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Open Wound (Laceration)
Quiz by Tian Lai Ng
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What are the two primary principles for managing an open wound?
Elevating the limb and applying ice.
Controlling bleeding and keeping the wound clean.
Irrigating with alcohol and applying a tight bandage.
Assessing for fractures and administering pain relief.
In the management of a laceration, what is the medic's first priority?
Controlling the bleeding.
Cleansing the wound area with saline.
What are the two primary principles for managing an open wound?
In the management of a laceration, what is the medic's first priority?
Which mnemonic is used for the management of all closed wounds, including sprains and strains?
During assessment of a leg laceration caused by broken glass, which of the following findings would most strongly indicate the need for urgent surgical consultation rather than simple closure in the clinic?
What is depleted ozone layer? It means the protective layer of the Earth’s atmosphere which contains high concentration of ozone molecules which absorbs ultra violet radiation from the sun is seriously decreasing or exhausting. What are Ozone molecules? It is a component of the ozone layer which absorbs the ultraviolet radiation coming from the sun. Here are the causes of depleted ozone layer? a. aerosol b. CFCs c. air pollution While the effects of depleted ozone layer are as follows: a. sunburn b. skin cancer Home Economics and Livelihood Education 7 Seibo College 46 c. cataract d. weak immune system Now, study the following harmful effects of cosmetics on both human and environment: Cosmetics Harmful Effects Hair Spray dandruff, hair loss, environmental destruction if contains harmful substances. Hair Dye blindness if dye comes in contact with the eyes. irritation if dye comes in contact with an open wound. Gel dry hair, split ends, scalp irritation, dandruff. Make-up skin allergy, severe allergic reaction if contains harmful substances. A Wet Night Late in the afternoon, the boys put up their tent in the middle of a field. As soon as this was done, they cooked a meal over an open fire. They were all hungry and the food smelled good. After a wonderful meal, they told stories and sang songs by the campfire. But some time later it began to rain. The boys felt tired so they put out the fire and crept into their tent. Their sleeping bags were warm and comfortable, so they all slept soundly. In the middle of the night, two boys woke up and began shouting. The tent was full of water! They all leapt out of their sleeping bags and hurried outside. It was raining heavily and they found that a stream had formed in the field. The stream wound its way across the field and then flowed right under their tent!Write a simple RCQ quiz for A1 learners: A Wet Night Late in the afternoon, the boys put up their tent in the middle of a field. As soon as this was done, they cooked a meal over an open fire. They were all hungry and the food smelled good. After a wonderful meal, they told stories and sang songs by the campfire. But some time later it began to rain. The boys felt tired so they put out the fire and crept into their tent. Their sleeping bags were warm and comfortable, so they all slept soundly. In the middle of the night, two boys woke up and began shouting. The tent was full of water! They all leapt out of their sleeping bags and hurried outside. It was raining heavily and they found that a stream had formed in the field. The stream wound its way across the field and then flowed right under their tent!On 8 August 1967, five leaders – the Foreign Ministers of Indonesia, Malaysia, the Philippines, Singapore and Thailand – sat down together in the main hall of the Department of Foreign Affairs building in Bangkok, Thailand and signed a document. By virtue of that document, the Association of Southeast Asian Nations (ASEAN) was born. The five Foreign Ministers who signed it – Adam Malik of Indonesia, Narciso R. Ramos of the Philippines, Tun Abdul Razak of Malaysia, S. Rajaratnam of Singapore, and Thanat Khoman of Thailand – would subsequently be hailed as the Founding Fathers of probably the most successful inter-governmental organization in the developing world today. And the document that they signed would be known as the ASEAN Declaration. It was a short, simply-worded document containing just five articles. It declared the establishment of an Association for Regional Cooperation among the Countries of Southeast Asia to be known as the Association of Southeast Asian Nations (ASEAN) and spelled out the aims and purposes of that Association. These aims and purposes were about cooperation in the economic, social, cultural, technical, educational and other fields, and in the promotion of regional peace and stability through abiding respect for justice and the rule of law and adherence to the principles of the United Nations Charter. It stipulated that the Association would be open for participation by all States in the Southeast Asian region subscribing to its aims, principles and purposes. It proclaimed ASEAN as representing “the collective will of the nations of Southeast Asia to bind themselves together in friendship and cooperation