Of Mice And Men Summary Essays

Of Mice And Men Summary Essays Of Mice And Men Summary Paper Of Mice And Men Summary Paper Essay Topic: Of Mice and Men In Of Mice and Men, Lennie, a strong, mentally handicapped ranch worker, is accompanied and protected throughout his life by George, his coworker, and best friend. When Lennie accidentally murders Curly’s wife, George shoots him before anyone else gets the chance. Whether or not George had the right to kill Lennie is a controversial issue that has been disputed for years. George was justified in shooting Lennie because Lennie caused major difficulties in George’s life, he was a danger to himself and others, and the actions of Curly or the courts would have resulted in the same way but more painful and Lennie would have suffered. Lennie’s reckless and dangerous behavior has made George’s life very difficult.It becomes clear early in the novel that Lennie has caused George many difficulties throughout their lives together. For example, in the first chapter of Of Mice and Men, George and Lennie had just run away from their most recent residency: Weed, California. They had been run out of town by police because Lennie grabbed onto a woman’s dress and frightened her. Lennie has no concept of what is right and what is wrong. He often forgets what even happened, which shows that he does not understand that his actions have consequences. George mentioned the incident with the woman’s dress, and Lennie did not recall what had happened. â€Å"Lennie looked puzzled. ‘Like I did in Weed?’ ‘Oh, so you forgot that too, did ya? Well, I aint gonna remind ya. Fear ya do it again’† (â€Å"Of Mice and Men Justice Quotes†). The fact that Lennie cannot even remember what he did to get run out of Weed shows that he does not feel remorseful for his actions. Lennie’s destructive behavior has negatively affected George’s life and wellbeing. Lennie would not have been able to live without George anyways, so the decision of whether or not Lennie should live was ultimately up to George. Shots ring out as George shoots his best friend Lennie, who is one of the biggest dangers in Salinas Valley. George is saving Lennie from a very painful death, and also George knows that if they keep running Lennie will probably have another accident. In the novel, Of Mice and Men by John Steinbeck, uses foreshadowing to reveal the pattern of killing is a part of life and George needs to kill Lennie. George does the right thing by killing Lennie because he knows he can not protect Lennie from society, as he also knows he can not protect society from Lennie. Some people may think killing is never acceptable, however sometimes it needs to be done to stop a dangerous pattern, in this case, it is Lennie killing animals and Curley’s wife. Saving Lennie from a gruesome death is probably one of the most profound reasons George is shooting him. If George does not shoot Lennie, Curley and the boys from the ranch will lynch Lennie and beat him until he dies. George is making Lennie’s death much more peaceful. â€Å"‘ Look acrosst the river, Lennie, an’ I’ll tell you so you can almost see it’† (115). Lennie wants George to describe their shared dream to him but first George wants him to look the other way. Also the death of Lennie is somewhat casual, â€Å"‘Sure, right now. I gotta. We gotta’† (106). George and Lennie are in the middle of a conversation about the dream when all of the sudden George pulls the trigger. When thinking of Lennie being murdered by someone who does not care for him makes George want to shoot Lennie himself so he is not killed immorally. Also George knows Lennie would never be truly happy again if he were stuck in jail. Georges decision to shoot Lennie is very smart because he knows that if they keep running it is just a matter of time before Lennie has another accident. Lennie is prone to trouble because of his mental handicap, and George knows this so he decides to shoot him.

Life is unfair Essays

Life is unfair Essays Life is unfair Paper Life is unfair Paper Dont you just miss those times as a child when we use to ask for something and get it straight away? The world was controlled by our fingertips. Well, thats what we believed in. But just that feeling of taking control was amazing. Right? Now its the complete opposite. We have to bend on our knees to get something- even that dont work. Reality is unfair. Isnt it? Although, when we got what we want, we would cherish it for the rest of our lives, like a child swimming in sweets and chocolates. That is when we see life in a different prospectus Our society is changing day by day, and making us forget the word respect which nowadays no one is able to find in their dictionary. When I walk outside, the people who use to say hi are now acting as though they have no idea who I am. Isnt that unfair? Me being who I am, I say Hi and in return I get a spit in my face like a scum. Life is just not how we expect it to be. Our environment is slowly turning into a trash can because there is no respect. Dont you think life is just unpredictable? Although, it doesnt always end up like this. I wake up every day with a smile on my face, ready to meet the people who make my day. Isnt that just fantastic? Dont you sometimes get the feeling that life is just perfect? Why wouldnt it be? We make up our society, and bring the brightness upon the environment. I remember those moments of my childhood like a clear glass; running to the park just to meet my friends so we can go out to play. We was like a rugby team, we followed each others footstep from back to forth. Do you remember those moments? I bet you do because life was bright. Its always a classic when your friends go against you for no particular reasons. Oh wait, how could I forget? Gossip- its like the world is being covered by a cloth which no one is able to see the true side of life. Its that unfair? Well, when you get embarrassed and humiliated in front of the whole school because of a misunderstanding. Is that unfair? Yes it is. The environment is being isolated with darkness and unfairness. On the other hand, maybe our society is being seen in a wrong prospectus. We make life fair. Dont we? Have you ever been a victim of a crime? No? Have you ever got punished for a particular reason? No? Then why should we complain. Our life is made up of shiny silver which glows upon everyone. There is always that feeling when you do something for someone, but think whether they will do the same for you. Believe me they do! Every help and support I gave to them, I received the same even more. How does that feel? Amazing! In my opinion I believe life is fair. We make our society and bring the goodness upon all. When you experience a moment, you will always cherish it in our heart and realise that whatever happens- life is fair. What you give, you get, its true! I had so many experiences in my life that, when something negative appears I just think of those moments which changes my opinion about the life we live in.

Germany and the germans class Essay Example | Topics and Well Written Essays - 250 words

Germany and the germans class - Essay Example This is because it provides housing for the people who were believed and listed to have perished during the holocaust (Quigley, 3). 3. The most appropriate title for the memorial would be â€Å"In commemoration of all the Jews who perished in Europe† since it is more inclusive. It is because the current title does not entirely represent the whole diversity of the way Jews perished during the holocaust. Besides the executions, other Jews also perished as a result of diseases and accidents. 4. In Washington, there is a holocaust museum but there lacks a memorial for the victims of the slavery and genocide because the government is not willing to put it up. The main reason is because the black Americans who were majorly involved are considered to be inferior as a result of racial segregation. 5. Emily Reed underwent torture for more than twelve years but she survived at the Dachau concentration camp. She is the symbol of the relief that most Jews experienced after they were released from the concentration camps (Young

ECE420 Journal Report Essay Example | Topics and Well Written Essays - 250 words

ECE420 Journal Report - Essay Example It is important to use simple functions and basic algebra to achieve this goal. The curriculum also reveals that it is important to intertwine mathematical concept with real life situations. This will act as an eye opener for the children into the actual applicability of mathematics in the tangible real world (Aiken, 2009). A good example is creating a real life simulation, for example, a pharmacy. The unit also taught me that an effective teacher is one who appeals to each student individually. In essence, an effective teacher has to relate to each student on a personal level and in the process empower the child. This interaction will enable the teacher to pinpoint weaknesses relative to each child and formulate a mechanism to deal with these weaknesses at an early stage. The teacher should also engage the students in setting up class activities. These activities are primarily aimed at teaching students while at the same time keeping them entertained and excited, in the process streamlining early childhood development with the child’s development process (Aiken,

Employee Resourcing Essay Example for Free

Employee Resourcing Essay Their business approach and culture is very different from other competitors. Examples of their different culture are; no dress code, flexible working hours and spending lavishly on the recruitment process. Around 700, mostly young employees work under Trilogy and its Director of college recruiting Mr. Jeff Daniel expects the employees to â€Å"commit their expertise and vitality to everything they do†. Trilogy has an expensive and aggressive employee recruitment strategy that includes training at the companys Trilogy University. The new employees joined will undergo an intensive training program at their in-house training facility known as â€Å"Trilogy University†. Recruiters tend to select the ambitious, over achievers with entrepreneurial instincts from the campus recruitment method being the fresher’s in the job market. Trilogy’s recruitment interviews are said to be very intense at the same time an interview day will end with lot of adventure and fun activities for both recruiters and interviewers, which makes a strong bond between new comers and the managers. For Trilogy recruiting is not just a high priority its a company-wide mission. Its mission is to recruit the best of the best?. For that reason Trilogy uses very costly recruiting techniques: The Company spent $13,000 per hire with 262 college graduates were selected from short listed 4000 candidates, and this short listing was from 15000 applications! Q1. Identify some of the established recruiting techniques that underlie Trilogy’s unconventional approach to attracting talent? The company Trilogy, aggressively pursues the least experienced people in the job market. At many college campuses island wide, in career fairs and computer-science departments, looking for students who represent what Daniel calls whom are expected to totally commit their expertise and vitality in everything they do†. In other words, he looks for young, talented over achievers with entrepreneurial ambition – people. The top managers, including CEO of the company, conduct the first round of  inter views, letting all applicants know that it would be hard, but rewarding experience.

