Allied Health Care Education Society.

Allied Health Care Education Society. OT/AT

26/02/2021
10/07/2020

Laparoscopic Cholecystectomy- amongst the most basic of general surgical procedures, yet a difficult one to master. Complications maybe fearsome, yet they can be skillfully avoided.
Upgrade your laparoscopic skills with a Masterclass on Laparoscopic Cholecystectomy with Dr Jaydeep Palep and Dr Nidhi Khandelwal, on July 11 at 4 pm.

Event address for attendees: https://medtronic.webex.com/medtronic/onstage/g.php?MTID=e79ab3c8cdeca451e32657c77f3ee0475

Endotracheal tubeEndotracheal tube (ETT) is a flexible plastic tube, usually made of polyvinyl chloride (PVC), that is p...
14/06/2020

Endotracheal tube
Endotracheal tube (ETT) is a flexible plastic tube, usually made of polyvinyl chloride (PVC), that is passed into trachea through the mouth (oral) or nose (nasal) to establish a patent airway and ensure adequate gaseous exchange or ventilation. It is also used to deliver or administer anaesthetic gases to patients during surgery.

DIAMETER AND LENGTH/DEPTH OF ENDOTRACHEAL TUBE.
Endotracheal tube has inner and outer diameter. The inner diameter (ID) is the diameter of the tube lumen while the outer diameter (OD) measures the diameter of the lumen and the thickness of the tube. The size of the tube is determined by the inner diameter. For instance, if the inner diameter of a tube is 7.5mm, the tube is size 7.5.
The length/depth of the tube is how far the tube goes into the patient during intubation. The normal length for adult male is 21-22cm while that of adult female is 20-21cm. The landmark for setting the the tube at the appropriate length is the incisor or the lips. It is important to document the length used for the intubated patient. This helps to know if the tube is coming outwards or going inside, and appropriate actions taken.

PARTS OF ENDOTRACHEAL TUBE.
BEVEL: This is slant portion found at the tip/edge of the tube. The bevel is usually LEFT-FACING instead of RIGHT-FACING. This helps easy visualization of the vocal cords during intubation and easy access into the trachea.
MURPHY’S EYE: This is an extra opening at the tip of the tube that sustains ventilation or gaseous exchange peradventure the bevel becomes obstructed by secretions or tracheal wall.
CUFF: Endotracheal tube can either be cuffed or uncuffed. Paediatrics tubes are usually uncuffed because their tracheal is easily damaged by pressure. However, children above 6years can cope with cuffed ETT. The cuff (located proximal to the tip of the tube inside the patient) is inflated by injecting pressurized air in a syringe into the PILOT BALLOON. The air will not leak even after the inflating syringe has been removed because of the ONE-WAY VALVE in the the pilot balloon. The pilot balloon, which remains outside after patient has been intubated, shows the true condition/status of the cuff (inside the patient)- whether it is inflated or deflated or leaking.

TYPES OF CUFF.
High volume – low pressure cuff and Low volume – high pressure cuff.

IMPORTANCE OF INFLATING THE CUFF.
1. To ensure good positive pressure ventilation, especially for patients on mechanical ventilator. The inflated cuff forms a seal on the tracheal wall, thus preventing leakage of air during ventilation.
2. To prevent aspiration of regurgitated gastric content.

However, care must be taken to avoid too much or too little pressurized air. The tracheal cuff pressure must be maintained between 20-25cm of water. If the pressure exceeds 30cm of water, the cuff may burst! A MANUAL MANOMETER can be used to measure cuff pressure. In facilities where this instrument is not available, 5-10ml of air is usually injected into the pilot balloon to inflate cuff.
NOTE: “Centimetres of water” as used here, is the unit of measurement of PRESSURE. It doesn’t mean water will be used for inflation. ONLY AIR MUST BE USED TO INFLATE CUFF!

WHAT HAPPENS WHEN THE TRACHEAL CUFF PRESSURE IS TOO HIGH?
A very high tracheal cuff pressure impedes blood flow to the tracheal wall and causes tracheal ischemia or necrosis.

AND IF THE TRACHEAL CUFF PRESSURE IS TOO LOW?
Risk for aspiration is high and positive pressure ventilation will not be effective as there may be leakage of air.

RADIO-OPAQUE LINE:
The endotracheal tube is a colourless plastic tube which cannot be visible on X-ray. However, for this purpose, a radio-opaque blue line runs longitudinally throughout the length of the tube to make it visible or seen on chest X-ray.

OTHER TYPES OF ENDOTRACHEAL TUBE INCLUDE:
Armoured or reinforced endotracheal tube.
Laser-resistant endotracheal tube.
Double lumen endotracheal tube.
Preformed endotracheal tube e.g. RAE – Ring, Adair, and Elwyn.

Donning and Doffing of PPE by Healthcare Works.
20/04/2020

Donning and Doffing of PPE by Healthcare Works.

