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Shock - Wikipedia. Een shock is een acute levensbedreigende toestand waarbij de druk in de bloedvaten te laag is om de vitale lichaamsfuncties in stand te houden. De doorbloeding en dus de zuurstofvoorziening van het hart, de hersenen en andere organen komen hierdoor in het gedrang wat snel resulteert in het afsterven van cellen. De klassiek geneeskundige definitie van het begrip luidt: Shock is een syndroom, dat gekarakteriseerd wordt door een vermindering van de effectieve capillaire weefselperfusie, met daardoor een verstoring van het celmetabolisme. Normaal is er een vaste verhouding in het lichaam tussen het volume van, en de inhoud in de bloedvaten. Bij een shock raakt deze verhouding verstoord. Shock is een syndroom en kan verwijzen naar verscheidene aandoeningen. Naargelang de oorzaak verdelen we shock in hypovolemische, cardiogene, obstructieve en distributieve shock. Emotionele of psychologische shock zoals vaak vermeld in nieuwsberichten over verkeersongevallen heeft niets met het medische begrip shock te maken: met het woord shock bedoelt men dan een (niet acuut levensbedreigende) mentale toestand na een traumatische gebeurtenis. Hypovolemische shock. Oorzaken zijn: Endogeen verlies (inwendige bloedingen)Exogeen verlies (externe bloeding, brandwonden)Cardiogene shock. Oorzaken kunnen worden onderverdeeld in intrinsieke (van het hart zelf) en extrinsieke (buiten het hart). Oorzaken zijn: Distributieve shock. De bloedvaten gaan te veel openstaan zodat er relatief te weinig vulling is van het vaatbed en de druk wegvalt. Enkele voorbeelden: Neurogene shock: bij een ruggenmerg- of hersenletsel, waardoor de neurologisch veroorzaakte vaatconstrictie (samenknijpen) wegvalt. Anafylactische shock: bij een allergische reactie, waardoor door het vrijkomen van histamine a. Als het bloed zich op een bepaalde plaats ophoopt is er op een andere plaats bloed tekort. Een obstructieve shock wordt veroorzaakt door twee hoofdoorzaken: Het lichaam tracht het gebrek aan zuurstof te compenseren door enkele correctiemechanismen. Het hart pompt het bloed sneller rond, de ademhaling versnelt en de minder belangrijke organen zoals de huid krijgen minder bloed. Shock Top BeerHet lichaam reageert op het probleem en het slachtoffer wordt rusteloos en angstig. Bewustzijn: De persoon is vaak angstig, verward, gespannen en gedesori. Indien de situatie niet verbetert, wordt hij door afnemende circulatie van de hersenen suffer en verwarder en zal hij uiteindelijk het bewustzijn verliezen. Huid: Door de verminderde bloeddoorstroming ziet de huid er bleek of blauwachtig uit. A stroke is when poor blood flow to the brain results in cell death. There are two main types of stroke: ischemic, due to lack of blood flow, and hemorrhagic, due to. Shock Bbw Mature Porn loathes faking and imitation. Our Bbwalmy xxx tube collects and offers our visitors HD full-length fuck videos only, and every clip here shows. Goal-Directed Resuscitation for Patients with Early Septic Shock. The ARISE Investigators and the ANZICS Clinical Trials Group * N Engl J Med 2014. This page has moved, please update your bookmarks to; www.cps2shock.com. De huid voelt vaak koud en klam aan maar is toch zweterig. Kenmerkend is dat het zweet niet terugkomt, indien dit wordt weggeveegd. De capillary refill is vertraagd. Ademhaling: De ademhaling is versneld en kan oppervlakkig of luidruchtig zijn. In zeer ernstige gevallen kan de ademhaling vertragen door uitputting van het lichaam. Pols: De pols is vaak zwak voelbaar en versneld. Bloeddrukmeting zal bij gevorderde shock een lage bloeddruk tonen. Dalende urineproductie (oligurie of anurie): Door slechte circulatie is de bloedtoevoer naar de nieren verminderd. Shock TopHierdoor zal er minder urine geproduceerd worden. Een persoon die in shock is of dreigt te gaan heeft onmiddellijk medische hulp nodig. Als eerstehulpverlening wordt het volgende geadviseerd: Verwittig steeds eerst de hulpdiensten. Stel het slachtoffer gerust. Vermijd drukte, spanning en bruuske bewegingen. Breng de persoon in liggende toestand. Breng de benen omhoog (uitgezonderd bij cardiogene shock). Breng bij ernstige ademhalingsmoeilijkheden het bovenlichaam rechtop. Voorkom afkoeling met een deken. Voorkom oververhitting. Warm het slachtoffer nooit actief op. Door warmte treedt vaatverwijding op, waardoor de bloeddruk verder afneemt. Geef