Check out the full course at https://www.knowledgecity.com/en/library/14521/. One never knows when an accident will happen. The key is to always be prepared. You will learn how to fall off a ladder the right way to prevent serious injuries. To prevent broken bones or spinal injury, avoid moving the victim unless he or she is in a very dangerous location and call for medical assistance right away.

Course Lessons:
Introduction
Selecting the Proper Ladder
Inspecting Ladders Before Use
Setting Up and Moving Ladders
Climbing Ladders
Working on Ladders
Ladder Accidents
Review

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Accidents happen even under the best of conditions. Each of these examples is followed by a suggested question or discussion topic for your team. What do you do when providing ladder safety training now? How do you expect your teams to respond to accidents or in the treatment of these injuries? Use these examples as case stems!

YouTube is full of examples like these that can be used for a variety of educational needs.

For Human Resource Managers:
– Use videos for context and have your team simulate discussions with the injured employee or other team members.
– Have your teams consider their current on boarding practices. Are we training the use of ladders (or any tools really) correctly? Documenting the training?
– Do our teams know what to do if a colleague is injured on the job?
– Do the employees know what to do if they are the one injured?
– How are your leaders performing when under stress?
– What procedures do you have for Workers’ Compensation?
– Does your team know what forms are needed and how to fill them out?
– How do you legally protect your employee and the company when things go wrong?

For Medical and Other Educators:
– These videos are an incredible attention getting step, provide the context for discussion or simulation
– How would you treat this mechanism of injury?
– Was the injury made worse by the on site “treatment”?
– What labs or imaging do you order? (Ethics and value care discussions can start here!)
– Document the simulated patient exam. (Billing codes?)
– Don’t forget the co-morbidities!

We hope you enjoy the video and find a way to use these or other ladder climbing accidents and safety fail clips for your own Human Resources or medical education activities.

Please comment below as we would love to hear how you use these or similar videos. Also Subscribe, give us a thumbs up, and maybe even Hit the notification bell if you found this useful or entertaining.

Copyright Disclaimer Under Section 107 of the Copyright Act 1976, allowance is made for “fair use” for purposes such as criticism, comment, news reporting, teaching, scholarship, and research. Fair use is a use permitted by copyright statute that might otherwise be infringing. Non-profit, educational or personal use tips the balance in favor of fair use.

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Follow along here: https://www.flutesloot.com/lingering-grievous-injuries-dnd-5e?utm_source=youtube

I have noticed an issue with low-level resurrection spells like Revivify and Raise Dead. The time limit based on recency of death makes sense, but there are no game mechanics for when a character loses a limb, breaks a nail, burns to ashes, melts in acid, snaps to pieces in a frozen burst, or falls victim to decapitation. My hope is to inspire you to not just use hitpoints as a resource but as a roleplaying signal for injuries.

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Lewis Hine’s photograph of a girl at work in a cotton mill, part of his monumental series on child labor, forced Americans to reckon with their economic exploitation of youth.
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Visit us in www.eurohoops.net – Global views on Basketball with a European perception – Everything you need to know about Euroleague, Eurocup and the top European domestic leagues

Visit us in www.eurohoops.net – Global views on Basketball with a European perception – Everything you need to know about Euroleague, Eurocup and the top European domestic leagues
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Please see our most recent update to vaping associated lung injury (on Vitamin E Acetate and the CDC update) here: https://youtu.be/Y8USqAzo2HA

Vaping & E-Cigarette related illnesses & deaths have gathered significant media attention. Join Dr. Seheult of https://www.MedCram.com as he illustrates key points about vaping and E cigarette-related acute pulmonary illness & disease symptoms, diagnosis, CXR, and CT scan findings that we understand at this time. More information and studies are needed as vaping deaths and hospitalizations in 2019 continue to rise (some are calling it a “vaping epidemic”). See the second video in this series on the treatment of vaping associated pulmonary injury: https://youtu.be/7TO7Cfi_o38.

See our updated video on vaping associated lung injury here (on Vitamin E Acetate and the CDC update): https://youtu.be/Y8USqAzo2HAon (November 19, 2019)

Links to articles from the New England Journal of Medicine referenced in this video:

Pulmonary Illness Related to E-Cigarette Use in Illinois and Wisconsin — Preliminary Report: https://www.nejm.org/doi/full/10.1056/NEJMoa1911614

Vaping-Induced Lung Injury: https://www.nejm.org/doi/full/10.1056/NEJMe1912032?query=recirc_mostViewed_railB_article

Instructor: Roger Seheult, MD
Co-Founder of MedCram.com
Clinical and Exam Preparation Instructor
Board Certified in Internal Medicine, Pulmonary Disease, Critical Care, and Sleep Medicine.

Visit https://www.MedCram.com for top-rated medical videos, over 30 hours of category 1 CME and CE, and over 100 free lectures.

