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WHAT TO DO IF SOMEONE IS UNRESPONSIVEAs Doctors we are trained to do CPR and would know what to do in the event of coming across someoneDr Zulfikar Buxwho is unresponsive. Unfortunately there aren’t doctors everywhere and there are instances when a person collapses and a Good Samaritan has to deliver CPR.Cardiopulmonary resuscitation (CPR) is a procedure to support and maintain breathing and circulation for a person who has stopped breathing (respiratory arrest) and/or whose heart has stopped (cardiac arrest). Without maintained circulation,Jerseys NFL Wholesale, our brain and heart would not receive oxygen that it needs to survive and will lead to death faster. CPR gives the unconscious person a chance at surviving until more definitive medical care can arrive.WHO NEEDS CPR?CPR should never be performed on a healthy person, because it can cause serious injury to a beating heart by interfering with normal heartbeats. It is reserved for patients who have recently become unresponsive and are not breathing and do not have a pulse beat.  A person can become unresponsive because of various causes. Common reversible causes include a heart attack, drowning,Cheap Jerseys From China, electrical shock,Wholesale Jerseys, choking, allergic reaction etc.We will now discuss the basic steps of CPR to improve your understanding of the process if the need may arise. I must highlight that it is better to have formal CPR training over reading articles including this one. But if ever the need arises for the delivery of CPR,Cheap Jerseys Free, then this article should give you an understanding of the basic and important steps.BASIC CPR STEPSCheck for responsivenessThe first step is to ensure the unresponsive patient is really unresponsive. Giving them a hard tap on the shoulder a few times and inquiring if they are okay is usually sufficient. If the person responds, then CPR is not needed.Call for helpOnce the person is unresponsive then yell out that there is an unresponsive patient and you need help. If an experienced CPR provider arrives then let them take over the CPR, otherwise you will have to start it and guide your help along the way. You should also let someone call for an ambulance or some form of transport to take the patient to the nearest Hospital as soon as possible.Check for a PulseIt may be a bit difficult to locate a pulse if you’re not trained to do so. Your best bet is to locate the individual’s Adams apple on their neck and run your fingers 2-4 cm lateral of it. You should be able to locate a pulse if there is one. If a pulse is present then chest compression is not required and you need to keep rechecking while transporting the patient to the nearest medical facility.Chest compressionsThis is the main part of CPR.  By compressing the chest you are squeezing the heart and allowing it to push blood out to your vital organs.  Place the palms of your hands directly on the centre of the chest, lock your fingers together, lock your elbows to keep your arms straight,Cheap Jerseys Supply, press straight down on the chest doing at least 100 compressions per-minute, going at least two inches down with each compression. Allow the chest to fully recoil before pressing down back on it.This allows the heart to refill and be ready for the next compression. Always minimize time between compressions. Imagine that every time you’re not compressing the person’s heart is not beating. Their heart depends on you to beat, so keep compressing. Remember you will get tired after a few minutes of effective compressions. It’s best to get help to do compressions if available.What about mouth to mouth?A person that collapses and becomes unresponsive will generally still have oxygen in their blood. Delivering it via chest compression is the best option. Interrupting chest compression to give mouth to mouth breathing is now not recommended initially.  Babies and children are an exception to this rule and should get mouth to mouth breathing (2 breaths for every 15 compressions) from the beginning.Transport the patientTry to not delay a patient transport, even for CPR.  CPR can be given en route to the Hospital. Medical personnel have more specialized training in CPR and will be able to deliver more effective CPR. Ensure you give them a debrief of what occurred on scene before you leave.***My hope is that you remember these basic steps and will be able to utilize your CPR knowledge if called upon. Learning to take a life is easy; learning to save a life is a bit more complicated. I suggest you invest your knowledge in the latter,Wholesale NFL Jerseys, for saving humanity will always bring us better recompense.(Dr Zulfikar Bux is an Assistant Professor of Emergency Medicine at the Vanderbilt University and Medical Center and holds the position of Head of the Georgetown Public Hospital’s Accident and Emergency Department.)