nooit iets te eten of te drinken: De vitale organen (zoals de hersenen) krijgen meer bloed dan de minder vitale organen (zoals het maag- darmkanaal). Met als gevolg dat de pati. Tijdens braken kan braaksel in de longen terechtkomen (aspiratie). Het geven van zuurstof met een hoge flow op een non- rebreathing masker om zuurstoftekort te bestrijden. Inbrengen van een infuus: Bij een lage bloeddruk is het inbrengen van een infuus moeilijker dan bij een normale bloeddruk. Het vasthouden van vocht kan een gevolg zijn van een circulatie stoornis. Psychische shock. Hiermee wordt bedoeld dat het slachtoffer psychologisch is aangedaan door het ongeval, bijvoorbeeld wanneer hij een ongeval heeft overleefd waarbij iemand anders om het leven is gekomen. Dit type shock mag dus niet verward worden met de medische betekenis van het woord shock en wordt in medische kringen gewoonlijk acute stressstoornis genoemd. Bronnen, noten en/of referenties. AC Guyton, JE Hall. Medical Physiology 1. Elsevier, Philadelphia (USA), 2. JA Korteweg e. a., Oranje Kruis boekje 2. Thieme. Meulenhoff, Utrecht/Zutphen, 2. P Kumar, M Clark. Clinical Medicine, 6th ed. Elsevier, London (UK), 2. TG Rijkers, RHWM Derksen, CGM Kallenberg. 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Finlay Wild won the race with Andy Fallas in 2nd place in a big field, the race being a British, Scottish and Carnethy championship race. Stewart Whitlie was 3rd V50. Carnethy Hill Running Club. Twelve Carnethys braved the 5. Highland Fling last Saturday. It was an early start and a very long day. The organisation was superb and drop bags for four checkpoints were collected at the start and magicked to the right places. I’d never used dropbags before and packed a picnic into each one, most of which I left behind at each checkpoint and mainly ate sachets of baby food. Yum. The race started fast and we rolled out of Milngavie amid cheers. I settled into a comfortable pace but let go on the downhills and hoped I wouldn’t suffer for it later. The descent of Conic Hill was particularly fun and I passed lots of people on the descent into Balmaha. We took the high path to Rowardennan but then the trail ran alongside Loch Lomond and was more technical with lots of scrambling over rocks. It was hard to get into a rhythm but great fun. I hit a low point just before Beinglas but luckily was convinced to eat something before I left the checkpoint, which probably saved my race. I’m not really sure what happened between there and the finish, I think I spent most of the time arguing with myself about whether I should run or walk. Flee and flight is an instinctive. Momma Momma (Army Running Cadence) mama mama can’t you see, what the army’s done to me. They put me in a barber’s chair, spun me around I had no hair. DRAPETOMANIA, OR THE DISEASE CAUSING NEGROES TO RUN AWAY. It is unknown to our medical authorities, although its diagnostic symptom, the absconding from service, is. Cisco conference bridge software registration unknown According to the Australian Maritime Safety Authority, the Kaz II departed from Airlie Beach on 15 April 2007, and was heading for Townsville on the first leg of a. Running Away From The Unknown WarI came into Tyndrum convinced there were still two miles to go so I took an energy gel. I’m sure this helped me finish strongly down the red carpet to the line, although from the photos it was more of a shuffle than a sprint. My father used to play with my brother and me in the yard. Mother would come out and say, "You’re. This is a compilation of some. I’d been the third place lady since 2. I would be caught in the final uphill miles, managed to stay ahead till the end. Third place was much better than I had been hoping for (which was just to finish my first 5. I’m very happy about it! Donnie Campbell’s record from 2. Rob Sinclair who finished in the unfathomable time of 6: 4. The finish was spectacular, there was prosecco in the goody bag and the soup, courtesy of the Real Food Cafe, was excellent. Apparently the ceilidh was fun too but I had passed out by then. It’s worth putting your name in the ballot for! Rachel Newstead. Full Carnethy results: Rachel Newstead 8: 5. John Hammond 8: 5. Alex Coakley 9: 2. Douglas Macqueen 1. Myvanwy Fenton- May 1. Alexis Dole 1. 0: 1. Aisling Allum 1. 1: 1. Lee Murphy 1. 1: 3. Jamie Megaw 1. 2: 4. Lauren Mckay 1. 2: 5. Hayley Mckinnon 1. Ina Donat 1. 3: 5. |