text:
Cast Recording
Off-Broadway Hamilton Spoof Spamilton Cast Recording Out Now
Spamilton, the off-Broadway parody of the musical phenomenon Hamilton, released a cast album on DRG Records last week.
The cast recording features original Spamilton cast members Dan Rosales, Nicholas Edwards, Juwan Crawley, Chris Anthony Giles, Nora Schell, with special guest stars Christine Pedi and Glenn Bassett, and Music Director Fred Barton on piano.
The show, created by Forbidden Broadway creator Gerard Alessandini, celebrates and roasts Broadways golden musical, but also features outrageous references to Gypsy, Chicago, The King And I, Assassins, Camelot and Sweeney Todd.
Not only are the stars of the original cast of Hamilton comically roasted, but they are joined by "caricatures of living Broadway legends the likes of: Patti LuPone, Audra McDonald, Stephen Sondheim, Stephen Schwartz, Barbra Streisand, Bernadette Peters and many more beloved icons", even Beyonce.
Spamilton began previews at The Triad (158 West 72nd Street) on Tuesday, July 19, 2016 and opened on September 8 to rave reviews. The show most recently celebrated its 200th performance on February 19, 2017, and it was announced a second Spamilton company began a sit-down production at Chicago's Royal George Theatre this month.
The album is available on iTunes, Spotify, and Amazon. Tickets for the show can be purchased here.
Across The Pond
Dreamgirls Original London Cast Recording Gets an April Release Date
So, you can't make it to London anytime soon? No worries! The West End production of the five-time Olivier nominated Dreamgirls has announced an April 14th release date for its original London cast recording.
Sony Classical will release the highly-anticipated cast album in a stunning new double-disc recorded LIVE at London's Savoy Theatre.
Directed by Casey Nicholaw, with book and lyrics by Tom Eyen, the album, produced with Olivier-nominee and composer Henry Krieger, captures the on-stage exhilaration of the original London cast, the 14-piece band, and the audience.
This cast album features Olivier-nominees Amber Riley and Adam J. Bernard as Effie White and James "Thunder" Early, respectively, Liisi LaFontaine as Deena Jones, and Ibinabo Jack as Lorrell Robinson, with Joe Aaron Reid as Curtis Taylor Jr, Tyrone Huntley as C.C. White, Nicholas Bailey as Marty, and Lily Frazer as Michelle Morris.
The company also includes Michael Afemaré, Jocasta Almgill, Callum Aylott, Hugo Batista, Samara Casteallo, Chloe Chambers, Carly Mercedes Dyer, Joelle Dyson, Kimmy Edwards, Candace Furbert, Nathan Graham, Ashley Luke Lloyd, Gabriel Mokake, Siân Nathaniel-James, Sean Parkins, Kirk Patterson, Ryan Reid, Rohan Richards, Noel Samuels, Durone Stokes, and Tosh Wanogho-Maud.
Pre-order now on Amazon.
And if you just so happen to make it to London in the near future, purchase tickets at Dreamgirls West End.
Cast Recording
Selma, The Musical: An Unheard Song
In 1965, Martin Luther King Jr. and the Southern Christian Leadership Council set their sights on Selma, AL as the stomping ground for voter registration reform. Twenty-four years later, Selma The Musical took the stage at New Federal Theater to tell the story of the civil rights leaders that inspired its very existence. Tommy Butler, the show's creator, wrote the book, music and lyrics and then turned to his community to help tell the story.
This 1978 musical not only put black history in the spotlight, the creative team itself featured makers of history. Cornelius A. Tate, Selma's musical director, has a long list of Broadway credits. This list includes the infamous Hair, a show that gave him the title of being the first Black musical director on Broadway. The accomplishment is well deserved considering Tate led the cast of Selma through a demanding score that cast a light on the pain and injustice throughout Black history.
Selma is unapologetic in its critique of race relations during the Cvil Rights Movement. It uses the same painful language that ran ramped alongside hoses and hounds in Alabama streets. This musical served as a wake-up call. It shook the critics of its day and introduced new performers to voice the frustrations of inequality. Tommy Butler, the shows creator, starred in the musical alongside a collective of newcomers. Denise Erwin, Susan Beaubian, Carton Williams and Ernie Banks led the cast in songs calling for justice, equity and peace. A cry we can still hear from our community.
Selma The Musical was a show that asked the obvious in the most honest way it knew how. The voices who deny the existence of injustice will call Selma "unfinished" and "archetypal." I invite you to reflect on the events that brought this musical to fruition, the limitations we are still overcoming, and the necessity of telling the difficult stories in our history. The show's original cast recording can be found on Apple Music. New Federal Theater, where the show saw its debut, continues to release productions that question the justice and equity that is denied to Black people in America. You can view their upcoming projects.
