#C. difficile Awareness
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sgiandubh · 2 years ago
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Sono qui dal 2015, quando Sky ha trasmesso Outlander in Italia . La mia conoscenza allora dei mass media era praticamente zero ma cercavo forsennatamente sul pc notizie della coppia di interpreti, le loro foto fuori dal set . A parte tutte quelle che vengono riproposte periodicamente per ricordarci come era il loro rapporto già dall’inizio , ne ho una incollata nella mente: una foto ,leggermente sfocata, molto probabilmente una spiaggia o comunque una foto all’aperto ,estiva, dove C con un vestitino tipo prendisole, sta davanti ad un buffet e S , dietro di lei, appoggiato a lei , che la tiene abbracciata con la testa sulla sua spalla. Credere a tutte le pagliacciate che sono venute dopo mi è difficile. Ho visto altre foto di lei seduta sulle ginocchia di qualcun’altro oltre Donal, forse ad una festa, un signore di mezza età o poco più . Ero rimasta sorpresa perché non mi sembrava che quella foto coincidesse con l’idea che mi ero fatta di lei .Ma poi ci sono state mostrate altre foto e credo di aver capito che ama il contatto fisico per dimostrare una sua sicurezza e una confidenza amichevole .Ora , come tutti noi, sono cambiati. Non sono i loro corpi ,è l’espressione del loro sguardo, la limpidezza del loro sguardo che era così pieno di aspettative , di speranza e felicità. Sono cresciuti, si amano ma sono guardinghi come cervi nella foresta che sentono rumori sospetti . E di rumori ce ne sono tanti ma io spero che ci siano luoghi dove possano correre liberamente.
Dear Italian Anon,
Non puoi immaginare il piacere immenso che ho provato oggi nel trovare il tuo lungo messaggio durante il camino in taxi dall'aeroporto Venizelos all'ambasciata. E mi scuserai se ti rispondo in inglese, per cortesia verso i nostri amici shipper.
Ma prima di tutto, andiamo con la traduzione del tuo interessantissimo commento:
'I've been around since 2015, when Sky broadcast Outlander in Italy. At that time, my knowledge of media was next to zero, but I was frantically looking on my computer for news about this couple and for BTS pictures. Spare all those that are periodically reposted here to remind us how was their relationship since the very beginning, there is one that is practically glued to my brain. It is a slightly blurry pic, probably taken on a beach, or at any rate a summer, open air photo, where you can see C in a sort of sundress in front of a buffet and S, behind her, leaning on her, holding her in his arms with her head on his shoulder. So it's difficult for me to believe all the nonsense that followed. And I have also seen other pictures of her, sitting on someone's lap (not Donal), maybe at a party or something, a middle-aged gentleman, I think. That particular picture surprised me, because it did not fit with my idea of her. But then more pictures like this one surfaced, and I finally understood that she is very much into touching, because it makes her feel safe and because that is her way to show her friendly trust in someone. Nowadays, like all of us, they have changed. It's not really about their appearance, but rather their gaze, the clarity of their gaze which was so full of expectations, hope and happiness. They matured, they do love each other, but they are now like those deer in the forest, always aware of suspicious noises. And yes, there's so many suspicious noises around them, but I do hope there are places where they can run free.'
I have never seen or heard of that summer dress picture, Anon, and if you happen to have it in your archives or something, per cortesia, send it to me in DM or by Anon link, if you can or if you want. I shall only post it if you don't mind and I think it could make many people sigh, in a good way. As for any lap pic, I only know the (infamous) one with McIdiot, but again - maybe you do happen to have more tea? I'd love to see it, and now my insane curiosity is piqued for good.
I loved your deer metaphor. It instantly made me think of this:
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And I know there are places where they do run free. I know it for a fact, even, no matter how hard some very sad people would like to push some very sad (and ridiculous) stories, that happen to fit other sad (but powerful) people's agenda. And this knowledge is everything I need. And, exactly like you, I only wish the best in the world for These Two - they deserve it.
E ora ti lascio con il mio saluto preferito: Pace e Bene! Sei sempre la benvenuta qui!
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teachingrounds · 1 year ago
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Q. What are the more serious potential adverse effects of short-term use of proton-pump inhibitors (PPIs)?
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A. Be aware of the rare but serious potential for acute interstitial nephritis or Clostridioides difficile infection. Since PPIs are often started in the ICU for stress, we'll include aspiration pneumonia, instead of aspiration pneumonitis, since higher gastric pH allows more bacteria to live in the stomach and potentially wash into the lungs.
Pro-tip: The risk for C. diff increases significantly after 2 weeks on a PPI.
Image: J.S. Choi, MD
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aimarketresearch · 5 days ago
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Difficile-Associated Diarrhea Treatment Market Size, Share, Growth, Trends, Demand and Opportunity Analysis
Executive Summary Difficile-Associated Diarrhea Treatment Market :
 Data Bridge Market Research analyses a growth rate in the global difficile-associated diarrhea market in the forecast period 2023-2030. The expected CAGR of the global difficile-associated diarrhea market tends to be around 12.00% in the mentioned forecast period. The market was valued at USD 2.9 billion in 2022 and would grow to USD 7.18 billion by 2030.
Difficile-Associated Diarrhea Treatment Market analysis report is a professional and a detailed market study focusing on primary and secondary drivers, market share, leading segments, and geographical analysis. This market report is a comprehensive background analysis of the  industry, which includes an assessment of the parental market. The report also aids in prioritizing market goals and attain profitable business. This analysis gives an examination of various segments that are relied upon to witness the quickest development amid the estimate forecast frame. A worldwide Difficile-Associated Diarrhea Treatment Market report consists of most recent market information with which companies can attain in depth analysis of industry and future trends.
Staying informed about the trends and opportunities in the industry is little bit time consuming process. However, Difficile-Associated Diarrhea Treatment Market research report solves this problem very easily and quickly. To prepare the Market report, detailed market analysis is conducted with the inputs from industry experts. The report is structured with the systematic gathering and analysis of information about individuals or organisations conducted through social and opinion research. Moreover, Difficile-Associated Diarrhea Treatment Market report presents delegate overview of the market; identify industry trends, measure brand awareness, potency and insights and offers competitive intelligence.
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Difficile-Associated Diarrhea Treatment Market Overview
**Segments**
- **Type of Treatment**: The market can be segmented based on the type of treatment, which includes antibiotics, probiotics, fecal microbiota transplantation, and others. Antibiotics are the most commonly used treatment for C. difficile-associated diarrhea, targeting the harmful bacteria causing the infection.
- **Distribution Channel**: Another segmentation factor is the distribution channel through which these treatments are made available to patients. This includes hospital pharmacies, retail pharmacies, and online pharmacies. Hospital pharmacies often play a crucial role in providing immediate treatment to patients with severe cases of C. difficile-associated diarrhea.
- **End-User**: The end-user segment of the market comprises hospitals, clinics, ambulatory surgical centers, and others. Hospitals are the primary end-users for the treatment of C. difficile-associated diarrhea, as these facilities are equipped to handle severe cases and provide necessary care to patients.
**Market Players**
- **Merck & Co., Inc.**: Merck & Co., Inc. is a key player in the global C. difficile-associated diarrhea treatment market, offering a range of antibiotics and other pharmaceutical products for the treatment of various infections.
- **Pfizer Inc.**: Pfizer Inc. is another major player in this market, known for its research and development in the field of infectious diseases, including treatments for C. difficile-associated diarrhea.
- **Ferring Pharmaceuticals**: Ferring Pharmaceuticals is actively involved in developing innovative treatment options for C. difficile-associated diarrhea, focusing on improving patient outcomes and reducing the recurrence rates of the infection.
- **Sanofi**: Sanofi is a prominent player in the pharmaceutical industry, with a strong presence in the C. difficile-associated diarrhea treatment market, offering effective solutions for patients suffering from this condition.
The global C. difficile-associated diarrhea treatment market is witnessing significant growth, driven by the increasing prevalence of C. difficile infections worldwide and the rising demand for effective treatment options. Key market players are investing in research and development to introduce advanced therapies and improve patient outcomes. The segmentation based on treatment type, distribution channel, and end-user helps in understanding the market dynamics and catering to the diverse needs of patients. The market is competitive, with leading pharmaceutical companies striving to gain a competitive edge through innovation and strategic collaborations.
The global market for C. difficile-associated diarrhea treatment is projected to experience significant growth in the coming years. This growth can be attributed to several key factors, including the increasing incidence of C. difficile infections globally and the growing need for effective treatment options. As awareness about this condition rises, there is a parallel increase in demand for innovative therapies that can provide better outcomes for patients suffering from C. difficile-associated diarrhea.
One of the driving forces behind the market growth is the focus of key market players on research and development activities. Companies such as Merck & Co., Inc., Pfizer Inc., Ferring Pharmaceuticals, and Sanofi are actively involved in developing advanced treatment options for C. difficile-associated diarrhea. By investing in R&D, these players aim to introduce new and improved therapies that can enhance patient outcomes and reduce the recurrence rates of the infection. This emphasis on innovation and product development is expected to drive market growth and establish a competitive edge for these companies in the global market.
Moreover, the market segmentation based on factors like treatment type, distribution channel, and end-user provides valuable insights into the market dynamics and helps in catering to the diverse needs of patients. By understanding the preferences and requirements of different segments, companies can tailor their strategies and offerings to target specific customer groups effectively. Hospital pharmacies, retail pharmacies, and online pharmacies play a crucial role in making C. difficile-associated diarrhea treatments accessible to patients, highlighting the importance of a well-established distribution network in the market.
Overall, the competitive landscape of the global C. difficile-associated diarrhea treatment market is characterized by intense rivalry among key players striving to gain market share through innovation and strategic collaborations. As the market continues to evolve, we can expect to see new partnerships, product launches, and research breakthroughs that will shape the future of C. difficile treatment. With a focus on improving patient outcomes and addressing the unmet needs in this space, the market is poised for further growth and development in the coming years.The global C. difficile-associated diarrhea treatment market is experiencing significant growth due to various factors, including the rising prevalence of C. difficile infections worldwide and the escalating demand for effective treatment options. As awareness about this condition increases, so does the need for innovative therapies that can deliver better outcomes for patients suffering from C. difficile-associated diarrhea. Key market players such as Merck & Co., Inc., Pfizer Inc., Ferring Pharmaceuticals, and Sanofi are actively engaged in research and development efforts to introduce advanced treatment options to enhance patient outcomes and decrease the recurrence rates of the infection. By focusing on innovation and product development, these companies aim to drive market growth and establish a competitive advantage in the global market.
