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Titlebook: Crisis Management in Acute Care Settings; Human Factors and Te Michael St. Pierre,Gesine Hofinger,Cornelius Buers Book 20081st edition Spri

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The Challenge of Acute Healthcarefracture of the femur, and the suspicion of a contained subcapsular hematoma of the spleen. Following the initial work-up, the patient was transferred to the OR and was simultaneously operated on by trauma surgeons and maxillofacial surgeons. Twenty minutes after the incision, the patient developed
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The Nature of Errorsection. The medical history revealed coronary artery disease and liver cirrhosis. As a result of the associated coagulopathy, the surgeon had difficulty achieving adequate hemostasis and therefore repeatedly applied epinephrine-soaked swabs to the surgical site. The undiluted epinephrine was rapidl
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The Psychology of Human Actionicers. Being protected by her bulletproof vest, the officer was shot only in right her arm. The second police officer immediately opened fire and shot the attacker in the chest and abdomen. Two ambulances and an emergency physician1 were dispatched and arrived 8 min later at the shooting site. On ar
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Human Perception: the Way We See Thingspting the anesthetist to switch the anesthesia machine from a mandatory to a spontaneous breathing mode. He did this by first selecting the new ventilation mode from the software menu and then pressing a button to accept the chosen value. While doing so the anesthetist turned his attention briefly t
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Goals and Plans: Turning Points for Successis diagnoses included open fractures of the forearm and the femur, blunt chest trauma, a mild head injury, and multiple lacerations. The chest X-ray showed evidence of a lung contusion without any signs of fractured ribs or of a pneumothorax. On admission to the SICU the patient was adequately venti
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The Key to Success: Teamworkthe sleeves of his shirt and both of his arms were drawn into the machine. Despite an instantaneous shut down of the equipment by one of his colleagues, both arms were trapped up to the elbows. The EMS decided to send a physician to the scene along with the ambulance. When the emergency physician1,
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