A Must See
The 9 Classic Hip-Hop References In Our Beloved Hamilton Musical
A famous rapper once said, "If ya don't know, now ya know." (If you didn't know that was the NOTORIOUS B.I.G., shame on you!). The website Genius (formerly known as Rap Genius) has made waves for being one of the leading websites in decoding lyrics for just about any song (though I'm still having trouble with determining if Lloyd is saying " 5'2 " or "fine too"). What makes the site that much cooler is that it allows users to annotate lyrics which helps decode the meaning or provide context for a certain line. In fact, Lin-Manuel Miranda set aside time to annotate a few lyrics from the Hamilton Cast Recording last year.
To take it a step further, Genius recently released a video called "9 Classic Rap References In Hamilton" where they compare clips of Hamilton The Musical and the classic rap songs that inspired its inception. Some of the comparisons will be familiar to anyone with a basic knowledge of the 90's Hip-Hop era. I mean who didn't know that the "10 Duel Commandments" came from "Ten Crack Commandments" by the Notorious B.I.G.? In fact, Biggie makes quite a few appearances on the recording. Other tracks by the late rapper include "Going Back To Cali," echoed in Hamilton's "My Shot," and the track "Juicy," in "We Know." But it doesn't just stop there, the show also includes nods to Jay Z, DMX, Busta Rhymes and Mobb Deep as well. Proving even further this is truly a hip-hop musical through and through, it's not a mockery, it's an inclusion of the genre. And we love every bit of it.
(A bonus one, while it's not a hip-hop song, "Helpless" has a bit of Beyonce inspired "Countdown" in it, and I live!)
Check out the video below! Did you catch all the references? Are there more that Genius didn't get? Sound off below.
9 Classic Rap References In Hamilton
The hit Broadway musical deliberately nods to Biggie, DMX, Jay Z, and other hip-hop heavyweights. http://genius.com/albums/Lin-manuel-miranda/Hamilton-original-broadway-cast-recording Subscribe to Genius: Genius on Twitter: https://twitter.com/Genius Genius on Instagram: http://www.instagram.com/geniu.s Genius on Facebook: https://www.facebook.com/Geniusdotcom http://www.genius.com
Cast Recording
iTuned In: The Color Purple Cast Album
The first time I saw the musical version of The Color Purple I think I was on a date. I say think because through some seating mishap I was placed on one side of a row between two strangers while my beau was all the way at the other end. In hind sight, that was a good thing. The transformative performances of the cast and the music were so powerful I remember crying uncontrollably by intermission. And those strange ladies and I were all holding hands and exchanging tissues. Not good dating etiquette. But that is the power of musicals.
The other gift of musicals is the cast album. While an amazing play can leave you gasping for air, a great musical has you singing and annoying people on the A train all the way back to Harlem. (An unfortunate true story.)
So I was more than a little jazzed to learn that the revival of The Color Purple, which premiered last week at the Bernand B. Jacobs Theatre, announced that a cast album will be recorded this week and released via Broadway Records.
This latest version of Purple brings Grammy and Oscar winner Jennifer Hudson to the Broadway stage. This woman has not met a medium she can't tackle. She takes on the complicated role of "Shug Avery." Might I also opine that Broadway is the sweet spot for a person with that powerful a voice. "Orange is the New Black" star Danielle Brooks takes over the role as "Sophia."
And then there is Cynthia Erivo as "Celie." All I can suggest you do is watch her and Ms. Hudson perform the title song to the musical in this official music video for the show.
The Color Purple has gone through its own transformations first as the Pulitzer Prize-winning novel by author Alice Walker, to the acclaimed and controversial film directed by Steven Spielberg.
And then the film version's Sophia, an unknown named Oprah Winfrey put her strength into pushing a Broadway production of Purple in 2005. The story is all about black women and their strength against odds and circumstances that would kill most of us dead.
The revival of Purple premiered at the Jacobs Theatre Dec 10th, 2015. To see what Broadway Black thought of the show click here. The cast album is set for a January 29th release date. But…you can pre-order the music now. And click here to order your tickets to The Color Purple now.