Additionally, the market segmentation based on treatment type, distribution channel, and end-user provides valuable insights into the market dynamics, enabling companies to tailor their strategies and offerings to meet the diverse needs of patients effectively. Hospital pharmacies, retail pharmacies, and online pharmacies play essential roles in ensuring the accessibility of C. difficile-associated diarrhea treatments to patients, underscoring the significance of a well-established distribution network in the market. This segmentation allows for a deeper understanding of patient preferences and requirements, helping companies address specific customer groups more accurately.
The competitive landscape of the global C. difficile-associated diarrhea treatment market is marked by intense competition among key players vying to gain market share through innovation and strategic collaborations. As the market evolves, we can anticipate new partnerships, product launches, and research breakthroughs that will shape the future of C. difficile treatment. With a strong focus on improving patient outcomes and addressing unmet needs in this space, the market is poised for further growth and development in the forthcoming years. Overall, the global market for C. difficile-associated diarrhea treatment presents lucrative opportunities for companies that invest in research and development to deliver cutting-edge solutions that can make a significant impact on patient care and outcomes.
The Difficile-Associated Diarrhea Treatment Market is highly fragmented, featuring intense competition among both global and regional players striving for market share. To explore how global trends are shaping the future of the top 10 companies in the keyword market.
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What insights readers can gather from the Difficile-Associated Diarrhea Treatment Market report?
Learn the behavior pattern of every Difficile-Associated Diarrhea Treatment Market-product launches, expansions, collaborations and acquisitions in the market currently.
Examine and study the progress outlook of the global Difficile-Associated Diarrhea Treatment Market landscape, which includes, revenue, production & consumption and historical & forecast.
Understand important drivers, restraints, opportunities and trends (DROT Analysis).
Important trends, such as carbon footprint, R&D developments, prototype technologies, and globalization.
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global-research-report · 5 months ago
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In Vitro Diagnostics for Infectious Diseases: A Comprehensive Market Analysis
The global infectious disease in vitro diagnostics market size is expected to reach USD 28.05 billion by 2030, registering a CAGR of 2.4% during the forecast period, according to a new report by Grand View Research, Inc. The rising prevalence of infectious diseases, such as tuberculosis & COVID-19, and technological advancements are projected to drive the product demand in the coming years. The rising prevalence of multi-drug resistant infections is enhancing the early diagnosis of infectious diseases. For instance, MDR infections are highly common in ICU patients, as per the Microbial Drug Resistance Journal in 2021, the prevalence of MDR infections in critically ill SARS-CoV-2 patients ranged between14% and 50%.
The delay in diagnosis and treatment with antibiotics before infection diagnosis is further escalating the prevalence of drug resistant-bacteria, creating a lucrative opportunity for industry growth. The industry is witnessing a significant number of product launches to meet the demands of consumers. For instance, in May 2022, BD introduced its automated diagnostic platform for infectious diseases in the U.S. The system allows the loading of 1700 specimens and the need for specimen sorting is also eliminated, thereby, reducing errors. Products offered by various competitors have been strategically priced to increase competitive rivalry.
However, complexity in buying behavior increases prominently when consumers have to choose between PoC and lab-based tests owing to differences in sensitivity and beliefs. The industry is oligopolistic with companies, such as Hoffmann-La Roche Ltd., Alere, bioMérieux, and BD, holding the majority of the share collectively. The global industry is price-sensitive, creating rigorous competition among players in terms of manufacturing cost-effective and efficient products. Competitive rivalry is estimated to increase during the forecast period owing to the expected launch of novel biomarker kits. Competitors are adopting key strategies, such as product launches and organizing awareness programs, to gain higher market shares.
Infectious Disease In Vitro Diagnostics Market Report Highlights
The reagents product segment held the largest revenue share in 2023 owing to its high-volume usage in testing
The molecular diagnostics segment held the largest share in 2023 owing to an increased number of product launches in the segment and increased adoption due to its high accuracy
By application, the COVID-19 segment dominated the industry in 2023 due to the high expenditure on testing, to reduce the spread of the virus
The central laboratories segment held the highest revenue share in 2023 due to the higher accuracy of laboratory-based tests, which makes them more reliable as compared to PoC and home tests, giving these tests a competitive edge over the other two segments
North America dominated the global industry in 2023 due to its favorable regulatory framework, focus on preventive & early testing, and the higher adoption rate of novel diagnostics in this region.
Infectious Diseases In Vitro Diagnostics Market Segmentation
Grand View Research has segmented the global infectious disease in vitro diagnostics market based on products, technology, application, test location, and region:
Infectious Disease In Vitro Diagnostics (IVD) Product Outlook (Revenue, USD Billion, 2018 - 2030)
Instruments
MRSA
Streptococcus
Clostridium Difficile
VRE
CRE
Respiratory Virus
Candida
TB And Drug-resistant TB
Gastro-intestinal Panel Testing
Chlamydia
Gonorrhea
HPV
HIV
Hepatitis C
Hepatitis B
COVID-19
Others Infectious Disease
Reagents
MRSA
Streptococcus
Clostridium Difficile
VRE
CRE
Respiratory Virus
Candida
TB And Drug-resistant TB
Gastro-intestinal Panel Testing
Chlamydia
Gonorrhea
HPV
HIV
Hepatitis C
Hepatitis B
COVID-19
Others Infectious Disease
Software Services
MRSA
Streptococcus
Clostridium Difficile
VRE
CRE
Respiratory Virus
Candida
TB And Drug-resistant TB
Gastro-intestinal Panel Testing
Chlamydia
Gonorrhea
HPV
HIV
Hepatitis C
Hepatitis B
COVID-19
Others Infectious Disease
Infectious Disease In Vitro Diagnostics (IVD) Technology Outlook (Revenue, USD Billion, 2018 - 2030)
Immunoassay
Molecular Diagnostics
Polymerase Chain Reaction (PCR)
In Situ Hybridization
Isothermal Nucleic Acid Amplification Technology (INAAT)
Chips And Microarrays
Sequencing & NGS
Transcription Mediated Amplification
Others
Microbiology
Others
Infectious Disease In Vitro Diagnostics (IVD) Application Outlook (Revenue, USD Billion, 2018 - 2030)
MRSA
Streptococcus
Clostridium Difficile
VRE
CRE
Respiratory Virus
Candida
TB And Drug-resistant TB
Gastro-intestinal Panel Testing
Chlamydia
Gonorrhea
HPV
HIV
Hepatitis C
Hepatitis B
COVID-19
Others Infectious Disease
Infectious Disease In Vitro Diagnostics (IVD) Test Location Outlook (Revenue, USD Billion, 2018 - 2030)
Point of Care
Central Laboratories
Others
Infectious Disease In Vitro Diagnostics (IVD) Regional Outlook (Revenue, USD Billion, 2018 - 2030)
North America
US
Canada
Europe
UK
Germany
France
Italy
Spain
Denmark
Sweden
Norway
Asia Pacific
Japan
China
India
South Korea
Australia
Thailand
Latin America
Brazil
Mexico
Argentina
Middle East & Africa
South Africa
UAE
Saudi Arabia
Kuwait
Key Players in Infectious Disease In Vitro Diagnostics (IVD) Market
QIAGEN
BD
bioMérieux SA
Hoffmann-La Roche, Ltd.
Hologic, Inc. (Gen-Probe)
Abbott
Quidel Corporation
Siemens Healthineers AG
Bio-Rad Laboratories, Inc.
Danaher
OraSure Technologies, Inc.
Order a free sample PDF of the Infectious Disease In Vitro Diagnostics (IVD) Market Intelligence Study, published by Grand View Research.
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priteshwemarketresearch · 8 months ago
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Surface Disinfectant Market Share, Size, Analysis, Growth, Industry Statistics and Forecast  2033
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Surface Disinfectant Market Outlook
The global surface disinfectant market size is valued at USD 5,140 million in 2022 is anticipated to expand at a CAGR of 7.7% to reach a value of USD 9,300 million in 2033. Improvements in disinfection technologies and the frequency of hospital-acquired infections (HAIs). Procter & Gamble, Ecolab, Reckitt Benckiser, and 3M are important players that are known for their wide range of products and global presence. Hospitals are the biggest end users of disinfectants, with alcohol-based and liquid disinfectants being major categories. The surface disinfectant market is confronted with obstacles, nevertheless, including strict regulations and the negative consequences of chemical disinfectants. Because healthcare costs are rising, emerging markets like South Africa, Brazil, and India offer substantial prospects.
Request Sample PDF Copy:
https://wemarketresearch.com/reports/request-free-sample-pdf/surface-disinfectant-market/74
Surface disinfectant Market Dynamics
Driver: Rising demand for infection control measures to curb hospital-acquired infections
Staphylococcus aureus, Escherichia coli, Klebsiella, and C. difficile are the main organisms that cause HAIs. Direct contact with medical personnel or a polluted environment can spread germs. HAIs are more common as a result of higher hospitalization rates brought on by the aging population and the rise in chronic illness. The need for disinfection and sterilizing products is anticipated to increase as a result.
Petroleum industry byproducts are the main source of raw ingredients used to make surface disinfectants. In the developed economies of China, North America, and Europe, these raw materials are primarily sourced by local producers. The industry has recently noticed a movement in the trend toward the use of biodegradable surface disinfectants to stop the toxicity caused by chemicals. Compared to chemicals, the raw materials needed to make biodegradable surface disinfectants are readily available and less expensive. The demand for bio-based surface disinfectants is therefore anticipated to surpass that of traditional petroleum-based surface disinfectants in the near future.
Surface disinfectant Market Key Companies
3M, Procter & Gamble
Reckitt Benckiser Group PLC
Ecolab, Steris
The Clorox Company
Diversey Holdings LTD.
Cantel Medical
CarrollCLEAN
PAUL HARTMANN AG,Metrex Research
, Whiteley,
Medline Industries, Inc.
GOJO Industries, Inc.
PDI, Inc., Becto, Inc.
GESCO Healthcare Pvt. Ltd.