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house, where she for her own sake, and her mother for her aunt Shaw’s, would be welcomed, if they came in gladness, or even in peace of mind. If they came Billiga Canada Goose Lodge Down Hoody Jackor sorrowing, and wanting sympathy in a complicated trouble like the present, then they would Larry Bird Maillot be felt as a shadow in all these houses of intimate acquaintances, not friends. London life is too whirling and full to admit of even an Billiga M?n Barbour Casual Jackor hour of that deep silence of feeling which the friends of Job showed, when ‘they sat with him on the ground seven days and seven nights, and none spake a word unto him; for they saw that his grief was very great.’
Chapter 7 New Scenes and Faces
‘Mist clogs the sunshine,
Smoky dwarf houses
Have we round on every side.’
MATTHEW ARNOLD.
The next afternoon, about twenty miles from Milton-Northern, they entered on the little branch railway Jalkapalloklubi Naisten Pelipaidat that led to Heston. Heston itself was one long straggling street, running Billige Russland Drakt Damer parallel to the seashore. It Moncler Femme Pas Cher had a character of its own, as different from the little bathing-places in the south of England as they again from those of the continent. To use a Scotch word, every thing looked more ‘purposelike.’ The country carts had more iron, and less wood and leather about the horse-gear; the people in the streets, although on Liverpool Dres pleasure bent, had yet a busy mind. The colours looked grayer — more enduring, not so gay and pretty. There were no smock-frocks, even among the country folk; they retarded motion, and were apt to catch on machinery, and so the habit of wearing them had died out. In such towns in the south of England, Margaret had seen the shopmen, when not employed in their business, lounging a little Maillot San Antonio Spurs at their doors, enjoying the fresh air, and the look up and down the street. Here, if they had any leisure from customers, they made themselves business in the shop — even, Margaret fancied, to the unnecessary unrolling and rerolling of ribbons. All these differences struck upon her mind, as she and her mother went out next morning to look Maillot Rangers Pas Cher for lodgings.
Their two nights at hot
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amilies remained, living in the midst of this scene of war in a condition most forlorn. As for any tillage of their land, that, under such circumstances, might be pronounced as hopeless. Nor could there exist encouragement for farm-work of any kind. Fences had been taken down Goedkope België Voetbalshirts and burned; the ground had been overrun in every direction. The stock had of course disappeared; it had not been stolen, but had been sold in a hurry for what under such circumstances it might fetch. What farmer could work or have any hope for his land in the middle of such a crowd of soldiers? But yet there were the families. The women were in their houses, and the children playing at their doors; and the men, with whom I sometimes spoke, would stand around with their hands in their pockets. They knew Goedkope Napoles Voetbalshirts that they were ruined; they expected no redress. In nine cases out of ten they were inimical in Goedkope Hambourg Voetbalshirts spirit to the soldiers around them. And yet it seemed that their equanimity was never disturbed. In a former chapter I have spoken of a certain Inter Milan Dres general — not a fighting general of the army, but a local farming general — who spoke loudly, and with many curses, of the injury inflicted on him by the secessionists. With that exception I heard no loud complaint of personal suffering. These Virginian farmers must have been deprived of everything — of the very means of earning bread. They still hold by their houses, though Magic Johnson Maillot they were Maillot Ecosse League Pas Cher in the very thick of the war, because there they had shelter for their families, and elsewhere they Toronto FC Koszulka might seek it in vain. A man cannot move his wife and children if he have no place to which to move them, even though his house be in the midst of disease, of pestilence, or of Real Madryt Damskie battle. So it was with them Camisetas Henderson Baratas then, but it seemed as though they were already used to it.
But there was a class of inhabitants in that same country to whom fate had been even more unkind than to those whom I saw. The lines of the Northern army extended perhaps seven or eight miles from the Potomac; and the lines of the Confederate army were distant
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allelograms, resembling both in their size and shape the shivered fragments, lying Moncler Damskie 2015-2016 at the base of the northern ranges, to which I have already had occasion to call attention.