text:
IPP MessageIPP's view of the wealth management landscape in Singapore and the region.
Weekly UpdatesHere's our round up of the major news headlines over the past week. Missed the news? Please contact us.
EventsWe provide specialized trainings and seminars to groom each of our own associates. Check back frequently to find out when our next Business Opportunities Presentation will be held.
IPP Wealth Planners Sdn Bhd. All rights reserved.
CONFIDENTIAL NOTE: The information contained in this
website is intended only for the use of the individual or entity named above
and may contain information that is privileged, confidential and exempt from
disclosure under applicable law.
Website Design Malaysia by Skytomato

subset: commoncrawl


text:
'No Mercy' (R)By Rita Kempley
Washington Post Staff Writer
December 19, 1986
Pretty Pouters Kim Basinger and Richard Gere spit and spat and inevitably jump each other's bones in "No Mercy," a standard-issue cop thriller that amounts to "Beverly Hills Cop" in a bad mood. It's the old you-killed-my-partner, now-it's-your-turn-dog-breath scenario, warmed over.
As you'd expect, the leading lookers simply sizzle with pent-up passions -- their mouths forever agape, as if they had nasal congestion -- international body language for "I want you, my lips are your lips, take me," and so on.
In his best role since "An Officer and a Gentleman" (and that's not saying much), Gere is hard-bitten Chicago cop Eddie Jillette, whose partner is killed by a Cajun kingpin, a crawfish-country villain played with juicy ruthlessness by Dutch actor Jeroen Krabbe.
Though Basinger denounced her last outing as a sadist's love toy in "9 1/2 Weeks," she returns to the screen as another sex pet. Here she plays the mysterious mistress Michel, bought and paid for as a girl child by the bayou crime boss. She is one of his favorite things.
Meanwhile, Jillette travels to New Orleans County Parish, walks around the French Quarter for a breath of atmosphere and gets into trouble with the local gendarmes. But by using the luscious Michel as bait, he also gets his man. Finishing a sweaty dance in a clingy peach dress that allows her to show off her pits, Michel is kidnapped by Jillette, who handcuffs the sultry she-babe to his wrist and hightails it into the swamps. Here they come to know each other despite their differences, kind of like "The Defiant Ones," with mud.
Director Richard Pearce of "Country" and "Heartland" goes by the book -- the cop movie manual, that is. The screenplay, with its conventions chained together like a gang of familiar cons, is by Jim Carabatsos -- who just wrote "Heartbreak Ridge," which may explain why the dialogue sounds so familiar. But then, both hard-headed Marines and hard-nosed cops are fond of following up acts of kindness with tough lines like "This doesn't mean we're going to swap warm spit." Tough guys are like that, yeah they are.
Copyright The Washington Post