MedCram: Medical education topics explained clearly including: Respiratory lectures such as Asthma, COPD, and vape / E cigarette related lung disease. Renal lectures on Acute Renal Failure and Adrenal Gland. Internal medicine videos on Oxygen Hemoglobin Dissociation Curve and Medical Acid Base. A growing library on critical care topics such as Shock, Diabetic Ketoacidosis (DKA), and Mechanical Ventilation. Cardiology videos on Hypertension, ECG / EKG Interpretation, and heart failure. VQ Mismatch and Hyponatremia lectures have been popular among medical students and physicians. The Pulmonary Function Tests (PFTs) videos and Ventilator-associated pneumonia bundles and lectures have been particularly popular with RTs. NPs and PAs have given great feedback on Pneumonia Treatment and Liver Function Tests among many others. Dr. Jacquet teaches our FAST exam tutorial & bedside ultrasound courses. Many nursing students have found the Asthma and shock lectures very helpful. We’re starting a new course series on clinical ultrasound/ultrasound medical imaging.

Recommended Audience – Medical professionals and medical students: including physicians, nurse practitioners, physician assistants, nurses, respiratory therapists, EMT and paramedics, and many others. Review and test prep for USMLE, MCAT, PANCE, NCLEX, NAPLEX, NBDE, RN, RT, MD, DO, PA, NP school and board examinations.

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#Vaping #ECigarettes #vapingdeaths

Daniel Ament, whose lungs were irreversibly damaged after using e-cigarettes, is now urging others to stop vaping.
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✅ Free Online Courses
Ladder Safety: https://osha.oregon.gov/edu/courses/Pages/portable-ladder-safety-online-course.aspx
Fundamentals of Fall Protection: https://osha.oregon.gov/edu/courses/Pages/fall-protection-online-course.aspx
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✅ Recommended Playlists
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There are many reasons why ladders are dangerous. This video will provide you with a better understanding of why ladders in the work place are so dangerous. You will hear from leading experts in the field of fall protection and ladder safety, and see what the possible negative outcomes are if you use ladders inappropriately.

We take ladders for granted because they’re so easy to use. ladders are often the first tool we choose when working at elevation. This approach is known as “Ladders First,” yet more workers are injured in falls from ladders than from any other elevated surface — roofs, scaffolds, balconies, even stairs. Why do workers fall from ladders? Most falls happen because workers select the wrong type of ladder for their job or they set up the ladder improperly and the ladder shifts or slips unexpectedly. Workers also fall when they’re not working safely on the ladder — their foot slips, they lose their balance, they overreach, or something knocks the ladder over. Before choosing a portable
ladder, consider a “Ladders Last” approach when other, often safer options, such as scaffolds, aerial lifts, or mobile ladder stands, are available.

#OregonOSHA

This video recreates the real-life series of events that led to the death of a 33-year-old construction worker from a ladder fall — and how it could have been prevented. Get an accompanying Toolbox Talk, poster and a one-page handout to make for a complete training experience. Great for foremen, site supervisors and professional trainers.This true story is taken from a NIOSH FACE Report, which identifies factors that contribute to fatal injuries and gives comprehensive recommendations for preventing similar deaths.

Spanish version

Toolbox Talk
http://cpwr.com/sites/default/files/publications/CPWR_Step_Ladders.pdf

one-page handout
http://cpwr.com/sites/default/files/publications/Ladders%202013.pdf

NIOSH FACE Report
http://www.cdc.gov/niosh/face/In-house/full200901.html

Watch more Lessons to Go Home Safe
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CPWR is a nonprofit research and training institution serving the U.S. construction industry and its workers, contractors, trainers, and safety and health professionals. Find out more at www.cpwr.com.

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Love Dance Moms? Stay up to date on all of your favorite Lifetime shows at https://mylifetime.com/schedule

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The road has not been easy for “Dance Mom’s” star Abby Lee Miller. After completing her prison sentence last year, the famed dance instructor was diagnosed with non-Hodgkin’s lymphoma. But if anything, Abby has proven she is a fighter and is not ready to hang up the dance shoes. The new season of Dance Moms follows Abby as she rebuilds her dance company while battling the after-effects of cancer that has left her confined to a wheelchair. Abby is ready to get back to her life and do what she loves most…teaching students to dance! With the goal of putting her life, health and dance studio back together, Abby returns to where it all began – the Abby Lee Dance Company in Pittsburgh.

