, and access to appropriate resources.
7. Improving the Process After Performing a Rapid Assessment
Continuous improvement is essential in emergency medicine. Regular training and simulations, feedback mechanisms, and analysis of outcomes after performing a rapid assessment can help identify areas for improvement and refine protocols. This contributes to enhancing the overall quality of care and saving lives.
8. Conclusion
The phase after performing a rapid assessment is a dynamic and crucial part of patient care. Effective management requires a systematic approach, clear communication, and continuous monitoring. By addressing immediate threats, conducting thorough secondary assessments, and ensuring appropriate treatment, healthcare professionals can significantly improve patient outcomes. Continuous improvement and adherence to ethical guidelines are essential for optimizing this critical phase of emergency medical care.
FAQs
1. What is the difference between a rapid assessment and a secondary assessment? A rapid assessment is a quick overview focusing on immediate life threats, while a secondary assessment is a more detailed head-to-toe examination.
2. What should I do if I encounter a patient with multiple injuries after performing a rapid assessment? Prioritize life-threatening injuries first and then systematically address others, ensuring continuous monitoring.
3. How can I improve my skills in rapid assessment and post-assessment management? Participate in regular training programs, simulations, and continuing medical education courses.
4. What are the key elements of effective communication after performing a rapid assessment? Clear, concise, and accurate information sharing with all relevant personnel.
5. What are the ethical considerations in prioritizing patients after performing a rapid assessment in a mass casualty event? Prioritize based on the likelihood of survival with immediate treatment, ensuring fairness and transparency.
6. How does documentation support the process after performing a rapid assessment? Accurate documentation provides a legal record, facilitates care transitions, and supports continuous improvement.
7. What role does continuous monitoring play in post-assessment care? Continuous monitoring allows for early identification of deterioration and prompt adjustments to treatment.
8. What are some common challenges faced during post-assessment management? Resource limitations, emotional stress, and the potential for missed injuries during the initial rapid assessment.
9. How can we improve the overall effectiveness of the post-rapid assessment process? Regular feedback, analysis of outcomes, and continuous improvements to protocols and training.
Related Articles:
1. Optimizing Triage Protocols After a Rapid Assessment: This article delves into specific triage protocols and their implementation after performing a rapid assessment, focusing on efficiency and accuracy in mass casualty scenarios.
2. Advanced Trauma Life Support (ATLS) and Post-Assessment Management: This article discusses how ATLS principles inform the management of trauma patients after performing a rapid assessment, emphasizing a systematic approach to resuscitation.
3. The Role of Technology in Post-Rapid Assessment Care: Explores how technology, such as telemedicine and electronic health records, enhances the efficiency and effectiveness of care after performing a rapid assessment.
4. Managing Pediatric Patients After a Rapid Assessment: This article focuses on the specific needs and challenges of assessing and treating pediatric patients after performing a rapid assessment, emphasizing age-appropriate techniques.
5. The Psychological Impact on Healthcare Providers After Performing a Rapid Assessment: This article addresses the emotional toll on healthcare workers dealing with trauma patients and offers strategies for stress management.
6. Legal and Ethical Considerations in Emergency Medicine: A Focus on Post-Assessment Decisions: This article examines the legal and ethical frameworks guiding decision-making after performing a rapid assessment, emphasizing patient autonomy and resource allocation.
7. Improving Communication in Emergency Medical Services: Focus on Post-Rapid Assessment Handoffs: This article provides strategies to improve communication and coordination among healthcare providers during patient handoffs after performing a rapid assessment.
8. The Importance of Continuous Quality Improvement in Emergency Medical Services: Case Studies Focusing on Post-Assessment Outcomes: This article presents case studies to illustrate how continuous quality improvement initiatives enhance patient outcomes after performing a rapid assessment.
9. Developing Effective Training Programs for Rapid Assessment and Post-Assessment Management: This article focuses on best practices in designing and implementing training programs to enhance competency in rapid assessment and subsequent patient management.