Edna’s Symbolic Swim in The Awakening :: Chopin Awakening

Edna’s Symbolic Swim in The Awakening Reading through The Awakening for the first time, a passage in chapter X intrigued me: Edna’s first successful swim. I begin my close reading halfway through page 49, â€Å"But that night she was like the little tottering, stumbling, clutching child, who of a sudden realizes its powers, and walks for the first time alone, boldly and with over-confidence.† Her success is sudden and in spite of assistance from â€Å"the men and women; in some instances from the children† throughout the summer. Robert himself had devised a system of lessons. But her triumph does not result from any such assistance, but from her own abilities. By comparing the experience to a child’s first steps, it conjures imagery she herself must have experienced with her own children, which is emphasized by referring to â€Å"the† child rather than â€Å"a† child. Before her triumph, she totters, stumbles, and literally clutches at any â€Å"hand nearby that might reach out and reassure her,† always requiring the assistance or reassurance of others. But on this night, her powers, which by virtue of the strength of such a word choice suggests its relevance to far more than swimming, overtake her. It is significant she does it alone, and her over-confidence possibly foreshadows the conclusion. â€Å"A feeling of exultation overtook her, as if some power of significant import had been given her to control the working of her body and her soul† implies the tremendous joy that encourages her to shout, as well as underscores the significance of the experience in terms of the greater awakening, for the experience actually does provide Edna with the ability to control her own body and soul for the first time. Her â€Å"daring and reckless† behavior, her overestimation of strength, and the desire to â€Å"swim far out, where no woman had swum before† all suggest the tragic conclusion that awaits Edna. Whether her awakening leads her to want too much, or her desires are not fully compatible with the society in which she lives, she goes too far in her awakening. Amazed at the ease of her new power, she specifically does not join the other groups of people in the water, but rather goes off to swim alone. Indeed, her own awakening ultimately ends up being solitary , particularly in her refusals to join in social expectations. Here, the water presents her with space and solitude, with the â€Å"unlimited in which to lose herself.

McDonald S Thesis

For example, Mange Nasal Food Corporation launched its new available products that truly its the Pinot palate, called â€Å"Mange Nasal Halo Halo†; pinot-Kananga, creamy scrap, compared to its former desserts, which is now being loved by many of their customers. The company launched this product as a latest counterpart for those new products being produced by its rival companies like Chocking, which recently launched their new varieties of foods.However, the basis of winning Filipino loyalty is not just lies upon the taste of the food, but more so, upon how the company values the importance of time to their customers, their status, financial capacity, and establishing a pleasant relationship with hem. In this age of commercialism, in an age where societies are depending upon the businesses of both small and big capitalists, food industry occupies the fundamental and the dominating place in the market since its nature responds to the most basic and vital need of the people â₠¬â€œ food.Everywhere, every corner of the streets in our nation, there are presence of food and beverage establishments; establishments that played a role of great importance in the midst of an active society. In this age, where people are so engrossed by their jobs or anything that exhaust their mind, fast-food chain r mobile food services play an important aspect in order for them to manage stress by experiencing an excellent dining phenomenon. Their goal is to provide the consumers with full satisfaction, starting from the time they enter into the store until they leave, according to the need of their satisfaction.Mange Nasal was first established in the town of San Bernardino, California in 1940. Americans widely embraced their products until some branches were also established in different parts of the world. In 1981, a Filipino businessman named George Yen brought the name of McDonald's to the Philippines, and founded the first branch in Moray, Manila. Filipinos loved those va rieties of products offered by the company, until branches were also launched in the Visas and Mindanao region.McDonald's also established their own charitable institution and received its first award in 1 996 for being one of the most profitable franchise in Asia. Today, the company continues in serving the Filipino people, launching a total Of 460 branches nationwide. But the competition in the market is becoming more intense. Before McDonald's established in the Philippines, those growing companies such as Jollied, KEF, Tropical Hut and Man's Restaurant are beginning to gain foothold upon the heart of the Filipino.Everyone is promising full customer satisfaction; everyone is launching their own variety of food that will surely captivate the common taste. Aside from this, new food companies begin to emerge offering some kind of foreign taste that will also suit the wants of the Filipino, such as Chocking. How then McDonald's handle this the kind of fierce competition among food in dustries? How they will secure the loyalty of their customers from their rivals? On the other hand, what are those indications hat these customers are not loosing their loyalty to their company?This paper will discuss the current state of the McDonald's company on their buyers' point of view. By conducting interviews and gathering available documents, the researchers of this paper presented sufficient information according to what has been required in the topic. Statement of the Problem Filipinos are well-known food lovers in the world. In fact, they have light meal times called â€Å"Marianne time†, a snack break-time different from those three meals being taken each day. These snacks or â€Å"Marianne† have usually taken teens lunch and dinner, or even before bedtime and during â€Å"siesta† at the middle of the night.Today, going to fast-food chains is becoming part of Filipinos fundamental â€Å"wants†, not just because of its mouth-watering foods and delightful toppings, but because of its affordability compared with those native delicacies. Their recipes are first widely recognized since the coming of foreign food varieties in the country. Their producers are hardly competing in the market, and among them, McDonald's is building up a sphere of great popularity in an outstanding speed, becoming people's utterance more than TTS local petty counterparts, and establishing loyalty among its customers.The aim of this paper is to define those indicators proving that some fast-food goers are now shifting their loyalty towards this American founded food company. These indicators are based upon interviews conducted both among store personnel and customers. In order to establish this aim, the researchers divided this topic into six sub-issues; a. Define the class of people who often eat McDonald's products. B. Discover the marketing plan of the company in order to win the taste of its current buyers. C. Discover the uniqueness of McDonal d's products compared to other fast-food sellers. D.Learn how the company maintains the loyalty of its customers. E. Know if the company has any other plans or strategy in order to secure customer loyalty from the future changes of competition in the market and switching taste of Filipino people. Significance of the Study Since McDonald's is one of the fastest growing fast-food chain in the country, with 400 branches already established nationwide, earning a large number Of customers ranging from the common class of people up to some rich local ND foreign food lovers, this paper will provide the readers with information on how the company acquire and maintain loyalty among its customers.Readers should not expect any negative issues about the company's products, but rather we will discuss the bright side in terms of its market for the benefit of those who want to engage in the same food business. Other sectors that can benefit from this paper include the following; A. Society The soc iety will know how McDonald's helps them to satisfy their hunger and financial capacity despite of their wants to taste delightful products at an affordable price.This paper will also provide them some significant information about the quality of products McDonald's are offering to them, including total satisfaction it had promised to their customers. B. Students of Entrepreneurial and Marketing Management Discussing the marketing plan and strategy of the company would be a great help for students taking up Entrepreneurial and Marketing Management since their effectiveness was already proven in the market.Since the company offers insufficient details about their plan and sales rate through the internet, he researchers of this paper exert all their effort to acquire some basic information through interviews conducted among the company's personnel and costumers so that the students will be informed about the secrets behind the product's success despite the fact that it was just recent ly established compared to its counterparts. C.Small Fast-food Business Owners In the midst of intense competition in the market, particularly among food industries, this paper will help those small fast-food business owners to go along with those successful food businesses in winning the publics taste. They can acquire the ideas being presented in this paper, or at least add them with their unique ideas so that they may leave any peculiar mark upon those people who bought their product.The basic marketing strategy of McDonald's was proven to be effective, therefore adding any peculiar ideas to this strategy or some sort of ingredients to the product itself may help them to secure customers loyalty from the future changes in the market or from the constantly changing tastes of the people. D. Aspiring Business Beginners This paper will help not only those who want to be engaged in the food equines, but also those who are thinking a kind of business that will surely win the favor of t he mass.People nowadays are becoming more practical in terms of financial matters without dropping their desire to at least experience some sort of luxury. Therefore, this paper will provide them such a business idea that will suit to the basic needs and wants of the common people at a very affordable price. Scope and Limitations This paper aims to show those indications of customer loyalty towards their favorite fast-food hangout despite the fierce competition among food industries.Since the topic focused on the relationship between the McDonald's Company and its customers, it is very important to present some documents concerning the company's sales and the customers' point of view toward the products, based upon those information available through business periodicals, internet sources, and the target sales board being presented in a certain McDonald's branch. Because of this, the researchers sought the help of some employees in order to present important details in relation to t he topic, because they believe that reaching the target sales of a retain branch indicates a positive response from its loyal customers.

