Sunday, January 26, 2020

The personal qualities required to fulfill the role of the modern ambulance paramedic

The personal qualities required to fulfill the role of the modern ambulance paramedic The role of the modern paramedic is one of a highly trained emergency-care professional gone are the days of the stretcher-bearer (NHS careers booklet, p10) Paramedics are set the task of providing a rapid medical response to emergency situations like road traffic accidents (RTAs) accidents at home or even major incidents such as train crashes. This work involves on-site assessment of patients and their immediate needs, as well as providing necessary treatment. For example paramedics are trained to be able to administer intravenous drips and oxygen, and use equipment such as a heart defibrillator on patients that need immediate help. Through their work, paramedics are likely to encounter emotionally charged and distressing situations. There is also a danger element involved in the role when patients can become violent towards those trying to help them attacks on ambulance staff from one service have increased 23% over the last year alone (BBC). Paramedics can thus been seen to work within a stressful and pressured work environment, where lives can be affected by the outcome of their actions. This can be made even more difficult by the long working hours (a shift can be 12 hours) and shift pattern involved in the ambulance service. The role therefore has a large amount of responsibility, and the ambulance service has a number of qualities they look for in their applicants. The NHS careers booklet Becoming a member of the ambulance service (p8) lists that as a paramedic, the most important qualities include; responsibility, a caring attitude, good people skills, common sense, ability to keep cool in a crisis and academic ability. Why the ambulance service looks for these qualities will now be discussed. Intellectual ability identified through academic qualifications is required by the ambulance service. This is due to the amount of training and expert emergency care knowledge that must be gained before someone is able to qualify to work as a paramedic. Hospital and classroom based training is given to paramedics in subjects including trauma injuries, intubation, cannulation, pharmacology, the respiratory system and in how to use specialised equipment. A paramedic is also required to provide a driving function so must have a clean driving license which will be enhanced through emergency driving training. The ability to learn quickly is therefore a strong point to anyone wanting to join the service. On arriving at an emergency scene, a paramedic must be able to ascertain both what has happened, and which patients are to be given priority over others. Although other emergency services such as the fire brigade and police will also be present at many call-outs those first on the scene have to be able to quickly assess the situation. This is where the ability to keep a cool head and to not make rash decisions is important. Being able to stay calm despite what might be going on at the scene itself, will allow the paramedic to recall training on how to deal with different injuries, and to make tough decisions when needed about who to treat and perhaps who not to treat (when medical resources are scare a paramedic may have to decide who has the best chance of recovering and allocate assistance accordingly). Communication and people-skills are a necessity within the job. Good communication skills will allow a more accurate assessment of the situation through uncovering what has happened, how many people were involved (injured parties may not always be immediately visible for example a young child thrown from the window of a car in an RTA) or whether there is any remaining danger. As mentioned earlier, assessing whether danger is present (such as whether people at the scene are armed) is important for both the well being of the patient and the ambulance crew themselves. Being able to talk to people and keep both patients and family or others on the scene calm can make the situation easier to control, and maintaining conversation with a patient can help to retrieve important information that may be needed for their treatment (allergies, name of doctor, next of kin) but also to help keep people conscious which may be important for their chances of recovery. As many emergencies can be the result of a crime that has taken place, the ability to preserve evidence and remember information given by injured parties can be very important (for example, people that die later in hospital may have given important information to others at the scene potentially including the paramedic). The ability to take control in a situation is also an important quality needed for those working in emergency care. Paramedics may often have to direct recovery efforts in a team that may be made up of different emergency services where workers may not know each other, and where time may be of the essence. Leadership qualities are needed in order that control can be taken over a situation, to ensure that resources are allocated where needed, and that work is not being duplicated. Alongside the qualities discussed that are outlined in the careers booklet provided by the NHS, it will also be important for paramedics to be good team-players and trustworthy. These qualities are proposed as important due to the fact that paramedics may have to work within environments which are not safe. As a result it would be very important for the ambulance crew (usually comprising an ambulance technician and a paramedic, sometimes and emergency doctor) to trust each other and work well together within situations whereby teams may be forced to rely to a great extent possibly for their own well-being, on their team member (s). In summary the ambulance service are looking for very specific sort of person that matches the qualities outlines above, in order to perform the very difficult and distressing work involved in the emergency services to the capacity that they do London ambulance service alone receives 3000 emergency calls a day.

