Halifax

Zdravstvena ekologija (medicina rada i sporta) - udžbenik

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Radna verzija udžbenika. Ovo nije sve, je**vjetri imaju čak dva udžbenika za predmet koji traje duže od kardiologije na internoj, anesteziologije kompletne itd., tako da se nemojte zajebati, nabavite i drugi, za cijelu ceremoniju ispita (pismeni, usmeni) koju naravno imaju potrebna su oba. I još ovima poput Vitale pada na pamet rušiti, iš natrag na PBF.

Medicina rada i sporta, udžbenik.pdf

Uredio ~Sentinel~
Kako se dogodilo da nema slike protiv štampara ovdje? Štampar u odvojeni studij javnog zdravstva, van s medicine!

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Znači :rofl: 

Inače:

Patients who have been exposed to phosgene should be removed from the site of exposure as quickly as possible by protected emergency responders. There is usually no requirement for decontamination unless liquid contamination has occurred. Phosgene has no specific antidote, and treatment is based around use of supportive measures and pharmacologic modification of the effects of the inflammatory mediator cascade.  87  One of the firm rules for the management of phosgene exposure dating from World War I was complete bed rest after exposure and observation for 24 hours, and this still applies. No patient who has had a risk for significant exposure should be discharged from the hospital in less than 24 hours unless accompanied by a responsible observer. Provision of specialized respiratory care both at the prehospital and hospital level is necessary. Some cases may require early intubation and ventilation, and more will require O 2 and supported ventilation in the early stages. The method of provision of emergency ventilation is a matter of interest. Recent work in physical trauma has indicated that the “open lung” strategy  is of value in the prevention of inflammatory cascades by opening the alveoli and keeping them open by use of the correct level of positive end-expiratory pressure. This technique follows the hypothesis that repeated opening and closing of alveoli causes kinin release through the action of shear forces in the alveolar walls. This may be an important lesson for the early management of lungs damaged by phosgene exposure, and the manner of emergency ventilation may be critical. Bag-valve ventilation, which can lead to very high inflation pressures and high flow rates, may be harmful. The use of emergency ventilation strategies that provide controlled flow rates with the early use of positive end-expiratory pressure is more appropriate.

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Poanta je poloziti, ne upotrebljavati mozak. Nisu knjige sa stampara za ucenje, zaboga, nego za polaganje.

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