山西大便干燥出血(山西医院灌肠) (今日更新中)

When you're facing a medical emergency, you trust your life to the doctors at in the emergency room. Those doctors sometimes have just seconds to make life or death decisions. Four in Your Corner is giving you an inside look as to what it's like to be an ER doctor."I love the pace of things and it takes a certain person to be an ER doctor," Dr. Keith Burley, who works in Cape Coral Hospital's emergency room, said/ "Emergency medicine is a true team sport. It takes the whole department to really resuscitate someone who is very sick.""Say someone comes in in cardiac arrest. They come in right through our trauma bay doors. They're dropped into one of our resuscitation rooms. Our team organizes very quickly. Everyone knows their jobs," Dr. Burley said.\In cases like this, techs will be running IVs; nurses will be hooking up defibrillation pads. Pharmacists will be running drugs. Staff will be trying to find out a patient's name. Dr. Burley said it's all about balancing quickness with efficiency while making sure patients are safe during triage."It's very important we triage effectively, making sure we point out and pick up the really sick people early on so we dedicate most of our resources to those sick people," Dr. Burley said. "We do need to triage because we have limited resources we need to effectively implement."Dr. Burley said when he sees a patient, he's trained to think worst case-scenario first."So someone coming in with a headache, we think, could this be a stroke? Could this be a subarachnoid hemorrhage? Could this be something else going on? Before we think it's just a headache," he said.Dr. Burley has known he's wanted to be a doctor since he was four years old after he was in a life-changing, dangerous situation."Like a good Canadian, I was tobogganing down a hill. We were going down the hill and my brother bailed. We continued to go down the hill and I hit a tree with my head," he said.He had a fractured skull and lost hearing in his left ear."I was seen by ER doctors, trauma doctors, a pediatric neurologist, had multiple MRIs," he said. "From that point on, as a young child, I always wanted to be a doctor."He said one of his most bizarre cases was just hours before Hurricane Irma hit. A dog was brought into the ER with it's eye hanging out."I'm not a veterinarian and I don't pretend to be one. I have a dog but it's a little out of my realm," Dr. Burley said. "We placed a pressured dressing and one of the staff members was able to call around to get a vet to see that dog just before the storm."For that dog and family, it was a happy ending, but Dr. Burley said the hardest part about emergency medicine are the days he deals with death and dying."It takes a certain person to deal with death and dying every day and then come back. It's a resiliency characteristic that all the ER staff have," Dr. Burley said.Whether their patients survive or not, the doctors have to learn to compartmentalize -- going from patient to patient until the end of their eight to 10 hour shift."We'll see a pediatric drowning, and then the next case we'll see someone with an eyeball injury, or someone with a simple laceration, and we have to give that patient the same amount of attention we gave the other patient and reset," he said."It's a privilege to be in a discipline where you get to see someone on their worst day of their entire life, and if you can make that a little better, you've done your job," he said.Dr. Burley said to unwind, he spends a lot of time at the beach and kite surfing. 3562

WILMINGTON, Del. (AP) — President-elect Joe Biden will have an all-female communications team at his White House, led by campaign communications director Kate Bedingfield. President-elect Biden and Vice President-elect Harris today announced new members of the White House staff who will serve in senior communications roles.For the first time in history, these communications roles will be filled entirely by women.https://t.co/SjWAWJg941— Biden-Harris Presidential Transition (@Transition46) November 29, 2020 Bedingfield will serve as Biden’s White House communications director, and Jen Psaki, a longtime Democratic spokeswoman, will be his press secretary.Bedingfield served as Deputy Campaign Manager and Communications Director for the Biden-Harris Campaign. She also served as Communications Director for Vice President Biden and as Associate Communications Director, Deputy Director of Media Affairs, and the Director of Response in the Obama-Biden White House.Psaki currently oversees the confirmations team for the Biden-Harris Transition. During the Obama-Biden administration, Psaki held several senior roles, including White House Communications Director, State Department Spokesperson under then-Secretary of State John Kerry, Deputy White House Communications Director and Deputy White House Press Secretary during the financial crisis.Two other women, Karine Jean-Pierre and Pili Tobar, will also be part of the communications team.Jean-Pierre was Senior Advisor to President-Elect Joe Biden and Chief of Staff to Vice President-Elect Kamala Harris on the Biden-Harris Campaign. As for Tobar, she served as the Communications Director for Coalitions on the Biden-Harris Campaign.“Communicating directly and truthfully to the American people is one of the most important duties of a President, and this team will be entrusted with the tremendous responsibility of connecting the American people to the White House. I am proud to announce today the first senior White House communications team comprised entirely of women. These qualified, experienced communicators bring diverse perspectives to their work and a shared commitment to building this country back better,” said President-elect Joe Biden in a press release.“Our country is facing unprecedented challenges–from the coronavirus pandemic to the economic crisis, to the climate crisis, and a long-overdue reckoning over racial injustice," added Vice President-elect Kamala Harris. "To overcome these challenges, we need to communicate clearly, honestly, and transparently with the American people, and this experienced, talented, and barrier-shattering team will help us do that. These communications professionals express our commitment to building a White House that reflects the very best of our nation.”Meanwhile, The Associated Press has learned that Biden also plans to name the president and CEO of the Center for American Progress, Neera Tanden, as director of the Office of Management and Budget. 2987