Managing paediatric illness Essay

Accidents will happen however careful you carry out risk assessments and supervise children. That is why it is recommended that practitioners take a first aid course. There has to be at least one first aider present at all registered settings. The aims of first aid are often remembered as the three p’s, these are: Preserve Life. Prevent the condition from worsening. Promote recovery. Sometimes first aid is all that is necessary- for instance, common minor injuries such as grazes can be treated sufficiently. However, it is important to recognise when medical assistance is required urgently. Whenever you are dealing with an accident, incident or illness you must stay calm. You should reassure casualties, and children who are bystanders, as they may be frightened. You should ensure that you and others are not put at unnecessary risk. Think through your actions carefully and make safety your priority. Major fractures are often associated with other injuries and priorities must be set in each patient. Control of internal concealed haemorrhage, for example, from a ruptured spleen, takes precedence over fracture management. It is, however, important in severely injured patients that open fractures are managed as early as possible. The advantages of this approach include diminished risk of infection, reduction in pain, early ability to sit upright with improved respirato ry function, reduced continuing blood loss, and improved healing of soft tissue injuries and a reduced incidence of fat embolism. Initial assessment. Primary survey- the ABCDE’s of the primary survey should be assessed. Haemorrhage from a musculoskeletal injury should be identified and controlled with direct pressure. It is important to recognise that significant amounts of blood may be lost from fractures of the pelvis or femur and haemodynamic instability from hypovolemia may be present. Physical examination is carried out while resuscitation is in progress in hypovolemic patients. Clothing is cut free and the patient is examined for fractures and  for evidence of internal haemorrhage. The following are important adjuncts to the primary survey and resuscitation; Fracture reduction and immobilisation emergency splinting of fractures will minimise soft tissue damage, reduce blood loss, control pain and prevent conversion of a closed fracture to an open fracture. Temporary traction devices may be used to maintain satisfactory alignment. It is important to examine the injured limb for signs of vascular and nerve injury, as well as searching for a fracture or dislocation. The fractured limb should be handled as gently as possible if some realignment is necessary in order to apply a padded standard or improvised splint. Splinting should immobilise the joints above and below the fracture also. The open wound compound fracture should be promptly covered with a clean or sterile dressing. Bone protruding from the wound should be left undisturbed. Analgesia. Although splinting greatly assists pain control, the emergency services may administer an intravenous narcotic analgesia. Resuscitation- up to four litres of blood may be lost with severe fractures of the pelvis or femur. Adequate resuscitation before internal fixation is particularly important in such patients, who may lose 50% or more of their blood volume, either externally (with open injuries) or into the tissues of the thigh and pelvis. One or two litres of blood distributed evenly throughout the soft tissues of the thigh will increase the external diameter by a mere 1-2cm; patients with multiple pelvic and other fractures can require replacement or considerably more than their blood volume. Secondary survey- during the secondary survey a focused history and examination are performed, including a neurological assessment. History taking should incorporate ‘ample’ and the following points should be considered: circumstances of the accident, and history of crushing trauma or explosive forces. If the patient has been involved in a motor vehicle accident. Physical examination and neurological assessment. Signs of fracture are local loss of function, bony tenderness, swelling, deformity, bruising and protective muscle spasm. Testing for abnormal movement and crepitus is unnecessarily painful and contraindicated. An obvious fracture may often distract attention from a less obvious injury. For example, dislocation of the hip may coexist with an obvious femoral shaft fracture (sometimes the real cause of persistent shock); a spinal fracture with a  fracture of the calcaneus. Visceral injuries such as splenic rupture are seen with fractured ribs; urethral or bladder injuries with a fractured pelvis. The examiner should check peripheral pulses and evidence of limb ischemia beyond a fracture-such a complication requires urgent correction. The most common vascular injuries are at the knee and elbow-to the popliteal vessels after severe knee injury in children and to the brachial artery following supracondylar fracture. Neurological examination is also essential; loss of motor power in any muscle group or loss of any cutaneous sensation indicates nerve injury. If the patient can flex and extend the toes and ankle, the major nerves of the lower extremity are intact; if the fingers can be spread and flexed and the thumb can be extended, functional integrity of the major nerves of the upper limb is present. Common nerve injuries following fractures are: the radial nerve from fracture of the mid-humerus, the peroneal nerve from proximal fibular fracture and knee injuries, and the ulnar nerve from fracture of the medical epicondyle of the humerus. Sciatic and axillary nerve injuries must always be excluded after dislocation of the hip or shoulder. Careful attention to the details of local treatment is most important. Fractur es heal promptly with correct local treatment. Children are constantly bumping and bruising themselves. All it takes is one fall too hard, and the child might just end up with a broken bone. One out of five people has had a fracture at some point in time, and the maximum of these fractures occur during childhood. How can you tell if it’s a fracture or a sprain? The pains is less intensive in a sprain than in a fracture, but never make a mistake of underestimating someone’s pain threshold. A dislocation is when the bone has come out from the socket. This also results in acute pain, swelling, an inability to carry any weight and an inability to move the injured limb. A hairline fracture is just when the bone gets a crack that goes through it. Such fractures still cause immense pain, but at least the chances of needing an operation are slim. A compound fracture is one in which the bone completely breaks apart pops out through the skin. This is the worst kind and it may result in loss of blood as well. The first step to be taken is to immobilise the limb.it should not be moved at all. Leg fracture- if a child has a suspected fractured leg, carefully straighten it. Call for emergency services and in the meantime, secure the leg so it doesn’t move. Apply two splints, one on  the inner leg from the foot to inner thigh, and the other on the outside, from the foot to the armpit. Secure the splints well. Do not move the child until their leg has been completely immobil ised. You could tie both legs together for added support. Hand fracture- the hand should be moved to a 90 degree angle and kept close to the chest. It should be immobilised in this position, and if the pain is too intense, do not move it at all. To help maintain the position place the injured arm into a sling. Bleeding- if a child is bleeding, you should treat the bleeding first. Stop the bleeding by first cleaning it with sterile water and then apply a sterile clean dressing. Keep RICE in mind, as a first aid treatment for all fractures, sprains and dislocations: Rest- Give plenty of rest to the immobilised limb. Move it as little as possible so that there is no strain. Ice- Apply ice to the injured area. No heat treatment or massage should be given. Use an ice pack or wrap some ice cubes in a damp towel and apply it to the injured area. You could also use anything frozen such as a packet of frozen peas. Compression- Wrap up the injured area with a large crepe bandage if possible, or use any clean, fresh cloth available. Wrap it as tight as is comfortable. However ask the patient don’t assume how tight it is. This will relieve pain somewhat. Elevation- The injured limb should preferably be raised above the level of t he heart. This could be done using something like a pillow. During any first aid treatment it is vital that the patient is reassured and is made as comfortable as possible and that you stay as calm as possible to keep the situation and patient calm, do not delay seeking medical assistance and ensure the patient remains nil by mouth in case surgery or anaesthesia is needed as this will delay things. Head injuries occur commonly in child hood and adolescence. Most head injuries are mild and not associated with brain injury or long term complications. A head injury is any trauma that injures the scalp, skull, or brain. The injury may be only a minor bump on the skull or a serious brain injury. A closed head injury means you received a hard blow to the head from striking an object, but the object did not break the skull. An open, or penetrating, head injury means you were hit with an object that broke the skull and entered the brain. This usually happens when you move at high speed. Symptoms of a head injury can occur right away, or develop slowly over several hours or days. Even if the skull is not fractured, the brain can bang against the inside of  the skull and be bruised. The head may look fine, but problems could result from bleeding or swelling inside the skull. In any serious head trauma, the spinal cord is also likely to be injured. Some head injuries cause changes in br ain function. This is called a traumatic brain injury. Learning to recognise a serious head injury and give basic first aid can save someone’s life. Get medical help immediately if the person: Becomes very sleepy. Behaves abnormally. Develops a severe headache or stiff neck. Has pupils of unequal size. Is unable to move an arm or leg. Loses consciousness, even briefly. Vomits more than once. Concussion-the term concussion is used to describe a mild form of traumatic brain injury. Concussion includes confusion, amnesia, headache, vomiting and dizziness. Seizures. The signs and symptoms of a skull fracture are: A cut, bruise, or swelling on their head. There may also be bruising around their eyes and behind their ears. Blood or clear fluid coming out from their head, ear or nose. Bump or lump on their head. Dizziness, feeling tired. Pain or tenderness on their head. Very bad headache. Cerebral compression is very serious and almost invariably requires surgery. Cerebral compression occurs when there is a build-up of pressure on the brain. This pressure may be due to one of several different causes, such as an accumulation of blood within the skull or swelling of injured brain tissues. Cerebral compression is usually caused by a head injury. However, it can also be due to other causes, such as stroke, infection or a brain tumour. The condition may develop immediately after a head injury, or it may appear a few hours or even days later. Recognising cerebral compression Deteriorating level of response. History of a recent head injury. Intense headache. Noisy breathing, becoming slow. Slow, yet full and strong pulse. Unequal pupil size. Weakness/paralysis down one side. High temperature. Drowsiness. Abnormal behaviour. You should always consider the possibility of cervical spine injury in cases of head injuries. There are two types of injury. Typical cervical hyperextension injuries occur in drivers/passengers of a statutory or slow-moving vehicle that is struck from behind. The person’s body is thrown forward but the head lags, resulting in hyperextension of the neck. When the head and neck have reached maximum extension the neck then snaps into flexion. A rapid deceleration throws the head forwards and flexes the cervical spine. The chin limits forward flexion but the forward movement may be sufficient to cause longitudinal distraction and neurological damage. Hyperextension may occur in the subsequent recoil. The symptoms include: Neck pain, jaw pain, para spinal muscle tightness and spasms. Interscapular and low back pain. Reduced range of movements and neck tenderness. Headache, dizziness, vertigo, blurring of vision. Numbness in shoulders and arms. Swelling. Insomnia, anxiety. Leg weakness. Arm weakness. Other possible cause of acute neck pain and stiffness caused by head injury include: Spinal fracture. Cervical disc herniation. Subarachnoid haemorrhage. Cervical spondylosis. The primary goal in the early management of a severely injured patient