text:
La Band
Bad Bones, from Cuneo - Italy, have been a band since 2007.
Bad Bones' lineup feature:
Max Bone on vocal,
Serjoe Bone on guitars
Steve Bone on bass and backing vocals
Lele Bone on drums
Bad Bones find great inspiration in classic Hard Rock and Heavy Metal bands. The band's style clearly evokes the times when Rock and Metal dominated the music scene, with a hard, spontaneous and full of energy style.
The Trio Era: 2007-2011
"Smalltown Brawlers "(Madhouse Music 2008)
"Smalltown Brawlers" new ed. (Red Pony rec .2009)
"Dead Boy" Ep (Red Pony rec, 2009)
"A Family Affair" (Nadir Music 2010)
Bad Bones' journey starts in may 2007 when Steve - Bass/vocals, Lele - Drums and Meku - Guitar/vocals, decided to unify their forces to create a new rough - rock'n'roll power trio ready to set afire every club around, increasing their fan base with hundred of shows around Italy.
I n October 2007 the band recorded their first album "Smalltown Brawlers", self-produced in 2008 and published in 2009 by Red Pony/Audioglobe with some bonus tracks, like "We want live with Rock'n'roll", to which participated the legendary Italian rock singer Pino Scotto. "Small town Brawlers" gained enthusiastic reports from the most famous italian rock and metal magazines.
The band decide to include all the new tracks and a unreleased one entitled "Don't let the Spirits get in", in a new Ep printed at the end of 2009.
According to Metal Maniac magazine, the Bad Bones are the "next big thing of italian hard rock".
Between 2008 and 2009 the band played in Italy, Europe and USA where they got great results and had the chance to play in historic spots in Sunset Strip such as the "Whisky A Go Go" and the "Key Club".
They supported important American bands like Youth Brigade or Murphy's Law, they worked together with Rob Michaels (former Goo Goo dolls guitar player) and took part in festival such as "Hollywood rock Convention 2008" and Port Hueneme "Summer Fest" at the Oceanview Pavillon where played the most well known hard rock bands from Los Angeles, among which there were Pretty Boy Floyd and Enuff'z'Nuff.
Bad Bones played 22 gigs in 2008, and 15 in 2009 in the U. S. A., where they obtained three shows at the world famous Whisky A Go Go club.
Just to give news: the song "Poser", their anthem, had been used by the Cysco Systems multinational informatics company, for an advertising which appeared on the web in 2009.
The band had great work to do in Italy and in Europe and they went on tour with Adam Bomb, glorious guitar player, through Switzerland, Germany and finally Czech Republic. During that summer, the band participated to a series of important rock festivals as supporters to amazing international bands such as Hardcore Superstar, Entombed and Crucified Barbara.
In 2010, they signed a contract with Nadir Music and consequently they had their second album published: "A family affair", which met with the audience's approval.
The important webzine Truemetal.it assigned them the "Hard Rock Band of the year" award, then the band played at the Italian Gods of metal with the most famous Italian metal bands: Extrema, Labyrinth, Strana Officina, Bulldozer and Sadist. The tour to promote the album lasted the whole year, they played also in France and again in Switzerland and ended in august 2011, at the great stage of the festival "Balla con i Cinghiali" in front of 25.000 people in Savona. That was the last show for the band as a Power-Trio.
Four Pieces Era 2011-Today
"Snakes and Bones" (Bagana rec. 2012)
"Snakes and Bones" de-luxe ed (Bagana rec. 2014)
"Demolition derby" (Sliptrick Records 2016)
"Demolition derby" (Sliptrick Records 2016)
In october 2011, Bad Bones presented Max "Bone" Malmerenda as the singer of the band, so that at that moment Bad Bones turned to be a quartet. With a press release they affirmed their need to look for a new musical challenge as a foursome.
Soon began a new tour through Italy and Europe, till the spring 2012, when Bad Bones concentrated their strength on writing new songs which will form their third eagerly awaited album, Snakes and Bones. The album was released on november 2012 for Bagana Records.
The new album has received enthusiastic reviews from all the most important magazines and websites in Italy, Metal Hammer awarded the album as "Album of the Month" and for lot of journalists that was the best chapter of their artistic production.
The band keeps on touring thourgh 2013, across Italy Europe and USA where they Headline for the first time at the World Famous Whisky a Go Go in West Hollywood.
Headlining in ITaly important festivals such as Isola Rock in Verona and Liff Rock Festival .
The song "Am I Walking Alone?" taken from the "Snakes and Bones" album becomes the soundtrack of the official TV spot for the Italian Light-wieghts Boxe Championship match Di Donato vs Scarpa,broadcasted by the national channel Rai.
In January 2014 Meku Bone decided to leave the band due to personal and artistic reasons, as announced on Bad Bones' website Serjo Aschieris joined the family as new guitarist.
The demands for the "Snakes and Bones" album has been higher then expected from the label so Bagana Records decided to print a De-Luxe edition of the album, with a new cover including three bonus-tracks.
To support the" S&B Deluxe ed" the band release an official video of the Journey's cover "Don't Stop Believin'" who reached great success among the rock audience and rocked the stage as Steel Panther's special guest in MIlan in front of thousands screaming rock fans.
The "Snakes on the Road Tour 2014/2015" lead the band in a Baltic tour in November 2014 and 27 Italian shows until the spring of 2015.
In March 2016 the band start the recordings of their fourth album at Domination Studio in San Marino with producer Simone Mularoni and in April vocals have been recorded and produced by Roberto Tiranti at Gianlupo's Liar studio in Genova, then Mularoni mixed and mastered the album in his studio, in July the band signed a deal with the American label Sliptrick Records and the new album:"Demolition Derby" is released on November 7th in Italy, December 15th in Europe, January 2017 USA and February 2017 Japan. The new album gets great reviews around the world, with its classic '80 style hard rock the band marks a further step forward in their musical journey.
"Rock 'till you drop, Roll with the Bones!"
EXTRA Info's
Steve "Bone" Balocco
was the bass player during the "Total McBrain Damage Tour 2002-2005" alongside with Iron Maiden's drummer Nicko McBrain, he was former bass player of the italian power metal band White Skull (2003-2007) with whom he recorded the album "Ring of the Ancients" (Dragonheart 2006)
Serjoe "Bone" Aschieris was former guitar player for the band The Rocker with whom he recorded the self-titled album beside former AC/DC and Dio drummer Simon Wright, he played also in the Italian National AC/DC tribute band who performed with AC/DC drummer Chris Slade
I Bad Bones sono:
- Max Bone (Max Malmerenda) - voce
- SerJoe Bone (Sergio Aschieris) - chitarra
- Steve Bone (Stefano Balocco) - basso, seconda voce
- Lele Bone (Raffaele Balocco) - batteria


text: Whats up bhw. Over the past 6 months I have learned a ton about ebay and have been making a living off it pretty easily. If you can tell me step by step how to make money online with an alternitive method I will teach the following: How to sell on ebay How to setup stealth accounts and multiple paypals EXACT products to sell and where to get them As well as any other information you would like Just looking to trade some ideas, please PM me with any ideas thanks!


text: Eastman Kodak Co. of Rochester, N.Y., will cut another 1000 jobs by year's end as the imaging company continues to restructure under Chapter 11 bankruptcy. The company has cut 2700 employees since the beginning of 2012. "Kodak is becoming a more focused and competitively scaled company," said chairman and CEO Antonio M. Perez. "We recognize that we must significantly and expeditiously reduce our current cost structure." Under a new management framework, Philip J. Faraci – company president and COO since 2007 – and CFO Antoinette P. McCorvey are leaving. Kodak will have three business segments: Digital Printing and Enterprise; Graphics, Entertainment and Commercial Films; and a new segment that includes two businesses for sale: Personalized Imaging and Document Imaging. The company also has implemented organizational changes to reflect its focus on its Commercial, Packaging & Functional Printing Solutions and Enterprise Services business.


