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Med Notes

  1. Family gives a blood glucose reading of 67 is it high or low. It’s low.
  2. Function of insulin is? Take Glucose from blood to cell.
  3. Alcoholic patient on the way to hospital in ambulance, deteriorates => Check blood glucose.
  4. Epipen...? give in the thigh muscle and hold for 10 seconds.
  5. Epinephrine causes? Vasoconstriction
  6. Hyperglycemia means? Too much sugar in the blood
  7. Patient in the dormitory has a fever and other symptoms. Roommate also had these a few days before. What do you suspect? Influenza
  8. Someone with stiff neck - (meningitis). What to do first? Put on (n95) HEPA mask and gloves
  9. Patient is in the heat, what to do first? Take patient out of the heat
  10. Patient in seizure and jerking. What stage are they in chronic seizure
  11. Family tells you that right before you came in, there were signs of stroke (slurred speech) => TIA (Transient Ischemic attack)
  12. TIA Transient ischemic attack means? that symptoms resolve within 24 hours.
  13. Assess someone with a stroke, what do you do? "Cincinnati pre stroke test"
      • When was the last time patient was seen normal
      • Facial droop - ask to smile and show teeth
      • Arm dropping - palms up and eyes closed for 10 second
      • When assessing slurred speech, ask them to repeat common phrases.
  14.   Lye (a powder) on themselves => Brush it off
  15. Appendix => RLQ
  16. Lady with sudden stomach pain RLQ and fever - appendicitis
  17. Allergic reaction with epipen…? Help assist them with their epipen.
  18.  Tasting a metallic taste in their mouth => Pre-seizure
  19. What is the general name for bacteria and viruses => Pathogens
  20. Upper GI bleeding - if the stool is dark, or dark blood in the stool.
  21. Sign of lower GI bleeding is bright red rectal.
  22. Someone tells you that they have Anemia (low red blood cells) => Pallor - pale
  23. Sign of low blood sugar? Cold and clammy skin.
  24. Who can you not give glucose to? Someone who is unconscious.
  25. Someone who was in heat and unconscious => Take him out of the heat and then treat.
  26. Lady had diarrhea for 10 hours. Correct vital signs => Low BP (90ish) Pulse is High (since trying to compensate)
  27. AV Shunt (dialysis patient) - bleeding => Arterial bleeding - and can be dangerous.
  28. Pinpoint pupils - caused by narcotics
  29. Gardening and something bit him. There was immediate sharp pain… => Black widow
  30. Guy locked himself in the bathroom. => Get law enforcement involved
  31. Alzheimers, House is a mess. Caregivers are abusive. => Report your findings to law enforcement. State facts.
  32. The Caretaker was not allowing to talk to the patient (was interrupting etc.) => Interview the patient in the ambulance.
  33. Lady walks a lot. After short walk, she sees a rash on her body, can’t catch her breath and is wheezing => Anaphylaxis
  34. Patient in front of you, having a seizure =>Prevent further injury
  35. Pay attention to PENMAN - order of operations. Your Safety first
  36. Patient is in extremely cold weather. Pulse => Check pulse for at least 30 seconds since
  37. Patient is unconscious and you can’t assess the pulse => CPR right away
  38. Patient had fever and was wheezing. Started a few days ago => Pneumonia
  39. Patient with headache. Best position of transport => Semi-fowlers
  40. Patient is diabetic - ketoacidosis. What stage are they in => Pulmonary acidosis
  41. Patient took Synthroid  (medicine for thyroid glands) and overdosed (empty bottle next to them) => call the poison control center.
  42. Mountain hiking, they became short of breath => Low oxygen
  43. Janitor in the bathroom, all of a sudden doesn't feel well and couldn't breathe properly => Take to a more ventilated area.
  44. Describe syncope => I blacked out for a few seconds
  45. Few questions. You may think to give charcoal, but it’s mostly incorrect. Either they were not conscious or to give 3 doses of charcoal.
  46. Question about person behaving in a strange way and saying random things => Acute Schizophrenia
  47. Lady => i have the worst headache of my life and vomiting => Migraine or stroke
  48. Bee sting => Add a cold compress
  49. Patient is unresponsive - what to do
    1. Take medical history
    2. Medical exam
    3. Check medication
    4. Check skin signs.
  50. Sensitive to light => Migraine

 

Lessons for a Jewish Life: NETIVEI OHR -

from the teaching of the Gaon and Tzadik

Rabbi Nissim Yagen 

“I turn to those Jews who are still in doubt, who are still distant, who are still embarrassed and afraid. I turn to them all, from the depth of my heart, and plead that they should hear me well…”
Thus did the Great and Tzaddik Rav Nissim Yagen cry out with such great emotion, throughout the years. Even in his last days, he dedicated himself totally, heart and soul, and lectured unceasingly, in order to awaken the Jewish People and bring them closer to their Father in heaven. Rav Yagen left behind almost 1000 tapes of his wonderful lectures, spanning the whole range of Torah topics. For many, these lectures were like “a ladder standing on the ground, while its top reached the heavens.” Using examples taken from daily life, and true stories about real people, he succeeded in making the words of our Sages – from the Talmud, Midrash and Zohar – come to life. Countless people, layman and scholar alike, have been enthralled and moved to tears by these inspiring talks which brought them closer to the Creator. A staff of scholars led by the Rosh Yeshiva, Rav Meir Yagen collected many of the choicest gems, from these tapes to create this book: Lesson for a Jewish Life -Netivei Ohr .Its inspiring lessons span the range of Torah topics; they deal with perfection of character, philosophy of life, and fear of heaven.
One who studies this book will find deep insight, and tested and proven advice, regarding all aspects of life. We pray that the Torah teachings of our teacher serve to master and guide us in all our endeavors. May the memory of the righteous and holy be for Blessings, Amen.