is the  provision of sufficient oxygen to the tissues to avoid organ failure and secondary central nervous system damage. The first priority is to establish and maintain a patient’s airway. With the addition of high-concentration oxygen and the presence of adequate tissue perfusion, this will enable sufficient spontaneous breathing or assisted ventilation to oxygenate the patient. The possibility of an unstable cervical injury exists in patients exposed to significant blunt trauma; during airway interventions neck movements must be minimised to avoid secondary harm to the spinal cord. Head injury with impaired consciousness and reduced pharyngeal tone is the commonest trauma-related cause of airway obstruction. The airway may also be soiled with blood or regurgitated matter. Blunt or penetrating injuries that obstruct the airway include maxillary, mandibular and laryngotracheal fractures, and the large an terior neck haematomas. Significant partial and incipient airway obstruction are also potential causes of early death. Vigilant reassessment with immediate restoration and protection of airway patency is essential. Having ensured scene safety, the initial approach to the trauma victim begins with an assessment of the patency of the airway and if indicated manual in line stabilisation (MILS) of the cervical spine. In unconsciousness patients, the head and neck should be maintained in neutral alignment. MILS may be replaced with a correctly sized hard cervical collar, lateral blocks and straps across the forehead and chin piece of the collar. Spinal immobilisation prohibits head tilt. A jaw thrust may be more effective in relieving airway obstruction with decreased consciousness than a chin lift. However, a jaw thrust can cause significant movement of an unstable cervical spine. If tolerated an oropharyngeal airway may maintain airway patency while exerting less force on the vertebrae. Subsequently assisted ventilation may be more successful if separate rescuers apply the jaw thrust, hold the face mask and begin resuscitation. Any material such as dust, sand or paint that gets into the eye is called a foreign body. Foreign bodies fall into two categories; Superficial- these stick to the front of the eye or get trapped under one of the eyelids, but do not enter the eye. Penetrating- these penetrate the outer layer of the eye and enter the eye. These objects are usually travelling at high speed and are commonly made of metal. Superficial foreign bodies are not usually serious. A penetrating eye injury can be extremely serious-it may lead to blindness in not detected and treated promptly. If you get a superficial body in your eye, first aid treatment in the form of a gentle rinsing with sterile water is appropriate it is easier to tilt the head or lie down and rinse the eye from the side. It is vital to keep the child calm and reassure them throughout. If a child has a penetrating eye injury you must seek urgent medical assistance remembering to keep calm and reassure the child. Foreign bodies in the ear can either be in the lobe or in the ear canal. Objects usually found in the ear lobe are earrings, either stuck in the lobe from infection or placed too deep during insertion. Foreign bodies in the ear canal can be anything a child can push into their ear. The reason children place things in their ears is usually because they are bored, curious or copying other children. Sometimes, one child may put an object in another child’s ear during play. Insects may also fly into the ear canal, causing potential harm. The treatment for foreign bodies in the ear is prompt removal of the object. In the case of the foreign body being an insect you can use tepid water in any other case it is important that trained professionals remove the items to prevent any further damage occuring. The techniques they may use include: Instruments may be inserted to retrieve it. Magnets in the case of metal objects. Cleaning the ear canal with water. A machine with suction to help pull the object out. After removal of the object the ear will be re-examined to determine whether there is any injury to the ear canal. Antibiotic drops may be prescribed to treat any possible infection. Medical help should be sought if treatment is unsuccessful and to ensure all materials are removed. The most common symptom of a foreign body in the nose is nasal discharge. The drainage appears only on one side of the nose and often has a bad odour. In some cases, the child may also have a bloody nose. The treatment for this involves prompt removal by a medical professional. They may find if  necessary to sedate a child in order to remove the object successfully. Again the doctor may prescribe nose drops or antibiotic treatment. Whilst waiting for medical assistance it is vital to encourage the child to breathe through their mouth. Corneal abrasions- are a scratch or injury to the cornea, the clear, dome-shaped surface that covers the front of the eye. There are many things that can cause an abrasion to the cornea. When objects make contact with the surface of the eye, a small abrasion can occur. Chemical burn- occurs when a child gets any type of chemical in their eye. Chemical burns are a medical emergency. They can result in a loss of vision and even a loss of the eye itself. Household cleaning agents are a common cause of this type of injury. Bruising or black eye- usually occurs from some type of injury to the eye, causing the tissue around the eye to become bruised. Fractures to the orbit- the orbit is the bony structure around the eye. When one or more bones surrounding the eye are broken. An orbital fracture usually occurs after some type of injury or strike to the face. Eyelid lacerations- are cuts to the eyelids caused by injury. General symptoms of eye injuries can include: Blood in the eyeball. Changes in the shape of the iris or pupil. Eye pain. The absence of obvious symptoms. When checking eyes for injury it is important to wear gloves and any cuts should be cleaned with sterile water to prevent infection, always wash hands before and after examining a patient. Check the patient’s vision. Within the setting the most common eye injury is caused by things such as sand this can be dealt with by a trained first aider on site. However other injuries will more than likely need medical assistance. Sickle Cell Anaemia. Symptoms vary, ranging from mild to severe, and may be less severe, or different in children who have inherited a sickle cell gene from one parent and a different abnormal haemoglobin gene from the other. Most children with sickle cell disease have some degree of anaemia and might develop one or more of the following conditions and symptoms as part of the disorder: Acute chest syndrome. Aplastic crisis. Hand-foot syndrome. Infections. Painful crisis. Splenic sequestration crisis. Stroke. Bone marrow transplant is the only known cure for sickle cell disease. But even without a cure, children with sickle cell can lead relatively normal lives. Medicines are available to help manage the pain and immunisations and daily doses of penicillin can help prevent infection. Most children will require two doses of penicillin, as prescribed by their GP, if attending a setting a nominated individual will be responsible for the administration of this medication. It is vital to seek emergency attention if the child develops: Fever of 101  °F or higher. Chest pains Pain that isn’t relieved by oral medication. Shortness of breath or trouble breathing. Extreme fatigue. Severe headache or dizziness. Severe stomach pain or swelling. Jaundice or paleness. Sudden change of vision. Seizures. Weakness. Slurring. Loss of consciousness. Numbness or tingling. Remember to reassure the child, you should encourage the child to drink plenty of fluids, rest regularly and avoid temperatures. Diabetes. Regular testing of blood glucose levels is a very important part of diabetes care. Testing is done by taking a drop of blood, usually from a finger, and placing it on a special test strip in a glucose meter. Caregivers must practice universal precautions when handling and disposing of testing equipment. Hyperglycaemia, or high blood sugar, occurs with both types of diabetes. It occurs when the body gets too little insulin, too much food, too little exercise or with illness. Stress from a cold, sore throat, or other illness may increase the level of blood glucose. Symptoms include frequent irritation, excessive thirst, extreme hunger, unusual weightless, irritability and poor sleep, nausea and vomiting, and weakness and blurred vision. Hypoglycaemia, or low blood sugar, is more common in people with type 1 diabetes. It is the most common immediate health problem and is also called ‘insulin reaction’ or ‘insulin shock’. It occurs when the body gets too much insulin, too little food, a delayed meal or more than the usual amount of exercise. Symptoms include hunger, changes in mood or behaviour, sweating, and rapid pulse. Treatment commonly involves quickly restoring glucose levels to normal with a sugary food or drink such as orange juice, candy, biscuits or glucose tablets. If not treated properly, it can result in loss of consciousness and a life-threatening coma. Glucagon injections are used in life-threatening situations to increase blood glucose. First aid for a diabetic come are as followed: Call emergency services. Don’t try to give them food or fluids as they may choke. Place them into the recovery position to prevent any obstruction to breathing. Follow any instructions given to you by the emergency services operator until paramedics arrive. Asthma. In an asthma attack the muscles of the air passages in the lungs go into spasm and the linings of the airways swell. As a result, the airways become narrowed and breathing becomes difficult. Sometimes there is a specific trigger for an asthma attack such as: an allergy a cold cigarette smoke extremes of temperature exercise. Recognition features Difficulty in breathing, with a very prolonged breathing-out phase. There may also be: wheezing as the casualty breathes out difficulty speaking and whispering distress and anxiety coughing features of hypoxia, such as a grey-blue tinge to the lips, earlobes and nail beds (cyanosis). Severities of attacks are frightening for the child concerned and can also by frightening for those children who may be witnessing it. The child wheezes and becomes breathless. Prompt action is needed. Reassure the child. Give bronchodilator inhaler as instructed if the child is a known asthmatic. These inhalers should always be immediately available- they deliver medication to the lungs to relieve the affected airways. Children may also have another type of inhaler used to prevent attacks. Make sure you know which to use in an emergency, particularly if older children generally use their inhalers themselves. Sit child upright and leaning forwards in a comfortable position. Stay with them. If this is the first attack or the condition persists call for an ambulance remember to note changes in the child’s face and lips (colour) and all breathing difficulties and speech to pass onto paramedics. Ensure there is adequate ventilation and encourage the child to breathe deeply and slo wly. Meningitis. Meningitis should be treated as a medical emergency because bacterial meningitis can lead to septicaemia which can be fatal. Bacterial meningitis is the more serious form of the condition. The symptoms usually begin suddenly and rapidly get worse. Emergency services should be contacted  immediately if it is suspected. Bacterial meningitis has a number of early warning signs that usually occur before other symptoms. These are: Pain in the muscles, joints or limbs. Unusually cold hands and feet. Pale or blotchy skin and blue lips. The presence of a high temperature with any of the above symptoms should be taken very seriously and emergency services should be called. Early symptoms are similar to those of many other conditions, and include: A severe headache. Fever. Nausea. Vomiting. Feeling generally unwell. As the condition gets worse it may cause: Drowsiness. Confusion. Seizures or fits. Being unable to tolerate bright light. A stiff neck. A rapid breathing rate. A blotchy rash that does not fade or change colour when you place a glass against it. Viral meningitis- most people will experience mild flu like symptoms. When examining a child with suspected meningitis it is vital to wash hands and wear personal, protective, equipment such as disposable aprons, and gloves to reduce the risk of cross infection, ensure you reassure and don’t panic the child at any stage. It is important to inform senior staff or management of the case so they can contact and inform others where necessary. Febrile convulsions. Febrile convulsions maybe due to epilepsy, or a high temperature. Violent muscle twitching, clenched fists, arched back, may lead to unconsciousness. Do