May
17

Childbirth

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Childbirth also known as labor, birth, or parturition is the culmination of a human pregnancy or gestation period with the expulsion of one or more newborn infants from a women’s uterus. There are three stages to giving child birth and some different methods. There are also some physical and emotional effects that come along with being pregnant and going into labor.

The first stage to giving childbirth begins when you start having contractions that cause progressive changes in your cervix and ends when your cervix is fully dilated. Contractions are the tightening and shortening of the uterine muscles during labor causing effacement and dilation of the cervix and contributing to the descent of the baby. This stage is also divided into two phases’ early labor and active labor. Early labor is when your cervix gradually effaces and dilates. Active labor is when you cervix begins to dilate more rapidly, and contractions are longer, stronger, and closer together. The second stage is when you are fully dilated and ends with the birth of the baby. This stage is also known as the pushing stage. The third stage starts right after the birth of the baby and ends with the delivery of the placenta. Every pregnancy is different so each of these stages could last longer than others and some complications could come along. For women having a baby for the first time labor usually last between ten and twenty hours. Labor for women who have already had a child is much easier and the delivery doesn’t take too long.Crowning during Child Birth

Going into labor is a big deal. There are many different way to go into labor and deliver a baby. The three most common ways are natural birth, medicated birth, and cesarean section known as a C-section. Natural child birth is once thought only for the bravest souls. It is having birth with absolutely no medication of any kind. When you choose to have natural birth you accept the potential for pain and discomfort as part and parcel of giving birth.  Medicated birth is when you decided to use pain medication during labor. The most common medication used during child birth is the epidural. Most women choose this route. Although there are other medications used to make the delivery easier. The C-section is usually not a choice it’s more a decision from the doctor. The way a C-section is determined to be done is if the baby or you are experiencing distress during labor or other complications. The rate for C-sections in the US has increased forty percent in the past ten years. Labor is the last stage in a pregnancy and is one of the most important. You need to choose which method of labor would be best for you and your unborn baby.

There are many physical effects to giving birth and even after birth. Most of the effects have to do with the cervix. The cervix is the opening to the womb and plays a crucial role in pregnancy. The cervix is always moving from a posterior position to an anterior position. It is softening and thinning and can thin anywhere from 0% to 50% during this stage. When the cervix begins to open you then may lose your mucous plug. After labor and delivery your body then has to go through many changes to get back to normal. It will not go back right away because your body has prepared for delivery for forty weeks.

During a pregnancy and childbirth many emotions are going on before and after. They can be good, happy, and excited emotions or frustrated, depressed, and ill emotions. You may be really excited when your contractions increase and they are stronger than they usual are because that means the baby is coming soon or you may be in so much pain due to the contractions. The contractions could go on for a while and no baby yet and it may lead you to be discouraged and tired.  After giving birth women are so happy and glad to have their child. They feel emotional satisfied but some women may feel dazed, bruised, and exhausted. Your body after birth will be tried for the first few weeks. You may become over whelmed with the lack of sleep and a new born child. All these emotions are normal during the phases of pregnancy.

Categories : Childbirth, Healthcare
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Dec
31

Post Cardiac Arrest Treatment

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The new hypothermia protocol set forth by the American Heart Association has proven to be a win win situation for the patient as well as the family. For many years, people who were successfully resuscitated from cardiac arrest would suffer from neurological deficits. Allied Healthcare providers and physicians now cool down  the patients core temperature down to 32 or 34 degrees Celsius. After 24 to 72 hours, the patient is evaluated by a neurologist to see if they are able to follow commands. The patient is rewarmed to close to or near their normal temperature for this test to be conducted. If the patient is unable to follow commands, the team of physicians may elect to induce hypothermia for an additional 24 to 48 hours. It is preference and clinical experience that will guide this level of treatment. For more information, please visit the American Heart Association.