MEDALKAN
Ruhof, Contec, Inc.
Cetylite, Inc.
Micro-Scientific
LLC,
Pal International
Surface Disinfectant Market Trends
Rise of Eco-Friendly Disinfectants
Improvements in sustainability and efficacy are driving a fast evolution in the Surface disinfectant Market. Manufacturers are concentrating on creating cutting-edge formulas that efficiently eradicate infections and lessen their negative effects on the environment as public awareness of cleanliness standards rises. The emergence of environmentally friendly disinfectants derived from natural components is one noteworthy trend that appeals to businesses and consumers that are health-conscious. These goods frequently have lower toxicity and biodegradable qualities, which meet the rising need for environmentally friendly alternatives. In addition, the use of disinfectants in different contexts is changing due to the incorporation of smart technologies, such as IoT-enabled dispensers and monitoring systems. All things considered, the industry is shifting toward cleaning products that are safer, more effective, and ecologically friendly.
Surface Disinfectant Market Opportunities
Innovative Product Development
Surface disinfectant producers have a great chance to lead the way by creating cutting-edge disinfectants with longer-lasting effects, such as residual disinfectants. There is less need for regular applications because these treatments are made to stay effective on surfaces for long periods of time. This idea is especially appealing to healthcare settings, where infection control and patient safety depend on a sterile atmosphere. Moreover, consumer markets are looking for simpler, more efficient cleaning products that improve household hygiene. Manufacturers can differentiate themselves in a competitive Surface Disinfectant Market and satisfy the increasing need for dependable sanitation goods by concentrating on the development of such advanced disinfectants. This approach takes advantage of consumers' increased awareness of cleanliness to meet their urgent requirements while establishing businesses as pioneers in hygiene innovation.
Customers in England are looking for surface disinfectants that are specifically made to meet their exacting standards and offer a variety of unique performance advantages. Consequently, major producers are creating high-performance multifunctional cleaning solutions that are efficient against a range of bacteria and viruses, such as TB, Hep B/C, MRSA, and Avian Flu (H5N1).
Restraint: Rising number of adverse effects of chemical disinfectants
Most of the chemical disinfectants available today have negative effects. For example, sodium hypochlorite, while an effective treatment for blood-borne diseases, is very corrosive and irritating to the respiratory tract. Cleaning personnel and building occupants should therefore use it with caution since it can destroy a variety of surfaces and be hazardous if released into the environment.
Evolving Regulations
For producers in the surface disinfection sector, the constantly shifting regulatory requirements for disinfectants present a major obstacle. Regulatory agencies regularly update recommendations to guarantee the safety and effectiveness of products, including the European Chemicals Agency (ECHA) in Europe and the Environmental Protection Agency (EPA) in the United States. Because of the ever-changing situation, producers must stay up to date on new rules, carry out extensive testing, and adjust formulations as necessary to ensure compliance. Continuous adaptation is necessary, which raises operating expenses and delays the release of new items. Businesses are working hard to satisfy these changing requirements, but there is a chance that they won't, which could complicate their market position and strategy further by resulting in fines, product recalls, and reputational harm.
Conclusion
The surface disinfectant market is poised for significant growth driven by increasing awareness of hygiene, the ongoing impacts of global health crises, and regulatory support for effective cleaning solutions. As consumers and businesses alike prioritize health and safety, innovation in formulations and sustainable practices will be key. The rise of eco-friendly products and advanced technologies, such as antimicrobial coatings, will shape the future landscape of the Surface Disinfectant Market. Overall, the emphasis on cleanliness across various sectors, from healthcare to hospitality, underscores the critical role of surface disinfectants in maintaining public health and confidence. As we move forward, stakeholders must adapt to evolving consumer preferences and regulatory standards to thrive in this dynamic environment.
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nremtbuddy · 1 year ago
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Assessments explained - Putting it all together
Scene size-up
BSI (Body Substance Isolation) / PPE (Personal Protective Equipment):
·         Gloves should be worn on every call
·         Masks should be considered for all patients with respiratory compromise, those who are coughing, and those with infectious illnesses.
·         Consider goggles when suctioning, childbirth, droplet precautions, etc.
·         Consider a gown when tending to patients with droplet precautions, MRSA with open wounds, clostridium difficile (c. diff), any patient in active labor, or any call in which body fluid exposure is possible
·         Traffic vests should be worn on all motor vehicle calls
Scene safety considerations:
·         Maintain crowd control during public events
·         Police should be present on any calls involving potential/known violence
·         Police should be present on any calls involving potential/known intoxication or overdoses
·         Fire department and police should be present on all traffic accidents
·         Reflective traffic vests should be worn on all calls involving public roads, no matter the time of day
·         Take extra precaution during events involving severe weather
·         Assure any animals on scene are secured in another location
·         Follow all site protocols when responding to construction/warehouse incidents.
·         HAZMAT should be present during incidents involving chemical exposures
Nature of illness/mechanism of injury (NOI/MOI): What you have been dispatched for. Examples include chest pain, traffic crash, breathing problem, general illness, fall, etc.
Number of patients: The total number of patients present on scene. Consider calling for extra resources when dealing with more than one patient. If you are the first to respond to a mass casualty incident, begin triaging the patients involved.
Additional resources: Call for additional resources when dealing with any incident involving scene safety hazards. Request a lift assist from dispatch when dealing with patients in difficult positions / those that are too heavy for you to safely lift on your own.
C-spine precautions: Stabilize your patient’s cervical spine during any incidents involving potential spinal compromise. Examples include motor vehicle collisions, falls in which there was a loss of consciousness or injuries to the head/neck/back, and with any patients who are unconscious from an unknown origin. Be sure to palpate the back of the cervical spine (looking for any deformities/instability/step-off) prior to applying a cervical collar.
Primary survey
General impression: Is your patient sick or not sick, injured or not injured. How is your patient presenting; what position they were found in, are they in obvious distress, what is the patient’s current affect or mood?
Level of consciousness / AVPU (Alert, Verbal, Pain, Unconscious):
·         Alert: Is your patient immediately aware of your presence upon arrival? If so, your patient is Alert.  When you have a patient who is alert, you must establish a level of orientation. This is done by asking 4 objective questions that most people would reasonably be expected to answer correctly. Examples include who is the current president, what is the current year or month, the city in which the patient currently is, what has happened, how many quarters make a dollar, who a family member present on scene is, etc. Avoid asking questions involving color identification as some patients may be color blind. As well, avoid asking your patient what the current date is. If your patient is able to answer all four questions correctly, they are alert and oriented x 4. This is written out A&Ox4. If your patient is only able to answer 3 questions correctly, they are A&Ox3, and so on. If your patient is unable to answer any questions correctly, they are A&Ox0, or alert and disoriented.
·         Verbal: If your patient is not immediately aware of your presence upon arrival, attempt speaking to them to attract their attention. If they respond to your presence when you speak, they are alert to Verbal stimulation.
·         Pain: If your patient does not respond to your presence when you speak, attempt to gain their attention by squeezing the trapezius muscle or apply firm pressure to the patient’s fingernail with a pen. If your patient responds to pain, they are alert to Painful stimulation.
·         Unconscious: If your patient does not respond to any verbal or painful stimuli, they are Unconscious.
Chief complaint / apparent life threats: The chief complaint differs from the MOI/NOI as this is the complaint that the patient verbalizes to you, as opposed to dispatch’s call nature of illness/mechanism of injury. For example, you are dispatched for chest pain. Upon arrival, the patient states that they are experiencing a burning sensation in their chest. The nature of illness would be chest pain, whereas the chief complaint would be a burning sensation in the chest.
Airway, breathing, and circulation: life threats
Airway: Does your patient have a patent airway? How do you know? Are they snoring/gurgling/apneic, or speaking to you in full and complete sentences?
·         If you have an airway compromise, first try to reposition the head. With no suspected spinal injury, this would be done with a head-tilt, chin-lift. With a suspected spinal injury, this would be done with a jaw thrust maneuver.
·         Look in the mouth for any visible airway obstructions. For a partial obstruction, encourage your patient to keep coughing. With a full airway obstruction, perform abdominal thrusts and prepare to begin CPR.
·         If you hear your patient gurgling, look in the mouth for fluids and prepare to suction.
·         If you hear your patient snoring, reposition the head and consider an airway adjunct.
·         Consider an adjunct to maintain a patent airway. Examples include oropharyngeal airways (OPA), nasopharyngeal airways (NPA), or a supraglottic airway (King, LMA, iGel, Combitube, etc)
Breathing: Asses your patient’s breathing. Are they breathing adequately to sustain life? Do you need to provide rescue ventilations?
·         If your patient is breathing at an inappropriate rate or depth, consider providing rescue ventilations with a bag valve mask (BVM)
·         Attempt to coach patients that are hyperventilating due to stress or anxiety back into a normal breathing rate.
·         Consider CPAP for CHF or COPD patients with breathing difficulties, ONLY if they are conscious and able to follow directions while also maintaining their own airway.  
Oxygenation: Place a pulse oximeter on the patient’s finger to record an SpO2 reading. Remember: if the patient has fake nails or nail polish, turn the pulse oximeter sideways on the patient’s finger.
·         If your pulse oximeter reads above 94%, your patient does not need supplemental oxygen
·         If you pulse oximeter reads 90-93%, your patient requires low flow oxygen. This is provided with a nasal cannula (NC) at a rate of 2-6 liters per minute (LPM)
·         If your pulse oximeter reads <90%, your patient requires high flow oxygen. This is provided with a non-rebreather mask (NRB) at a rate of 10-15 LPM
*Please note the difference between oxygenation and ventilation: the need for oxygenation is shown in the patient’s skin condition/perfusion and SpO2 reading. The need for ventilation is shown in the patient’s breathing rate and depth. If oxygen levels are low but the patient has an appropriate rate and depth of breathing, they ONLY require supplemental oxygen. If the patient’s oxygen levels are low and they are breathing at an inappropriate rate and depth, they require manual ventilation with a bag valve mask at 25 LPM*
*You must have an open airway to be able to appropriately breathe. You must be able to appropriately breathe to have adequate oxygenation. You must have good oxygenation to have adequate perfusion*
Circulation: How is the patient’s perfusion? Are there any exsanguinating bleeds? Remember, when dealing in trauma with significant bleeds, the ABCs should be performed as CAB.