not try to restrain the child. Instead clear the immediate area and  surround the child with pillows or padding for protection. Cool the environment and the child gradually (as for a temperature), sponging skin if necessary. When seizures stop place the child in the recovery position and reassure. Dial 999. Remember to prevent choking ensure the mouth is clear; drain any fluids, pulling the chin and jaw forward if breathing is affected. Epilepsy. It is vital to remain calm when dealing with seizures as a person’s response to seizures can influence how other people act. If the first person remains calm, it will help others stay calm too. Talking calmly and reassuring the patient during and after the seizure- it will help them as they recover from the seizure. Don’t be afraid. Stay calm. The person will be ok. Do not try to stop the person from shaking. If the patient is walking, gently guide them away from dangerous places like stairs. Call emergency services and tell them clearly what is happening and you need an ambulance. To make sure they don’t get hurt, move anything sharp. Place something soft under the patients head, loosen tight clothing, and remove jewellery and glasses. Do not put anything in the patient’s mouth. If you can, check a clock to see what time the seizure begun and the time the shaking stops or the person wakes up. Once the seizure has ended place them in the recovery position to stop them from choking and causing any harm to themselves. Never leave the patient wait until medical help is there and remember to speak in a quiet voice to reassure the patient. You should never restrain someone having a seizure. Just protect the person form injury, as restrains them, can cause more harm, and remember putting someone into the recovery position after a seizure can stop them from swallowing their own tongue which could lead to death. Hypothermia. Hypothermia happens when a person’s body temperature drops below 35 °C (95 °F). Normal body temperature is around 37 °C (98.6 °F). Hypothermia can quickly become life threatening and should be treated as a medical emergency. It’s usually caused by being in a cold environment and can be triggered by a  combination of things – such as being outdoors in cold conditions for a long time, living in a poorly heated house or falling into cold water. The signs of hypothermia vary depending on how low a person’s temperature has dropped. Initial symptoms include shivering, tiredness, fast breathing and cold or pale skin. As the temperature drops, shivering becomes more violent (although this will stop completely if the hypothermia worsens further), the person is likely to become delirious, and struggle to breathe or move and they may lose consciousness. Babies with hypothermia may look healthy but their skin will feel cold. They may also be limp, unusually quiet and refuse to feed. You should seek immediate medical help if you suspect someone has hypothermia. If someone you know has been exposed to the cold and they are distressed, confused, have slow, shallow breathing or they’re unconscious, they may have severe hypothermia. In this case, dial 999 immediately to request an ambulance. While waiting for medical help, it is important to try to prevent further heat loss and gently warm the person. You should: Move the person indoors or somewhere warm as soon as possible. Once they are somewhere warm, carefully remove any wet clothing and dry the person. Wrap them in blankets, towels or coats. If the person is unconscious, not breathing and you can’t detect a pulse in their neck after 60 seconds, cardio-pulmonary resuscitation (CPR) should be given if you know how to do it. Once CPR is started, it should be continued without any breaks until medical assistance arrives. There are several things you can do to prevent hypothermia. Simple measures can help, such as wearing appropriate warm clothing in cold weather and ensuring that children are well wrapped up when they go outside. Hyperthermia. Hyperthermia is the general name given to a variety of heat-related illnesses. Warm weather and outdoor activity go hand in hand. However, it is important for older people to take action to avoid the severe health problems often caused by hot weather. The two most common forms of hyperthermia are heat exhaustion and heat stroke. Of the two, heat stroke is especially dangerous and requires immediate medical attention. Heat stress occurs when a strain is placed on the body as a result of hot  weather. Heat fatigue is a feeling of weakness brought on by high outdoor temperature. Symptoms include cool, moist skin and a weakened pulse. The person many feel faint. Heat syncope is a sudden dizziness experienced after exercising in the heat. The skin appears pale and sweaty but is generally moist and cool. The pulse is weakened and the heart rate is usually rapid. Body temperature is normal. Heat cramps are painful muscle spasms in the abdomen, arms or legs following strenuous activity. Heat cramps are caused by a lack of salt in the body. Heat exhaustion is a warning that the body is getting too hot. The person may be thirsty, giddy, weak, uncoordinated, nauseated and sweating profusely. The body temperature is normal and the pulse is normal or raised. The skin is cold and clammy. Heat stroke can be life-threatening and victims can die. A person with heat stroke usually has a body temperature above 104 degrees Fahrenheit. Other symptoms include confusion, combativeness, bizarre behaviour, faintness, staggering, strong and rapid pulse, and possible delirium or coma. High body temperature is capable of producing irreversible brain damage. If the child is exhibiting signs of heat stroke, emergency assistance should be sought immediately. Without medical attention, heat stroke can be deadly. Heat exhaustion may be treated in several ways: get the victim out of the sun into a cool place, preferably one that is air conditioned offer fluids but avoid alcohol and caffeine – water and fruit juices are best encourage the individual to shower and bathe, or sponge off with cool water urge the person to lie down and rest, preferably in a cool place to prevent injury if the casualty does faint. Remain calm and reassure the child. Electric Shock. The human body conducts electricity very well. That means electricity passes very easily throughout the body. Direct contact with electrical current can be deadly. While some electrical burns look minor, there still may be serious internal damage, especially to the heart, muscles, or brain. Electric current can cause injury in three ways: Cardiac arrest due to the electrical effect on the heart Muscle, nerve, and tissue destruction from a current passing through the body Thermal burns from contact with the electrical source 1. If you can do so safely, turn off the electrical current. Unplug the cord, remove the fuse from the fuse box, or turn off the circuit breakers. Simply turning off an appliance may NOT stop the flow of electricity. Do NOT attempt to rescue a person near active high-voltage lines. 2. Call your local emergency number, such as 911. 3. If the current can’t be turned off, use a non-conducting object, such as a broom, chair, rug, or rubber doormat to push the person away from the source of the current. Do not use a wet or metal object. If possible, stand on something dry and that doesn’t conduct electricity, such as a rubber mat or folded newspapers. 4. Once the person is away from the source of electricity, check the person’s airway, breathing, and pulse. If either has stopped or seems dangerously slow or shallow, start first aid. (See: CPR) 5. If the person has a burn, remove any clothing that comes off easily, and rinse the burned area in cool running water until the pain subsides. Give first aid for burns. 6. If the person is faint, pale, or shows other signs of shock, lay him or her down, with the head slightly lower than the trunk of the body and the legs elevated, and cover him or her with a warm blanket or a coat. 7. Stay with the person until medical help arrives. 8. Electrical injury is frequently associated with explosions or falls that can cause additional severe injuries. You may not be able to notice all of them. Do not move the person’s head or neck if the spine may be injured. Stay at least 20 feet away from a person who is being electrocuted by high-voltage electrical current (such as power lines) until the power is turned off. Do NOT touch the person with your bare hands if they are still in contact with the source of electricity Do NOT apply ice, butter, ointments, medications, fluffy cotton dressings, or adhesive bandages to a burn Do NOT remove dead skin or break blisters if the person has been burned After the power is shut off, do NOT move the person unless there is a risk of fire or explosion Burns and Scalds. Superficial burns Superficial burns only affect the surface of your skin (epidermis). Your skin will be red and painful, but not blistered. Mild sunburn is an example of a superficial burn. Partial-thickness burns Partial-thickness burns are deeper burns that damage your epidermis and dermis to varying degrees. If the damage to your dermis is shallow, your skin may be pale pink and painful, with blisters. Deeper burns to your dermis will cause your skin to become dry or moist, blotchy and red. Deep partial-thickness burns may or may not be painful and they may blister. Full-thickness burns All layers of your skin are damaged by full-thickness burns. Your skin will look white, brown or black and dry, leathery or waxy. Because the nerves in your skin are destroyed with full-thickness burns, you won’t feel any pain or have blisters. Symptoms vary depending on the severity of your burn. They include: changes in your skin colour – burns can cause your skin to look pink, red, white, brown or black blisters pain in the burnt area Symptoms of a burn to your airway include: burned nostril hairs a change in your voice (it may sound hoarse) a sore throat wheezing Treatment for burns depends on their severity. You can treat superficial and minor partial-thickness burns that are caused by heat yourself at home. However, seek urgent medical help from your GP or an accident and emergency department in a hospital for: all deep partial-thickness and full-thickness burns all chemical and electrical burns superficial and partial-thickness burns that cover an area larger than the  palm of your hand burns that cover a joint or are on your face, hands, feet or groin all burns that extend completely around a limb all burns where you may have inhaled smoke Also seek medical help for advice if you’re not sure about the extent of a burn or how to deal with it. For burns caused by chemicals, if possible look at the advice on the label of the chemical product. For full-thickness burns or burns that are caused by chemicals or electricity, it’s important that you start cooling the burn immediately under cool or tepid water (unless instructed otherwise on the chemical product) and then call for emergency help. While you’re waiting, there are a number of important things you can do. For burns caused by heat, keep cooling the burn with cool or tepid water for between 10 and 30 minutes or until medical help is available. Don’t use iced water. Carefully remove any restrictive clothing or jewellery that isn’t stuck to the burn. Next, cover the burn using cling film – layer this on to the burn rather than wrapping it around a limb, for example. If you have a burn on your hand, use a clean, clear plastic bag . Don’t use wet dressings or creams. For burns caused by chemicals, keep cooling the burn with cool or tepid water for at least 20 minutes and remove any affected clothing (wear gloves if possible). Don’t try to neutralise the chemical with another chemical. Facial Burns. Facial burns will need to be treated differently depending on the degree of the burn. First-degree burns only penetrate into the epidermis and cause redness and swelling. Second-degree burns penetrate the hypodermis and cause redness, blotching, and blistering. Third degree burns penetrate all layers of skin and cause areas of blackening. A third-degree burn needs to be treated with emergency medical care. Treatment for a minor facial burn would include holding a cold compress to the burn for 10 to 15 minutes. After cooling, lotion should be applied. Cover with a sterile gauze bandage. Don’t pop blisters and if they pop on their own, wash them gently with soap and water, and apply an antibiotic ointment under the sterile gauze. If the patient has been accidentally exposed to fire or heated gases, damage may occur to the mouth and airway. There may be signs of burning around the lips, nose, mouth, eyebrows or lashes. A dry cough or hoarse voice is an early sign of airway injury and prompt medical care is essential. How you can help 1. Remove the patient to a safe area If in a closed area, and if