Donning and Doffing of PPE by Health-care workers

Anaesthesia induction in covid 19 patient.👇🏻
19/03/2020

Anaesthesia induction in covid 19 patient.👇🏻

COVID Induction in the operating theatres at Sir Charles Gairdner Hospital, Perth, Australia Demonstration video

Four creepy coincidences in coronavirus outbreakAs health authorities scramble to stop the spread of the disease amid fe...
07/03/2020

Four creepy coincidences in coronavirus outbreak

As health authorities scramble to stop the spread of the disease amid fears of a global pandemic, the coronavirus panic has generated a flood of misinformation, dubious claims and conspiracy theories online.

Many, such as the claim that coronavirus was “patented”, have been debunked by websites including Politifact, FactCheck and HealthFeedback – but there’s no denying several strange circumstances surrounding the outbreak.

The official death toll in China now stands at 132 with more than 6000 infected in the country, mainly in Hubei province where the virus is believed to have originated at a controversial seafood market that sold exotic animals.

There have now been five confirmed cases in Australia, and the virus has spread to more than a dozen other countries — the US, Japan, France, Germany, Canada, Malaysia, Thailand, Taiwan, South Korea, Nepal, Singapore, Vietnam and Cambodia.

Here are four coronavirus coincidences to ponder over a bowl of bat soup:

Bats have been identified as the likely source of the virus.
Bats have been identified as the likely source of the virus.Source:Supplied

NED-1067-Reduce-risk-of-coronavirus - 0
WUHAN SCIENTISTS CREATE ‘HYBRID’ BAT CORONAVIRUSES, SPARKING SAFETY WARNINGS

In 2015, scientists in the US and China revealed they had created a “chimeric” virus by combining a coronavirus found in Chinese horseshoe bats with another that causes human-like severe acute respiratory syndrome (SARS) in mice.

The study, published in the journal Nature Medicine, demonstrated that the SHC014 coronavirus – a different strain to the one at the centre of the current outbreak, known as 2019-nCoV – was capable of infecting human airway cells.

The news reignited debate around so-called “gain-of-function” research – essentially taking already dangerous pathogens and making them more dangerous. Experts question whether such research, which is no longer funded by the US Government, is worth the risk.

“If the virus escaped, nobody could predict the trajectory,” Simon Wain-Hobson, a virologist at the Pasteur Institute in Paris told Nature at the time. Rutgers University molecular biologist Richard Ebright agreed, telling the publication, “The only impact of this work is the creation, in a lab, of a new, non-natural risk.”

Fuelling conspiracy theories is the fact that two of the paper’s co-authors, Xing-Yi Ge and Zhengli-Li Shi, were based at the Wuhan Institute of Virology, 30km from the suspected epicentre of the outbreak at the Huanan Seafood Wholesale Market.

According to a former Israeli intelligence official, the Wuhan Institute of Virology – one of the only facilities in the world with a biosafety level 4 (BSL-4) certification needed to handle the most deadly diseases – is actually part of a secret biological weapons program.

“Certain laboratories in the institute have probably been engaged, in terms of research and development, in Chinese (biological weapons), at least collaterally, yet not as a principal facility of the Chinese BW alignment,” Dany Shoham told the conservative Washington Times website.

Other experts have dismissed Mr Shoham’s claims as baseless fearmongering. Another way to look at it – the 2015 study correctly identified the risk of bat-borne coronaviruses spreading to humans that is now playing out.

RELATED: Mystery lab next to coronavirus epicentre

OUTBREAK COMES THREE MONTHS AFTER GLOBAL CORONAVIRUS PANDEMIC SIMULATION

Late last year, experts from the Centre for Health Security at Johns Hopkins University teamed up with the World Economic Forum and the Bill and Melinda Gates Foundation for an exercise in New York dubbed “Event 201”.

The eight-hour panel brought together leaders in business, government and public health to play a team of presidential advisers modelling the response to a worldwide pandemic of – you guessed it – coronavirus.

The scenario began three months in with 500,000 cases globally. By the end of the simulation, a mock news broadcast described the carnage. “Twenty months into one of the worst pandemics the world’s ever known, there’s still no vaccine,” the newsreader says.

“The World Health Organisation estimates 150 million people have died, approximately 2 per cent of the global population. The US, along with the rest of the world, is in its worst economic depression in history. The Dow Jones is down 90 cent, GDP down 50 per cent, unemployment running at 20 per cent.”

Speaking to the website Contagion Live at the time, Johns Hopkins scientist Eric Toner said the exercises were “primarily educational tools”. “One of the things we try to demonstrate through these exercises are economic and societal consequences, as well as the public health consequences, of a severe pandemic,” he said.

“We want to show policymakers, business leaders, and global public health organisations that a severe pandemic may be as disruptive to a country as a national security event can be. All these events have led to growing awareness of the potential challenges, but unfortunately we’ve seen that among policymakers and business leaders this awareness waxes and wanes. The response to all the exercises we’ve done have been encouraging.”

Last week, Dr Toner said China’s efforts to contain the current outbreak were “unlikely to be effective” and “the cat’s already out of the bag”. “The point that we tried to make in our exercise back in October is that it isn’t just about the health consequences,” he told Business Insider. “It’s about the consequences on economies and societies.”

