Paediatric Burns Essay Example | Topics and Well Written Essays - 1000 words

Paediatric Burns - Essay Example In present times, even 90% burns patients are being saved while 25 years ago, even 50% burns was considered fatal. Research has evolved the best treatment approaches for burns including resuscitation with fluids, cleaning the wounds, replacement of damaged tissue with skin, control of infection and dietary supports. Incidence Among the leading causes, burns in children (below 9 years are identified as the third one among injury-related deaths (Green, 2010). Burns in children are usually caused at home (Anjali et al, 2009). Scald burns have the commonest incidence in children, 80%. They occur mostly over the upper trunk and upper arms (Anjali et al, 2009). Hot bath water caused 50 % of the scalds. In most cases, the burns could have been prevented. A lapse in parental supervision and curiosity of a child are the two reasons quoted for the tragic incidents. Occasionally the child may not be able to get away from the burning substance Child abuse is another sad cause (Green, 2010). Chil dren who are burnt have a tendency to suffer from post-traumatic stress disorder (Anjali et al, 2009). ... The coagulation zone lies in the center of the burn and has necrotic tissue. The ischemic zone indicates microvascular injury causing oxygen-deprived tissues and surrounds the coagulation zone. The outermost hyperemic zone shows vasodilatation as an acute inflammatory response to the injury near it (Green, 2010). Primary Survey The first few steps of nursing care help to stabilize the patient for further treatment. Assessment of the airway is especially important in children and the cervical spine is to be protected while doing so. If the child is not responding or if one feels that the airway is compromised, an endotracheal tube is better used as the airway is much smaller in children (Green, 2010). Evaluation of the respiratory status is the next step. The child’s chest must be exposed and the rate, extent, and quality of the respiratory movements assessed. The movements of the chest wall must be watched. The breath sounds must be auscultated bilaterally (Green, 2010). Child ren with burns on the chest will definitely have a compromised respiration. Oxygen must be given through a non-breathing mask to ensure 100% saturation (Green, 2010). A pulse oximeter would indicate the percentage of oxygen saturation. Inhalation is diagnosed by the singed hair on the eyebrows or nose. The pulse quality, rate and rhythm need to be assessed for a picture of the circulation status. When the patient is stable, the neurologic status may be assessed. Level of consciousness may be examined using the AVPU protocol by noting the response to verbal stimuli or pain. If neurologic status is compromised, hypoxaemia, carbon monoxide poisoning, smoke inhalation, drug abuse or an earlier medical problem must be suspected (Green 2010). The clothes of

Assignment 7 Essay Example | Topics and Well Written Essays - 750 words - 2

Assignment 7 - Essay Example Studies show that the number of protests has increased at higher rate in the past three years. The State of Washington alone reported approximately 20 protests of this kind in the year 2006 (Zeigler 1). Organizations can avoid protests in various ways including maximization of competition by an agency. Agencies can maximize competition by making the process to be open while avoiding biases. Keeping the process open involves informing the public clearly about what an agency intends to do during the bidding process. All the bidding processes should be clearly documented. An organization should also ensure that all the processes listed in the document are followed. Transparency is vital in any bidding process. It can be enhanced by publishing the written procedures and policies. This can also serve as evidence against future protests. While keeping the process open it is important for an agency to ensure that specifications or requirements are not costly and restraining. The other recommendation for preventing the protest includes offering supplier training. Most protests occur due to failure to offer supplier training. Supplier training enables suppliers to gain knowledge and skills on how to offer procurement services in ethical ways. The other strategy of avoiding the protest includes being in charge. It involves accountability of the agency in the award decision making and writing procedures. Many agencies fail because they heavily depend on experts in technical assistance and evaluation processes. Experts are helpful, but agencies should only seek advice instead of making them in charge of the entire process because the purchasing lead usually makes the final decisions since they are the ones who sign the award and accept accountability even if decisions were made based on the experts’ recommendations. Protests can also be avoided by specifying the roles of both parties. This helps in preventing the public from protesting