safe for the first aider, it is vital to remove the patient to a place free of the risk of further injury and preferably into fresh air. 2. Cool the injury If smoke or toxic gases may have been inhaled – including carbon monoxide from a vehicle exhaust, chlorine, ammonia or hydrochloric acid – remove the patient from any enclosed or restricted area into an open area; pour running water over the burn for 20 minutes. If there is any breathing difficulties allow the patient to find the position enabling easy breathing with the head and chest raised. After an inhalation incident the patient may suffer from a severe lack of oxygen due to internal damage to the throat, upper airway and lungs. Call 999 for an ambulance. Poisoning. Poisoning is when a person is exposed to a substance that can damage their health or put their life in danger. There are many ways in which poison can enter the body: Through the mouth. Breathing them through the nose. Through your eyes. Through skin contact. From an insect or animal bite or sting. The symptoms of poisoning will depend on the type of poison and the amount taken in, the age and weight and size of the individual, but general things to look out for include: vomiting stomach pains high temperature drowsiness and fainting fits Dizziness, weakness. Fever or chills. Headache/confusion. If a child suddenly develops such symptoms, they may have been poisoned, especially if they are drowsy and confused. Being poisoned can be life-threatening. Giving appropriate first aid, as described below, can help minimise the harm to the person who is poisoned. For simplicity, we have referred to the person (casualty) in the male gender throughout. First, assess the situation and the risk you’re in – don’t put yourself in danger. If you think someone has swallowed, injected or inhaled a poison, or taken a drug overdose and appears to be unconscious, try to rouse him. If the person responds, you shouldn’t move him. Instead, try to find out what’s wrong, make sure his airway is open and that he can breathe comfortably and you can monitor his condition. Call for emergency help or preferably get someone to call for you. If he is unresponsive, you should first shout for help and then open the airway by tilting his head back and lifting his chin. If it ’s possible to leave him in the same position to open his airway then do so. However, if it isn’t, turn him onto his back and then open his airway. Ask someone to phone for an ambulance, and if necessary the fire brigade. If you’re on your own, you should do this yourself. Be ready to give as much of the following information as you can to the paramedics and/or the doctor or nurse at the hospital. The name of what was swallowed injected or inhaled if you know it. If possible, keep the container and make a note of how much has been taken. The estimated time that the poison was taken or used. Whether or not the person has vomited. Whether you think it was accidental or deliberate. Whether the person has any chronic illnesses (e.g., heart disease) or takes any medicines (if you know). If the person is unconscious and breathing normally, you should put him into the recovery position. Check his breathing regularly until help arrives. If the person is unconscious and isn’t breathing normally, you should perform emergency resuscitation (CPR), but only if you know how. If you think the poison was swallowed, use the mouth-to-nose method, or preferably, use a pocket mask or face shield for rescue breathing. This way, you avoid any contact with traces of poison or vomit that might remain around the person’s mouth or nose. If you think the  person has inhaled poisonous fumes, don’t expose yourself to the person’s breath and use chest compressions only. You should continue at a rate of 100 to 120 compressions per minute. Don’t stop unless the person begins breathing normally, shows signs of regaining consciousness, such as coughing or their opening eyes, or qualified help arrives. If the person has pills, fluids or any substance in his mouth, try to get him to spit them out. You can give them to the hospital staff to help identify the cause of poisoning. Don’t try to make the person sick as vomiting can cause even more damage. If the person has been sick, collect a sample of the vomit to take to hospital. This may help staff identify the poison. Everyone should learn basic first aid techniques. You never know when you might need them – you could be at home, at work, at school or on holiday. Whether it’s a minor situation or something more serious, first aid knowledge will give you the confidence to act. You could be the difference between life and death. Deal with every day cuts and scrapes and nosebleeds. First aid advice is also available for asthma, fractures, sunburn, poisons, low blood sugar and more. Heart and circulatory disease is the UK’s biggest killer. Learn how to recognise and treat heart attacks and shock. You can purchase a number of first aid books/manuals which will help and give you knowledge on how to deal with first aid emergencies, some of these manuals are: The most common first aid manuals which people will recognise are those from the British Red Cross, or St Johns Ambulance as these are well known UK organisations. The National Poisons Information Service is the service to which frontline NHS staff turn for advice on the diagnosis, treatment and care of patients who have been – or may have been – poisoned, either by accident or intentionally. NPIS provides essential support for NHS healthcare professionals, assisting them in ensuring optimal care for patients in cases of serious poisoning, and, where toxicity is low, offering advice to minimise unnecessary hospital attendances and admissions. NPIS is funded mainly through ‘Government Grant in Aid’ from the UK Health Departments, some contract income and some research income. In an emergency, members of the public should always contact their general practitioners, NHS 24 or NHS Direct or local A&E department. If the patient has collapsed or is not breathing properly, call 999. The NPIS does not provide poisons information directly to members of the public – so, for routine poisons advice you should contact your general practitioner or telephone NHS Direct The National Poisons Information Service does not accept enquiries from the public but supports NHS Direct and NHS 24 to answer such queries. If you suspect Carbon Monoxide poisoning or a gas leak you must leave the affected area immediately and report it as a matter of urgency to the National Grid on 0800 111 999. Pharmacies. Pharmacy is the science and technique of preparing and dispensing drugs and medicines. It is a health profession that links the health sciences with the chemical sciences and aims to ensure the safe and effective use of pharmaceutical drugs. The scope of pharmacy practice includes more traditional roles such as compounding and dispensing medications, and it also includes more modern services related to health care, including clinical services, reviewing medications for safety and efficacy, and providing drug information. Pharmacists, therefore, are the experts on drug therapy and are the primary health professionals who optimize use of medication for the benefit of the patients. Bites and Stings. Insect bites and stings are quite different attacks on our skin. Stings result when an insect is protecting itself when it feels threatened. Other than the initial pain of the attack, the sting can cause varying degrees of allergic reaction. A bite is a deliberate attack by the insect in order to feed from our blood. After the initial bite, the insect injects its saliva  into the wound to allow the blood to flow and for the insect to feed. A reaction to the insect’s saliva causes the bite to become red and swollen and to make it itch. There are many insects that live in the UK that bite or sting to feed or protect themselves. Stingers include wasps, bees, hornets and ants. Biters include mosquitoes, midges, sand flies, horse flies and ticks. It is very rare to catch diseases from insect bites and stings in the UK but it is possible. For example if bitten by a tick when walking in fields where deer have been, the person may catch Lyme disease, a serious infection caused by ba cteria (Borrelia burgdorferi) spread by ticks. Abroad, in places such as Africa, Asia and South America there are a number of diseases that can be caught through insect bites such as malaria, yellow fever, Dengue fever, and West Nile disease. When stung by an insect a baby or infant feels immediate pain, causing her or him to cry. You will recognise this cry as being different from crying associated with hunger or tiredness and should check the child to find the cause. Look at exposed areas of skin, if the baby or infant has been stung, the area around the sting will swell and redden, later it may blister and produce an itchy rash. If the baby or infant has been bitten it may take several minutes for the bite to become itchy and swell into a lump or redden. In the case of midges when they attack in swarms there may be several areas where they have successfully attacked. These areas become hot and itchy and can remain so for several days. Some children are particularly sensitive to insect bites and stings and will suffer a severe allergic reaction resulting in dizziness, fainting, breathing difficulties, rash, raised pulse, sickness, or a swollen mouth and face. In very severe cases the victim may even collapse and die. This severe reaction is called anaphylactic shock. There are precautions you can take to avoid a baby or infant being stung or bitten by insects. Stings in the mouth or on the face and hands commonly occur in babies and infants when wasps, attracted by the sweet smell of drinks, ice cream, lollipops and sweets, are accidentally touched when eating or drinking. Keep an eye on children when eating or drinking outdoors, if you see a wasp on or near a child, don’t aggravate the insect by flapping around, react calmly and simply brush it away. If you are being bitten by insects when outdoors, it  is likely that the children are being bitten too. Be aware of this and try to cover as much of the child’s skin as possible with long trousers and tops with long sleeves. If in a pram or buggy, use an insect net to protect children particularly if she or he is asleep. Avoid areas such as ponds where mosquitoes, midges and horse flies commonly occur. When travelling abroad, cover the cot with a mosquito net, close all doors and windows at night and spray rooms with an insecticide or use electric vapour producing mosquito killers. Insect repellents containing low concentrations of DEET or icaridin can be used on infants over 2 years of age. They should not be used on babies in case the ingredients come in contact with their eyes or lips. Even when applied correctly, it is possible that a baby will rub its eyes or suck its fingers, allowing the repellents to be absorbed. If an infant has been playing or walking in fields where deer may have been, inspect the child’s legs and arms closely for ticks; small brown spider-like insects attached to the skin. If present, get hold of the tick with a pair if tweezers and gently lift away from the skin without twisting. As soon as you notice a child may have been stung by a bee, remove the sting and the venomous sac if it has been left in the skin. Do this by scraping it out, either with your fingernails or using something with a hard edge, such as a bank card. When removing the sting, be careful not to spread the venom further under their skin and do not puncture the venomous sac. Do not pinch the sting out with your fingers or a pair of tweezers because you may spread the venom. If a child has been stung, an adult should remove the sting. Wasps and hornets do not usually leave the sting behind, so could sting you again. If you have been stung and the wasp or hornet is still in the area, walk away calmly to avoid being stung again. Most insect bites and stings cause itching and swelling that usually clears up within several hours. Minor bites and stings can be treated by: washing the affected area with soap and water placing a cold compress (a flannel or cloth cooled with cold water) over the affected area to reduce swelling not scratching the area because it can become infected (keep children’s fingernails short and clean) See your GP if the redness and itching gets worse or does not clear up after a few days. If they have swelling or itching anywhere else on their body after being bitten or stung, or if they are wheezing or have difficulty swallowing, they will need emergency medical treatment. Call 999 immediately and ask for an ambulance. Throughout the treatment of this it’s vital to reassure and help keep the child calm. Remember in the event of injury or sudden illness, failure to provide first aid could result in a casualty’s death.

