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QR Code Crystal Reports Generator | Using free sample to print QR ...
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The asphyxia of drowning is usually due to aspiration of fluid, but it may result from airway obstruction caused by laryngeal spasm while the victim is gasping under water The rapid sequence of events after submersion hypoxemia, laryngospasm, fluid aspiration, ineffective circulation, brain injury, and brain death may take place within 5 10 minutes This sequence may be delayed for longer periods if the victim, especially a child, has been submerged in very cold water or if the victim has ingested significant amounts of barbiturates About 10% of victims develop laryngospasm after the first gulp and never aspirate water ( dry drowning ) Immersion in cold water can also cause a rapid fall in the victim s core temperature, so that systemic hypothermia and death may occur before actual drowning The primary effect is hypoxia due to perfusion of poorly ventilated alveoli, intrapulmonary shunting, and decreased compliance The first requirement of rescue is immediate CPR A number of circumstances or primary events may precede near drowning and must be taken into consideration in management: (1) use of alcohol or other drugs (a contributing factor in an estimated 25% of adult drownings), (2) extreme fatigue, (3) intentional hyperventilation, (4) sudden acute illness (eg, seizure, arrhythmia, myocardial infarction), (5) head or spinal cord injury sustained in diving, (6) venomous stings by aquatic animals, and (7) decompression sickness in deep water diving Spontaneous return of consciousness often occurs in otherwise healthy individuals when submersion is very brief

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Create QR Code in Crystal Reports with a UFL (User Function Library) ... C:\​Program Files (x86)\SAP BusinessObjects\SAP BusinessObjects Enterprise XI 4.0\ ...

Immediate measures to combat hypoxemia at the scene of the incident sustained ventilation, oxygenation, and circulatory support are critical to survival with complete recovery Hypothermia and cervical spine injury should always be suspected 1 Standard CPR is initiated if pulse and respirations are absent 2 Do not attempt to drain water from the victim s lungs The Heimlich maneuver (subdiaphragmatic pressure) should be used only if airway obstruction by a foreign body is suspected The cervical spine should be immobilized if neck injury is possible 3 Do not discontinue basic life support for seemingly hopeless patients until core temperature reaches 32 C Complete recovery has been reported after prolonged resuscitation of hypothermic patients

Requirements are careful observation of the patient; continuous monitoring of cardiorespiratory function; maintenance of cerebral oxygenation, serial determination of arterial blood

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Salomez F et al Drowning: a review of epidemiology, pathophysiology, treatment and prevention Resuscitation 2004 Dec;63(3):261 8 [PMID: 15582760]

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gases, pH, renal function (serum creatinine), and electrolytes; and measurement of urinary output Pulmonary edema may not appear for 24 hours 1 Ensure optimal ventilation and oxygenation The danger of hypoxemia exists even in the alert, conscious patient who appears to be breathing normally Oxygen should be administered immediately at the highest available concentration Endotracheal intubation and mechanical ventilation are necessary for patients unable to maintain an open airway or normal blood gases and pH Nasogastric intubation will allow removal of swallowed water and prevention of aspiration If the victim does not have spontaneous respirations, intubation is required Oxygen saturation should be maintained at 90% or higher Continuous positive airway pressure (CPAP) is the most effective means of reversing hypoxia in patients with spontaneous respirations and patent airways Positive endexpiratory pressure (PEEP) is also effective for treating respiratory insufficiency Assisted ventilation may be necessary with pulmonary edema, respiratory failure, aspiration, pneumonia, or severe central nervous system injury Serial physical examinations and chest radiographs should be carried out to detect possible pneumonitis, atelectasis, and pulmonary edema Bronchospasm due to aspirated material may require use of bronchodilators Antibiotics should be given only when there is clinical evidence of infection not prophylactically 2 Cardiovascular support Central venous pressure (or, preferably, pulmonary artery wedge pressure) may be monitored as a guide to determining whether vascular fluid replacement and pressors or diuretics are needed If low cardiac output persists after adequate intravascular volume is achieved, pressors should be given Otherwise, standard therapy for pulmonary edema is administered 3 Correction of blood pH and electrolyte abnormalities Metabolic acidosis is present in 70% of near-drowning victims, but it is usually of minor importance and corrected through adequate ventilation and oxygenation Glycemic control improves outcome 4 Cerebral injury Some near-drowning patients may progress to irreversible central nervous system damage despite apparently adequate treatment of hypoxia and shock Mild hyperventilation to achieve a PaCO2 of approximately 30 mm Hg is recommended to lower intracranial pressure 5 Hypothermia Core temperature should be measured and managed as appropriate (see Systemic Hypothermia, above).

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Create QR Code with Crystal Reports UFL - Barcode Resource
This tutorial illustrates the use of a UFL (User Function Library for Crystal Reports ) with a True Type Font ( QR Code Barcode Font ), provided in ConnectCode QR Code package, to create a ISO/IEC 18004:2015 standard-compliant QR Code barcode in Crystal Reports .

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Create QR Code with Crystal Reports UFL - Barcode Resource
This tutorial illustrates the use of a UFL (User Function Library for Crystal Reports ) with a True Type Font ( QR Code Barcode Font), provided in ConnectCode QR ...

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