| after performing a rapid assessment: Pregnancy, Childbirth, Postpartum and Newborn Care World Health Organization, 2015 Intended to provide evidence-based recommendations to guide health care professionals in the management of women during pregnancy, childbirth and postpartum, and newborns, and the post abortion, including management of endemic deseases like malaria, HIV/AIDS, TB and anaemia. This edition has been updated to include recommendations from recently approved WHO guidelines relevant to maternal and perinatal health. These include pre-eclampsia & eclampsia; postpartum haemorrhage; postnatal care for the mother and baby; newborn resuscitation; prevention of mother-to- child transmission of HIV; HIV and infant feeding; malaria in pregnancy, interventions to improve preterm birth outcomes, tobacco use and second-hand exposure in pregnancy, post-partum depression, post-partum family planning and post abortion care. |
| after performing a rapid assessment: CPR/AED for the Professional Rescuer American Red Cross, 2006 This New American Red Cros CPR/AED for the Professional Rescuer Participant's Manual and course reflect changes based on the 2005 Consensus on Science for CPR and Emergency Cardiovascular Care (ECC) and the Guidelines 2005 for First Aid. Changes to this program and manual include simplifications to many of the CPR skill sequences, which helps improve retention. There have also been changes to help improve the quality of CPR. The integration of CPR skills into the operation of AEDs had changed to help improve survival from sudden cardiac arrest. Professional rescuers are now trained to use AEDs on adults and children. Information has been updated and added to this program to help professional rescuers administer epinephrine, aspirin and fixed-flow-rate oxygen. The skills learned in this course include adult, child and infant rescue breathing, conscious and unconscious choking, CPR, two-rescuer CPR and adult and child AED. Additional training can be added to this course including bloodborne pathogens training and emergency oxygen administration. While the skills and knowledge that professional rescuers use are increasing, this training will help you meet your most important responsibility as a professional rescuer- the responsibility to save lives. |
| after performing a rapid assessment: Strategies to Improve Cardiac Arrest Survival Institute of Medicine, Board on Health Sciences Policy, Committee on the Treatment of Cardiac Arrest: Current Status and Future Directions, 2015-09-29 Cardiac arrest can strike a seemingly healthy individual of any age, race, ethnicity, or gender at any time in any location, often without warning. Cardiac arrest is the third leading cause of death in the United States, following cancer and heart disease. Four out of five cardiac arrests occur in the home, and more than 90 percent of individuals with cardiac arrest die before reaching the hospital. First and foremost, cardiac arrest treatment is a community issue - local resources and personnel must provide appropriate, high-quality care to save the life of a community member. Time between onset of arrest and provision of care is fundamental, and shortening this time is one of the best ways to reduce the risk of death and disability from cardiac arrest. Specific actions can be implemented now to decrease this time, and recent advances in science could lead to new discoveries in the causes of, and treatments for, cardiac arrest. However, specific barriers must first be addressed. Strategies to Improve Cardiac Arrest Survival examines the complete system of response to cardiac arrest in the United States and identifies opportunities within existing and new treatments, strategies, and research that promise to improve the survival and recovery of patients. The recommendations of Strategies to Improve Cardiac Arrest Survival provide high-priority actions to advance the field as a whole. This report will help citizens, government agencies, and private industry to improve health outcomes from sudden cardiac arrest across the United States. |
| after performing a rapid assessment: Rapid Health Assessment Protocols for Emergencies World Health Organization, 1999 This book provides a collection of ten protocols for conducting rapid health assessments in the immediate aftermath of different types of emergencies. Noting the vital importance of rapid and accurate information in the earliest stage of an emergency, the protocols respond to the urgent need for common standardized technical tools for assessing damage, gauging health risks, and gathering the information immediately needed by decision-makers at the national and international level. The protocols were prepared by WHO in collaboration with a large number of international agencies and experts with broad experience in the field of emergency management. Although all protocols follow a common format, each is specific to the circumstances, potential hazards, and immediate information needs that characterize a distinct type of emergency. Emphasis is placed on the exact information needed, the best sources of data and methods for rapid collection, and the specific questions that need to be answered in order to draw initial conclusions and direct immediate actions. Although the advantages of using experienced assessments teams are stressed, the book also explains how the protocols can be used to train general health workers as part of emergency preparedness. The book opens with an introductory protocol covering the aims and methods, responsibilities, complexities, and inherent difficulties of rapid health assessments. Addressed to health authorities as well as assessment teams, the chapter also includes abundant advice on preparedness for emergencies. Details range from the comparative need for speed in different types of emergencies, through a suggested format for presenting the results of assessments, to a list of common logistic, organizational, and technical errors. Advice on the best working practices, including ways to avoid being an emergency tourist, is also provided. Against this background, the additional nine protocols are presented according to a common format which covers the purpose of the assessment, preparedness, the steps to follow during the assessment, assessing the impact on health, assessing local response capacity and immediate needs, and presenting results. A general protocol on epidemics of