and, through joint efforts and sacrifices, secure for their peoples and for posterity the blessings of peace, freedom and prosperity.” It was while Thailand was brokering reconciliation among Indonesia, the Philippines and Malaysia over certain disputes that it dawned on the four countries that the moment for regional cooperation had come or the future of the region would remain uncertain. Recalls one of the two surviving protagonists of that historic process, Thanat Khoman of Thailand: “At the banquet marking the reconciliation between the three disputants, I broached the idea of forming another organization for regional cooperation with Adam Malik. Malik agreed without hesitation but asked for time to talk with his government and also to normalize relations with Malaysia now that the confrontation was over. Meanwhile, the Thai Foreign Office prepared a draft charter of the new institution. Within a few months, everything was ready. I therefore invited the two former members of the Association for Southeast Asia (ASA), Malaysia and the Philippines, and Indonesia, a key member, to a meeting in Bangkok. In addition, Singapore sent S. Rajaratnam, then Foreign Minister, to see me about joining the new set-up. Although the new organization was planned to comprise only the ASA members plus Indonesia, Singapore’s request was favorably considered.” And so in early August 1967, the five Foreign Ministers spent four days in the relative isolation of a beach resort in Bang Saen, a coastal town less than a hundred kilometers southeast of Bangkok. There they negotiated over that document in a decidedly informal manner which they would later delight in describing as “sports-shirt diplomacy.” Yet it was by no means an easy process: each man brought into the deliberations a historical and political perspective that had no resemblance to that of any of the others. But with goodwill and good humor, as often as they huddled at the negotiating table, they finessed their way through their differences as they lined up their shots on the golf course and traded wisecracks on one another’s game, a style of deliberation which would eventually become the ASEAN ministerial tradition. Now, with the rigors of negotiations and the informalities of Bang Saen behind them, with their signatures neatly attached to the ASEAN Declaration, also known as the Bangkok Declaration, it was time for some formalities. The first to speak was the Philippine Secretary of Foreign Affairs, Narciso Ramos, a one-time journalist and long-time legislator who had given up a chance to be Speaker of the Philippine Congress to serve as one of his country’s first diplomats. He was then 66 years old and his only son, the future President Fidel V. Ramos, was serving with the Philippine Civic Action Group in embattled Vietnam. He recalled the tediousness of the negotiations that preceded the signing of the Declaration that “truly taxed the goodwill, the imagination, the patience and understanding of the five participating Ministers.” That ASEAN was established at all in spite of these difficulties, he said, meant that its foundations had been solidly laid. And he impressed it on the audience of diplomats, officials and media people who had witnessed the signing ceremony that a great sense of urgency had prompted the Ministers to go through all that trouble. He spoke darkly of the forces that were arrayed against the survival of the countries of Southeast Asia in those uncertain and critical times. “The fragmented economies of Southeast Asia,” he said, “(with) each country pursuing its own limited objectives and dissipating its meager resources in the overlapping or even conflicting endeavors of sister states carry the seeds of weakness in their incapacity for growth and their self-perpetuating dependence on the advanced, industrial nations. ASEAN, therefore, could marshal the still untapped potentials of this rich region through more substantial united actionPray also for me, that whenever I open my mouth, words may be given me so that I will fearlessly make known the mystery of the gospel, for which I am an ambassador in chains. Pray that I may declare it fearlessly, as I should. Ephesians 6:19,20 What sacrifices have you made because of your faith in Jesus Christ? Have you encountered opposition for reading or carrying your Bible? On August 5, 2008, eight high school students from a small African country were imprisoned in a metal shipping container after they objected to authorities confiscating and burning 1,500 Bibles. That same month, in a prominent Middle Eastern country, a young woman had her tongue cut out and she was then burned to death by her own father because of her con- version to Christianity. These are just a couple of countless stories from around the globe about the persecution Christians face today. While we regularly enjoy the freedom to worship God openly without fear of death or imprisonment, millions of our broth- ers and sisters through the world face unimagi- nable persecution for their faith. This type of treatment is nothing new to the followers of Jesus Christ. Jesus himself warned His followers that they would face persecution for following Him, even going so far to say that “Men will hate you because of me.” (Matthew 