Free Essays on Love in a Concentration Camp

Love Will Always Be Love The story, â€Å"Love in a Concentration Camp†, is a heartrending account by Victor Frankl about how he survived cruel treatment in Nazi concentration camps only by thinking about his wife. This kind of delusional love experienced by Frankl is somewhat different from the real, everyday love that couples share. Both of these situations have their benefits as well as their disadvantages. This essay will go further into discussion by depicting which scenario is better and more satisfying. Frankl’s piece shows why â€Å"love is the ultimate and the highest goal to which man can aspire† (348). This story makes anyone who has ever experienced love realize how much he/she would go through just for that person he/she cared about. Frankl did not know whether or not his wife was still alive, nor did this affect the strength of love that he had for his wife. This is because â€Å"love goes very far beyond the physical person of the beloved. It finds its deepest meaning in his spiritual being, his inner self† (349). Because of this, he continued to struggle and survive the harsh treatment he was suffering. Sometimes, being apart from a loved one makes individuals realize how important they are to each other. After a considerable amount of time, this will make that individual appreciate his/her loved one even more and yearn to be with him/her. Unlike with the real, everyday love that people share, Frankl was not able to talk, touch, or show any such love in a physical manner to his wife. However, he did so mentally. His love for his wife was so strong that he held a delusional conversation with his wife in his mind. If a person today truly loved their spouse and were put into a predicament where they would be split up for a long time, he/she would reminisce all the good they shared with that person and strive to make it through anything in hopes that, someday, they will be with that person again. These days... Free Essays on Love in a Concentration Camp Free Essays on Love in a Concentration Camp Love Will Always Be Love The story, â€Å"Love in a Concentration Camp†, is a heartrending account by Victor Frankl about how he survived cruel treatment in Nazi concentration camps only by thinking about his wife. This kind of delusional love experienced by Frankl is somewhat different from the real, everyday love that couples share. Both of these situations have their benefits as well as their disadvantages. This essay will go further into discussion by depicting which scenario is better and more satisfying. Frankl’s piece shows why â€Å"love is the ultimate and the highest goal to which man can aspire† (348). This story makes anyone who has ever experienced love realize how much he/she would go through just for that person he/she cared about. Frankl did not know whether or not his wife was still alive, nor did this affect the strength of love that he had for his wife. This is because â€Å"love goes very far beyond the physical person of the beloved. It finds its deepest meaning in his spiritual being, his inner self† (349). Because of this, he continued to struggle and survive the harsh treatment he was suffering. Sometimes, being apart from a loved one makes individuals realize how important they are to each other. After a considerable amount of time, this will make that individual appreciate his/her loved one even more and yearn to be with him/her. Unlike with the real, everyday love that people share, Frankl was not able to talk, touch, or show any such love in a physical manner to his wife. However, he did so mentally. His love for his wife was so strong that he held a delusional conversation with his wife in his mind. If a person today truly loved their spouse and were put into a predicament where they would be split up for a long time, he/she would reminisce all the good they shared with that person and strive to make it through anything in hopes that, someday, they will be with that person again. These days...