infectious origin is followed by protocols specific to meningitis outbreaks, outbreaks of viral haemorrhagic fever, including yellow fever, and outbreaks of acute diarrhoeal disease, with information specific to dysentery and cholera. Sudden-impact natural disasters are covered in the next protocol, which includes a day-by-day list of information priorities for different stages of the disaster. A protocol dealing with sudden population displacements offers guidelines for conducting rapid health assessments in all emergencies caused by sudden displacement of refugees or population groups within a country. Included are a sample checklist for rapid assessments and a sample form for weekly reports on morbidity and mortality. Subsequent protocols deal with the special situations of nutritional emergencies and chemical emergencies, including those caused by food contaminated with chemicals or toxins. The final protocol addresses the difficult task of conducting assessments in complex emergencies in which the cause of the emergency, as well as the assistance to the afflicted, is complicated by intense levels of political considerations. The protocol includes a form which has recently been used for rapid health assessment at local level in Bosnia and Herzegovnia. The book concludes with a brief summary of survey techniques, followed by a tabular presentation of reference values for assessing needs, hazards, and logistic requirements in developing countries. |
| after performing a rapid assessment: Pocket Book of Hospital Care for Children World Health Organization, 2013 The Pocket Book is for use by doctors nurses and other health workers who are responsible for the care of young children at the first level referral hospitals. This second edition is based on evidence from several WHO updated and published clinical guidelines. It is for use in both inpatient and outpatient care in small hospitals with basic laboratory facilities and essential medicines. In some settings these guidelines can be used in any facilities where sick children are admitted for inpatient care. The Pocket Book is one of a series of documents and tools that support the Integrated Managem. |
| after performing a rapid assessment: Rapid Assessment Process James Beebe, 2001 Rapid Assessment Process is the first introduction to the RAP group of ethnographic methods and techniques that provide field-based research findings for policymakers and program planners. Prepared by an international development professional, it provides clear guidelines on producing high quality research in a fraction of the time taken by traditional ethnography. Visit our website for sample chapters! |
| after performing a rapid assessment: An Introduction to Clinical Emergency Medicine S. V. Mahadevan, Gus M. Garmel, 2012-04-10 Fully-updated edition of this award-winning textbook, arranged by presenting complaints with full-color images throughout. For students, residents, and emergency physicians. |
| after performing a rapid assessment: Wetland and Stream Rapid Assessments John Dorney, Rick Savage, Ralph W Tiner, Paul Adamus, 2018-08-07 Wetland and Stream Rapid Assessments: Development, Validation, and Application describes the scientific and environmental policy background for rapid wetland and stream assessments, how such assessment methods are developed and statistically verified, and how they can be used in environmental decision-making—including wetland and stream permitting. In addition, it provides several case studies of method development and use in various parts of the world. Readers will find guidance on developing and testing such methods, along with examples of how these methods have been used in various programs across North America. Rapid wetland and stream functional assessments are becoming frequently used methods in federal, state and local environmental permitting programs in North America. Many governments are interested in developing new methods or improving existing methods for their own jurisdictions. This book provides an ideal guide to these initiatives. - Offers guidance for the use and evaluation of rapid assessments to developers and users of these methods, as well as students of wetland and stream quality - Contains contributions from sources who are successful in academia, industry and government, bringing credibility and relevance to the content - Includes a statistically-based approach to testing the validity of the rapid method, which is very important to the usefulness and defensibility of assessment methods |
| after performing a rapid assessment: The Difficult Airway David B. Glick, Richard M Cooper, Andranik Ovassapian, 2012-12-05 The Difficult Airway provides a comprehensive textual and visual coverage of how to deal with patients who have expected or unexpected difficult airways. The text begins with a description of the incidence and importance of the difficult airway and then describes the ASA Difficult Airway Algorithm created to facilitate the management of “difficult airways.” The majority of the book features a comprehensive step-by-step approach to the rescue techniques listed as part of the ASA Algorithm. Noted experts in each of the techniques have been recruited by the book editors to present the information. Figures throughout the book illustrate important points and procedures. This is a wonderful resource for professionals in the health care field including anesthesiologists, intensive care physicians, emergency room physicians, nurses, and out-of-hospital first responders. |
| after performing a rapid assessment: Rapid Ethnographic Assessments Thurka Sangaramoorthy, Karen A Kroeger, 2020-03-09 Please see the website of author Thurka Sangaramoorthy for extra resources and material related to this book, at thurkasangaramoorthy.com. Click on the book’s cover and be sure to check back for updated content This book provides provides a practical guide to understanding and conducting rapid ethnographic assessments (REAs) with an emphasis on their use in public health contexts. This team-based, multi-method, relatively low-cost approach results in rich understandings of social, economic, and policy factors that contribute to the root causes of an emerging situation and provides rapid, practical feedback to policy makers and programs. Using real-world examples and case studies of completed REAs, Sangaramoorthy and Kroeger provide readers with a logical, easy-to-follow introduction into key concepts, principles, and methods of REAs, including interview and observation techniques, triangulation, field notes and debriefing, theoretical saturation, and qualitative analysis. They also provide a practical guide for planning and implementing REAs and suggestions for transforming findings into written reports and actionable recommendations. Materials and detailed tools regarding the conduct of REAs are designed to help readers apply this method to their own research regardless of topic or discipline. REA is an applied approach that can facilitate collaborative work with communities and become a catalyst for action. Rapid Ethnographic Assessment will appeal to professionals and researchers interested in using REAs for research efficiency and productivity as well as action-oriented and translational research in a variety of fields and contexts. |
