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t=1250190474_18553114-HandbookSupportive-Care-4

t=1250190474_18553114-HandbookSupportive-Care-4 - 91W10...

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91W10 Advanced Individual Training Course Clinical Handbook Supportive Care 4 Department of the Army Academy of Health Sciences Fort Sam Houston, Texas 78234
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Academy of Health Sciences 91W10 Field Training Workbook - Index i Post-Mortem Care ……………………………………………………………….…….……...1-3 Process Used to Declare a Person Dead Changes That Occur in the Body after Death Death Certificate Organ Donation and Autopsy Responsibility in Preparing the Body Role in Caring for the Family of the Deceased client Deaths on the Battlefield Wound Care ………………………………..…..…………………………………….…… .... 4-16 Identify forms of wound healing Presence of infection Assessment considerations Emergency treatment of specific wound types Care for a wound Drainage and drainage systems Assist with on-going casualty management Perform Respiratory Care ………………….………………………………………… .... 17-24 Suctioning Techniques Perform Endotracheal Tube and Tracheotomy Care Administer a nebulization treatment Cardiac Monitoring …………………..………..……………………………………..……25-31 Basic Cardiac Monitoring Perform a 12 Lead ECG Right Side and Posterior ECG's Measure Pulse Oxygen Saturation Chest Tube Care and Monitoring ……………………….……………...………………32-35 Chest Tube Systems Care of patients with chest tubes Problems solving with chest tubes Appendix A – Wound Care, Competency Skill Sheets Appendix B - Cardiac Monitoring, Competency Skill Sheets Appendix C –Respiratory Care, Competency Skill Sheets
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Academy of Health Sciences 91W10 Post-Mortem Care 1 TERMINAL LEARNING OBJECTIVE Given a deceased casualty provide post-mortem care. Process Used to Declare a Person Dead Hospital policies state who is responsible for pronouncing the death of the patient. The physician is the best qualified and is usually responsible for declaring a person dead. Changes That Occur in the Body after Death Post-mortem Cooling (Algor Mortis) (1) Occurs when no further heat is produced by metabolism. Body temperature falls gradually after death (approximately 1.0 to 1.5 degrees F/hr.) (2) Cooling continues until room temperature is reached in about 24 hours Muscular Rigidity (Rigor Mortis) (1) Begins about 6 hours after death (2) First evident in the muscles of the jaw, then extends to involve all the muscles in the body 12 to 14 hours after death (3) Condition where the muscles become rigid. The body is fixed in the position in which it lies. Purple Discoloration (Livor Mortis) (1) Reddish-purple discoloration that develops in the dependent parts of a dead body (2) First evident about 30 minutes after death and fully developed in 6- 10 hours (3) Discoloration is caused by blood flowing passively into the dependent parts of the body Decomposition (Putrefaction) (1) The destruction of a dead body by bacteria (2) The rate at which changes develop depends on the environment.
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