"Torsemide 20 mg amex, hypertension 1 stage". B. Kapotth, M.B. B.A.O., M.B.B.Ch., Ph.D. Deputy Director, University of New England College of Osteopathic Medicine Supervises the receiving and transmitting of fire alarms blood pressure medication diarrhea buy torsemide 10mg without a prescription, and other emergency messages and the dispatching of fire equipment and personnel; supervises of acquisition hypertension leads to order torsemide 20 mg on-line, operation pulse pressure wave qrs complex 10 mg torsemide for sale, maintenance and routine repair or replacement of the fire communications equipment and systems arteria rectal superior torsemide 10mg cheap. Supervises all aspects of Emergency Medical Services when assigned to Chief of Emergency Medical Services. Establishes and monitors battalion programs and office procedures regarding staffing, record keeping, inspections, and fire tactics when assigned as Supervising Battalion Chief. Completes all necessary reports, correspondence, and documentation as required in the performance of assigned duties. Frequently Driving: Driving to visit fire stations, driving to and from a fire or accident scene Handling/Grasping: Handling protective gear, radio, clipboard, telephone, manuals, folders, using a computer mouse, driving a vehicle, inspecting equipment Occasionally to Frequently Reaching waist to shoulder: Reaching for telephone and office equipment, accessing manuals/folders, retrieving and storing items and supplies, checking and securing protective gear, assisting with rescue of civilian or Firefighter Standing: Dynamic standing, inspecting equipment, directing and monitoring training exercises, directing emergency scene operations, performing office work Sitting: Performing administrative tasks, participating in meetings, conducting training Occasionally Walking: Walking to , from and around at fire or accident scenes, walking in fire stations, at training exercises Power Grasping: Grasping a steering wheel, assisting with rescue of a civilian or Firefighter Finger/Feel: Using protective gear, writing reports, typing on a computer, using a radio to communicate with personnel, supervisors, other emergency workers Operate Foot Control: When driving a vehicle Chief Officer Job Function Analysis 84 Balance: When climbing stairs, working near rooftops or several stories above ground to assess fire fighting operations Climb ladders or stairs: Climbing stairs in the fire station, or in a building (perhaps several flights) to set up command post Twisting/Turning: Removing and replacing protective gear, performing administrative work such as filing, sorting through mail, if participating in training exercises Reaching shoulder to overhead: Pulling up to enter a vehicle, climbing up ground or aerial ladders (intermittent), reaching for file drawers or bookshelves, if participating in training exercises (such as high-angle rescue) Reaching Floor to waist: Checking and securing protective gear, putting on protective gear, assisting with rescue of civilian or firefighter, removing debris/obstacles at an accident or fire scene Intermittent/Occasionally Bend/Stoop: Accessing lower-placed file drawers, assisting with rescue of firefighter or civilian Crouch/Squat: Accessing lower-placed file drawers, assisting with rescue of firefighter or civilian Intermittent Running: Running from vehicle to fire or accident scene Work at heights: If setting up command at or near rooftops or several stories above ground Walking on rough ground or uneven surfaces: When working at fire scenes that have no pavement or smooth surfaces, working on surfaces strewn with debris Crawl/Kneel: to assess fire fighting operations, assisting in rescue of Firefighter or civilian Awakward Positions: Reaching over or under wreckage or debris to reach and remove a Firefighter or civilian, administer first aid to a victim, remove debris/obstacles at an accident or fire scene, if participating in training exercises (such as high-angle rescue) Intermittent/Rarely Extension/Flexion: Extension: pushing file drawer, doors; flexion: lifting protective gear, assisting with rescue of a civilian or firefighter (N)ever (R)arely (O)ccasionally (F)requently (C)onstantly Push/Pull: No. Intermittent * Intermittent * Intermittent * Chief Officer Job Function Analysis 85 31 - 50 lbs. Exposure to Extreme Changes in Temperature: Exposed to extremely high temperatures in enclosed spaces from fires; normal Northwest seasonal changes and temperatures Vibration: Vibration occurs when riding in an engine or truck. Light: Duties may be performed at night, or inside buildings where visibility is extremely poor due to thick smoke or electricity outage. Ability to motivate, lead, and train personnel, including the maintenance of discipline appropriate for a paramilitary organization. Ability to establish and maintain effective working relationships with subordinates through team building and positive staff development; ability to speak effectively in groups and in public; ability to supervise others. Ability to maintain focus on task while integrating information from multiple, simultaneous sources such as radio communications, and communications from subordinates and other commanders. Adapt quickly and efficiently to changing priorities, tasks, emergencies and environmental circumstances. Ability to perform duties professionally and satisfactorily in a full 24-hour shift. Do you need any special accommodations to assist you in performing required job tasks? Do you ever get wheezy or taken medication to prevent wheezing/shortness of breath with exercise? Do you occasionally use or are you currently taking any prescription or over the counter medications? Have you missed more than five days from work due to medical reasons in the past year? Has someone ever been concerned about your drinking or suggested that you cut down? I am aware that laboratory testing may be used to detect illegal substances and therapeutic medications, and to verify my answers to the questions contained in this medical questionnaire. I am aware that any willful inaccuracy may be regarded as cause for disqualification for employment, or dismissal after hire. Any lab value marked with an H or L is outside the normal limits and should be discussed with your primary doctor to determine the importance of the finding. Abnormal findings might be signs of significant medical conditions that should be addressed by your primary doctor. This program is a holistic medical surveillance program that is designed to track the unique health needs of the modern firefighter. Pre-approved and documented expenses up to $ All expense not covered by insurance. Rectal - (See cancer screening) Lymph Nodes - the examination of organ systems must be supplemented with an evaluation of lymph nodes in the cervical, axillary, and inguinal regions. Additionally, observation of the personnel performing certain standard office exercises or functions helpful in assessing joint mobility and function. Please estimate how many days of non-work-related sick leave (including dependent care) you have taken in the past year. Please estimate how many Industrial Injury hours you have had in the past year: 12.