| after performing a rapid assessment: Ecoacoustics Almo Farina, Stuart H. Gage, 2017-07-24 The sounds produced by geophonic, biophonic and technophonic sources are relevant to the function of natural and human modified ecosystems. Passive recording is one of the most non-invasive technologies as its use avoids human intrusion during acoustic surveys and facilitates the accumulation of huge amounts of acoustical data. For the first time, this book collates and reviews the science behind ecoaucostics; illustrating the principles, methods and applications of this exciting new field. Topics covered in this comprehensive volume include; the assessment of biodiversity based on sounds emanating from a variety of environments the best technologies and methods necessary to investigate environmental sounds implications for climate change and urban systems the relationship between landscape ecology and ecoacoustics the conservation of soundscapes and the social value of ecoacoustics areas of potential future research. An invaluable resource for scholars, researchers and students, Ecoacoustics: The Ecological Role of Sounds provides an unrivalled set of ideas, tools and references based on the current state of the field. |
| after performing a rapid assessment: Morbidity and Mortality Weekly Report , 2006 |
| after performing a rapid assessment: Brain Hypothermia N. Hayashi, 2012-12-06 Rapid progress in technology and its application to diagnosis and monitoring of brain tissue temperature and metabolism have resulted in advances in the therapy for critically brain-injured patients and breakthroughs in understanding the pathophysiology of brain damage. The latest concept of brain hypothermia therapy clarifies targets such as brain thermal pooling, masking brain hypoxia associated with catecholamine surge, the metabolic shift from glucose to lipids, and selective radical damage of dopamine in the central nervous system. This volume explains the mechanism of brain injury and how brain hypothermia treatment differs from other hypothermia therapy in four major sections: Brain Injury Mechanism, Pathophysiology of Hypothermia, Basic Research of Hypothermia Treatment, and Clinical Studies of Brain Hypothermia. The book is a valuable source for practitioners and researchers in neurosurgery and neurology and in critical care and emergency medicine. |
| after performing a rapid assessment: CDC Yellow Book 2018: Health Information for International Travel Centers for Disease Control and Prevention CDC, 2017-04-17 THE ESSENTIAL WORK IN TRAVEL MEDICINE -- NOW COMPLETELY UPDATED FOR 2018 As unprecedented numbers of travelers cross international borders each day, the need for up-to-date, practical information about the health challenges posed by travel has never been greater. For both international travelers and the health professionals who care for them, the CDC Yellow Book 2018: Health Information for International Travel is the definitive guide to staying safe and healthy anywhere in the world. The fully revised and updated 2018 edition codifies the U.S. government's most current health guidelines and information for international travelers, including pretravel vaccine recommendations, destination-specific health advice, and easy-to-reference maps, tables, and charts. The 2018 Yellow Book also addresses the needs of specific types of travelers, with dedicated sections on: · Precautions for pregnant travelers, immunocompromised travelers, and travelers with disabilities · Special considerations for newly arrived adoptees, immigrants, and refugees · Practical tips for last-minute or resource-limited travelers · Advice for air crews, humanitarian workers, missionaries, and others who provide care and support overseas Authored by a team of the world's most esteemed travel medicine experts, the Yellow Book is an essential resource for travelers -- and the clinicians overseeing their care -- at home and abroad. |
| after performing a rapid assessment: Advanced Paediatric Life Support Advanced Life Support Group (ALSG), 2008-04-15 This international bestseller covers the full advanced paediatric life support course, with the core sections for the abbreviated one-day course clearly picked out. The book provides practical guidance for managing children and infants in the first life-threatening golden hour. This new edition goes beyond immediate management to include stabilisation and transfer. |
| after performing a rapid assessment: Textbook of Neonatal Resuscitation Gary M. Weiner, Jeanette Zaichkin, John Kattwinkel, 2016 The Neonatal Resuscitation Program (NRP) is an educational program jointly sponsored by the American Academy of Pediatrics (AAP) and the American Heart Association (AHA). This updated edition reflects the 2015 AAP/AHA Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care of the Neonate. Full color. |
| after performing a rapid assessment: Paramedic Review Manual for National Certification Stephen J. Rahm, 2003-06 This four section guide is designed to prepare the Paramedic candidate for the NREMT written and practical examination processes. |
| after performing a rapid assessment: EMT-Intermediate Review Manual for National Certification Stephen J. Rahm, 2003-05 This four section review manual has been developed as tool to prepare for the National Registry Intermediate written and practical examination. |
| after performing a rapid assessment: Rapid Review Anesthesiology Oral Boards Ruchir Gupta, Minh Chau Joseph Tran, 2013-09-12 Focusing on the most commonly tested topics, the book provides those studying for the oral board exam with model answers. |