NETFLIX DROPS SCARY NEW PANDEMIC DOCUMENTARY SERIES AS CORONAVIRUS SPREADS

Earlier this month, Netflix revealed the first trailer for – as Observer described it – its “frighteningly relevant” upcoming docuseries that speaks to the “heroes on the front lines of the battle against influenza … about their efforts to stop the next global outbreak”.

Pandemic: How to Prevent an Outbreak posits that another large-scale influenza outbreak similar to the Spanish flu of 1918, which killed an estimated 50 to 100 million people, is inevitable.

“When we talk about another flu pandemic happening it’s not a matter of if but when,” Dr Dennis Carroll from USAID says in the trailer. “The result would be hundreds of millions of people that would likely die.”

The show delves into the challenges posed by the rise in anti-vaxxers and follows efforts by researchers developing a universal flu vaccine to attract funding from wealthy benefactors like Bill Gates.

Dr Syra Madad from the New York City Health and Hospitals’ Special Pathogens Program also appears in the show, describing the ease with which a respiratory virus could spread through the city via air travel. “Influenza is very hard to predict. It takes one person – one host – to lead to a pandemic,” she says.

The timing of the show, with its ominous episode titles – “Pandemic Is Now”, “Seek Don’t Hide”, “Prayers Might Work” and “Don’t Stop Now” – has naturally raised eyebrows, with many on Twitter describing it as “creepy” and “suspicious”.

“The timing of this is a little to obvious for me bruh,” one YouTube user said. Another joked, “That moment when Netflix releases a virus to boost the relevance of their new docuseries.”

A Chinese social media user noticed a familiar logo.
A Chinese social media user noticed a familiar logo.Source:Supplied

CHINESE BIOTECH FIRM SHARES LOGO WITH EVIL CORPORATION FROM RESIDENT EVIL

Last year, Chinese fans of the Resident Evil video game series noted a real-life pharmaceutical company based in Shanghai had a nearly identical logo as Umbrella Corp, the fictional bad guys behind the creation of a world-ending zombie virus.

Shanghai Ruilan Bao Hu San Biotech Limited features a turquoise-and-white version of Umbrella Corp’s iconic red-and-white logo. A photo of the company’s headquarters sign was first uploaded by a Chinese social media user.

A screenshot of the company’s official website showed that, yes, that is its real logo. Strangely enough, Lanshan, the web design company that featured the screenshot of Shanghai Ruilan Bao Hu San Biotech’s site in its client portfolio, removed the page shortly after it made headlines.

A cached version is still available via the Internet Archive. It describes Shanghai Ruilan Bao Hu San Biotech as an “industry group with wide influence in the field of life and health”, covering “stem cell storage and clinical applications, tumour immune technology, animal seed industry technology research and development and industrial application, animal commercial cloning, beauty body and anti-ageing, genetic testing and precision medicine, drug development and disease models”.

Although the story is six months old, it has been resurfaced by internet users in light of the coronavirus outbreak. They point out that “corona” is an anagram for “racoon”. And where is Resident Evil set? Raccoon City. Spooky.
credits: https://www.news.com.au ://bit.ly/37OoSlS
frank.chung@news.com.au

06/03/2020

First of all I congratulate Allied and Health care Professionals .Cabinet approves Bill to regulate allied and healthcare professions.
The Union Cabinet has approved the Allied and Healthcare Professions Bill, 2018 for regulation and standardisation of education and services provided by professionals in the healthcare sector.
The bill provides for setting up of an Allied and Healthcare Council of India and corresponding State Allied and Healthcare Councils, which will play the role of a standard-setter and facilitator for such professions.
As per the bill, there will be 15 major professional categories including 53 professions in allied and healthcare streams. Offences and penalties clauses have been included in the bill to check the mal­practices,
The bill provides for structure, constitution, composition and functions of the Central Council and State Councils like framing policies and standards, regulation of professional conduct, creation and maintenance of live registers, provisions for common entry and exit examinations among others.
The Central Council will comprise 47 members, of which 14 members shall be ex-officio representing diverse and related roles and functions and remaining 33 shall be non-ex-officio members who mainly represent the 15 professional categories
The State Councils are also envisioned to mirror the Central Council, comprising 7 ex-officio and 21 non-ex officio members, and Chairperson to be elected from amongst the non-ex officio members.
Professional Advisory Bodies under Central and State Councils will examine issues independently and provide recommendations relating to specific recognised categories.
The bill will also have an overriding effect on any other existing law for any of the covered professions. The State Council will undertake recognition of allied and healthcare institutions.
The bill also empowers the Central and State Governments to make rules. An Interim Council will be constituted within 6 months of passing of the Act holding charge for a period of two years until the establishment of the Central Council.

04/03/2020
3rd meeting for Allied Healthcare Education Society on 15th December 2019.
29/02/2020

3rd meeting for Allied Healthcare Education Society on 15th December 2019.

2nd meeting for Allied Healthcare Education Society on 20th October 2019.
29/02/2020

2nd meeting for Allied Healthcare Education Society on 20th October 2019.

First meeting For Allied Health Care Education Society on 14th April 2019
26/02/2020

First meeting For Allied Health Care Education Society on 14th April 2019

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