Saturday, January 18, 2020

Evaluating the Research Process/ Childhood Obesity Essay

Ji Li, PhD and Neal Hooker, PhD conducted a study on the links of childhood obesity and children who are enrolled in the National School Lunch Program (NSLP), School Breakfast Program (SBP), clubs such as sports and others, and different living and household factors. This study utilized the conceptual framework of the literature review from the National Survey of Children’s Health (NSCH) during 2003 and 2004, conducted by the Centers for Disease Control and Prevention (CDC). The study utilized the common quantitative research method called a survey which is a form of questionnaire. The survey was a telephone survey which was conducted on children 6-17 years old and surrounded questions about the physical and psychological lives. In the study there were 62,880 children studied and questioned. The study was conducted following ethical guidelines as it was not biased and took information from households, which were selected randomly, and had one child between the ages of 6-17. Also, the study was conducted by asking the families a series of questions that remained the same no matter the household or children’s age. The rights of the subjected were protected by random selection process however I do question the use of a telephone survey because the identities of the individuals can be identified based on the telephone numbers. The study does not indicate whether the telephone numbers of the respondents were recorded so it is difficult to determine whether this is a factor. In my opinion ensuring the anonymity of the subjects is particularly important when dealing with the group focused on by this study because they are children. That being said the study did not attempt to encourage, promote, or interfere in the lives of the subjects so I would say their rights were reasonably protected. The questions that were asked of the children were as follows: age, gender, highest level of child’s parents (high school), highest level of child’s parents (college), primary language in the home, current school child is enrolled (public or private), was child on a sports team in the past 12 months, in the past 12 months did the child participate in a club, average hour the child spent on the computer per chool day, average hour the child spent watching television on a school day, during the past month did either parent spend any time exercising enough to bring heart rate or breathing up, does anyone in the household smoke, is the household income more than 300% of the poverty limit, is the household income less than 300% of the poverty limit, during the past 12 months did anyone in the household receive free or reduced lunches or breakfast, and finally what is the body mass index (BMI) of the selected child in the household. Each question was given a point value of 0 or 1 and the totals were calculated by each household (Li, J. , & Hooker, N. , 2010). In terms of statistical analysis the data is telling the interpreter what households have a child who is over the recommended BMI or under the recommended BMI and how their lifestyle or social practices come into play influencing the BMI. The data was analyzed by grouping the selected children into groups of children who attend public school versus private school, their household’s income range, if they qualify for the school lunch or breakfast programs, and their BMI. The data was also analyzed in reference to all of the other questions asked such as parent’s education, and if anyone in the household smokes. All of these household and social situations can be used for analysis and to see if there is a trend that certain children in certain life situations may be more likely to suffer from childhood obesity. I think that the data is definitely statistically significant; however, I do think the numbers could be flawed in reference to the person being surveyed by telephone being truthful. The conclusions do match the results of the study that was conducted. The conclusion was that children who attend public schools have a slightly higher BMI than those who do not, and children who qualify for free or reduced lunch or breakfast programs have an even higher BMI and are at a higher risk of being overweight (Li, J. , & Hooker, N. , 2010). The conclusions also answers the research questions that were defined in the problem including the socioeconomic issues play a role in childhood obesity? Do the public or private school systems play a role in childhood obesity? Do the school lunch and breakfast programs play a part in childhood obesity? The survey results appeared to answer yes to all of these questions. I do think that the results off of the data, is accurate and appropriate. However, like I stated earlier in the paper, I do think that the numbers could be skewed due to inaccurate answers by the person being surveyed. The study found that â€Å"children attending public school had a mean BMI value of 0. 401 higher than those children who attended private school. Also, if the child surveyed attended public school and received free or reduced lunch or breakfast in the public school then their BMI value was 0. 25 higher than the child who attended private school. The study concluded that children in public school who took part in the lunch and breakfast programs posed a 4. 5% higher risk of being overweight† (Li, J. , & Hooker, N. , 2010). When the numbers are reviewed it is easy to conclude that there is a link between obesity and the public school system as well as the free and reduced meal programs. This link was also not altered due to socioeconomic status of the household. The study also found that â€Å"children with active parents who play sports or other activities have a BMI mean value of 0. 99 less than children of parents who are not active. Also, children who took part in sports activities after school or on the weekends had a BMI mean value of 0. 751 lower than children who did not participate in an activity (Li, J. , & Hooker, N. , 2010)†. There is a clear link between lower BMI values and active parents and active children. Education levels of the parents also appear to play a role in a child’s chances of being obese. The study concluded that â€Å"children with parents who finished high school have a BMI of 0. 17 less than those who have less than a high school education. Also, in the households where the parents completed a college education the BMI is reduced by 1. 279 in value. In households where Spanish is the primary language, the BMI was found to be 0. 680 higher than households where English was the primary language† ( Li, J. , & Hooker, N. , 2010). After review of the data in regards to the conclusion the analysis is found to be appropriate as school meal programs and household influence do in fact influence childhood obesity. There is a lot of information about the study and the data that was collected and its effectiveness. I think that the data collected can be used to link childhood obesity and school meal programs. However, I also think that the data can be disputed by the way in which the data was collected, by telephone survey. The person conducting the survey cannot verify or prove that the person being surveyed is being truthful. Also, it is unknown how the people being surveyed were asked to take part, other than by random phone number selection. If the person asked to do the survey is having issued with their school or the school meal programs their answered might be different if they knew the data could influence the thoughts on school and their meal programs. I think that this survey is very beneficial; however, I would think that a different survey method other than telephone methods would help to make the data more concrete and effective. In the end, the study does give valid data that can be evaluated to help decide the links to schools and childhood obesity. I think that the data collected can mean great change in the meal programs and the need for such change. I do not believe though that the results obtained from the study are statistically significant as the differences in most of the categories were not extraordinary one way or the other. The possible flaws in the way the information was obtained would in my opinion devalue the validity of the study. Without having actual medical knowledge regarding the child’s BMI the information is based on the opinions of the respondents.