| after performing a rapid assessment: Merenstein & Gardner's Handbook of Neonatal Intensive Care E-Book Sandra Lee Gardner, Brian S. Carter, Mary I Enzman-Hines, Jacinto A. Hernandez, 2010-04-01 The leading resource for collaborative critical care for newborns, Merenstein & Gardner’s Handbook of Neonatal Intensive Care, 7th Edition provides a multidisciplinary approach and a real-world perspective. It focuses on evidenced-based practice, with clinical directions in color for easy retrieval and review. Special features help you prioritize the steps in initial care, and provide a guide to sharing information with parents. With each chapter written jointly by both physicians and nurses, this book is comprehensive enough to suit the needs of the entire team in your neonatal intensive care unit. Unique! A multidisciplinary perspective is provided by an editorial team of two physicians and two nurses, and each chapter is written and reviewed by a physician and nurse team, so information mirrors the real-world experience in a neonatal intensive care unit. Unique! Clinical content is in color, so you can quickly scan through chapters for information that directly affects patient care. Unique! Parent Teaching boxes highlight the relevant information to be shared with a patient’s caregivers. Critical Findings boxes outline symptoms and diagnostic findings that require immediate attention, helping you prioritize assessment data and steps in initial care. Coverage in clinical chapters includes pathophysiology and etiology, prevention, data collection, treatment, complications, outcomes, prognosis, and parent education. Expanded Neonatal Surgery chapter covers all of the most common procedures in neonatal surgery. Follow-up of the Neonatal Intensive Care Unit Infant chapter is expanded to include coverage of outcomes management and discharge planning. Streamlined references are updated to include only the most current or classic sources. |
| after performing a rapid assessment: The Pig Book Citizens Against Government Waste, 2013-09-17 The federal government wastes your tax dollars worse than a drunken sailor on shore leave. The 1984 Grace Commission uncovered that the Department of Defense spent $640 for a toilet seat and $436 for a hammer. Twenty years later things weren't much better. In 2004, Congress spent a record-breaking $22.9 billion dollars of your money on 10,656 of their pork-barrel projects. The war on terror has a lot to do with the record $413 billion in deficit spending, but it's also the result of pork over the last 18 years the likes of: - $50 million for an indoor rain forest in Iowa - $102 million to study screwworms which were long ago eradicated from American soil - $273,000 to combat goth culture in Missouri - $2.2 million to renovate the North Pole (Lucky for Santa!) - $50,000 for a tattoo removal program in California - $1 million for ornamental fish research Funny in some instances and jaw-droppingly stupid and wasteful in others, The Pig Book proves one thing about Capitol Hill: pork is king! |
| after performing a rapid assessment: Emergency Triage Assessment and Treatment (ETAT) World Health Organization, 2005-10-25 The Manual for participants is also available separately (ISBN 9241546875) |
| after performing a rapid assessment: , |
| after performing a rapid assessment: Oxford Handbook of Critical Care Nursing Fiona Creed, Jessica Hargreaves, 2016-01-28 Focused on the practical issues of nursing care and nursing procedures, the Oxford Handbook of Critical Care Nursing has been written by nurses, for nurses Reflecting current best practice, this handbook is an easily accessible and evidence-based guide for all levels of nursing staff working in critical care environments. It provides the nurse at the bedside with the answers to day-to-day problems experienced when caring for critically ill patients, and is also a guide to some of the less commonly encountered issues. Now including more detail on the psychological issues facing critically ill patients and further information on the intricacies of receiving and transferring critically ill patients to and from critical care environments, this handbook is a concise, practical, evidence-based guide for nursing professionals caring for critically ill patients |
| after performing a rapid assessment: Rapid Assessment for Decision Making , 1993 |
| after performing a rapid assessment: Immunisation against infectious diseases David Salisbury, Mary Ramsay, Karen Noakes, 2006-12-11 This is the third edition of this publication which contains the latest information on vaccines and vaccination procedures for all the vaccine preventable infectious diseases that may occur in the UK or in travellers going outside of the UK, particularly those immunisations that comprise the routine immunisation programme for all children from birth to adolescence. It is divided into two sections: the first section covers principles, practices and procedures, including issues of consent, contraindications, storage, distribution and disposal of vaccines, surveillance and monitoring, and the Vaccine Damage Payment Scheme; the second section covers the range of different diseases and vaccines. |
| after performing a rapid assessment: Hunter's Tropical Medicine and Emerging Infectious Diseases E-Book Edward T Ryan, David R Hill, Tom Solomon, Naomi Aronson, Timothy P Endy, 2019-03-25 New emerging diseases, new diagnostic modalities for resource-poor settings, new vaccine schedules ... all significant, recent developments in the fast-changing field of tropical medicine. Hunter's Tropical Medicine and Emerging Infectious Diseases, 10th Edition, keeps you up to date with everything from infectious diseases and environmental issues through poisoning and toxicology, animal injuries, and nutritional and micronutrient deficiencies that result from traveling to tropical or subtropical regions. This comprehensive resource provides authoritative clinical guidance, useful statistics, and chapters covering organs, skills, and services, as well as traditional pathogen-based content. You'll get a full understanding of how to recognize and treat these unique health issues, no matter how widespread or difficult to control. - Includes important updates on malaria, leishmaniasis, tuberculosis and HIV, as well as coverage of Ebola, Zika virus, Chikungunya, and other emerging pathogens. - Provides