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Ask students: What are some factors that the family must consider in this emergency? They just moved to Kansas two weeks ago cheap orlistat 60mg on line weight loss pills for belly fat, leaving behind relatives in another state cheap orlistat master card weight loss 51. The mother has been called to work at the hospital and the father is being required to stay on shift purchase dulcolax overnight. A5- Unit 5 Appendices August 2007 Infectious Diseases International Association Unit 5 Avian & Pandemic Infuenza of Fire Fighters Module 2: Making a Plan continued Lead a discussion with the following questions: What are some of the challenges this family needs to take care of? Ask other discussion questions: What will they do if their cell phones dont work? Group Activity (25 minutes) Have students develop a plan for their families based on predicted factors. Hand out worksheet Emergency Plan for First Responder Families for participants to fll out during the activity. Ask students to develop a backup plan based on childcare, transportation, communication and health and welfare. Groups should discuss the issues they might face with their own families and assist others with solutions to challenges they might face. They should help each other complete the worksheet, which includes coming up with alternative plans. Write the bulleted list below on an easel pad or chalkboard to remind students of the factors behind an emergency family plan: Child care Transportation Communication Health and welfare Encourage students to fll out the form to the best of their ability and acknowledge they will have to consult their spouse to get more information, and fnish it later if time is limited. After students have completed the form, ask the following evaluation questions: What are some of the challenges they encountered while making their plans? A5-50 Unit 5 Appendices August 2007 Infectious Diseases International Association Unit 5 Avian & Pandemic Infuenza of Fire Fighters Module 3: Protecting Myself continued Scenario Your unit has been dispatched to an unknown sickness at a local bus stop. Although there have not been any cases of pandemic fu or avian fu reported in your town, you have heard on the news that there are cases overseas. You arrive to fnd a family of three with fu-like symptoms: Fever Headache Cough Exhaustion Vomiting You suspect these patients have infuenza based on their presentation. A5-5 Unit 5 Appendices August 2007 Infectious Diseases International Association Unit 5 Avian & Pandemic Infuenza of Fire Fighters Emergency Plan for First Responder Families Worksheet Be sure your family has a plan in case of a major emergency. Appropriate face masks should be made of dense-weave cotton material that snugly covers the nose and mouth and be specifcally ft for each member of the family. Isolation/Quarantine In the event of a community-wide quarantine, you will be ordered to stay at home to avoid becoming sick.

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Untwist it (there may be 2 twists) discount orlistat 60mg otc weight loss pills zactival, distal (collapsed) duodenal loops next to each other by and check that its normal colour returns cheap orlistat 60mg with mastercard weight loss 20 000 steps. Where there is a significant gap There may be an incomplete malrotation where the between the atretic segments buy 10 mg maxalt with mastercard, you can usually mobilize the caecum is found in the right hypochondrium fixed by distal part, together with the duodeno-jejunal junction to Ladds bands passing across the 2nd & 3rd parts of the the right behind the superior mesenteric vessels. This means the an annular pancreas (very rare), do not divide it: mobilize caecum is very close to the duodeno-jejunal flexure, the duodenum enough to make an anastomosis in front of and the base of the mesentery is narrow and the pancreatic ring. Free up the ligament of Aim to make a large (2-3 cm) diamond-shaped side-to-side Treitz, and so straighten the duodenal loop. Do this by manipulating the stomach intraluminal web, cut this out carefully leaving a thin rim contents through into the small bowel. Resect or exteriorize the gangrenous part, and make a spectacles colostomy (11-14). Often there are no other defects, but you should always look for them, especially cardiac anomalies. The sac of an omphalocoele is weak, and easily ruptures or becomes infected, causing peritonitis. Incomplete malrotation where the caecum lies in the right If the umbilical cord appears hollow, a patent vitelline duct hypochondrium, tethered by bands to the right lateral abdominal wall; these may obstruct the duodenum. There may be macroglossia and/or gigantism in <10%, and other serious abnormalities Rarely, the malrotation is reversed so that the transverse associated in the Beckwith-Wiedemann syndrome. There is often short bowel and sometimes viability, place warm sponges over the bowel for 15mins ischaemic loops. You may have been able to make the diagnosis prenatally There is nothing to be gained by fixing the caecum or by ultrasound. If so, have everything prepared before colon in their new positions; this may actually do harm. Occasionally, bowel twists around a remnant of the If the membrane is intact and the viscera are covered, omphalomesenteric (vitelline) duct; divide this and assess delay surgical intervention. If you find a tube (often solid) of duplicated small Clean the sac with an antiseptic, and apply 70% alcohol or bowel, resect both the normal and duplicated segments 1% gentian violet hourly for the 1st 48hrs, and then less do not try to separate them as the blood supply of the often as a crust forms which takes about 3wks. This will then result in a large skin-covered ventral malignant change may result later on. Do not put dry dressings on an intact omphalocoele: you may tear the thin membrane when you change the dressings. If, however, you intend to treat the baby as an out-patient, you will need to apply paraffin gauze covered by large padded dressings to avoid trauma to the thin sac.

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