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Dr. Ebraheim’s educational animated illustrates spine concepts associated the cervical spine – trauma.
Transverse ligament:
– It provides the C1-C2 stability
– It is behind the odontoid and it anchors the odontoid to the ring of C1 so it prevents an abnormal movement between C1 and C2.
– A.D.I. in adults is 3.5 mm.
– Of the transverse ligament is injured, C1 and C2 will be free to move & there will be an increase in the A.D.I.
– Isolated traumatic injury to the transverse ligament is probably rare.
– Jefferson fracture
Three types:
– Type II: fracture at the base of the odontoid process, most common, troublesome fracture.
– Nonunion rate is 20-80% due to interruption of the blood supply.
– High nonunion rate in:
– More than 5 mm of displacement.
– Patients older than 50 years of age.
– Other risk factors:
– Delay in treatment
– Posterior displacement of the fracture
– Diabetes
– Do not use halo in early patients, risk of death from pneumonia
– Treatment of young patients:
• Halo: halo traction may be needed initially to reduce fracture, halo for up to 3 months, 30% non-union rate in halo.
• When do you do surgery? Displaced fracture in older patients, risk factors for no-union.
• Odontoid screw is preferred in the young patient.
• Need to preserve C1-C2 motion.
• Do not do fusion in young patients.
• Can use C1- C2 fusion in older patients.
• For older patients:
– Orthosis or Fusion of C1- C2 if there is an indication for surgery and if there is a clearance for surgery.
Type III:
– Fracture through the body of C2.
– Treatment:
• Cervical orthosis
• Halo: if displaced
• Hangman’s fracture is a bilateral fracture of the pars interarticularis
• The spinal canal is wider and there will be a low risk for spinal cord injury.
Levine and Edwards classification:
– Type I: stable fracture with less than 3 mm displacement, no angulation, treatment: cervical orthosis.
– Type II: most common type, significant translation and some angulation, unstable fracture, treatment: cervical traction and extension to improve the displacement, immobilization in halo vest for about 3 months.
– Type IIa: severe angulation and slight translation seen in flexion distraction injuries with tearing of the posterior longitudinal ligament, the fracture is unstable, treatment: do not use traction when there is severe angulation of the fracture.
– Type III: surgical type, C2-C3 facet dislocation, rare fracture of the pedicles in addition to the anterior facet dislocation, it has some neurological deficit association, treatment: surgery for reduction of the facet dislocation and stabilization of the injury, open reduction and posterior spine fusion.
• Facet dislocations: the association of disk herniation and facet involvement is very high, so watch out for a herniated disc in addition to the bony injury.
– Unilateral facet dislocation will usually have less than 50% translation on x-ray and it may affect a nerve root.
– Bilateral facet dislocation will have more than 50% translation and probably a spinal cord injury.
– Treatment: immediate closed reduction, get an MRI, then do surgery, if the patient has a change in mental status, then get the MRI first, and immediately followed by open reduction and surgical fixation.
– When do you go anteriorly?
– Go anteriorly if there is a disc herniation, incidence is about 10%-30% in cervical facet dislocation.
– If you try to do reduction, the disc fragment may stay in the canal causing spinal cord injury.
– When do you do posterior?
– If reduction of the dislocation failed and there was no disc herniation.
– When do you combined anterior and posterior procedures?
– Need to go anteriorly to remove the disc
– Need to go posteriorly because the dislocation cannot be reduced by a closed method or by an open anterior technique.
• Important points:
1- Get the MRI before surgery: make sure there is not a disc herniation.
2- Ligament injuries do not heal: will need fusion surgery.
3- Know the arrangement of the facets: superior and inferior facets in normal, subluxed, and dislocated positions.
Know the “naked facet” or the “empty facet”.
Train yourself to know this, especially for exam questions.
Naked Facet.
Cervical Spine MRI
Facet Fracture
Ligamentous Injury OF THE Cervical Spine
Burst Fracture of Lower Cervical Spine
Tear Drop Fracture

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This video “Spinal Trauma: Cervical Trauma Protocol, Common Spinal Fractures” is part of the Lecturio course “Radiology”
► WATCH the complete course on http://lectur.io/spinaltrauma

► LEARN ABOUT:
– Cervical trauma protocol
– Common mechanism of spine trauma
– Common spinal fractures
– Burst fracture
– Chance fracture
– Jefferson fracture
– Hangman’s fracture

► THE PROF:
Hetal Verma has extensive experience practicing in the field of radiology. She is currently a Clinical Instructor at Harvard Medical School. Hetal has been in practice for over 10 years and has been teaching medical students and residents throughout that time. She has also been invited as a speaker at multiple teaching conferences for other physicians, technologists and the community.

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C3 Vertebrae Injury, C4 Vertebrae Injury, and C5 Vertebrae Injury are all defined. C3, C4, & C5 Vertebrae Anatomy is described. Cervical Spinal Injury treatments, as well as C3 Vertebrae, C4 Vertebrae, C5 Vertebrae recoveries are all discussed.