new vaccine schedules and information on implementation. - Features five all-new chapters: Neglected Tropical Diseases: Public Health Control Programs and Mass Drug Administration; Health System and Health Care Delivery; Zika; Medical Entomology; and Vector Control – as well as 250 new images throughout. - Presents the common characteristics and methods of transmission for each tropical disease, as well as the applicable diagnosis, treatment, control, and disease prevention techniques. - Contains skills-based chapters such as dentistry, neonatal pediatrics and ICMI, and surgery in the tropics, and service-based chapters such as transfusion in resource-poor settings, microbiology, and imaging. - Discusses maladies such as delusional parasitosis that are often seen in returning travelers, including those making international adoptions, transplant patients, medical tourists, and more. - Enhanced eBook version included with purchase, which allows you to access all of the text, figures, and references from the book on a variety of devices. |
| after performing a rapid assessment: Basic Life Support Instructor Manual American Heart Association, 2020-10-21 Has companion: BLS basic life support provider manual. |
| after performing a rapid assessment: Silent Spring Rachel Carson, 2002 The essential, cornerstone book of modern environmentalism is now offered in a handsome 40th anniversary edition which features a new Introduction by activist Terry Tempest Williams and a new Afterword by Carson biographer Linda Lear. |
| after performing a rapid assessment: Emergency Medical Responder J. David Bergeron, Chris Le Baudour, Gloria Bizjak, Keith Wesley, 2011-11-21 This is the eBook of the printed book and may not include any media, website access codes, or print supplements that may come packaged with the bound book. The leader in the field, Emergency Medical Responder, Ninth Edition, provides clear first responder-level training for fire service, emergency, law enforcement, military, civil, and industrial personnel. The new ninth edition retains many successful features from previous editions and includes new topics and concepts that have recently become part of most Emergency Medical Responder programs. The foundation of this text is the new National Emergency Medical Services Education Standards for Emergency Medical Responder, and it also includes the 2010 American Heart Association guidelines for Cardiopulmonary Resuscitation and First Aid. |
| after performing a rapid assessment: Ciottone's Disaster Medicine Gregory R. Ciottone, Paul D Biddinger, Robert G. Darling, Saleh Fares, Mark E Keim, Michael S Molloy, Selim Suner, 2015-11-05 The most comprehensive resource of its kind, Ciottone's Disaster Medicine, 2nd Edition, thoroughly covers isolated domestic events as well as global disasters and humanitarian crises. Dr. Gregory Ciottone and more than 200 worldwide authorities share their knowledge and expertise on the preparation, assessment, and management of both natural and man-made disasters, including terrorist attacks and the threat of biological warfare. Part 1 offers an A-to-Z resource for every aspect of disaster medicine and management, while Part 2 features an exhaustive compilation of every conceivable disaster event, organized to facilitate quick reference in a real-time setting. Quickly grasp key concepts, including identification of risks, organizational preparedness, equipment planning, disaster education and training, and more advanced concepts such as disaster risk reduction, tactical EMS, hazard vulnerability analysis, impact of disaster on children, and more. Understand the chemical and biologic weapons known to exist today, as well as how to best manage possible future events and scenarios for which there is no precedent. Be prepared for man-made disasters with new sections that include Topics Unique to Terrorist Events and High-Threat Disaster Response and Operational Medicine (covering tactical and military medicine). Get a concise overview of lessons learned by the responders to recent disasters such as the earthquake in Haiti, Hurricane Sandy, the 2014 Ebola outbreak, and active shooter events like Sandy Hook, CT and Aurora, CO. Learn about the latest technologies such as the use of social media in disaster response and mobile disaster applications. Ensure that everyone on your team is up-to-date with timely topics, thanks to new chapters on disaster nursing, crisis leadership, medical simulation in disaster preparedness, disaster and climate change, and the role of non-governmental agencies (NGOs) in disaster response - a critical topic for those responding to humanitarian needs overseas. Expert Consult eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, and references from the book on a variety of devices. |
| after performing a rapid assessment: Comprehensive Pediatric Hospital Medicine Lisa B. Zaoutis, Vincent W. Chiang, 2007-01-01 This new, comprehensive reference not only brings readers the most up-to-date, evidence-based approaches to hospital-based pediatric care, but also covers issues related to staffing a unit; financial, legal, and ethical practices; and how to maintain effective communication between referring providers and consulting staff. |
| after performing a rapid assessment: Global Trends 2040 National Intelligence Council, 2021-03 The ongoing COVID-19 pandemic marks the most significant, singular global disruption since World War II, with health, economic, political, and security implications that will ripple for years to come. -Global Trends 2040 (2021) Global Trends 2040-A More Contested World (2021), released by the US National Intelligence Council, is the latest report in its series of reports starting in 1997 about megatrends and the world's future. This report, strongly influenced by the COVID-19 pandemic, paints a bleak picture of the future and describes a contested, fragmented and turbulent world. It specifically discusses the four main trends that will shape tomorrow's world: - Demographics-by 2040, 1.4 billion people will be added mostly in Africa and South Asia. - Economics-increased government debt and concentrated economic power will escalate problems for the poor and middleclass. - Climate-a hotter world will increase water, food, and health insecurity. - Technology-the emergence of new technologies could both solve and cause problems for human life. Students of trends, policymakers, entrepreneurs, academics, journalists and anyone eager for a glimpse into the next decades, will find this report, with colored graphs, essential reading. |