·         Asses your patients pulse rate. If they are a conscious adult, assess the radial pulse. For an unconscious adult, assess the carotid pulse. In infants, assess the brachial pulse. How does the pulse feel? Is it fast/slow/bounding/weak? Describe the pulse.
·         Asses the patient’s skin condition. Determine the temperature, color, condition, and capillary refill time. Normal, healthy skin should be pink, warm, dry, and have a capillary refill of less than 2 seconds. If the skin is pale, cool, and clammy with an extended capillary refill time, prepare to treat for shock.
·         Find and control any major bleeding. Do a full body blood sweep to locate any unseen bleeds. For any bleed found, immediately apply direct pressure. If direct pressure fails to control the bleed, apply more gauze pads and harder pressure. If this doesn’t work, consider packing the wound or applying a tourniquet.
·         Shock treatment includes applying high flow oxygen via a NRB, laying the patient supine, and maintaining their body heat with a blanket.  
Determine patient priority and transport decision: If the patient has any compromise involving their ABC’s, they are a high priority and must be transported as soon as the life threat has been controlled. If the patient does not have any immediate life threats, you are able to stay on scene and stabilize any further issues as you find them. Remember to spend as little time on scene as possible.
*Vital signs should be performed as soon as is appropriate during your assessment. Vital signs include blood pressure, pulse rate, breathing rate, blood glucose level, and temperature. *
History taking and differential diagnoses
During your secondary assessment, you will begin establishing a patient history. There are two acronyms to help you remember the information to obtain: SAMPLE and OPQRST. SAMPLE questions are focused towards establishing your patient’s medical history and events leading up to the emergency at hand. OPQRST questions are focused on your patient’s current signs, symptoms, and pain level. These questions can help you begin to form a differential diagnosis regarding your patient’s current condition. A differential diagnosis is a working hypothesis of the nature of the current problem. (AMLS, NAEMT.)
SAMPLE will be used in both medical and trauma scenarios, whereas OPQRST only applies to medical scenarios.
SAMPLE
S: Signs and symptoms. Signs are objective- they are what you can see. Symptoms are subjective- they are what your patient is feeling. For example, you arrive on scene for an abdominal pain emergency. Your patient is in the fetal position (a sign) and states that they are having extreme lower abdominal pain (a symptom.)
A: Allergies. Establish if your patient has any medication or environmental allergies. Be sure to ask your patient what occurs when they encounter their specific allergens- do they go into anaphylaxis or is it a simple allergic reaction? Allergy information will help you add to your differential diagnosis. For example, you are tending to a patient with a history of asthma and seasonal allergies. It is the springtime, and your patient has been working outside in their garden for several hours and is now experiencing shortness of breath with wheezing. One could reasonably assume the cause of the current distress is an asthma attack due to prolonged allergen exposure.
M: Medications. Establish what medications your patient currently takes. As well as asking what the patient takes, you will need to know whether they take their medications when they should. This is called medication compliance. You will also need to establish if any of their medications have been recently prescribed, as a new medication may cause unfamiliar side effects for the patient. If you don’t know what a certain medication is, ask the patient what they take it for.
P: Pertinent medical history. Establish your patient’s medical history that could potentially relate to the problem at hand. For example, if your patient is currently experiencing chest pain, it is pertinent to ask about any cardiac or respiratory history. As well, if your patient is experiencing altered mental status, it is pertinent to ask about a history of diabetes, stroke, or behavioral issues. It would not, however, be pertinent to ask about any behavioral issues with a patient experiencing chest pain. It is also pertinent to ask about any recent hospital stays or surgeries.
L: Last oral intake. This refers to the last thing the patient ingested. This includes food, drink, drugs, alcohol, and prescription medications. It is always pertinent to ask when the patient last ate, and whether they have been keeping hydrated. This is especially important for patients experiencing a diabetic crisis. With patients who have recently ingested drugs or alcohol, it is important to ask what, when, and the amount of drugs or alcohol ingested.
E: Events leading up. Establish the conditions in which the patient was in when their current problem began. For example, before the patient began experiencing chest pain, were they exerting themselves? Before having a seizure, was the patient exposed to any bright, flashing lights? You are attempting to establish the potential causes of the patient’s current problem.
OPQRST
O: Onset. Ask your patient when their current symptoms began. What were the conditions surrounding the beginning of this issue? Did it come on suddenly or gradually?
P: Provocation / Palliation. Does anything make the problem worse? (Provocation.) Does anything help to alleviate symptoms of the problem? (Palliation.) These could refer to body positions, medications, activities, temperature therapy, etc. For example, some patients with respiratory difficulties may find it difficult to exert themselves (provocation) and may find leaning forward in a tripod position helps them to breathe more effectively (palliation.)
Q: Quality. Ask the patient to describe to you how their pain feels. Some frequently used descriptors include sharp, dull, stabbing, burning, crushing, throbbing, nauseating, shooting, twisting, and stretching. Remember to ask this as an open-ended question. Document how the patient describes their pain in quotation marks. For example, if your patient is experiencing chest pain, ask, “What does the pain in your chest feel like?” If your patient says, “It feels like something is crushing the center of my chest,” you would document the patient’s quality of pain as “feeling like something is crushing the center of [their] chest.”
R: Radiation. This refers to the localization or distribution of the patient’s pain. In the example above, your patient states that they have crushing pain in the center of their chest. It is pertinent to ask whether the pain stays localized to the center of their chest, or if it moves (radiates) to a different location. Remember that some conditions cause referred pain to another part of the body. This is when the pain is perceived in a location other than the site of the painful stimulus/origin. For example, the spleen is in the upper left side of the abdomen, next to the stomach and behind the left ribs. However, pain from a ruptured spleen can be felt in the left shoulder (Kehr’s sign.)  
S: Severity. Ask your patient to rate the pain on a scale of 1-10. A rating of 1 would be minimal pain that is hardly noticeable, whereas a 10 would be pain that is so severe the patient is unable to move; the worst pain they have ever felt in their life. This scale can also be applied to breathing difficulties. A rating of 1 would indicate mild breathing difficulty, whereas a 10 would indicate severe, life-threatening breathing difficulty. To assess a pediatric patient’s pain level, use the Wong-Baker Faces Pain Rating Scale.
T: Time. Establish a timeline of your patient’s current problem, beginning at the onset of their symptoms to when they called 911, then from when they called 911 to your arrival on scene. Determine if they called 911 at the start of their symptoms, or if they called 911 when their symptoms began getting progressively worse/did not improve after a reasonably expected amount of time. Ask your patient whether they have had or were hospitalized for this problem before, and how this current instance compares to the previous.
Clarifying questions: Clarifying questions are questions not listed in your OPQRST or SAMPLE that you feel could be beneficial for your patient care and documentation, or potentially add to your differential diagnosis.
*Remember to ask these questions in plain language and avoid using medical terminology. *
Assessment of body systems
To help further your differential diagnosis, it is imperative to continue your assessment through secondary exams. These can be accomplished by assessing and testing body systems. Consider testing multiple body systems, as many illnesses may have secondary problems that do not present themselves in your primary assessment.
Cardiac:
·         Asses your patient’s radial pulses. Does the pulse feel regularly regular, irregularly regular, irregularly irregular? Do the pulses feel the same in both arms?
·         Run a 12 lead EKG on your patient. At the BLS level, you will not be able to interpret the heart rhythm, but it will be helpful for the hospital to compare to their testing upon arrival.
·         Listen to lung sounds, as many cardiac issues relate to the pulmonary system as well.
Pulmonary:
·         Auscultate your patient’s lungs. Do you hear any adventitious breath sounds? In which lobes did you hear adventitious sounds?
·         Utilize capnography to assess your patient’s end-tidal carbon dioxide or ETCO2 (the amount of carbon dioxide exhaled with each respiration)
Endocrine:
·        Establish if the patient has any pre-existing endocrine disorders such as diabetes, Addison's disease, Cushing's disease, hyper/hypothyroidism, etc.
·         Take your patient's blood sugar
·        Ask the patient about any recent changes in mood, energy levels, appetite, thirst, weight gain/loss, and mental clarity
Integumentary:
·         Take your patient’s temperature. A tympanic thermometer is preferred in adult patients. An axillary temperature measurement will be the least accurate.
·         Asses your patient’s skin for urticaria (hives), unusual bruising, abnormal lumps or bumps, or injuries in different stages of healing.
Gastrointestinal:
·         Ask your patient if they have been experiencing nausea, vomiting, diarrhea, constipation, or unusual bowel movements.
·         In the case of diarrhea or vomiting, ask the patient to describe the color and consistency of the excrement or vomit.
·         Palpate all four quadrants of the abdomen separately. If your patient is experiencing pain in one abdominal quadrant, end your palpation at the affected quadrant.
Genitourinary:
·         Ask your patient about their urine output. With infants, ask the parent or guardian the number of wet diapers the infant has gone through since the start of the issue.
·         Ask your patient if they are experiencing any pain or burning when urinating.
·         Ask your patient if they have experienced any abnormal discharge.
·         Ask your patients if there is any possibility that they could be pregnant and when their last menstrual cycle was.
·         If the patient is pregnant, ask about any prenatal care, complications with the current or previous pregnancies, current trimester, and due date.
·         You will need to establish the number of times your patient has been pregnant before, whether the pregnancy was carried to term. The number of pregnancies is referred to gravidity.
·         You will need to establish the number of births of a fetus at >24 weeks, whether it was a live birth or stillborn. This is referred to as parity.
·         For example, a pregnant patient with three children would be documented as G4P3
Musculoskeletal:
·         Assess any affected body parts for DCAP-BTLS.
·         Assess the movement and sensation in the affected body parts.
Neurological
·         Assess your patient's mental status (LOC, AVPU, A&O)
·         Perform a stroke assessment (Cincinnati, VAN, BEFAST)
·        Check the patient's pupils for inappropriate constriction/dilation.
·         If any friends or family are present on scene, ask them how the patient's current mental status compares to their baseline mental status.
·         Note the patient's balance, gait, and coordination
·         Consider cranial nerve assessments (have the patient follow a pen with just their eyes, raise eyebrows, puff cheeks, etc)
Psychiatric:
·         First and foremost, ensure that your patient is non-violent or has been securely restrained prior to establishing patient contact.