Friday, January 10, 2020

What Barn Burning Essay Topics Is - and What it Is Not

What Barn Burning Essay Topics Is - and What it Is Not On the flip side, another method of thinking is that nature defines who a man or woman is. An argumentative paper is part of the persuasion. Preferably, it must be something which you're an expert in. At precisely the same time, detecting cause and effect relationships isn't that easy in regards to the selection of a very good cause and effect essay topic. The War Against Barn Burning Essay Topics Thanks to the correct option of presentation style and a thorough understanding of the goals you need to accomplish in your essay, there are plenty of categories essay themes may be broken into. When you are finished with your essay, you must not merely check it for spelling and grammatical errors, but nevertheless, it also has to be checked for logical fallacies. In open-ended essay assignments, deciding upon an essay topic gets crucial to the general success of the bit of writing. The very best topic for your essay is one whi ch is aligned with your subject of study. Whatever college essay topic you select or are assigned, the secret is to compose a fantastic stand-out essay. At times you might require some expert help with argumentative essay topics. Reading example essays works the exact same way! You need to be able to use persuasive language. Rumors, Deception and Barn Burning Essay Topics Look at the world today, search via the internet and appear at news articles too there's inspiration everywhere. There are many steps which you should take to be able to write an exemplary essay. You may observe that the practice is practically always the exact same. You may use several examples which can be found on the net at no cost. Understanding Barn Burning Essay Topics The college essay is among the most essential facets of your college application. A college essay topic may or might not be freely dependent on the student based on the course and the professor. Sex education is extremely sensitive topic. In some instances, the college will give an essay topic for you. Writing about nuclear weapons is always a superb idea. It's possible to go for an intriguing topic from any area of science. Seek advice from your teacher in the event you have any suspicions about this issue you have decided on. You will be assigned a topic, or your professor will permit you to select your own. For instance, a sociology professor may give an overall topic like the effect of poverty in urban environments. Decide on a law and explain why it's so important to you. The Basic Facts of Barn Burning Essay Topics Some can require research although others may require the usage of the five senses and figurative language. You're attempting to show colleges your very best self, therefore it might appear counterintuitive to willingly acknowledge a time you struggled. Many students have a tendency to encounter the writing issues due to the shortage of appropriate comprehension. Normally, having three leading arguments to show your point is sufficient for a convincing paper. You should look at a task to locate a theme not an issue but an opportunity and even a benefit. The very best thing is to choose a topic that will provide you with an opportunity to present new ideas or a fresh perspective on a problem. An exceptional title will capture the interest of the reader and enhance your probability of obtaining a high score. To defend your subject, you might recall the effect of overloaded schedule on college grades. Very often it becomes hard to choose a single topic either on account of the many ideas in the student's head, or due to their complete absence. Write about why it'll be important to you and why you have to get a college education. On the flip side, some argue that the price of college leaves students with crippling debt they'll never have the ability to repay. College is an intellectual place so attempt to convince the board that you're the appropriate person in their opinion. Students may typically understand the structure with only a quick quantity of instruction.

Thursday, January 2, 2020

Seligram Inc. Essay - 936 Words

Seligram Inc. 1. The existing system at ETO began to fail because direct labor hours per lot began to decrease due to vendor certification. Vendors would do the primary testing and ETO would only be required to test a small sample of each lot to verify the results were valid. In the marketplace, ETO’s prices were lower than outside competition for testing complex parts, yet the prices were higher for elementary testing. Another important factor to consider is that engineering support increased. This led to additional burden costs, which also varied from part to part. High-technology components were tested using more automated test equipment. These tests took longer, but did not require as many hours of direct labor. The test†¦show more content†¦Using the cost system proposed by the manager, the prices for the more automated tests would go up as the amount of machine hours used would be accounted for. The consultant’s approach improves upon the manager’s suggestion. Creating separate pools for the test rooms would better align the costs to prices even more so. The prices could be varied between complex and elementary tests. The burden for the mechanical room per machine hour is nearly twice that of the main room (112.63 vs 63.34). Parts tested using more hours in the mechanical room would cost more and prices for parts tested more in the main room would be reduced. The new prices will be accepted by customers (Cooper, HBR, Reading Packet p50). They are very likely to be aware that the prices they were paying were higher or lower than those of competitors. So they will not be surprised when ETO’s prices become more in line with competitor’s pricing. Assumption: The information about machine hours used per part is readily available at no additional cost. 4. A possible change to the plan proposed by the consultant would be to create pools based on the depreciation costs of a machine rather than which room the machine is located. 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