text:
Different Roads wasn't a book I really knew about but once I saw it and read what it was about I knew I wanted to sign up for the blog tour. It just sounded like a really good book. After reading Different Roads by Lori L. Clark I'm a bit torn on how I feel about it.
Summary from Goodreads:
It's been said that when we look back over our lives, we are able to recognize the pivotal moments that in some way, shape, or form have led us to where we are today.
When Jacqueline Carter is fifteen, she crosses paths for the first time with Seth Thomas, a young man who unwittingly alters the direction of her life forever.
Jaq plans to break-up with her boyfriend on her sixteenth birthday. Instead, she is date-raped, and left emotionally broken. She builds a wall around her heart and begins spiraling downward on a road filled with drinking, drugs and physical abuse.
When Seth re-enters her life a few years later, the walls around her heart slowly come down and the two of them fall in love.
Unfortunately sometimes, fate has other ideas, and we're forced down a different road from which we initially set out.
Jacqueline Carter is raped when she's fifteen and by time she's seventeen she's a druggie. Her life seems to take all the worst turns it possibly can even after she gets her act together.
I'm not sure where to start with this book. It was an interesting read and it kept my attention throughout while I was reading it. Honestly if I didn't have other things that I had to do I would have read Different Roads in one sitting. But there was so much about this book that bugged me despite liking it.
Jacqueline isn't a character I found I could relate too. I didn't particularly hate this character but I didn't like her that much either. I was in between liking and disliking her. She just kept making the stupidest decisions. I just couldn't understand how she could keep doing the things she did even though the outcome would be the same--or ten times worse. And even though I couldn't relate to Jacqueline I did love how witty she could be with Shelly and with Brad. Brad was probably the only character I really liked and the way things turned out for him were so horrible!
I felt that Different Roads moved so quick that information that could have been so helpful for this book was left out. Like what happened to Amanda? If being raped broke Jacqueline the way it did why was it never mentioned again? I just felt like there were to many gaps in the story and it left me with so many questions about certain things.
Damon I loath with a fiery passion. He's a scumbag and needs a good couple kicks where it hurts. I will admit I was intrigued by him when he first appeared in the book but I knew he was trouble and oh my god was he trouble. He's charming at first and then the real jerk is let loose not the constantly flirting jerk but a jerk with a capital J. The things he said and did to Jacqueline were repulsive. Lisa L. Clark did a pretty darn good job creating a slim ball who not a single soul will like. He's just disgusting.
Seth is another character who I wish I could have gotten better information on. I wasn't all to pleased with him because I felt like I learned nothing about him or why he broke things off with Jacqueline. So I don't even know what to say about him because I don't know anything about him. Yeah, I liked him because he was sweet and caring to Jacqueline but that's all I know. This is one of the gaps I wish would have been filled because I think Seth could have been a really fantastic character.
I know it probably sounds like I didn't like this book but that isn't the case. Despite the lack of character development and major gaps I actually really enjoyed this book. Lisa L. Clark wrote a book that is different from most. I think how she ended this one was pretty gutsy and so realistic. I never expected that was how it would end. It blew me away that was how things turned out for Jacqueline. I think it's that gutsy ending that really made me like this book more.
Different Roads is an interesting and realistic story that will keep your attention throughout but it lacks a bit with the characters and it felt a bit rushed. Despite that I did really enjoy this book and that ending blew me away. Different Roads is getting 3 out of 5 birds from me. I do think I would recommend this book because of the fact it does portray an abusive relationship so realistically and I think that would be good for anyone to read.
~~Thanks to Xpresso Book Tours for a copy of this book!~~


text:
The Senate Budget and Taxation Committee did a little creative cutting and redistributing yesterday, during its hearing on subcommittee recommended cuts to the state Office of Sports Promotion, a program of the Maryland Department of Economic and Employment Development.
The Senate budget committee voted to cut another $50,000 from the $75,000 recommended for the Maryland State Games and then put that $50,000 into the main account of the Office of Sports Promotion budget.
The original recommendation from the subcommittee was to cut the requested OSP budget from $769,000, an amount that included $250,000 for the Maryland State Games, by $300,000.


text:
Sheriff: Homeowner helps catch burglar
JACKSON - A property owner helped police catch a burglar Sunday when he stopped by to check on a vacant home he owns and spotted a man stealing from the home's basement, the Washington County Sheriff's Office said.
The incident occurred on Shunpike Road, the sheriff's office said. After spotting the thief, the homeowner called police, who said they arrested Joseph Brandmeyer, 32, of Cambridge.
Brandmeyer was charged with felony burglary and misdemeanor counts of petit larceny and possession of burglar tools. He was arraigned in Jackson Town Court and released.