·         Ask your patient whether they are seeing/hearing/feeling anything that others are not.
·         Ask your patients if they have any intention of hurting themselves or others.
Full body assessment (DCAP-BTLS)
In traumatic situations, a full body assessment should be performed to locate any secondary injuries. Each area of the body should be individually assessed as such for for Deformities, Contusions, Abrasions, Punctures/Penetrations, Burns, Tenderness, Lacerations, and Swelling (DCAP-BTLS)
Head
Scalp: Examine for any bleeding or DCAP-BTLS by palpating the skull
Ears: Look inside the ear for any blood or CSF, behind the ears for     Battle’s signs, palpate the mastoid process
Eyes: Palpate the orbital bones, look for raccoon eyes, determine     pupil size and reaction with pen light
Facial areas: Palpate the mandible and maxilla
Oral: Look inside the mouth for any fluids or foreign objects
Nasal: Palpate the bridge of the nose and look inside for any fluid     or foreign objects
Neck
Posterior: Palpate cervical spine for step-off
Anterior: Look for tracheal deviation 
Lateral: Look for jugular vein distention 
*Make sure to palpate the cervical spine prior to applying a c-collar *
Chest
Inspect: Look for flail chest, sucking chest wounds, unequal respirations,  etc.
Palpate: Clavicles, shoulders, sternum, ribs 
Auscultate: Lung sounds
Abdomen
Palpate: All four quadrants separately using your flat palm in a rolling motion
Inspect: Do you note any pulsating masses/rebound tenderness/swelling
Pelvis
Palpate: Push inwards then downwards, noting any instability *If     you feel any instability when you push inwards, DO NOT PUSH DOWN*
Genitalia
Verbalize: Visualize the injury. When possible, try to only touch sensitive areas with the back of your hands.
Extremities
Palpate: Palpate the entire extremity from most proximal joints downwards. Use a cup-like motion with your hands to feel both the anterior and posterior sides.
Pulse: Radial/dorsalis pedis/posterior tibial
Motion: Test your patient’s ability to squeeze, push, pull, or wiggle fingers/toes
Sensation: Can the patient feel and differentiate between which hand/foot is being touched
Posterior
Palpate: The posterior spine looking for step-off, instabilities, or     deformities
*Make     sure to palpate the spine prior to rolling a patient onto a backboard*
Treatments
 Document any treatments or therapies used during your patient care. Examples include medications, repositioning, temperature therapy, supplemental oxygenation, manual ventilations, or anything else you did to improve your patient’s condition and what effect your therapies had.
Radio report: 
Prior to your arrival, you will need to perform a radio report to the receiving hospital. This report should contain the only following information and be limited to approximately 30-45 seconds.
·         Your unit number and level of care (ALS or BLS)
·         Your patient’s age and gender
·         Chief complaint / mechanism of injury
·         Pertinent findings
·         Mental status and vital signs
·         Treatments performed and patient responses
·         Your ETA
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cdifffoundation · 4 years ago
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A Global Stroll In the Park To Raise C. diff. Awareness On September 25th
A Global Stroll In the Park To Raise C. diff. Awareness On September 25th
Join Us For a Stroll In the Park on September 25th In-Person, and On-Line To Raise C. diff. Awareness Around the Globe!         September 25th is right around the corner and we are so excited to have this opportunity to walk together either in-person at the following park locations: Sims Park, New Port Richey, FL Milton A. Votee Park, Teaneck, NJ  Brown Street Park Complex, Spring City,…
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ichaserabbits · 2 years ago
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I'm looking for a nice bowtie for my partner for a wedding we're going to and I found a site selling a lot of bow ties including a series to bring awareness to different infectious diseases by making patterns out of the virus models. They have them listed by disease so I'm just scrolling through and seeing "Gonorrhea Necktie", "Zika Virus Necktie", "C. Difficile Necktie". This is so fucking funny to me and I don't know why.
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wildesfancyfrock · 3 years ago
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Tag game time! I was tagged by @phoenixphire24 and didn’t realize it until just now. i’m so sorry i’ve been head empty
10 people to tag but it’s 3 because I can’t think of anyone else that i’ve gotten to know well enough to not feel bad in tagging them & you 3 regularly deal with my gay ass on discord: @pettywithanr @that-common-rue @fancy--that
Let’s begin!
relationship status: taken. o: been together for 3 years & m: been dating since March
favourite colour: green, blue, yellow.
favourite food: macaroni and cheese or cherry cheesecake.
song stuck in head: Oscar Wilde by Company of Thieves & Bones in the Ocean by the Longest Johns & Ahead by a Century by The Tragically Hip.
last thing googled: 6 pm British standard time
dream travel destination: Ireland. I’m supposed to go for my 21st birthday, because it’s on Saint-Patrick’s Day.
last book read/currently reading: The Importqnce of Being Earnest by Oscar Wilde.
last book enjoyed: America’s First Daughter by Laura Kaye & Stephanie Dray.
last book hated: Three Day Road by Joseph Boyden.
favourite thing to cook/bake: Tarte à Sucre, grandmaman’s recipe.
most niche dislike: the fuckin’ way people in québec say “hot dog” instead of ���chien chaud” tabarnak, c pas si difficile.
opinion on the circus: heavily dislike clowns. my mother & the 2016 clown apocalypse have instilled the fear in me.
sense of direction: absolutely terrible. i get lost incredibly because i have terrible spatial awareness & sense of direction as well as ADHD lol
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mysticalfungalaxy · 2 years ago
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Clostridium Diagnostics Market in the US is anticipated to secure a market value worth US$ 2.7 Billion by 2032 | FMI
The global Clostridium Diagnostics Market is expected to grow at a CAGR of 12.2% during the forecast period, from US$ 2.5 billion in 2022 to US$ 7.8 billion by 2032. The market grew at a CAGR of 13.6% between 2015 and 2021. The rising prevalence of clostridium-related diseases, as well as increased campaigns to educate people about the condition, are driving the market growth.
To learn more about this report @ https://www.futuremarketinsights.com/reports/clostridium-diagnostics-market
here has been an increased focus of players in the market to offer vaccines, which can augment the market size in the forecast period. For instance, in March 2022, Japan launched a new center, with a budget of US$ 1.6 Billion, to support vaccine and drug projects as a part of a larger scheme to tackle infectious diseases. SCARDA will be in charge of establishing a flagship R&D site for innovative collaborations and controlling funds for R&D projects.
Awareness campaigns are expected to play important role in driving the market during the forecast period. For instance, the ‘See C. diff’ campaign, launched by Peggy Lillis Foundation in December 2020, attained its objective by reaching more than 250,000 Americans. The organization launched the ‘See C. diff’ to commemorate C.diff Awareness Month in 2019, and reached about 80,000 people.
The launch of new vaccines in the market is another vital factor driving the market during the forecast period. For instance, in August 2021, Huvepharma Canada Corporation Inc. launched a new vaccine that has been shown to be effective against necrotic enteritis (NE) due to Clostridium perfringens type A in broiler chickens.
Clostridium is a genus of bacteria that includes many different species, some of which can cause serious infections in humans, such as tetanus, botulism, and gas gangrene. The Clostridium Testing infections is typically made based on clinical symptoms, laboratory tests, and imaging studies.
Key Takeaways from the Market Study:
The immunoassays technology is expected to dominate the global clostridium diagnostics market at a CAGR of 11.6% during 2022-2032
The clostridium diagnostics market in the U.S is anticipated to display a CAGR of 11.8% during the forecast period
The U.K clostridium diagnostics market is predicted to hold a market value worth US$ 330 Million by 2032
The Japanese clostridium diagnostics market is estimated at a CAGR of 11.1% during the forecast period.
“Growing launch of new vaccines by various players of the market along with the increasing popularity of awareness campaigns as a useful tool for market growth is expected to play a significant role in driving the market during the forecast period,” says an FMI analyst.
Competition Analysis
Abbott Laboratories
F. Hoffmann La-Roche AG
Siemens AG
Becton, Dickinson & Company
Beckman Coulter Inc.
Sysmex India Pvt. Ltd.
Thermo Fisher Scientific Inc.
Fujirebio US Inc.
BioMerieux S.A
Diazyme Laboratories Inc.
Key Segments Profiled In The Global Clostridium Diagnostics Market
Clostridium Diagnostics Market by Technology:
Immunoassays-based Clostridium Diagnostics
Molecular Clostridium Diagnostics
Clostridium Diagnostics Market by End User:
Clostridium Diagnostics in Hospitals
Clostridium Diagnostics in Government Diagnostics Laboratories
Clostridium Diagnostics in Independent Laboratories
Clostridium Diagnostics Market by Product:
Clostridium Difficile Diagnostics
Clostridium Perfringens Diagnostics
Clostridium Botulinum Diagnostics
Clostridium Tetani Diagnostics
Clostridium Sordell Diagnostics
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aadicura · 2 years ago
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What happens if you overuse Antibiotics?
What happens if you overuse Antibiotics?
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In order to treat infections, antibiotics are cornerstone therapy. You or a loved one may have an infection that can be treated with an antibiotic, according to your medical team. One of the most commonly prescribed drugs are Antibiotics in medical practice. However, as per studies approximately 50% of all the antibiotics prescribed for people are not needed nor as effective as hoped.
Not all infections should be treated with antibiotics. Antibiotics may be beneficial in treating illnesses brought on by bacteria (germs), but they are ineffective in treating infections brought on by viruses or fungi. Antibiotics can have side effects like all medications, thus they should only be used when absolutely required. It may even be hazardous to take an antibiotic when you don’t need one. So, Antibiotics are considered the keystone of modern medicine, but their excessive use continues to generate unwanted side effects.
When we overuse or inappropriately use antibiotics, they help teach good bacteria to go bad & gives bacteria a chance to adapt. When this occurs, the antibiotics effectiveness in treating the infection is reduced since the bacteria are “resistant” to them. One of the most significant factors that has contributed to the majority of the antibiotic resistance is the misuse of antibiotics.
People get serious infections with resistant bacteria that are resistant to one or more of the antibiotics & leads to high mortality because of that infection.
Antibiotics can have side effects including allergic reactions & may also interfere with other drugs you may be taking.
Antibiotics can upset your sensitive gut flora that can cause possibly life-threatening diarrhoea by bacteria (germ) Clostridium difficile (C. diff).
