sweepthefloor
see jane nurse
- Joined
- May 25, 2010
- Posts
- 11,836
Please don't let my name be on the board as code nurse.
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Neuromuscular blocking agents have been used in the operating room for years as an adjunct to anaesthetics and are now utilized in intensive care units for the management of critically ill patients. Train of Four (TOF) testing performed to measure the degree of neuromuscular blockade using a peripheral nerve stimulator, can assist the practitioner to administer high quality care, given very challenging clinical situations. The goal is to ensure that the patient is adequately paralyzed with neuromuscular blocking agents (NMBA) using TOF monitoring.
It looked something like this.
It is my understanding that a traumatic injury to the head that leads to a ‘knock out’ as in loss of consciousness (even if it is brief period of time), is considered to be a concussion which is a temporary injury to the brain.The football game yesterday prompted a medical question:
Is it possible to get knocked out (by trauma) without suffering a concussion?
I know the gas-passers can knock you out without it, but this is a sports trauma question.
It's flu shot time. If you want to get back at the senior management, volunteer to work the vax table and think: You want to budget cut ancillary staff? You want to pull our nurses to the ER?
Get the biggest needle and stab them with it in the arm.
This won't hurt a bit.
I thought for the first time: I am an ICU RN, as if I didn’t know that before.That line on the right there is crossed.
It is my understanding that a traumatic injury to the head that leads to a ‘knock out’ as in loss of consciousness (even if it is brief period of time), is considered to be a concussion which is a temporary injury to the brain.
That being said not everyone that has a concussion gets ‘knocked out’ so there may be injury, without loss of consciousness.
The severity of the concussion depends on other neurological symptoms.
CT scans usually do not reveal any damage unless the injury is severe enough to cause bleeding and swelling inside the brain. The person needs to have baseline, and follow up assessments.
Following an initial head injury even if it is mild there is a vulnerable period for re-injury.
I do not think little children should play football at all.
I thought for the first time: I am an ICU RN, as if I didn’t know that before.
My lines and room looked better but it cost me much energy. I am still kind of shocked, and in need of debriefing. I feel kind of empty.
It's just another day. I am so sad, sometimes I feel so sad.
You are right and even without LOC there can be a concussion. The LOC is not what defines the concussion.Thank you, I was pretty sure that a head impact that caused loss of consciousness was a concussion, but everyone else was arguing with me.
And I agree about kids not playing ANY contact sport, if only because of risk of damage to epiphysial (sp?) plates. Just not worth it.
Oh! We are fresh out of band-aids too! See you next year!
Thank you for this compliment. I hope you like to hear keyboard clicking.
I thought for the first time: I am an ICU RN, as if I didn’t know that before.
My lines and room looked better but it cost me much energy. I am still kind of shocked, and in need of debriefing. I feel kind of empty.
It's just another day. I am so sad, sometimes I feel so sad.
It is my understanding that a traumatic injury to the head that leads to a ‘knock out’ as in loss of consciousness (even if it is brief period of time), is considered to be a concussion which is a temporary injury to the brain.
That being said not everyone that has a concussion gets ‘knocked out’ so there may be injury, without loss of consciousness.
The severity of the concussion depends on other neurological symptoms.
CT scans usually do not reveal any damage unless the injury is severe enough to cause bleeding and swelling inside the brain. The person needs to have baseline, and follow up assessments.
Following an initial head injury even if it is mild there is a vulnerable period for re-injury.
I do not think little children should play football at all.