text:
""it was bloody hard but incredibly satisfying!" " Michael Whitfield - Chairman BRFC
1 down 2 to go!
So that is the first challenge done, I climbed Mount Toubkal on the 7th and 8th May and I can honestly say it is the most difficult thing I have ever done in my life. It has taken me a few weeks just to let it sink in. I know it is not Mount Everest or Kilimanjaro but for me it might have well have been them.
I walked 25 miles up over 4,000 meters....it was relentless, it just went on and on and on.
On Day 1 we climbed in gorgeous weather for 7 ½ hours to a dark and chilly refuge at 10,000 feet. The terrain was mainly loose rocks and shale, so you were never sure of the placement of your feet, so you had to be cautious as you placed step after step on the uncertain ground – one step too close to the edge and I would have been plummeting downwards a lot faster than I climbed up! The danger was very real with people going past us being carted off the mountain on mules with bad injuries from broken skulls to broken limbs, it made very grim viewing for the climbers!
Thankfully I managed not to fall over but I had the most excruciating bot of cramp in inner thigh which just locked up tight and took about an hour of painful walking to walk off. But day was done, thank God when we reached the refuge.
At the refuge what awaited me was almost as much of a challenge as the climb itself...a night in 3 small bunk beds alongside 2 other chunky props, including Jason Leonard OBE, whom it was, of course a privilege to sleep alongside and rub cheeks with
The 3 of us formed a formidable 60 stone front row and the noise was deafening, a cacophony of snoring, belching and other unmentionable eruptions drowning out the howling gale outside. I hardly slept and at 4am it was time to get up and face the climb to the top.
After a night of not much sleep, and so cold that the inside of the windows froze in our snug room, we were woken by the light turning on automatically at 4am. Bleary eyed we headed for the summit. It was steep, snowy and icy and incredibly windy (on the mountain and not just in our room!). In short, horrible conditions, even for experienced mountaineers, let alone the ramshackle bunch we were. Around the summit itself there was sheet ice and howling gales so after a brief visit it was home James and don't spare the horses, I am not going to lie, when our two intrepid mountaineers said it was time to start the descent I was a very happy man!
With all of the focus on ascent we hadn't really thought much about the descent and as we set off from the refuge again the prospect of getting to the bottom as quickly as possible was a welcome thought.
The first 3 hours of the descent were almost enjoyable, and I saw things that I never knew existed on the way up (it is difficult to see anything head down looking at your toes every step of the way!). However, as we entered the last two hours of the descent it is fair to say that my normally strong rhino legs began to feel very tired indeed, in fact it felt that someone else had kidnapped tem from the thigh down!
The final hours were spent splashing along a rocky wide river bed, not deep (and obviously not steep ) before the last leg-straining and steep final climb down to Imlil, the village we started out from two days before....and then a very quiet two hour coach journey back to Marrakech before a night of well-deserved celebration.
It was an extraordinary few days, which I can hardly yet believe that my battered old body had lasted through.
People have asked me "did you enjoy it". I have to say that enjoyment was not high up there on the list of objectives I would use to describe the experience, but I do have a growing sense of pride and achievement , of that there is no doubt at all!
And as I pack away my walking poles and rucksack there is another worrying thought nibbling away in my mind...would I enjoy it more if I did it again now I know what to expect? I know I definitely don't fancy anything higher but maybe..now I have all the kit....I should give it another crack for fun!
There are a few pictures on the link below to my Just Giving sites, and a massive thank you from me and my two charities, Jason's Atlas Foundation and Great Ormond Street, Hospital for Children, you have already helped me raise over £12,000 and with two more events of my triple challenge to go over the next 4 months I am confident of hitting my £20,000 target.
The second challenge has come around all too quickly, it is the Blenheim Triathlon on this Saturday 4th June when I complete the cycle leg for my over 50's relay team, The Odd Treble. Having only just recovered from the hike up Mount Toubkal I may be a little unprepared .
The good news is that if you haven't donated you still can...click on either of these links and they will take you to the donation website.
To donate to Jason Leonard's Atlas Foundation please visit my page here:
To donate to Great Ormond Street Hospital for Children please visit my page here:
Thanks again for all you help and encouragement!
Michael/Rhino x
Updated 21:37 - 31 Aug 2016 by Russell Barnes
|Dings Crusaders
|Worthing Raiders
|Bury St. Edmunds
|Old Redcliffians


text: Mint CONDITION Verizon HTC Droid Eris $200 or trade for Moto Droid The phone has been in a case since day one, so it is in PERFECT condition. Clean ESN/ready to be activated. Looks beautiful and is in top shape. It is ready for use and is fully functional. Comes with everything listed below. Package Includes: HTC Droid Eris 8 GB memory card Battery USB Cable A/C Wall Charger Item Sold/ Please remove