Although the ground on which we slept was not many yards square, and there was little or nothing on it to eat, the poor animals, loose as they were, Jalkapalloklubi Barcelona Pelipaidat did not venture to trespass on the adamantine plain by which they were on all sides surrounded.
On the 27th we continued onwards, obliged to keep the course by taking bearings on any prominent though trifling object in front. At ten miles there was Maillot Suisse Pas Cher a sensible fall of some few feet from the level of the Stony Desert, as I shall henceforth call it, and we descended into a belt of polygonum of about two miles in breadth, that separated it from another feature, apparently of equal extent but of Parajumpers Delano Cotton Fleece very different character. This Kobiety Barbour Liddesdale Kurtka was an earthy plain, on which likewise there was no vegetation; resembling in appearance a boundless piece of ploughed land, on which floods had settled and subsided — the earth seemed to have once been mud and then dried. It had been impossible to Goedkope Albanië Voetbalshirts ascertain the fall or dip of the Stony Desert, but somewhat to the west of our course on the earthy plain Maillot Hertha Berlin Pas Cher there were numerous channels, which as we advanced seemed to be making to Camisetas Pirlo Baratas a common centre towards the N.E. Here and there a polygonum Maillot Venezuela Pas Cher bush was growing on the edge of the channels; and some of them contained the muddy dregs of what had been pools of water. Over this field of earth we continued to advance almost all day, without knowing whether we were getting still farther into it, or working our way out. About an hour before sunset, this point was settled beyond doubt, by the sudden appearance of some hills over the line of the horizon, raised above their true position by refraction. They bore somewhat to the westward of north, but were too distant for speculation upon their character. It was very clear, however, that there was a termination to the otherwise apparently boundless level on which we were, in that direction, i
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e least about dying; and knelt down and had his Goedkope Southampton Voetbalshirts head off as coolly as if he were looking on at the same ceremony performed on another.
When the head was off, and Billige Mexico Drakt Damer the blood was spouting on the ground, a married woman, who had no Goedkope Inter Milan Voetbalshirts children, came forward very eagerly out of the crowd, to smear herself with it — the application of criminals’ blood being considered a very favourable medicine for women afflicted with barrenness — so she indulged in this remedy.
But one of the Arnaoots standing near said, “What, you like blood, do you?” (or words to that effect). “Let’s see how yours mixes with my comrade’s.” And thereupon, taking out a pistol, he shot the woman in the midst of the crowd and the guards who were attending the execution; was seized of course by Camisetas B.Wright-Phillips Baratas the latter; and no doubt tomorrow morning will have HIS head off too. It would be a good chapter to write — the Death of the Arnaoot — but I shan’t go. Seeing one man hanged Goedkope Florence Voetbalshirts is quite enough in the course of a life. J’y ai ete, as the Frenchman said of hunting.
These Arnaoots are the terror of the town. They seized hold of an Englishman the other day, and were very nearly Goedkope Tigres Uanl Voetbalshirts pistolling him. Last week one of them murdered a shopkeeper at Boulak, who refused to sell him a water-melon at a price which he, the soldier, fixed upon it. Camisetas Universidad de Chile Baratas So, for the matter of three-halfpence, he killed the shopkeeper; and had his own rascally Barcelona Dres Děti head chopped off, universally regretted by his friends. Why, I wonder, does not His Jalkapalloklubi New York City FC Pelipaidat Highness the Pasha invite the Arnaoots to a dejeuner at the Citadel, as he did the Mamelukes, and serve them up the same sort of breakfast? The walls are considerably heightened since Emin Bey and his horse leapt them, and it is probable that not one of them would escape.
This sort of pistol practice is common enough here, it would appear; and not among the Arnaoots merely, but the higher orders. Thus, a short time since, one of His Highness’s grandsons, whom I shall call Bluebeard Pasha (lest a revelation of the name of the said Pash
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