Rabbi Nissim Yagen class on Youtube.

There is a people that keeps itself apart by Rabbi Nissim Yagen Zt''l

Kitzur Shulchan Aruch Series

by Rabbi Dovid Horowitz שליט׳א

Part 51 - The Laws of Shabbat 2:

A Non Jew Who Does Work For A Jew On Shabbos.

Since 1864, Rabbi Shlomo Ganzfried's Kitzur Shulchan Aruch has been one of the world's most widely used Halachic guides for daily Jewish living. No work of Halachah has been reprinted so many times in so many countries. The Kitzur Shulchan Aruch is the definitive text for studying all of the basic Jewish laws that have been in regular practice for centuries.

From the second night of Passover until the day before the holiday of Shavuot, the Jewish people engage in an unique mitzvah called Sefirat HaOmer (counting of the Omer). The Torah commands us that during this time each year we count seven complete weeks, for a total of 49 days. At the end of the seven-week period we celebrate Shavuot, which means "weeks."



The Laws of Shabbat classes on Youtube


 

557. Introduction

558. Giving Work to a Non Jew BEFORE Shabbos

559. Making a Contract With a Non Jew Before Shabbos

560. Asking a Non Jew to Do Work for You When You Know They Will Work on Shabbos

561. A Non Jew Working on A Jew's Property on Shabbos

562. A House That Was Built on Shabbos -- Do Not Enter

563. Leasing and Subleasing to a Non Jew

564. Taking Clothing, Utensils, etc.. From a Non Jew on Shabbos

565. Not Paying Wages for Work Done on Shabbos

Rav Chaim Kanievsky - Orchos Yosher Part 7

The Trait of Zerizus (Alacrity)

by Rabbi Dovid Horowitz

Rav Chaim Kanievsky presents 30 areas of our daily lives and illuminates them with teachings from our Sages, as well as his own wisdom and perspectives. The topics include Torah learning, chessed, honesty, humility, avoiding anger and pride, modesty, and many more. Rav Chaim's Orchos Yosher is studied and reviewed again and again by thousands. The stories - about such legendary greats as the Chazon Ish, the Steipler, Rav Shach, Rav Steinman zt"l, and, of course, Rebbetzin Kanievsky a"h and ybl"ch Rav Chaim himself - show us how these teachings can be incorporated into today’s world, infusing our lives with authentic Torah values and perspectives. They were compiled by Rabbi Shai Graucher, who spend many hours with Rav Chaim and other members of the family. Every story was written and reviewed by the family for accuracy.

Classes are updated daily, except Shabbat and Holidays.  However classes for "The Trait of Zerizus" topic has finished, no further updates to this page are expected.  

Rav Chaim Kanievsky - Orchos Yosher classes on Youtube



059. Doing Our Actions & Mitzvos With Zerizus

060. The Early Bird Gets the Worm... More Importantly, Mashiach Will Come From Them!

061. Zerizus is The Secret to Success

062. The Consequences of Laziness

063. Always Be Prepared to Attend the King's Royal Meal

064. Try Not to Delay in Performing Mitzvos

065. The Shechinah Gravitates Towards Alacrity

066. The Lazy Man Will Have Nothing To Show For Himself

067. Got Laziness? Learn From the Ant!

068. The Unattended Field

069. A Lion on The Streets of Manhattan?!

070. Taking Away All Of the Excuses of The Lazy Man

071. The Lazy One Will Have No Torah to Harvest

072. Those Who Act With Zerizus Don't Delay, Unlike the Lazy Man

073. An Animal Named Lazy?!

074. The Grand Finale: Become a Person Who Gets Things Done Without Delay

 

Rav Chaim Kanievsky - Orchos Yosher Part 6

Vatranus - Yielding & Being Generous to Others

by Rabbi Dovid Horowitz

Rav Chaim Kanievsky presents 30 areas of our daily lives and illuminates them with teachings from our Sages, as well as his own wisdom and perspectives. The topics include Torah learning, chessed, honesty, humility, avoiding anger and pride, modesty, and many more. Rav Chaim's Orchos Yosher is studied and reviewed again and again by thousands. The stories - about such legendary greats as the Chazon Ish, the Steipler, Rav Shach, Rav Steinman zt"l, and, of course, Rebbetzin Kanievsky a"h and ybl"ch Rav Chaim himself - show us how these teachings can be incorporated into today’s world, infusing our lives with authentic Torah values and perspectives. They were compiled by Rabbi Shai Graucher, who spend many hours with Rav Chaim and other members of the family. Every story was written and reviewed by the family for accuracy.

Classes are updated daily, except Shabbat and Holidays. Please check back often, however classes for "Yielding & Being Generous to Others" has been completed.

Rav Chaim Kanievsky - Orchos Yosher classes on Youtube



054. The Rewards for Being Yielding and Overlooking

055. The Benefits of Yielding

056. Yeilding to Others Will Resolve Most Arguments

057. Yielding to Others Will Only Make You Greater

058. The More Yielding, The Purer You Are