text:
Richardsons Bend camping area
Take Kings Rd off the Old Barnawartha Rd to reach Richardsons Bend, which lies a few kilometres north-west of Barnawartha North. Note: like many of the tracks leading to sites beside the Murray River, this route is accessible in dry weather only. Bring your own drinking water.
Who to contact: Parks Victoria 13 1963
This campsite is located in Murray River – Bundalong to Barnawartha North
The stretch of the Murray River between the old town of Barnawartha and the equally well-aged township of Bundalong harbours numerous small reserves where you can pitch a tent in the bush – so long as the tent is set up at least 20 m from any watercourse, that is. If you like wine, the vineyards around nearby Rutherglen may tempt you away from the riverbank. Signposted access roads appear frequently along the Murray Valley Hwy.
Want to see your campsite photos featured here? Send us your photos.
Nearby Campsites
- Stantons camping area
- Granthams Bend camping area
- Shaws Flat camping area
- Taylors Bend camping area
- Lumbys Bend camping area
- Doolans Bend camping area
comments powered by Disqus


text:
ACES provides a variety of services in coordination with local organizations. These services are provided on a non-discriminatory basis. Clients must be residents of Hanover County.
Through the generous support of our community we are able to provide the following items to our clients:
- Clothing
- Bedding
- Utensils
- Dishes
- Pots and pans
- Towels and linens
- Household items
- Food is available based on family size and verified need.
*Please note, ACES may not accept or provide mattresses or box springs.
Emergency Services
ACES offers assistance with payment for electricity, rent, medications, and utilities to Hanover County residents living in zip codes 23005, 23047, 23059, and 23069. A cut-off notice for utilities or an eviction notice for rent is required.
Transient Aid
ACES offers Transient Aid as an emergency service, in coordination with the Ashland Police Department, Hanover County Sheriff's Department, the Virginia State Police and/or local churches.
Medical Equipment
The following items are provided on a loan basis at no cost:
- Wheelchairs
- Potty chairs
- Crutches
- Walkers
- Bath stools
Senior Rides
ACES has joined with MCEF (Mechanicsville Churches Emergency Functions) in offering rides to seniors (60+) who are no longer able to drive but would like to stay in their home as long as possible. We will also provide rides to those who may have a medical condition that requires frequent trips for medical treatments such as dialysis or chemotherapy. This free transportation program is for scheduled medical appointments, grocery shopping and for personal business, such as banking.
We need drivers! Our volunteer drivers are paid 25 cents per mile and are provided liability insurance coverage. Potential drivers will be required to provide a valid driver's license, their DMV record and give permission to ACES to request a background check. They are also required to have 8 hours of driver's safety training (usually provided by AARP). All expenses are paid by ACES.
Our drivers will assist Hanover County residents in the zip codes 23005, 23047. 23059. 23069.
If you are interested in becoming a driver or a rider in our program, please contact us at 804-543-6115 or via email at firstname.lastname@example.com. If you desire, the packets for the rider and the driver are given below. Please print out the application, complete the required information and send it to: ACES, P. O. Box 114, Ashland, VA 23005. You will be contacted once we receive the completed document.
ACES Rider Packet ACES Driver Packet
ACES is greatly appreciative of the time and efforts made by members of MCEF in creating and developing the Senior Rides Program for their area of Hanover County, VA. They laid the groundwork for this mission to become a possibility. They were gracious enough to not only extend the invitation to ACES to participate in the program, but also to allow us to use the documents they had already developed. They met with us, they encouraged us and they were with us every step of the way as we began the implementation process. Thank you to Charles Rasnick, Vice President – MCEF, and Lynn Saunders, MCEF Liaison, for assisting ACES in making the Senior Rides Program a reality in the Ashland area.


text:
- Premier League
Be patient, Moyes urges United fans
Manchester United manager David Moyes has told the club's fans to show patience as he looks to strength his squad in January transfer window.
In his programme notes for the Capital One Cup semi-final second leg at home to Sunderland, Moyes said he "will not compromise on the standards required" of a player joining United.
Reports that a bid has been lodged for Chelsea midfielder Juan Mata suggest a deal could be concluded in the coming days.
But Moyes has stressed that his eagerness to add new quality to his squad will not see him make snap signings before the end of this month.
"I fully understand that supporters are keen to see us freshen up the squad with new faces, but January is a difficult month in which to bring people in," Moyes told United Review.
"While we are actively scouting players all the time, a lot of the work we are doing now is preparation for the summer.
"If we can do any business now then we will certainly try to do it, but I will not compromise the standards required for a player that can come into this club and help improve it.
"We all know that our club is undergoing changes at present, but I have a clear path in my mind and I know where we are going."
United have been linked with moves for Newcastle's Yohan Cabaye and Bayern Munich defender Dante in recent days, but the capture of Mata would go some way to changing the current anxiety around Old Trafford.