Dec
08

Excellent Compressions

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When resuscitating the cardiac arrest victim one must consider the importance of external chest compressions. The person who is performing chest compressions must push hard and fast in order to maintain systemic circulation. After two minutes of CPR, the person giving ventilation to the victim should exchange places with the compressor. This is done in order to prevent exhaustion of the Allied healthcare provider. The American Heart Association stresses that we should perform CPR and a very high level for the patient to have a chance of full recovery.

Hopefully, there is someone there who can neither call 911 or who could retrieve an automated external defibrillator. As soon as the defibrillator arrives, attacks the pads and follow all the verbal prompts. The AED may advise a shock. The AED will charge and be ready to deliver a jolt of electricity into the heart. You should make sure that compressions are ceased until the defibrillator has completed its process. The emergency medical services should arrive in less than 10 minutes at the patient’s side. Contact your local fire department or your hospital to learn more about CPR.

Nov
25

Medical Class Update

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Hi guys, we just finished up the first day of the ACLS initial course. The ACLS certification course is approved by the American Heart Association. Those of you who have never attended an advanced cardiac life support program, you must attend the American Heart Association today initial program in order to be certified in advanced cardiac life support. There are many different components that make up this program. You must be very well versed in the recognition of EKG arrhythmias. Pharmacology as well as EKG interpretation is a must in order to do well in the initial ACLS course.

As we move forward into the new millennium, technology will help the Allied healthcare provider with the interpretation of EKG’s. We will be providing an online ACLS refresher course for those of you who need additional training. We will be teaching EKG as well as the ACLS algorithms. In addition, we will have video demonstrations on the core components of doing excellent cardiopulmonary resuscitation with the implementation of advanced life support. Our instructors will demonstrate how I’m Allied healthcare provider should transition from one algorithm to the next. For those of you who would be interested in purchasing our video, please fill free to contact us by phone or by e-mail. For any additional questions or further inquiries please reach us through our contact information page posted on our website.

Nov
23

Heart Conduction

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The conduction system of the myocardium is very unique in the sense that it generates its own impulse. While attending the local community college for anatomy and physiology, many of you may have learned that the mild corneal tissue is a very specialized muscle. All of the myocardial cells have the ability to create automaticity, conductivity as well as contractility. For this reason alone the heart is consider to be very unique.

The sino-atrial node is responsible for generating the initial impulse which travels down the internodal pathways until it reaches the AV nodal tissue. After reaching the halfway mark, the atrium will contract sending the remaining blood forcefully down into the ventricles. As a result, the ventricles become very pressurized and the papillary muscles are stretched and as they are stretched they contract in response to close the bicuspid as well as the tricuspid valves. The electrical impulse is released from the atrial ventricular node where it travels down the bundle of his until he separates into the right and left bundle branch respectively. The energy or the impulse continues on its journey until it reaches the Purkinje Fibers.

After the electrical impulse has reached the outermost portion of the ventricles, the lower portion of the myocardial tissue begins to contract. This contraction helps to eject blood from the vehicles themselves to provide perfusion to the brain, coronary artery circulation as well as systemic circulation. For more information please visit the Atlanta medical Academy.

Nov
22

Chest Pressure

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There are many individuals who suffer from some chest pain.While this chest pain may be more of a nuisance than a problem, the underlying cause is the real issue. Blood has a tendency to coagulate in the lower coronary arteries due to the build up of plaque.This build up of plaque occludes the blood flowTo the myocardial tissue that is located just beyond the blockage. As a result, the myocardial tissue goes through a process known as anaerobic metabolism. This type of metabolism may be fatal if not corrected in due time. The Atlanta medical Academy provides advanced cardiac life support certification for the advanced healthcare provider. Understanding cardiac related heart disease is the first step in the right direction.

Chest pressure may be present without any additional signs or symptoms. However, the patient should not discount this as indigestion. Anyone who feels chest pressure should seek medical attention at their local emergency room as soon as possible. Throughout the years the American Heart Association has been very diligent in their efforts to prevent sudden cardiac arrest. Their efforts have reached millions upon millions of people. Throughout the world individuals have acute coronary syndromes each and every day. Realizing and understanding the importance of simple chest pressure may save someone’s life. As we move into the new millennium, there will be technology and advancements in science as well as in medicine that will alleviate the need for understanding chest pain versus chest pressure.

