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.

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.

Trauma patients have a tendency to be hypovolemic due to massive internal injury. The mechanism of injury will help the healthcare provider really understand the potential or the injuries that lie beneath the dermis. Trauma surgeons and emergency room physicians use these signs and symptoms to guide their regiment of treatment. A fluid bolus is also used as quanatative data to recognize the lose of volume. As a final note, any patient who is or has a low B/P should be consider for a fluid bolus.

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.

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.

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.

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.