10:22) Throughout church history, Christians have been imprisoned, beaten, stoned, thrown to the lions, burned at the stake, and much more because of their faith in Jesus. And in the verses you read earlier, Paul referred to his chains, or imprisonment, because of the gospel. Can you recall any other individuals from the Bible or history who faced opposition because of their faith? As men of God, we have a responsibility to our fellow believers around the world who regu- larly face persecution because of their faith. We need to support them in any way possible. In Ephesians and throughout his writings, Paul asked the believers to pray for him that he would have boldness to continue to preach the gospel even while he was locked in chains. Prayer is a very powerful weapon in your arse- nal. With prayer, a man of God can literally be a part of delivering strength, speaking encour- agement, and doing battle all without leaving his room. Through prayer, you can stand beside a missionary as he preaches to the people of South America. Through prayer, you can be part of delivering peace to the Asian pastor locked in prison because of his faith. How is that possible? It’s possible because your prayers have direct access to God. The mostA Visit to the Desert Tim was looking forward to this vacation. Then his parents told him the family would be visiting Grandma in Nevada. Tim was unhappy. He wanted to be with his friends this summer. "Grandma is eager to see you," Mom said. "She can't wait to take you on a desert hike." The next morning Grandma met them at the airport. Then they drove to the desert. As they hiked, Grandma explained that animals enjoy the open desert space. It gives them the freedom to move from place to place. Tim learned that the animals find ways to adapt to the hot desert weather. He wondered if he could get used to the desert climate. "Wow," Tim said, "Look at that! The turtle carries its home on its back!" Grandma smiled at Tim's excitement. "Actually," she said. "That is a desert tortoise. It looks for the shade made by the shadows of rocks. That's how it cools off. He burrows underground to get away from the heat." The tortoise disappeared into its burrow. Tim leaned over the hole. He could not hear a sound. "I'll bet it likes the silence of its burrow," Tim whispered. "I think it likes its sense of safety too," Grandma added. "That's the same feeling I get at home," Tim sighed. Just then a large rabbit hopped by. Grandma explained that the jack rabbit's large ears help it stay cool. "These animals are so unlike the animals at home!" Tim said. He had forgotten about the desert heat. "Some animals stay cool by sleeping during the day. Then they hunt at night," said Grandma. A Great Horned Owl hooted above them. Grandma said, "It will soon be time for the owl to hunt." "Which means it's time for us to head back," Dad added. "Aw, this vacation is going by too fast," Tim said. They asked Tim about the heat. "What heat?" Tim asked. "I feel as fresh and cool as a new flower. I've adapted!" Everyone laughed.If we look at the United States on a map today, it is very difficult to imagine that where we see borders, cities, and states, there once existed nothing but open land, uncharted mountain ranges, and miles of untouched wilderness. North America was a highly desired destination for exploration and settlement for Europeans. In the early 1500s, expeditions from Europe to North America were funded by Europe's kings and queens in hopes of expanding their territories across the world. The voyages were treacherous with unknown dangers and many attempts to settle in this new land were faced with failure. In the early 1600’s however, the settlers of Jamestown and Plymouth survived the harsh conditions and established the first two permanent English settlements in North America. Jamestown Colony in Virginia Jamestown was founded in 1607. Of course, its colonists did not know it would go on to become the the first permanent English settlement in the Americas. The settlement was located along the James River off Chesapeake Bay in modern-day Virginia. Life in Jamestown was very hard, and nearly 80% of the first settlers died in the first year due to disease and starvation. The region was warm and had fertile soil, making it a perfect place for growing crops, specifically tobacco. Sponsored by a joint stock company known as the Virginia Company of London, Jamestown was originally established as a profit-making enterprise. The first settlers looked for gold and other natural resources that could bring a profit to the company's investors. After several very difficult years, the colonists were eventually able to grow tobacco that was popular in England and it became a valuable cash crop. Jamestown's colonists were primarily all supporters of the Church of England and felt a strong connection to their homeland. Many, like John Smith, returned to England, or would move back and forth between the two locations. Being that Jamestown was founded by a corporation looking to make a profit, it began using enslaved labor in 1619. Indentured servants and enslaved Africans made up much of the workforce on the growing tobacco and cotton plantations. The system of using enslaved Africans for the profit of American