Document (1) Harshal Patil PDF Work
Document (1) Harshal Patil PDF Work
Document (1) Harshal Patil PDF Work
UNIVERSITY
THEM. M. KOZYBAEV
REPORT
On INTERSHIP Practice
Group __OM(A)-19-9
Petropavlovsk 2023
Introduction
The program is designed to implement state requirements for the level of training and
the mandatory minimum content in the discipline "Emergency Medical Care" in the
specialty 6B10101 - General Medicine. The production practice "Assistant to the doctor of
emergency and emergency care" is carried out in the 9-th semester for 1 weeks, the
duration of the working day is 7.2 academic hours. The sequence and schedule of various
activities during the day may vary depending on the working conditions.
Purpose of practice :-
Education: It serves as a training ground for medical students, residents, and fellows
to learn about emergency medicine and gain hands-on experience.
Research: Many emergency departments are involved in research and data collection
to improve patient care and outcomes.
Triage: Emergency departments teach the importance of triage, where patients are
assessed based on the severity of their condition to allocate resources efficiently.
Community Service: They play a vital role in providing immediate care to the
community, often acting as a safety net for those in crisis.
Type of practicin
NO Readings Description
. or
g Measureme
procedur
e
1. Removal Normal Removing and interpreting an
and Sinus electrocardiogram (ECG) involves several steps:
interpret Rhythm
ation of (NSR): Gathering Equipment: You'll need an ECG
the ECG machine, electrodes, alcohol swabs, and ECG paper.
The P
waves are Preparing the Patient: Ensure the patient is
regular, comfortable, lying down, and relaxed. Expose
with one P the chest area for electrode placement.
wave
preceding Electrode Placement: Attach the electrodes to
each QRS specific locations on the patient's body. These
complex. locations include the limbs (arms and legs) and
The PR chest (precordial leads). Electrode placement is
interval crucial for accurate ECG readings.
falls within
the Recording the ECG: Start the ECG machine to
normal range
(0.12 to 0.20
seconds).
The QRS record the electrical activity of the heart. It
complex is usually takes a few seconds to complete the
normal in recording.
duration
(usually less Removing Electrodes: Once the ECG is
than 0.12 recorded, carefully remove the electrodes from the
seconds). patient's
The T body. Use alcohol swabs to clean any residual gel
waves are or adhesive.
upright
and follow the Interpreting the ECG: The ECG provides a
QRS graphical representation of the heart's
complex. electrical
Heart rate is activity overtime. Here's a basic interpretation guide:
within the
normal range
(usually 60-
100 beats per
minute).
Normal
Range: An
HbA1c
level
below 5.7% is Procedure: This blood test measures the
often average blood glucose level over the past 2-3
considered months by assessing the percentage of
normal. This hemoglobin that has glucose attached to it.
test reflects Interpretation: HbA1c levels are reported as a
the average percentage. A normal range is typically below 5.7%.
blood sugar Higher levels indicate poorer long-term blood sugar
levels over control. Levels between 5.7% and 6.4% may
the past 2-3 suggest prediabetes, while levels of 6.5% or higher
months. are often used to diagnose diabetes.
Continuous Glucose Monitoring (CGM):
Mouth-to-Nose Resuscitation:
4. Close the Mouth: Ensure the person's mouth
is closed.
Immobilization:
Types of Catheters:
Petropavlovsk
2023
Introduction:
Car injuries involving collisions between moving vehicles and pedestrians are a
significant public health concern, often resulting in severe damage to individuals.
1.Damage Characteristics:
Physical Injuries:
Internal Injuries:
In many cases, pedestrians experience internal injuries, such as organ damage,
internal bleeding, and pneumothorax.
These injuries may not be immediately apparent but can lead to serious complications if
left untreated.
Psychological Trauma:
Car accidents often result in psychological trauma, leading to conditions like post-
traumatic stress disorder (PTSD) and anxiety.
Witnessing or being involved in a collision can have long-lasting effects on mental health.
Medical Tactics:
Doctors typically use diagnostic tools such as X-rays, CT scans, and MRIs to
identify fractures, internal injuries, and other damage.
These tests help in formulating an appropriate treatment plan.
Surgical Intervention:
Severe injuries, especially fractures and internal injuries, often require surgical
intervention. Surgeons may perform procedures to repair fractures, control bleeding, or
remove damaged tissue.
Rehabilitation:
Once stabilized, patients often require physical therapy and rehabilitation to regain
mobility and function.
Rehabilitation helps in the recovery process and improves the quality of life.
Psychological Support:
Conclusion:
Car injuries resulting from collisions between vehicles and pedestrians are characterized
by a wide range of physical and psychological damage. Effective medical tactics
involve immediate attention, diagnostic tests, surgical intervention when necessary,
rehabilitation, and psychological support. Early and comprehensive medical care is
essential to mitigate the long-term consequences of such accidents and promote the
recovery of affected individuals.
While working with the doctor's the student filled out the relevant
documentation,measured blood pressure, pulse, carried out a physiological examination of
patients, collected complaints, anamnesis, and made a diagnosis in accordance with the
International Classification of Diseases.
Head of practice
21.10.2023