Almost one in five trips to the emergency room are brought on by antibiotic side effects.They are the most common cause of emergency department visits for children under 18 years of age.
Antibiotics are helping drive up drugs and hospital costs of a patient’s bill.
How to fix the overuse of antibiotics?
In order to fix an event of antibiotic over-usage we advise you to contact a best hospital in Vadodara for medicine over usage who can promptly deal with the such condition.
Antibiotic resistance & economic burden are the main issues because of misuse and overuse of antibiotics. Following are some steps & measures by which we can control misuse & overuse of antibiotics
Educating healthcare providers & common people about antibiotics.
Use antibiotics only as directed by a licensed healthcare provider.
If a medical professional advises you don’t need antibiotics, it’s always safe to follow the advice.
Always heed the advice of your healthcare provider when using antibiotics.
Never share or use leftover antibiotics.
By regularly washing hands, preparing food hygienically, avoiding close contact with sick people, practicing safer sex, and keeping vaccinations up to date, infections can be prevented effectively.
Treat only bacterial infections. Majority common colds are because of viral infection
Seek advice and ask questions to your physician when you feel you got an infection!
Never use another person’s prescription
Should have antibiotics policy for infection control & treatment in each hospital
All hospital must have to follow antibiotic stewardship program
Improve surveillance of antibiotic-resistant infections.
The ill effects of antibiotic misuse should be made more aware to the people.
Disposal of quality medicines should be regulated appropriately.
How many days of antibiotics are too much?
Aadicura Hospital & it’s critical care department in Vadodara which deals with such cases on a regular basis. In case of an antibiotic over usage , contact the hospital at the earliest.
More antibiotics being prescribed results in increased selective pressure, which fuels resistance. Thus, we must use fewer antibiotics in order to reduce resistance. It is difficult and potentially dangerous for providers not to prescribe antibiotics at all, but it should be always not to prescribe antibiotics for too long.
According to these researchers, the body’s community of beneficial bacteria suffers more collateral damage the longer antibiotics are used. This, in turn, gives resistant bacteria strains, which are always present in small amounts in the human body, room to thrive and share their defences with other pathogens, eventually giving rise to the superbug strains of bacteria.
Not surprisingly, more than two thirds of patients received antibiotic courses that exceeded necessary durations, Most of the excess was caused by overly long courses of oral step-down therapy and in addition to the parenteral therapy that had already been administered. Longer antibiotic treatment regimens did not increase patient survival, lower readmission rates, or reduce the number of emergency room visits.
Thus, longer was not better. Additionally, individuals who got longer courses experienced noticeably more negative side effects. In fact, for every extra day of antibiotic medication, the probability of a negative outcome rose alarmingly by 5%. Still, the optimal duration of antibiotic therapy is not fit for all…! Duration of antibiotic therapy generally individual based & as per underlying disease & infection source.
Routinely 5–7 days of antibiotic course for community acquired pneumonia is enough, no need to continue for 14–15 days. But still it’s a case to case based decision about duration of antibiotic therapy that will be decided by a primary qualified treating physician. Longer course of therapy may be required in some of diseases like ventilator associated pneumonia, chronic UTI with pyelonephritis, deep seated intra-abdominal infection, meningitis, osteomyelitis etc.
Some of the points to decide about duration of antibiotic therapy are as follows:
Underlying disease recovery & general condition of patient
Site of infection
Whether the source of infection controlled or not
Documented causative organism of infection
Underlying Risk factors (age, pre-existing dis., immuno-compromised status. Etc.)
Choice of initial Empirical antibiotic therapy
Do antibiotics weaken your immune system?
The immune system is the body’s defence mechanism that protects the body from invasive bacteria, viruses, and other pathogens. While the white blood cells fight the infection, the T cells destroy the infected cells, and the B cells produce antigen-specific immunoglobulin. But, at times, the natural defence system of the body cannot fight the infection alone.
So Antibiotics are then administered in the body. These support the immune system to fight the infection, in two ways, they either kill the bacteria directly or prevent them from reproducing. But Antibiotics are not effective against viral infections like the common cold or flu.
Very rarely, antibiotic treatment will cause a drop in the blood count, including the numbers of white cells that fight infection. So antibiotics do not directly interfere with the immune system, unnecessary antibiotic usage can stop the immune system from working to its full potential. In fact, antibiotics can also compromise the immune system of the body.
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databridgemarket456 · 3 years ago
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Global Clostridium Difficile Infection Drugs Market - Industry Trends and Forecast to 2028
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Clostridium difficile infection drugs market is expected to gain market growth in the forecast period of 2021 to 2028. Data Bridge Market Research analyses the market is growing at a healthy CAGR in the above-mentioned research forecast period. Rising prevalence of clostridium difficile Infections worldwide and emerging markets are the factors responsible for the growth of this market.
An international CLOSTRIDIUM DIFFICILE INFECTION DRUGS market research report delivers widespread analysis of the market structure along with the estimations of the various segments and sub-segments of the market. This industry report also contains detailed profiles of market’s major manufacturers and importers who are dominating the market. Furthermore, the statistical and numerical data such as facts and figures are represented very precisely in the market report by using charts, tables, or graphs. The transformation in market landscape is mainly observed due to the moves of key players or brands which include developments, product launches, joint ventures, mergers, and acquisitions that in turn change the view of the global face of the industry. Business intelligence is an essential aspect when it comes to accomplish thorough and wide-ranging market insights and the same is applied for building CLOSTRIDIUM DIFFICILE INFECTION DRUGS market research report. Commitment, quality, dedication, and transparency in the research report are all followed throughout to give the best service to the clients. Not to mention, this report delivers an in-depth study with respect to present and upcoming opportunities which shed light on the future investment in the market. So, to achieve competitive advantage and to thrive in the market, go for the comprehensive CLOSTRIDIUM DIFFICILE INFECTION DRUGS market report.
Global Clostridium Difficile Infection Drugs Market Scope and Market Size
The clostridium difficile infection drugs market is segmented on the basis of drugs, route of administration, end-users and distribution channel. The growth among segments helps you analyse niche pockets of growth and strategies to approach the market and determine your core application areas and the difference in your target markets.
On the basis of drugs, the clostridium difficile infection drugs market is segmented into metronidazole, vancomycin, fidaxomicin, metronidazole, probiotics and others.
On the basis of route of administration, the clostridium difficile infection drugs market is segmented into oral, parenteral and others.
On the basis of end-users, the clostridium difficile infection drugs market is segmented into hospitals, specialty clinics and others.
On the basis of distribution channel, the clostridium difficile infection drugs market has also been segmented into hospital pharmacy, retail pharmacy, online pharmacy and others.
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Market Analysis and Insights: Global Clostridium Difficile Infection Drugs Market
Clostridium difficile infection drugs market is expected to gain market growth in the forecast period of 2021 to 2028. Data Bridge Market Research analyses the market is growing at a healthy CAGR in the above-mentioned research forecast period. Rising prevalence of clostridium difficile Infections worldwide and emerging markets are the factors responsible for the growth of this market.
Growing cases of diarrhea and nosocomial diseases drive the clostridium difficile infections market due to environmental pollution, unhygienic conditions and consumption of processed meat which causes C. difficile infection also boosts up the clostridium difficile infections market growth. However, novel antibiotics positioned to reduce the incidence rate of disease recurrence relative to standard care and advanced microbiological technology for the diagnosis will boost up the global clostridium difficile infections market. But lack of patient awareness may hamper the global clostridium difficile infections market. 
Clostridium difficile also known as clostridioides difficile and usually referred to as C. difficile or C. diff. Clostridium difficile is a gram-positive, fastidiously anaerobic bacillus that can cause symptoms to range from mild to severe diarrhea to life-threatening inflammation of the colon. The main causes of Clostridium difficile are unhygienic environmental conditions because it is found in soil, water, human and animal stools, processed meat and food products. Spores of Clostridium difficile are passed in feces and spread to food; surface and object, when anybody touches the infected object unknowingly swallow the bacteria. The symptoms of watery diarrhea, mild abdominal cramping and tenderness, rapid heart rate, nausea, dehydration, swollen abdomen and kidney failure if not treated on time. A new strain of clostridium difficile may be more resistant to certain medications and can cause a serious outbreak.
Clostridium Difficile Infection Drugs Market Country Level Analysis
The countries covered in the clostridium difficile infection drugs market report are U.S., Canada, Mexico in North America, Brazil, Argentina, Peru, Rest of South America, as part of South America, Germany, France, U.K., Netherlands, Switzerland, Belgium, Russia, Italy, Spain, Turkey, Hungary, Lithuania, Austria, Ireland, Norway, Poland, Rest of Europe in Europe, China, Japan, India, South Korea, Singapore, Malaysia, Australia, Thailand, Indonesia, Philippines, Vietnam, Rest of Asia-Pacific, Saudi Arabia, in the Asia-Pacific, U.A.E, Egypt, Israel, Kuwait, South Africa, Rest of Middle East and Africa, as a part of Middle East and Africa.
Clostridium Difficile Infection Drugs Market Share Analysis
Clostridium difficile infection drugs market competitive landscape provides details by competitor. Details included are company overview, company financials, revenue generated, market potential, investment in research and development, new market initiatives, global presence, production sites and facilities, company strengths and weaknesses, product launch, clinical trials pipelines, product approvals, patents, product width and breadth, application dominance, technology lifeline curve. The above data points provided are only related to the companies’ focus related to clostridium difficile infection drugs market.
Leading Players in clostridium difficile infection drugs market
The major players covered in the clostridium difficile infection drugs market are Novartis AG, Baxter, ANI Pharmaceuticals, Inc., Mylan N.V., Akorn, Sun Pharmaceutical Industries Ltd., Merck & Co., Inc., B. Braun Medical Inc., Teva Pharmaceutical Industries Ltd., Hikma Pharmaceutical PLC, Perrigo Pharmaceutical., Apotex Inc., AbbVie Inc., Fresenius Kabi USA., Pfizer Inc., Strides Pharma Science Limited., Sanofi., AstraZeneca., Eli Lilly and Company., Actelion Pharmaceuticals Ltd., Astellas Pharma. among other domestic and global players. DBMR analysts understand competitive strengths and provide competitive analysis for each competitor separately.