When Sen. John McCain's family announced Friday that he was ending medical treatment?for aggressive brain cancer, the news shook Capitol Hill and prompted support from his Republican and Democratic colleagues alike. But one prominent voice was missing: President Donald Trump's.The White House press office did not react to the news, and when Trump traveled to Ohio in the evening he did not mention the ailing senator in a nearly hour-long speech to Ohio Republicans, which ran a gamut of topics from the death of Mollie Tibbetts to NFL protests to Kanye West.In past months, Trump has frequently referenced McCain's 2017 health care vote on the campaign trail without naming him, drawing the ire of the Arizona Republican's family."One of our wonderful senators said 'thumbs down' at 2 o'clock in the morning," the President said at a campaign event for New York's Rep. Claudia Tenney earlier this month.The senator's daughter, conservative commentator Meghan McCain, called Trump's comments "gross and pathetic" at the time.Although Trump claimed the Senate was one vote away, in reality the vote was only to go to conference with the House on the Senate's "skinny repeal" of Obamacare.The President did not repeat that reference, which has become a familiar refrain in his stump speech, on Friday evening.Trump also did not mention McCain at a signing ceremony earlier this month at Fort Drum, New York, for a defense spending bill the senator had spearheaded, the John S. McCain National Defense Authorization Act.Trump expressed support for McCain when the senator's tumor was first diagnosed."Senator John McCain has always been a fighter," the President said in a statement at the time. "Melania and I send our thoughts and prayers to Senator McCain, Cindy, and their entire family. Get well soon."A White House official said Trump also called McCain following word of the senator's diagnosis.And before that health care vote, the President called McCain an "American hero" in a tweet.Speaking to reporters on the South Lawn of the White House last December, Trump said he had talked with the senator's wife."I did speak to Cindy McCain, and I wished her well. I wished John well. They've headed back, but I understand he'll come if we ever needed his vote, which hopefully we won't. But the word is John will come back if we need his vote, and it's too bad," Trump said.He continued, "It's tough. He's going through a very, he's going through a very tough time. There's no question about it, but he will come back if we need his vote."The two have had a tortured relationship and McCain, who was diagnosed with glioblastoma, an aggressive form of brain cancer, in July 2017, has been one of the administration's most outspoken Republican critics.Trump has previously attacked McCain's record of service, saying the Vietnam veteran and one-time prisoner of war is "not a war hero" because he was captured."He is not a war hero," Trump told pollster Frank Luntz, who was hosting a July 2015 question-and-answer session at the Family Leadership Summit in Ames, Iowa."He is a war hero," Luntz interjected."He is a war hero because he was captured?" Trump said, cutting him off. "I like people that weren't captured, OK? I hate to tell you. He is a war hero because he was captured. OK, you can have -- I believe perhaps he is a war hero."Trump has since acknowledged that McCain is a hero, but he refused to apologize in subsequent interviews. 3511

While hundreds of families wait in agony to learn the fate of missing loved ones, officials gave a gut-wrenching forecast on the fate of California's Camp Fire:It's not even halfway done burning yet.Since the Camp Fire erupted 10 days ago in Butte County, it has killed 77 people, destroyed more than 9,700 homes and torched an area the size of Chicago.But the blaze probably won't be fully contained until November 30, according to Cal Fire, the state's forestry and fire protection agency."It is overwhelming, I don't have any word to describe it," Butte County Sheriff and Coroner Kory Honea said. "This is unprecedented. No one has had to deal with this magnitude that caused so much destruction and regrettably so much death."Meanwhile, displaced residents are in limbo. Many are in Chico, Butte County's most populous city, about 15 miles from ground zero of the disaster, the town of Paradise.Some evacuees are staying with friends and family. Others are in a tent city in a Walmart parking lot. On Sunday, those seeking a place to grieve trickled into the First Christian Church of Chico for a candlelight vigil.A sign in the church set an intention for the hourslong open memorial: "We will rise from the ashes."The Camp Fire is already the deadliest and most destructive wildfire in California history. And with 993 people still unaccounted for, officials fear the death toll could keep rising.Crews are combing the remnants of houses where all evidence of life has been wiped out by flames. Many of the searchers have lost their own homes and are looking for the remains of their neighbors.While the search for the dead and missing continues, thousands of firefighters are trying to control the blaze. As of late Sunday, the Camp Fire had seared 150,000 acres and was 65% contained. 1826

When the delayed Tokyo Games kick-off next year, the opening and closing ceremonies will be “simpler and more restrained,” according to the organizing committee.In an announcement Tuesday, the group said they were reorganizing their staff in charge of planning the symbolic, and in recent years large-scale, productions. Hiroshi Sasaki will now head up planning the events.While making no mention of how the ceremonies’ formats will be modified, the group said they will still be a celebration and reflect the “overall simplification of the Games” while still taking into consideration the need for COVID-19 safety measures.The new productions are expected to add roughly million (US) to the cost of the opening and closing ceremonies, according to organizers.The 2020Tokyo Games were supposed to happen this summer. However, as the coronavirus spread around the world, the games were postponed in March to 2021.“We are working to deliver Opening and Closing Ceremonies that will be in tune with the situation next summer. The ceremonies will still be a great celebration to be enjoyed by the athletes and watching world but will likely take a simpler and more restrained approach designed to reflect the overall simplification of the Games and the potential need to still consider COVID-19 countermeasures,” the Tokyo Games Organizing Committee said in a statement.Sasaki is no stranger to Olympic ceremonies, he was responsible for the flag handover ceremony at the 2016 Rio de Janeiro Olympics and directed the one-year countdown event held in Tokyo this summer.“With Mr. (Hiroshi) Sasaki’s support, we will stage Opening and Closing Ceremonies that will be remembered for many years to come as symbols of the unity and symbiosis of humankind in its overcoming of the COVID-19 pandemic,” the committee stated.The Tokyo Olympics are now planned to open on July 23, 2021. 1884

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