Nov
22

Happy Thanksgiving

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The Atlanta medical Academy would like to wish everyone a happy Thanksgiving. To all of the health care providers who have attended all of our advanced cardiac life support courses, we would like to extend our debt of gratitude to you and your family. It is our mission to provide as much educational information in relation to your field of medicine. If there is any additional education or instruction that we may provide, please let us know so that we may serve you.

The new schedule for 2012 will be coming out within the next seven days. We are also looking to add additional courses such as electrocardiogram, pharmacology, intravenous therapy as well as neonatal resuscitation. Once again, if you have any suggestions or ideas of classes that may be of benefit to you or your place of practice, please feel free to send all suggestions via e-mail or you may contact us by telephone.

 

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Nov
06

Medicine and Technology

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The medical community has moved into the new millennium in relation to high tech and high touch medical equipment, skills and technology. Doctors have taken precautions to further the well being of their patients as well by attending advanced medical certification courses. The PALS certification course provides medical specialist with an unique set of skills. Defibrillation and intubation in conjunction with the administration of cardiac medications makes a superior difference in the outcome of the cardiac arrest victim. Science has shown that excellent compressions with attention to advanced airway management will aid in the saving of a life. Thermodynamics plays a major role in the long term recovery of each patient if they have return of spontaneous circulation. Cooling a patient’s core temperature down to 32 or 34 degrees Celsius has proven to slow the overall metabolic rate and prevents further cellular death. By decreasing the metabolic rate we are able to preserve the neural tissue in the cerebellum. In layman’s terms, we save the brain from biological death.

Life Form has aided in the education of the advanced cardiac life support provider by supplying CPR manikins to the local medical institutions. CPR manikins along with the intubation manikin teaches first year medical students, new nurses and paramedics how to resuscitate someone who is in cardiac arrest. This practice or practical scenarios is vital not only to the medical health care provider, but to the well being of the community as a whole. As stated before, technology and the advancement of the health care industry has seen great strides in helping to save lives. Capnography is a major component in measuring end tidal CO2 in reference to the adequacy of cardiac pulmonary resuscitation. Years ago, we would have not seen this as a vital instrument to evaluate resuscitation efforts. The reason being is simple. The technology was not yet readily available for the civilian sector. As a final note, we must continue to advance ourselves in conjunction with the development of technology.

Nov
04

Cardiac Output v/s Homeostasis

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Dr. Frank Starling developed the concept of heart rate x stroke volume equals cardiac output. With that said, many physicians will not preach this concept which is important when treating the cardiac patient. A person who has suffered a myocardial infarction needs intense cardiac rehabilitation to say the least. American Doctors for the most part understand the need for excellent cardiac output as well as homeostasis. The important factor to remember or should I say understand is excellent cardiac output always equals superior homeostasis.

As we move into the world of technology, we must not forget the simple concepts that have served the healthcare community throughout the years. What will we do when all technology fails and we have to rely on our fundamental skills and knowledge? By attending courses through the Atlanta Medical Academy you can stay up to par on all of your advanced skills and knowledge.

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Aug
16

Low Oxygen Level

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When a patient has low oxygen levels they will soon be in cardiac arrest. There must be great emphasis placed on the administration of oxygen. No matter how the oxygen is delivered, as the healthcare provider you must select the proper administration device.  There must be fast administration of endotracheal intubation to secure the airway in a timely manner. If you fail to do so, your patient will suffer significantly. Studies have shown that individuals who receive oxygen in a timely manner have a lesser incidence of neurological deficits. Realize that all patients with decrease oxygen levels will suffer if not resuscitated with high flow oxygen. Finally, the airway or breathing as well as circulation is of the utmost importance when trying to save the life of a patient in respiratory distress.