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Ready to up your cardiac assessment game? Time to pick up the stethoscope and listen to the ticker! - Heart sounds are from my experience, not a daily nursing task. Should they be? We think so. - By listening to the heart we can obtain a lot of extra information, to fill our patient assessment. The best place to start is – Can you hear a sound or not? If you listen to 100 “normal” heart sounds – Lub Dub, Lub Dub - when you listen and you cannot really hear anything at all (muffled heart sounds), Your patient could...

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Do you undertake a Glasgow Coma Scale on your patients? Doing a Glasgow Coma Scale (GCS) and understanding a GCS are two different things…   BUT what are we really assessing? The first component of the assessment provides a score for the “eyes”. Providing a score between 0-4. What does that actually mean?   The truth is, we are assessing the RETICULAR ACTIVATING SYSTEM.   Ok..? So, What the hell, is the Reticular Activating System! I would describe it as one of the most interesting parts of the human body. It is the system that helps link the sensory network...

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Aortic Dissection is a mimic! - Acute dissection requires a tear in the aortic intima with blood passing through the tear separating the intima from the media or adventitia, creating a false lumen or channel. As blood is diverted into this channel, circulatory volume decreases, and the channel expands and creates either an expanding mass or a heamatoma from coagulating blood. Propagation of the dissection can proceed in anterograde or retrograde fashion from the initial tear involving side branches and causing complications such as malperfusion syndromes (cardiac, spinal, cerebral, renal, coeliac, mesenteric, iliac, or femoral arteries), tamponade, or aortic valve...

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What do we know.. Kurt Cobain called it a dream machine device and envisioned a utopia. A place we can escape to, a place to be. Virtual reality is far from that at the moment. BUT, what is VR and how it is impacting our lives. If you work in Healthcare, it is highly unlikely that VR has impacted on your day to day work at all. VR is integrating slowly that is a well-known fact. In aviation is has been integral and core to their training for years. Spatial computing is already in your life. Turn on google maps...

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Reality exists in the human mind, and nowhere else. ~George Orwell, 1984 As technology advances, so does health care. Web or cloud-based software has helped develop medical records and continues to integrate into our daily practice. The question we need to ask is: Is this innovation or are we just catching up? The first hospital to develop electronic medical records (EMR) was in the mid-1960s and in the early 1970s, the first full EMR system was implemented (Evans, 2016). This was 40 years ago. So, to discuss an EMR as innovative perhaps seems confusing. What then is innovation and what...

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