plantations has been described as America's "original sin". About 400 miles to the north of Jamestown, a group of Pilgrims seeking religious freedom established Plymouth in 1620 as the second English colony in North America. Located in modern day Massachusetts, the colder climate and rocky soil made farming and agriculture more difficult. Instead of growing cash crops, settlers turned to lumber, shipbuilding, and fishing for trade. Unlike the settlers of Jamestown, the Pilgrims of Plymouth Colony were dissenters from the Church of England. They came to the New World so that they could freely practice their religion without fear of persecution. Although their reasons for settling were different, the settlements had many similar experiences. Jamestown and Plymouth both faced harsh and demanding climates and struggled with hunger, disease, and death. In their first years they had much difficulty establishing housing and finding a sustainable source of food. Plymouth Colony in New England While the settlers in Jamestown used the House of Burgesses as a legislative body for laws and decisions, the Pilgrims in Plymouth wrote and agreed to the Mayflower Compact as a set of rules for self-government. Both helped maintain the rule of law in new places far from the courts and tradition of England. Settlers of both colonies experienced complicated and, at times, violent relationships with local Native Americans that owned the land. While some American Indian groups offered help to the new settlers, oftentimes both sides needed to defend themselves from attacks. Nevertheless, the settlers of Jamestown and Plymouth persevered through these difficulties and maintained their establishments, providing inspiration for future colonies and settlers in search of a new life in the New World.Think about the geography and location of the city or town you live in. Are there bodies of water like rivers and lakes or a coast nearby? Perhaps you live in a place with vast open fields suitable for farming or raising livestock. The natural environment is important when understanding how cities and towns developed. The earliest North American colonies depended on their natural environment. The type of soil, climate, length of seasons, and proximity to bodies of water all played a role in how each colony prospered. By the 1700’s, the American colonies grew into three distinct regions. The New England, Middle, and Southern regions each had different geographical and cultural characteristics that determined the development of their economy, society, and relationships to each other. The New England Colonies included Connecticut, Rhode Island, Massachusetts, and New Hampshire. The geography of this region featured dense forests and hills. Combined with the hard rocky land, cold climate and long winters, New England was a poor area for large farming operations. However, many colonists known as "yeoman farmers" had small family-owned farms that grew a variety of crops. Many other colonists relied on fishing and whaling off the New England coast. Others settled in small towns and became craftsmen or merchants. The forests provided excellent lumber for building boats and homes for the growing population. Many of the settlers to the New England Colonies were Puritans, hardworking, and very religious. Close families and strong communities were very important to them. The Middle Colonies included Pennsylvania, Delaware, New York, and New Jersey. The geography of this region featured a warmer climate with fertile soil, flat land, easily navigable rivers, and wide valleys making it perfect for farming and growing crops. Wealthy farmers grew cash crops and raised livestock. Mining and trading were also important aspects of the economy here. Over time, cities grew, and urban merchants sold and traded goods with people throughout the other colonies. Compared to other regions, the people of the middle colonies supported religious freedom and tolerance and had a diverse population with settlers arriving from many areas in Europe. The Southern Colonies included the first English colony of Virginia, and grew to include Maryland, North Carolina, South Carolina, and Georgia. The geography included rich, fertile soil with broad coastal plains that made it possible for large plantations to grow tobacco, rice, and indigo. Most of these plantations featured a labor force of enslaved Black people. These enslaved men, women, and children had few, if any, rights and often saw their families torn apart at the whim of the plantation owner. Enslaved children were even put to work as young as age three, weeding fields, carrying drinking water, or helping in the home. Smaller farms owned by subsistence farmers also existed across the Southern Colonies. Often, the people working these would grow crops for their families with little left over to sell or trade. Indentured servants also arrived in the South who would work for 5-7 years in exchange for their passage to North America. The Church of England (also known as the Anglican Church) was the dominant religion in the region. Most settlers to the South did not come for religious freedom like they did in the northern colonies. Therefore, they often maintained their allegiance to the established Church of England.