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The patient was brought to the operative suite where general LMA anesthesia was induced. The lower leg and foot were widely prepped and draped in sterile fashion. The patient had an extensive area of gangrene involving the dorsum of the left foot. The 3rd and 4th toes were completely gangrenous, and the skin above and on the plantar aspect of the 2nd toe was gangrenous as well. A sharp incision was used to remove all dead tissue at the line of demarcation of what was alive and what was not. The underlying 2nd, 3rd, and 4th metatarsals were involved. The infection was transected somewhat proximally, necessitating complete removal of the 2nd, 3rd, and 4th toes. A portion of the skin of the plantar aspect of the foot was debrided, because the skin was also nonviable. Fortunately, there was good bleeding at the margins of the wound once the necrotic tissue was fully debrided. This was controlled with electrocautery and l-0 Vicryl LigaSure. The wound was copiously irrigated. Our intention was to treat this initially with a wound vac, but because there was bleeding that was worsened with application of wound vac, this was abandoned, and the patient was treated with Surgicel followed by sterile gauze fluff dressings and an Ace wrap. Throughout the procedure, estimated blood loss was approximately 150 mL. She was transported to the recovery room in overall stable condition and tolerated the procedure well.
Compare and contrast the three models of culture. Speculate on the major reasons why certain countries have lagged behind other countries in economic development.
What underlies the peseta's historical weakness?- Comment on the banker's statement. - What are the likely consequences of EMS membership on the Spanish public's willingness to save and invest?
Once would you have multiple rounds of bidding? What evaluation criteria would be utilized to initially select a supplier? What criteria are utilized to evaluate supplier performance?
How can effective talent management become a source of competitive advantage for an organization? Your original response to this discussion question should be 150-200 words and inclusive of course information.
Given your thoughts on these groups and the current rulemaking process...how might we improve where there are areas where improvement may be warranted? What changes should we make with respect to the rulemaking process? Would you say that the fiel..
Based on own experiences working in teams, write two page papers on the advantages and disadvantages of working in teams. paper respond to the following: a. Discuss how work groups of the future, including management, will be cross-functional and s..
According to Hollander 2012, explain how trust and leadership can be established between leaders and followers.
When using persuasion tactics in a negotiation, is it possible for the persuasion to be too logical to be effective? Provide a rationale for your choice, and use a specific example to illustrate your point
Why is an external environmental analysis important for a health care organization's strategic planning process?
Discuss what the Federal Reserve Board do to combat inflation when the economy is bad
What are the advantages of buying a business rather than starting one from scratch? What are the advantages and disadvantages of owning a franchise?
What content is most important to focus on in a personal commercial?
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