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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.
Briefly describe how this icebreaker ties in to the goal of increasing company-wide communication and community building
Identify issues that organizations face when trying to expand globally as a result of opportunities afforded by new technology.
The Five Forces of Competition Model. Which one of these forces is important in building a competitive advantage for your employer in the business conditions of the today?
Developing an effective marketing strategy can be tough! Without one, however, a small business will be fighting for survival. Read through the following two examples - DAPAT Pharmaceuticals and Macromedia, Inc
Read "Knowledge and Globalization" on page 375 in the textbook. Should governments take measures, legal or otherwise, that protect their economic advantages? Should they forbid the sale of know-how to other countries?
How should Demarco approach this issue when he meets with the tribal leaders?- What should be the priorities in balancing the various stakeholder interests?
What is at-will employment?
explain the diffreneces between natural rights and civil rights. List and Explain the four major sources of Ethical Values in Bussiness.
Explain how do you think that he/she should perform in a facilitating role in maintaining a neutral position in assisting the conflicting parties seeking a resolution?
The cultural differences facing the Amish and English societies and the ethical dimensions facing the Amish children.
Review the module's content along with your PDP. Then prepare a brief submission (~500 words) about how the module content will help you advance your personal.
Hackers may be motivated by financial data when they attack a system or use social engineering skills to gain access to restricted data. Consider human nature and organizational behavior in this term paper.
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