Grand mal seizures (generalized) are associated with loss of consciousness arteria zigomatico orbital cheap 20 mg torsemide with amex, incontinence arterial hypertension cheap torsemide 10mg with visa, and possibly tongue trauma arterial blood pressure buy torsemide 10mg mastercard. Be prepared to manage the airway and breathing of patients who have received benzodiazepines such as Midazolam (Versed) hypertension genetics buy 20mg torsemide amex. There are many causes for seizures including; epilepsy, head trauma, tumor, overdose, infection, hypoglycemia, and withdrawal. A Numerical Pain Scale A numerical pain scale allows you to describe the intensity of your discomfort in numbers ranging from 0 to 10 (depending on the scale). Numerical pain scales may include words or descriptions to better label your symptoms, from feeling no pain to experiencing excruciating pain. Pain severity (0-10) is a vital sign to be recorded pre and post medication delivery and at disposition. Vital signs should be obtained pre, 10 minutes post, and at disposition with all pain medications. Have Naloxone (Narcan) on hand if the patient has respiratory depression or hypotension after Hydromorphone (Dilaudid) administration. Treat only if systolic is > 220 and / or diastolic is > 120 mmHg and signs and symptoms of stroke are present. Be alert for airway problems (swallowing difficulty, vomiting, diminished or absent gag reflex). The patient needs to be transported, without delay, to the most appropriate hospital for further evaluation. Document the time of onset for the symptoms, or the last time the patient was seen "normal" for them. If the patient becomes hypotensive from Labetalol (Trandate) administration, place the patient in the trendelenburg position and administer a normal saline bolus. Hypertension can be a neuroprotective reflex in patients with increased intracranial pressure. Tricyclic: 4 major areas of toxicity: seizures, dysrhythmias, hypotension, decreased mental status or coma; rapid progression from alert mental status to death. Supportive care with administration of oxygen alone has proven effective in a number of poisonings. Depending on its form, cyanide may cause toxicity through parenteral administration, inhalation, ingestion, or dermal absorption. The delay between exposure and onset of symptoms depends on type of cyanide involved, route of entry, and dose. Rapidity of symptom onset, depending on the type of cyanide exposure, occurs in the following order (most rapid to least rapid): gas, soluble salt, insoluble salt, and cyanogens. Causes and exposure may include malfunctioning gas appliances, vehicle exhaust, improper use of gas burning heaters, animal dung, environmental waste and fires. The use of a pulse oximeter is not effective in the diagnosis of carbon monoxide poisoning, as patients suffering from carbon monoxide poisoning may have a normal oxygen saturation level on a pulse oximeter. The transportation officer should maintain a constant contact with the coordinating hospital until the scene has been cleared of salvageable victims. If too large to transport attempt to cut with care not to further injure tissue Penetrating Wounds: Cover, clean saline dressing. Patient should be transported by personnel not involved in decontamination process. Pulmonary contusion · · · A sucking chest wound is when the thorax is open to the outside. If it is very large, cutting may be possible, with care taken not to move it about when making the cut. Hypotension usually indicates injury or shock unrelated to the head injury and should be aggressively treated. Maintain the Co2 ranges indicated in protocol, 1 point of Co2 change = 3% decrease in cerebral perfusion. In prolonged extrications or serious trauma, consider air transportation for transport times and the ability to give blood. Extensive, time-consuming care of trauma victims in the field is usually not warranted. Continuous pulse oximetry should be utilized in all patients with an inadequate respiratory function. Wheezing in the breathing patient with respiratory distress indicates lower airway disease, which may come from a variety of causes.
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