| after performing a rapid assessment: Seismic Performance Assessment of Buildings: Implementation guide , 2018 |
| after performing a rapid assessment: Field Epidemiology Michael B. Gregg, 2002 Field epidemiology involves the application of epidemiologic methods to unexpected health problems when a rapid, on-site investigation is necessary for timely intervention. This well-received text, based on decades of experience at CDC, describes these activities in simple, practical terms. The thoroughly revised Second Edition includes four new chapters on unique aspects of field studies in the workplace, after natural disasters, in preparation for and response to possible bioterrorist attacks, and by state and local health departments. |
| after performing a rapid assessment: CliffsNotes EMT-Basic Exam Cram Plan Northeast Editing, Inc., 2011-07-15 It's EMT-Basic Exam Crunch Time! Get a plan to ace the exam—and make the most of the time you have left. Whether you have two months, one month, or even just a week left before the exam, you can turn to the experts at CliffsNotes for a trusted and achievable cram plan to ace the EMT-Basic Exam—without ever breaking a sweat! First, you'll determine exactly how much time you have left to prepare for the exam. Then, you'll turn to the two-month, one-month, or one-week cram plan for week-by-week and day-by-day schedules of the best way to focus your study according to your unique timeline. Each stand-alone plan includes: Diagnostic test–helps you pinpoint your strengths and weaknesses soyou can focus your review on the topics in which you need the most helpSubject reviews–cover everything you can expect on the actual exam: preparatory, airway, patient assessment, medical emergencies, trauma, infants and children, operations, advanced airway, practical skills, and anatomy and physiology Full-length practice test with answers and detailed explanations–a simulated EMT-Basic Exam gives you an authentic test-taking experience Test-prep essentials from the experts at CliffsNotes® ??? 2 months to ace the test... ??? 1 month to ace the test... ??? 1 week to ace the test! |
| after performing a rapid assessment: Sick/Not Sick Mike Helbock, John Jerin, 2010-10-22 The Complete Fire Inspector I and II Training Solution! Fire inspectors need to know how to interpret and apply national and local codes and standards in the office and in the field. Fire Inspector: Principles and Practice is designed to prepare fire inspectors to ensure the highest standards of fire and life safety in their communities. The National Fire Protection Association (NFPA) and the International Association of Fire Chiefs (IAFC) are pleased to bring you Fire Inspector: Principles and Practice, a modern integrated teaching and learning system for the fire inspector. This textbook meets and exceeds the job performance requirements for level I and II fire inspectors from Chapters 4 and 5 of NFPA 1031, Standard for Professional Qualifications for Fire Inspector and Plan Examiner, 2009 Edition. Fire Inspector: Principles and Practice is built on a solid foundation of the basics: building construction, fire growth, and types of occupancies. This fundamental knowledge is presented in a concise, understandable writing style that is easy to digest and recall. The solid foundation of fire and building knowledge then branches out to show the fire inspector how abstract concepts and codes will be concretely applied on a daily basis. This is the text that truly prepares fire inspectors for the real world. |
| after performing a rapid assessment: Disaster Medicine Gregory R. Ciottone, 2006-01-01 This new volume includes Individual Concepts and Events sections that provide information on the general approach to disaster medicine and practical information on specific disasters. You'll also find an exhaustive list of chapters on the conceivable chemical and biologic weapons known today, as well as strategies for the management of future events, or possible scenarios, for which there is no precedent.--BOOK JACKET. |
| after performing a rapid assessment: Fisheries Emergency Rapid Assessment Tool (FERAT) Food and Agriculture Organization of the United Nations , 2020-04-01 This manual provides guidance to field personnel and fisheries officers for carrying out the assessments that are essential before making decisions about the procurement and delivery of fishing gears and equipment in natural or technological disasters and in complex or protracted emergencies. The manual also offers guidance on the monitoring of these interventions. It focuses on inland capture fisheries. |
| after performing a rapid assessment: MARE-WINT Wiesław Ostachowicz, Malcolm McGugan, Jens-Uwe Schröder-Hinrichs, Marcin Luczak, 2016-08-30 This book provides a holistic, interdisciplinary overview of offshore wind energy, and is a must-read for advanced researchers. Topics, from the design and analysis of future turbines, to the decommissioning of wind farms, are covered. The scope of the work ranges from analytical, numerical and experimental advancements in structural and fluid mechanics, to novel developments in risk, safety & reliability engineering for offshore wind.The core objective of the current work is to make offshore wind energy more competitive, by improving the reliability, and operations and maintenance (O&M) strategies of wind turbines. The research was carried out under the auspices of the EU-funded project, MARE-WINT. The project provided a unique opportunity for a group of researchers to work closely together, undergo multidisciplinary doctoral training, and conduct research in the area of offshore wind energy generation. Contributions from expert, external authors are also included, and the complete work seeks to bridge the gap between research and a rapidly-evolving industry. |
After (film series) - Wikipedia
The After film series consists of American romantic dramas based on the Anna Todd-authored After novels. The plot centers around the positive and negative experiences of a romantic …
After (2019) - IMDb
Apr 12, 2019 · After: Directed by Jenny Gage. With Josephine Langford, Hero Fiennes Tiffin, Khadijha Red Thunder, Dylan Arnold. A young woman falls for a guy with a dark secret and …
After Movies in Order: How to Watch Chronologically and by ...