Franklin Pierce - 14th President of the United States

Franklin Pierce - 14th President of the United States Franklin Pierces Childhood and Education: Pierce was born on November 23, 1804 in Hillsborough, New Hampshire. His father was politically active having first fought in the Revolutionary War and then served in various offices in New Hampshire including being Governor of the State. Pierce went to a local school and two academies before attending Bowdoin College in Maine. He studied with both Nathaniel Hawthorne and Henry Wadsworth Longfellow. He graduated fifth in his class and then studied law. He was admitted to the bar in 1827. Family Ties: Pierce was the son of  Benjamin Pierce, a Public Official, and  Anna Kendrick. His mother was prone to depression. He had four brothers, two sisters, and one half-sister.  On  November 19, 1834, he married  Jane Means Appleton. the daughter of a Congregationalist Minister. Together, they had  three sons all of whom died by the age of twelve. The youngest, Benjamin, died in a train accident soon after Pierce was elected president. Franklin Pierces Career Before the Presidency: Franklin Pierce began practicing law before being elected as a member of the New Hampshire legislature 1829-33. He then became a U.S. Representative from 1833-37 and then Senator from 1837-42. He resigned from the Senate to practice law. He joined the military in 1846-8 to fight in the Mexican War. Becoming the President: He was nominated as the candidate for the Democratic Party in 1852. He ran against war hero Winfield Scott. The main issue was how to deal with slavery, appease or oppose the South. The Whigs were divided in support of Scott. Pierce won with 254 out of 296 electoral votes. Events and Accomplishments of Franklin Pierces Presidency: In 1853, the U.S. bought a stretch of land now part of Arizona and New Mexico as part of the  Gadsden Purchase. In 1854, the  Kansas-Nebraska Act  passed allowing settlers in Kansas and Nebraska territories to decide for themselves whether slavery would be allowed. This is known as  popular sovereignty. Pierce supported this bill which caused great dissension and much fighting in the territories. One issue that caused a lot of criticism against Pierce was the Ostend Manifesto. This was a document published in the New York Herald which stated that if Spain was not willing to sell Cuba to the U.S., the United States would consider taking aggressive action to get it. As can be seen, Pierces presidency was met with much criticism and dissension. Therefore, he was not renominated to run in 1856. Post-Presidential Period: Pierce retired to New Hampshire and then traveled to Europe and the Bahamas. He opposed secession while at the same time speaking in favor of the South. Overall, though, he was antiwar and many called him a traitor. He died on October 8, 1869 in Concord, New Hampshire. Historical Significance: Pierce was president at a critical time in American History. The country was becoming more polarized into Northern and Southern interests. The issue of slavery became once again front and center with the passage of the Kansas-Nebraska Act. Obviously, the nation was headed towards a confrontation, and Pierces actions did little to stop that downward slide.

Causes and effects of Pollution in Lake Huron Research Paper

Causes and effects of Pollution in Lake Huron - Research Paper Example As observed by Hickey et al. (2006), there is a direct relationship between pollution rate and effects on aquatic life and on humans. Adverse effects, in brief, include destruction of the surrounding ecosystems, reduction of water quantity, and contamination of soils. This paper will explore Lake Huron only, specifically addressing causes and effects of Lake Huron pollution on people and economy. Moreover, the determination of causes and effects of water pollution in the lake may cause environmentalists to come up with new solutions and ideas for cleaning water areas and improving the health of the public. About Lake Huron The name of the lake was coined by early French explorers, meaning a group of people who inhabit regions around the water body (Shear, 2006). As one of the Great North American Lakes, Lake Huron is bounded by Michigan State on the west and Canadian province of Ontario on the east. The lake has several bays, with the greatest one being the Georgian Bay, and overtime it has undergone drastic aquatic changes. Initially, the lake was occupied by deepwater fish species, but nowadays it has been invaded by other fish species such as alewife, sea lamprey, and rainbow smelt. The change, according to Liu et al. (2006), is attributed to pollution of the lake. Causes of Pollution in Lake Huron Leading cause Causes of pollution in Lake Huron are classified into three categories. The leading cause of pollution in the lake is point-source pollution, followed by nonpoint-source pollution, and the third cause is air pollution (Hickey et al., 2006). Point-source pollution describes direct sources of pollution, such as piped pollutants or other vessels. As it is a fresh water lake, there is a belief that several chemicals dissolve in the water and are, therefore, neutralized. However, much attention is not given to products formed after dissolution processes. Many industries such as pulp and paper companies that surround the lake, as well as treatment plants, dump their waste products to neutralize their lethality. Through dumping, there is continual accumulation of mercury and other heavy metals in the lake. As another form of point-source pollution, large amounts of sewage and fecal matter are dumped in the lake. According to Liu et al. (2006), there is a strong correlation between sewage accumulation level and multiplication rate of harmful bacteria. Liu et al. (2006) identifies E. coli and enterococci as two harmful bacteria whose population is influenced by sewage accumulation in Lake Huron. Therefore, both organic and inorganic wastes and sewage deposits increase bacterial growth. Second leading cause Nonpoint-source pollution, according to Robertson & Lauenstein (1998), does not originate from specific locations. Runoffs from lawns with contaminants and polluted water from agricultural farms form major components of nonpoint-source pollution. Agricultural chemicals, such as pesticide and fertilizer runoffs, significantly contribut e to nonpoint-source pollution. Examples of agricultural chemicals are polychlorinated biphenyls (PCBs), which results from the use of synthetic pesticides and fertilizers. Chloro-diphenyl-trichloroethane, also known as DDT, is another agricultural chemical that contributes to pollution of Lake Huron. Insecticides such as lindane and toxaphene also contribute significantly to the pollution of the lake (Robertson & Lauens

Compare the carnival of Barranquila with the one of Rio de Janeiro and Essay

Compare the carnival of Barranquila with the one of Rio de Janeiro and another one in the US - Essay Example This essay intends to explore the subtle and intricate differences between the carnival of Barranquilla with that of Rio-de-Janerio and that of the Atlanta carnival in the United Sates which make them unique in their respective ways. Carnival of Barranquilla is one of the biggest and popular carnivals. This carnival is renowned as one of the biggest folklores and as the most significant celebration in Colombia. The heritage of the carnival is quite ancient and its traditions originate back in 19th century. The event is marked by exotic and intense festivities and the deck of Barranquilla warmly welcomes the tourists and nationals at least forty days before the initiation of the festival. The festival is marked by its unique dance practices of paloteo of Spanish origin along with Congo dance of Africa and indigenous music and dance of mico y micas. The carnival is marked by the wide practice of varieties of Columbian music and cumbia is pertinently practiced in the carnival. The cumbia music and dance is the most important activity of the carnival and the practice of this kind of music and dance in the festival makes it unique in its essence (Sinning, â€Å"Joselito Carnaval†; Proexport Colombia, â€Å"Th e Barranquilla Carnival: The Most Colorful Carnival in the World†). The extraordinary blend of the ancient and colorful tribal dances of African origin with the accompaniment of Spanish music enriches and renders a unique quality to the festivity. Among those, the dances like porro, mapale, puya and cumbia generate the chief attraction of the carnival. The carnival initiates on Saturday and ends on Tuesday. The inception of the festival is marked by the battle of flowers which is a treat to the eyes and is unique of its kind. The finale of the festival includes mourning day and the death of the Joselito Carvajal is observed followed by the announcement of his burial (Sinning, â€Å"Joselito