C3 Spinal Vertebra Defined
The C2 – C3 junction of the spinal column is important, as this is where flexion and extension occur (flexion is the movement of the chin toward the chest and extension is the backward movement of the head). Patients with a cervical vertebrae injury at the C3 level will have limited mobility in both their flexion and extension.
The C3 vertebra is in line with the lower section of the jaw and hyoid bone, which holds the tongue in place. The flexible C3 vertebrae helps aid in the bending and rotation of the neck.
C4 Spinal Vertebra Defined
This central portion of the spinal cord, which relates to the C4 vertebra, contains nerves that run to the diaphragm, which helps us breathe by contracting and pulling air into the lungs. The C4 vertebra is located in the neck region of the spinal column, just above the thoracic vertebrae. It is located in close proximity to the thyroid cartilage.
C5 Spinal Vertebra Defined
The C5 spinal vertebra is the fifth vertebra from the top of the column. The C5 vertebra is significant for determining the severity of neck and spinal injury. If the injury is at or above the C5 vertebra, the person may be unable to breathe since the spinal cord nerves located between the third and fifth cervical vertebrae control respiration. Damage to the spinal cord at the C5 vertebra also affects the vocal cords, biceps, and deltoid muscles in the upper arms.
C3, C4, & C5 Vertebrae Anatomy
Cervical vertebrae from C3 through C6 are also known as typical vertebrae since they share similar anatomical characteristics to the other vertebrae further down the spinal column. Typical vertebrae share these features:
Vertebral Body
The thick boned vertebral body is cylindrical-shaped and located at the front of the vertebra. It carries most of the weight for a vertebra. Most vertebrae feature an intervertebral disc between 2 vertebral bodies for cushioning and shock absorption.
Vertebral Arch
The vertebral arch is a bony curve that wraps around the spinal cord toward the back of the spine and consists of 2 pedicles and 2 laminae.
Facet Joints
Each vertebra has a pair of facet joints, also known as zygapophysial joints. These joints, located between the pedicle and lamina on each side of the vertebral arch, are lined with smooth cartilage to enable limited movement between 2 vertebrae. Spinal degeneration or injury to the facet joints are among the most common causes of chronic neck pain.
Functions of C3, C4, & C5 Vertebrae
These vertebrae form the midsection of the cervical spine, near the base of the neck. They control function to the body from the shoulders down. All three vertebrae work together to support the neck and head.
Causes of Cervical Spinal Injuries
The most common causes of cervical vertebrae injury and spinal cord damage include a spinal fracture from diving accidents and sports, as well as medical complications. Other common causes include:
• Tumors
• Trauma
• Birth defects
• Motor vehicle accidents
• Infections or diseases
• Slip and fall incidents
C3, C4, and C5 Injury Symptoms
Symptoms of a C3 Level Spinal Cord Injury
Symptoms of a spinal cord injury corresponding to C3 vertebrae include:
• Limited range of motion
• Loss of diaphragm function
• Requirement of a ventilator for breathing
• Paralysis in arms, hands, torso, and legs
• Trouble controlling bladder and bowel function
Symptoms of a C4 Level Spinal Cord Injury
Patients with C4 spinal cord injuries typically need 24 hour-a-day support to breathe and maintain oxygen levels. Symptoms of a spinal cord injury corresponding to C4 vertebrae include:
• Loss of diaphragm function
• Potential requirement of a ventilator for breathing
• Limited range of motion
• Paralysis in arms, hands, torso, and legs
• Trouble controlling bladder and bowel function
Symptoms of a C5 Level Spinal Cord Injury
Damage to the spinal cord at the C5 vertebra affects the vocal cords, biceps, and deltoid muscles in the upper arms. Unlike some of the higher cervical injuries, a patient with a C5 spinal cord injury will likely be able to breathe and speak on their own. Symptoms of a spinal cord injury corresponding to C5 vertebrae include:
• Retaining the ability to speak and breathe without assistance, though respiration may be weak
• Paralysis in the torso, legs, wrists, and hands
• Paralysis may be experienced on one or both sides of the body
• Patients may be able to raise their arms and/or bend their elbows
• Patients will need assistance with daily living, but may have some independent function

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Vitamin D is extremely important for most functions in the body, but there are specific benefit for athletes. In this video I explain what Vitamin D does for anyone who does sport, what is currently seen as normal levels of of Vitamin D and how much you can supplement with daily.
✅You’re welcome to join the Sports Injury Group if you would like to ask questions: https://www.facebook.com/groups/sportsinjuryadvice/

🌟Need more help with an injury? You’re welcome to consult me online via video call for an assessment of your injury and a tailored treatment plan: https://www.sports-injury-physio.com/
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More professional and college teams think they have found a cutting-edge advantage hidden in one of the most basic nutrients: vitamin D. WSJ’s Rachel Bachman and Univ. of Virginia director of sports nutrition Randy Bird explain on Lunch Break with Tanya Rivero. Photo: AP

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