Nov 6, 2023 · Based on the best-selling novel by Anna Todd, the After film series follows the studious and innocent Tessa Young (Josephine Langford) and the dangerously rebellious...
After streaming: where to watch movie online? - JustWatch
Currently you are able to watch "After" streaming on Netflix, FilmBox+, Netflix Standard with Ads. It is also possible to buy "After" on Apple TV, Fandango At Home, Amazon Video as download …
After Movies in Order Chronologically and by Release Date
Aug 21, 2023 · The After series is long, and they each have very similar names, but don't worry, this guide will help you get things in order.
Watch After | Netflix Official Site
Wholesome college freshman Tessa Young thinks she knows what she wants out of life, until she crosses paths with complicated bad boy Hardin Scott. Watch trailers & learn more.
Where to Watch After (2019) - Moviefone
Stream 'After (2019)' and watch online. Discover streaming options, rental services, and purchase links for this movie on Moviefone. Watch at home and immerse yourself in this movie's story...
After: Next Generation 2025 Gets Official Announcement | The ...
Oct 28, 2024 · After fans have reason to be excited after a sequel to the popular YA movie franchise was confirmed. The After movies are based on Anna Todd's novels which chronicle …
The Correct Order To Watch The After Movies - /Film
Oct 24, 2024 · Here's the correct order, title by title. The "After" film franchise centers around star-crossed lovers Tessa Young and Hardin Scott — played by Josephine Langford ("Moxie") and …
After (Film) | After Wiki | Fandom
Based on Anna Todd ’s best-selling novel which became a publishing sensation on social storytelling platform Wattpad, AFTER follows Tessa Young (Langford), a dedicated student, …
After (film series) - Wikipedia
The After film series consists of American romantic dramas based on the Anna Todd-authored After novels. The plot centers around the positive and negative experiences of a romantic relationship …
After (2019) - IMDb
Apr 12, 2019 · After: Directed by Jenny Gage. With Josephine Langford, Hero Fiennes Tiffin, Khadijha Red Thunder, Dylan Arnold. A young woman falls for a guy with a dark secret and the …
After Movies in Order: How to Watch Chronologically and by ...
Nov 6, 2023 · Based on the best-selling novel by Anna Todd, the After film series follows the studious and innocent Tessa Young (Josephine Langford) and the dangerously rebellious...
After streaming: where to watch movie online? - JustWatch
Currently you are able to watch "After" streaming on Netflix, FilmBox+, Netflix Standard with Ads. It is also possible to buy "After" on Apple TV, Fandango At Home, Amazon Video as download or …
After Movies in Order Chronologically and by Release Date
Aug 21, 2023 · The After series is long, and they each have very similar names, but don't worry, this guide will help you get things in order.
Watch After | Netflix Official Site
Wholesome college freshman Tessa Young thinks she knows what she wants out of life, until she crosses paths with complicated bad boy Hardin Scott. Watch trailers & learn more.
Where to Watch After (2019) - Moviefone
Stream 'After (2019)' and watch online. Discover streaming options, rental services, and purchase links for this movie on Moviefone. Watch at home and immerse yourself in this movie's story...
After: Next Generation 2025 Gets Official Announcement | The ...
Oct 28, 2024 · After fans have reason to be excited after a sequel to the popular YA movie franchise was confirmed. The After movies are based on Anna Todd's novels which chronicle the …
The Correct Order To Watch The After Movies - /Film
Oct 24, 2024 · Here's the correct order, title by title. The "After" film franchise centers around star-crossed lovers Tessa Young and Hardin Scott — played by Josephine Langford ("Moxie") and …
After (Film) | After Wiki | Fandom
Based on Anna Todd ’s best-selling novel which became a publishing sensation on social storytelling platform Wattpad, AFTER follows Tessa Young (Langford), a dedicated student, …