MAJOR TOC OF THE REPORT
Chapter One: Introduction
Chapter Two: Market Segmentation
Chapter Three: Market Overview
Chapter Four: Executive Summary
Chapter Five: Premium Insights
Chapter Six: clostridium difficile infection drugs market
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cdifffoundation · 5 years ago
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Members of the Junior Infection Fighters Program Are Introduced to an Infection Prevention Study Lead by Key Healthcare Professionals
Members of the Junior Infection Fighters Program Are Introduced to an Infection Prevention Study Lead by Key Healthcare Professionals
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During the past months of turbulent times and sheer confusion caused by the COVID-19 global pandemic, we look forward to sharing a ray of sunshine whenever possible.
Today we are pleased to share the following published Abstract in the American Journal of Infection Control by APIC
Engaging Middle School Children in the C Diff Foundation’s Junior Infection Fighters Program
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chitrakullkarni · 4 years ago
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Microbiome Therapeutics Market Product Type Estimates and Regional Trend Analysis, 2025
The global Microbiome Therapeutics Market is expected to value at USD 433.5 million by 2025. The microbiome therapeutics industry is subject to witness a substantial growth due to the rise in the initiatives taken by the regional government through various programs for early diagnosis of critical diseases. Various initiatives taken by regional governments such as Human Microbiome Project by NHS in Europe and the Microbiome Initiative by the U.S. government are creating awareness among general population regarding advantages of microbiome therapeutics are expected to stimulate market growth over the coming years.
Globally, the microbiome therapeutics market is predicted to grow at higher CAGR in the forecast period, providing numerous opportunities for market players to invest for research and development in the market. Increasing in the occurrence of gastrointestinal disorders, diabetes, arthritis, and other neurological disorders across the globe are major cause of concern; thus intensifying need for treatment and diagnosis methods for its successful treatment. These factors are expected to drive market demand for microbiome therapeutics over the forecast period.
Growing incidence related to the diagnostic of the arthritis, and other neurological disorders among adults is expected to further boost growth of microbiome therapeutics industry over the next seven years. Growing prevalence of diseases owing to dysbios is of microbiota in the gut coupled with biological drug development studies are key contributing factors for industry growth in the recent years.
Lack of gut microbiome, which is vital for good health of a person, leads to series of adverse effects on human body. Alteration in a number of microorganisms that are found in human body such as firmicute, bacteroidetes, and actinobacteria can lead to the development of gastrointestinal disorders and various chronic diseases. In addition, regular consummation of antibiotics, changing lifestyle, varying food habits and rising geriatric population are some key factors are driving demand for microbiome therapeutics over the forecast period.
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The microbiome therapeutics market is broadly categorized into four major segments based on the application type such as C. difficile, crohn’s disease, inflammatory bowel disease and diabetes. The C. difficile is considered as one of the fastest growing segment in the with substantial revenue generation in the last few years. Growing popularity of microbiome therapeutics in the C. difficile segment is attributed to the higher approval rate and increasing market penetration. The segment has also witnessed substantial growth owing to the increasing demand for drug pipeline and use of microbiome therapeutics for the treatment of lactose intolerance.
The microbiome therapeutics industry is divided by region as North America, Europe, Asia-Pacific, Latin America and Africa. North America has shown major growth in recent years owing to the rise in the implementation of latest technologies in medicine & pharmaceutical sector, increase in the number of research & development activities in the region and existence of well-established healthcare infrastructure.
Asia-Pacific region is predicted to hold major market share in the microbiome therapeutics market with massive growth in forecast period. Countries such as Japan, South Korea, China and Singapore are leading the Asia-Pacific market with favorable government policies, increasing healthcare expenditure by local governments, rising awareness among general population, and significant investment by leading industry players considering potential growth opportunities in the region.
The key players in the microbiome therapeutics industry are MicroBiome Therapeutics LLC, Seres Therapeutics, Inc., Enterome Bioscience, Inc., MaaT Pharma S.A., Rebiotix, Inc., Ritter Pharmaceuticals, Inc., Second Genome, Inc., and OpenBiome Co.
Browse Related Category Research Reports @ https://industryanalysisandnews.wordpress.com/ 
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blspracticalscenarios · 3 years ago
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Putting it all together - trauma
Scene size-up
BSI (Body Substance Isolation) / PPE (Personal Protective Equipment):
·         Gloves should be worn on every call
·         Since the Covid-19 pandemic, surgical or N95 masks are required on every call, consider HEPA mask when tending to a patient with potential/known tuberculosis  
·         Consider goggles when suctioning, childbirth, droplet precautions, etc.
·         Consider a gown when tending to patients with droplet precautions, MRSA with open wounds, clostridium difficile (c. diff), any patient in active labor, or any call in which body fluid exposure is possible
·         Traffic vests should be worn on all motor vehicle calls
Scene safety considerations:
·         Maintain crowd control during public events
·         Police should be present on any potential/known calls involving violence
·         Police should be present on any calls involving potential/known intoxication or overdoses
·         Fire department and police should be present on all traffic accidents
·         Reflective traffic vests should be worn on all calls involving public roads, no matter the time of day
·         Take extra precaution during events involving severe weather
·         Assure any animals on scene are secured in another location
·         Follow all site protocols when responding to construction/warehouse incidents.
·         HAZMAT should be present during incidents involving chemical exposures
Nature of illness/mechanism of injury (NOI/MOI): What you have been dispatched for. Examples include chest pain, traffic crash, breathing problem, general illness, fall, etc.
Number of patients: The total number of patients present on scene. Consider calling for extra resources when dealing with more than one patient. If you are the first to respond to a mass casualty incident, begin triaging the patients involved.
Additional resources: Call for additional resources when dealing with any incident involving scene safety hazards. Request a lift assist from dispatch when dealing with patients in difficult positions / those that are too heavy for you to safely lift on your own.
C-spine precautions: Stabilize your patient’s cervical spine during any incidents involving potential spinal compromise. Examples include motor vehicle collisions, falls in which there was a loss of consciousness or injuries to the head/neck/back, and with any patients who are unconscious from an unknown origin. Be sure to palpate the back of the cervical spine (looking for any deformities/instability/step-off) prior to applying a cervical collar.
 Primary survey
General impression: Is your patient sick or not sick, injured or not injured. How is your patient presenting; what position were they found in, are they in obvious distress, what is the patient’s current affect or mood.
Level of consciousness / AVPU (Alert, Verbal, Pain, Unconscious):
·         Alert: Is your patient immediately aware of your presence upon arrival? If so, your patient is Alert.  When you have a patient who is alert, you must establish a level of orientation. This is done by asking 4 objective questions that most people would reasonably be expected to answer correctly. Examples include: who is the current president, what is the current year or month, the city in which the patient currently is, what has happened, how many quarters make a dollar, who a family member present on scene is, etc. Avoid asking questions involving color identification as some patients may be color blind. As well, avoid asking your patient what the current date is. If your patient is able to answer all four questions correctly, they are alert and oriented x 4. This is written out A&Ox4. If your patient is only able to answer 3 questions correctly, they are A&Ox3, and so on. If your patient is unable to answer any questions correctly, they are A&Ox0, or alert and disoriented.
·         Verbal: If your patient is not immediately aware of your presence upon arrival, attempt speaking to them to attract their attention. If they respond to your presence when you speak, they are alert to Verbal stimulation.
·         Pain: If you patient does not respond to your presence when you speak, attempt to gain their attention by squeezing the trapezius muscle or apply firm pressure to the patient’s fingernail with a pen. If your patient responds to pain, they are alert to Painful stimulation.
·         Unconscious: If your patient does not respond to any verbal or painful stimuli, they are Unconscious.
Chief complaint / apparent life threats: The chief complaint differs from the MOI/NOI as this is the complaint that the patient verbalizes to you, as opposed to dispatch’s call nature of illness/mechanism of injury. For example, you are dispatched for chest pain. Upon arrival, the patient states that they are experiencing a burning sensation in their chest. The nature of illness would be chest pain, whereas the chief complaint would be a burning sensation in the chest.
Airway, breathing, and circulation: life threats
Airway: Does your patient have a patent airway? How do you know? Are they snoring/gurgling/apneic, or speaking to you in full and complete sentences?
·         If you have an airway compromise, first try to reposition the head. With no suspected spinal injury, this would be done with a head-tilt, chin-lift. With a suspected spinal injury, this would be done with a jaw thrust maneuver.
·         Look in the mouth for any visible airway obstructions. For a partial obstruction, encourage your patient to keep coughing. With a full airway obstruction, perform abdominal thrusts and prepare to begin CPR.
·         If you hear your patient gurgling, look in the mouth for fluids and prepare to suction.
·         If you hear your patient snoring, reposition the head and consider an airway adjunct.
·         Consider an adjunct to maintain a patent airway. Examples include oropharyngeal airways (OPA), nasopharyngeal airways (NPA), or a supraglottic airway (King, LMA, iGel, Combitube, etc)
Breathing: Asses your patient’s breathing. Are they breathing adequately to sustain life? Do you need to provide rescue ventilations?
·         If your patient is breathing at an inappropriate rate or depth, consider providing rescue ventilations with a bag valve mask (BVM)
·         With patients that are hyperventilating due to anxiety or panic, try to coach them back into breathing at a normal rate.
·         Consider CPAP for CHF or COPD patients with breathing difficulties, ONLY if they are conscious and able to follow directions while also maintaining their own airway.  
Oxygenation: Place a pulse oximeter on the patient’s finger to record an SpO2 reading. Remember: if the patient has fake nails or nail polish, turn the pulse oximeter sideways on the patient’s finger.
·         If your pulse oximeter reads above 94%, your patient does not need supplemental oxygen
·         If you pulse oximeter reads 90-93%, your patient requires low flow oxygen. This is provided with a nasal cannula (NC) at a rate of 2-6 liters per minute (LPM)
·         If your pulse oximeter reads <90%, your patient requires high flow oxygen. This is provided with a non-rebreather mask (NRB) at a rate of 10-15 LPM
*Please note the difference between oxygenation and ventilation: the need for oxygenation is shown in the patient’s skin condition/perfusion and SpO2 reading. The need for ventilation is shown in the patient’s breathing rate and depth. If oxygen levels are low but the patient has an appropriate rate and depth of breathing, they ONLY require supplemental oxygen. If the patient’s oxygen levels are low and they are breathing at an inappropriate rate and depth, they require manual ventilation with a bag valve mask at 25 LPM*
*You must have an open airway to be able to appropriately breathe. You must be able to appropriately breathe to have adequate oxygenation. You must have good oxygenation to have adequate perfusion*
Circulation: how is the patient’s perfusion? Are there any exsanguinating bleeds? Remember, when dealing in trauma with significant bleeds, the ABCs should be performed as CAB.
