Vassaste Kniven i Lådan 🔪

Kirurg

[Vassaste Kniven i Lådan 🔪 @MFahlen]

”The tic tac-sign”

[Keith Siau @drkeithsiau]

Abdominal X-ray of a patient with abdominal pain and fever. What’s the diagnosis?

[Vassaste Kniven i Lådan 🔪 @MFahlen]

@motbattrevetand Äta: Sale e Tabacchi
[phone]

https://t.co/bYIa27AmVE

[#WOMENSART @womensart1]

'Anatomy brooches' by Hiné Mizushima, Japanese, slow crafter, miniature collage artist, illustrator, stop-motion music video artist who lives in Vancouver #WomensArt

[Jonathan Leman @JonathanLeman]

Med anledning av Max Tegmarks sommarprat idag vill jag lyfta det här avslöjandet från tidigare i år: https://t.co/B5ELo4TjeE

[Oenig mjukis @Nonemo]

Detta gjorde ont att se, och ont att skriva. Jag kan inte föreställa mig hur det måste vara för dem vi träffade.

[Vassaste Kniven i Lådan 🔪 @MFahlen]

Kirurg: inte på denna lista

[Fanny Svärd @kingridfanny]

Älskar dessa kvinnor med allt jag har!!

[Vassaste Kniven i Lådan 🔪 @MFahlen]

Så fick man nöjet att besöka akuten en fredagkväll.
Mamma mår bra och jag har precis skjutsat henne hem

[Vassaste Kniven i Lådan 🔪 @MFahlen]

@GotPed Provade det. Gick inte hem

[Vassaste Kniven i Lådan 🔪 @MFahlen]

Patienter som uttrycker sig rasistiskt om kollegor hörrni. Vad har vi för policy?

[Vassaste Kniven i Lådan 🔪 @MFahlen]

@GotPed Bra. Jag gjorde det. Föll inte i god jord

[Vassaste Kniven i Lådan 🔪 @MFahlen]

@Moosbricka De blir fula när blommorna vissnar

[Vassaste Kniven i Lådan 🔪 @MFahlen]

@f_jalalvand Ok. Reviderar. Byter ut heliga Birgitta mot Yvonne Hirdman

[Vassaste Kniven i Lådan 🔪 @MFahlen]

@wuest23 Jadå:)

[Vassaste Kniven i Lådan 🔪 @MFahlen]

Nu har jag bokat resa till Kavala i höst

[Ron Hekier @ronhekier]

Yesterday I completed my once every four years refresher course of ATLS (Advanced Trauma Life Support System.)
I am one of over 1 million health care providers who have taken the course, a course borne of a tragic private plane crash almost 50 years ago.

ATLS is systematic approach to treating injured patients when they arrive in an emergency room, whether it’s a rural hospital in Haiti or a top trauma center in Houston. It has been taught in over 65 countries. It’s a common language, a universal protocol. A method to insure that severely injured patients get the same proper care wherever they are.

But care of the injured patient was not always systemized in a universal fashion. The origins of ATLS were born in Lincoln, Nebraska nearly 50 years ago.

In 1976, an orthopedic surgeon from Lincoln, Dr. James Styner, was piloting his small propeller plane carrying his wife and four children back from a wedding they attended in California. As they got closer to home on their long trek, the weather deteriorated over rural parts of Kansas.

With weather worsening and darkness approaching, Styner had to choose between turning around and flying away from home, landing in the middle of nowhere, or forging ahead. Styner pushed forward.

After flying over 1,000 miles and only 60 miles from home, tragedy struck. With decreased visibility due to clouds, fog, and darkness, James Styner become disoriented and crashed the plane. They flew through trees at around 160 miles per hours, shredding off both wings, and crashed into a corn field.

Styner survived the crash. His wife was ejected from the cockpit and died instantly when a piece of the propeller hit her head. His four children were in back of the plane and survived but three of them suffered head injuries and were unconscious. After waiting for help for hours in the desolate field, Styner decided he had to look for help. He left his oldest child behind to watch his three siblings, and walked in the direction of distantly appearing headlights from passing cars.

He eventually reached a nearby road, flagged down a car for help, and they returned to the field to retrieve his children.

Styner learned he had crashed near a small town called Hebron, Nebraska, a town he would soon learn which had a small hospital not well equipped to handle severely ill or injured patients. Only two doctors staffed the small hospital and they had little experience with severe trauma.

House after the crash and in the Emergency Room at Hebron with his 4 injured children, Styner was shocked at the care, or perhaps better said, lack of appropriate care given to his injured children.

Later he would say: “When I can provide better care in the field with limited resources than what my children and I received at the primary care facility, there is something wrong with the system, and the system has to be changed.”

He demanded the he and his children be transferred out of that hospital to the the large hospital at which he practiced, 60 miles away in Lincoln, Nebraska.

Over the course of time, Styner and his children had complete physical recoveries, but he remained troubled by his experience at the small hospital. Dr. Styner would vocally complain about the small town hospital.

One of his medical colleagues, an ER doc, grew tired of his complaining and told him to change the system. Well in this case there was no system. As Styner said: “You have to train them before you can blame them.”
So Styner together with the help of colleagues created a protocol for the treatment of severely injured patients with the goal of teaching it to health care providers in rural settings. Their system was called ATLS, and first debuted in Nebraska in 1978.
Their little course was picked up the University of Nebraska, and eventually the American College of Surgeons, and by global institutions.
Since it’s humble beginnings in a class in a small town in Nebraska, it was been taught in thousands of classes in over 60 countries to over 1 million providers.

From a personal tragedy to a global protocol which has saved countless lives over decades, James Styner proved several things.

• One person can change the world.
• Humble beginnings don’t reduce the chance of massive succes.
• The solution to complex problems is often to have a systemized protocol in place.
• You have to train them before you can blame them.

#ship30for30

[Vassaste Kniven i Lådan 🔪 @MFahlen]

@EM_RESUS Don’t smoke