·         Asses your patients pulse rate. If they are a conscious adult, assess the radial pulse. For an unconscious adult, assess the carotid pulse. In infants, assess the brachial pulse. How does the pulse feel? Is it fast/slow/bounding/weak? Describe the pulse.
·         Asses the patient’s skin condition. Determine the temperature, color, condition, and capillary refill time. Normal, healthy skin should be pink, warm, dry, and have a capillary refill of less than 2 seconds. If the skin is pale, cool, and clammy with an extended capillary refill time, prepare to treat for shock.
·         Find and control any major bleeding. Do a full body blood sweep to locate any unseen bleeds. For any bleed found, immediately apply direct pressure. If direct pressure fails to control the bleed, apply more gauze pads and harder pressure. If this doesn’t work, consider packing the wound or applying a tourniquet.
·         Shock treatment includes applying high flow oxygen via a NRB, laying the patient supine, and maintaining their body heat with a blanket.  
Determine patient priority and transport decision: If the patient has any compromise involving their ABC’s, they are a high priority and must be transported as soon as the life threat has been controlled. If the patient does not have any immediate life threats, you are able to stay on scene and stabilize any further issues as you find them. Remember to spend as little time on scene as possible.
*Vital signs should be performed as soon as is appropriate during your assessment. Vital signs include blood pressure, pulse rate, breathing rate, glucose level, and temperature. *
History taking and differential diagnoses
During your secondary assessment, you will begin establishing a patient history. There are two acronyms to help you remember the information to obtain: SAMPLE and OPQRST. SAMPLE questions are focused towards establishing your patient’s medical history and events leading up to the emergency at hand. OPQRST questions are focused on your patient’s current signs, symptoms, and pain level. These questions can help you begin to form a differential diagnosis regarding your patient’s current condition. A differential diagnosis is a working hypothesis of the nature of the current problem. (AMLS, NAEMT.)
SAMPLE will be used in both medical and trauma scenarios, whereas OPQRST only applies to medical scenarios.
SAMPLE
S: Signs and symptoms. Signs are objective- they are what you can see. Symptoms are subjective- they are what your patient is feeling. For example, you arrive on scene for an abdominal pain emergency. Your patient is in the fetal position (a sign) and states that they are having extreme lower abdominal pain (a symptom.)
A: Allergies. Establish if your patient has any medication or environmental allergies. Be sure to ask your patient what occurs when they encounter their specific allergens- do they go into anaphylaxis or is it a simple allergic reaction? Allergy information will help you add to your differential diagnosis. For example, you are tending to a patient with a history of asthma and seasonal allergies. It is the springtime, and your patient has been working outside in their garden for several hours and is now experiencing shortness of breath with wheezing. One could reasonably assume the cause of the current distress is an asthma attack due to prolonged allergen exposure.
M: Medications. Establish what medications your patient currently takes. As well as asking what the patient takes, you will need to know whether they take their medications when they should. This is called medication compliance. You will also need to establish if any of their medications have been recently prescribed, as a new medication may cause unfamiliar side effects for the patient. If you don’t know what a certain medication is, ask the patient what they take it for.
P: Pertinent medical history. Establish your patient’s medical history that could potentially relate to the problem at hand. For example, if your patient is currently experiencing chest pain, it is pertinent to ask about any cardiac or respiratory history. As well, if your patient is experiencing altered mental status, it is pertinent to ask about a history of diabetes, stroke, or behavioral issues. It would not, however, be pertinent to ask about any behavioral issues with a patient experiencing chest pain. It is also pertinent to ask about any recent hospital stays or surgeries.
L: Last oral intake. This refers to the last thing the patient ingested. This includes food, drink, drugs, alcohol, and prescription medications. It is always pertinent to ask when the patient last ate, and whether they have been keeping hydrated. This is especially important for patients experiencing a diabetic crisis. With patients who have recently ingested drugs or alcohol, it is important to ask what, when, and the amount of drugs or alcohol ingested.
E: Events leading up. Establish the conditions in which the patient was in when their current problem began. For example, before the patient began experiencing chest pain, were they exerting themselves? Before having a seizure, was the patient exposed to any bright, flashing lights? You are attempting to establish the potential causes of the patient’s current problem.
Full body assessment
You are looking for: Deformities, Contusions, Abrasions, Punctures/Penetrations, Burns, Tenderness, Lacerations, Swelling (DCAP-BTLS)
HEAD 
Scalp: Examine for any bleeding or DCAP-BTLS by palpating the skull
Ears: Look inside the ear for any blood or CSF, behind the ears for     Battle’s signs, palpate the mastoid process
Eyes: Palpate the orbital bones, look for raccoon eyes, determine pupil size and reaction with pen light
Facial areas: Palpate the  mandible and maxilla
Oral: Look inside the mouth for any fluids or foreign objects
Nasal: Palpate the bridge of the nose and look inside for any fluid or foreign objects
NECK
Posterior: Palpate cervical spine for step-off
Anterior: Look for tracheal deviation 
Lateral: Look for jugular vein distention 
*Make sure to palpate the cervical spine prior to applying a c-collar *
CHEST
Inspect: Look for flail chest, sucking chest wounds, unequal     respirations, etc.
Palpate: Clavicles, shoulders, sternum, ribs 
Auscultate: Lung sounds
ABDOMEN
Palpate: All four quadrants separately with your flat palm in a rolling motion.
Inspect: Do you note any pulsating masses/rebound tenderness/swelling
PELVIS
Palpate: Push inwards then downwards, noting any instability *If     you feel any instability when you push inwards, DO NOT PUSH DOWN*
GENITALS
Verbalize: Checking genitalia with palm facing upward
EXTREMITIES
Palpate: Palpate the entire extremity from most proximal joints downwards. Use a cup-like motion with your hands to feel both the anterior and posterior sides.
Pulse: Radial/dorsalis pedis/posterior tibial
Motion: Test your patient’s ability to squeeze, push, pull, or wiggle fingers/toes
Sensation: Can the patient feel and differentiate between which hand/foot is being touched
POSTERIOR:
Palpate: The posterior spine looking for step-off, instabilities, or     deformities
*Make  sure to palpate the spine prior to rolling a patient onto a backboard*
Management of secondary injuries: Bleeding control, splinting, full spinal immobilization, etc.
Treatments: Document any treatments or therapies used during your patient care. Examples include medications, repositioning, temperature therapy, supplemental oxygenation, manual ventilations, or anything else you did to improve your patient’s condition and what effect your therapies had.
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lokbobpop · 4 years ago
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Difficult
1 : hard to do, make, or carry out : arduous a difficult climb. 2a : hard to deal with, manage, or overcome a difficult child having a difficult time coping with her death.
c. 1400, "not easy, requiring or dependent on effort; troublesome, arduous," apparently an unetymological back-formation from difficulty. French has difficile, Latin difficilis. Of persons, "hard to please," from 1580s.
Difficult diff i cult diffi cult dif ficult
Writing the word difficult
I find everything difficult because ive believed my mind for all my life and it said to me over and over again you cant do this your no it good enough to do this so dont do it dont try even doesn’t waste your time so i didnt I couldn’t do it so dont do it but i see this hasn’t all been so bad ive ended up in the most perfect place i am right now discovering me and if i had done something different i might not be doing what im doing right now so my mind has been perfect for me as it has now fell into the trap of me and theres no getting out of me.
Reading the word difficult
Process is difficult shit it hard dealing with the mind 24/7 but ive got this now i can do this but i see seeing it as difficult makes things worse for me by seeing it as difficult if i saw it a easy i think it would make things much easier its when i fall i see that i go into fuck the mind got me but if i was to laugh and say oh well and just get back up why would it be hard it just wouldnt be hard im making it hard by believing it is hard it’s isn’t hard it just vigilant being aware of self and what im allowing in any given moment of my life and this is a gift not har this is a gift most having had comping to the physical i need to embrace my gift of what i have and who I can become by freeing myself from ,mu mind and working within my mind instead.
I have found reading very difficult and writing very difficult being dyslexic but i am getting over now in later life and i wish i did when i was younger I wish i embraced that about myself and seen it as a gift not a hinderance so from now on who i am always is fine it good is completely fine im working on me to help me to help others.
I find it difficult when we are appart i feel we all should be together in Australia living together living the way we do right now isnt good we all need to get together and support each other.
There are so many thinks that are difficult when you think about it climb a mountain swim a sea run a marathon build a house nothing is easy and for some on this earth even eating is difficult because they have no food we are faced with difficulties every day but its who we are within these difficulties but maybe not for the starving there difficulties never end and how they view life i dont know they dont have the luxury i do thats for sure but if i can change me and help others to change we can change this world for sure.
Saying difficult out loud
Being difficult i can be difficult as in i dont want to do something and the rest of the family does being difficult i can be this i see morels can get in the way thoughts of cant be bothered gets in the way and just the want and need to be difficult comes up lol like i like being difficult lol
My perception of difficult has changed i see things i thought were difficult aren’t and i was only living in fear of most of them and now seeing my confidence grow im ready to grow more and more all the time and things aren’t difficult anymore.
I find it difficult to deal with the girls when they are angry they had a bad fight leilani wants to leave move out and trin wants her to leilani isnt coping with life right now and needs to chill but its har with your sister who has rot pick up the slack.
Sf
Does this definition support me no it had a mountain of thoughts of life is difficult but im in elitist position compared to so many and i need to stop the oh this is difficult and start with this is life right now and it needs changing for the better and you can be the better part if you check in with self often enough to see what you are living.
Difficult diff i cult
Difficult
Is it is it really or is it your mind telling you and you are believing the mind only ? Ask yourself first before saying this is difficult
I will live this seeing what im allowing within believing something is difficult check myself first yes sure doing some physical can be hard work difficult but i need ot be sure what is and what isn’t according to the mind and my true self.
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