text:
Trauma and motorcyclists; born to be wild, bound to be injured?
- Darlene Grant
- 3 years ago
- Views:
1 Injury, Int. J. Care Injured (2007) 38, REVIEW Trauma and motorcyclists; born to be wild, bound to be injured? John D. Hinds a, Gareth Allen b, Craig G. Morris c, * a Specialist Registrar Anaesthetics, Motorcycle Union of Ireland (MCUI) Medical Team, Regional Intensive Care Unit, Royal Victoria Hospital, Belfast, County Antrim BT12 6BE, Ireland b Specialist Registrar Anaesthetics and Intensive Care Medicine, Altnagelvin Hospital, Londonderry BT476SB, United Kingdom c Consultant Anaesthetist and Intensive Care Medicine, Derby Royal Infirmary, London Road, Derby DE12QY, United Kingdom Accepted 18 June 2007 KEYWORDS Motorcycle; Trauma; Injury; Prevention; Airway; Speed hump; Leathers; Helmet Summary Background: Regrettably motorcyclists frequently suffer related significant injuries. Doctors who manage trauma will encounter victims of motorcycle accidents and many aspects of care are unique to these patients due to the protective and performance enhancing equipment used by motorcyclists. This review examines the patterns of major injuries suffered by motorcyclists, the unique aspects of airway, circulatory and spine management, and suggests some interventions, which may allow primary injury prevention for the future. Data source: Literature searches of the PubMed, EMBASE and Cochrane library with hand searches and author s experience. Interventions: None. Data synthesis and conclusions: The airway and (cervical and thoracolumbar) spine cannot be managed effectively in the helmeted patient with a speed hump in place and intubation by direct laryngoscopy is almost impossible with a speed hump in place. Helmets should be removed and the speed hump cut from the leathers. Leathers act as fracture splints, particularly for pelvis and lower extremities. Removal or extensive cutting away of the lower portion of leathers should be considered as part of circulation, and only take place in a medical facility and in anticipation of circulatory deterioration. Motorcyclists sustaining thoracic spinal damage more frequently than cervical and spinal fractures at multiple levels are common. Back protectors are used commonly and these may be left in situ for extrication on a spinal board, but they should be removed in-hospital to allow full assessment. * Corresponding author. address: (C.G. Morris) /$ see front matter # 2007 Published by Elsevier Ltd. doi: /j.injury
2 1132 J.D. Hinds et al. Injury prevention will require coordinated research and development of a number of key pieces of equipment and design in particular helmets, speed humps and clothing/textiles. In managing the injured motorcyclist in the pre or in-hospital settings, health professionals require greater awareness of the implications of such devices, which at the present time appears largely restricted to motorcycling enthusiasts. # 2007 Published by Elsevier Ltd. Contents Introduction Methods Interventions Motorcycling injuries Considerations Airway management and motorcycle helmets Techniques for helmet removal Speed humps during intubation and cervical spine control Total spine management Back protectors Circulatory management Summary Acknowledgements References Introduction Most motorcyclists appreciate that riding a motorcycle is a risky business. 17 United Kingdom (UK) figures suggest that a motorcyclist is killed or seriously injured approximately every 665,894 km ridden, compared to 18,661,626 km amongst car drivers 8 ; although this relative risk of 28 1 may be falling with time Fig Therefore, if a motorcyclist attains a riding license aged 17 and rides 13,500 km per year until retirement lifetime risk of death or serious injury approaches 100%. Doctors who regularly manage trauma will certainly encounter victims of motorcycle accidents and many aspects of care are unique to these patients due to the protective and performance enhancing equipment, which is used by competitive, and increasingly noncompetitive, motorcyclists. In this clinical review we examine the patterns of major injury suffered by motorcyclists, the unique aspects of airway, circulatory and spine management, and will suggest some interventions, which may allow primary injury prevention for the future. Methods A comprehensive literature search in PubMed, EMBASE and the Cochrane library supplemented by hand searching bibliographies of retrieved articles using the keywords above. The resulting narrative review of the typical patterns of major trauma suffered by motorcyclists is supplemented by the author s extensive experiences in pre and in-hospital trauma care. Fig. 1 Author JD Hinds, on rapid response medical bike at 2006 Ulster Grand Prix road race. Despite the main focus of this article on the negative aspects of injuries let us not forget why motorcyclists do what they do and why it is so addictive! Motorcycles allow an immediate deployment of medical aid to injured riders at road races, being much faster and less intrusive than a car, and more convenient and less restrictive than a helicopter on the shorter Irish circuits. Motorcycle medics on the MCUI team can triage and begin treatment, carrying equipment in the pictured pouch-system. Back up is available from fully stocked medical cars and ambulances (David Anderson, 2006).
3 Trauma and motorcyclists; born to be wild, bound to be injured? 1133 Interventions None Motorcycling injuries Considerations Motorcyclists typically suffer multiple injuries; head and lower limb/pelvic injuries being the most frequent. 1,14 Head injuries sustained through motorcycling are proportionately more severe than those from other road traffic or sporting accidents. 9 Indeed, a motorcycle accident is in itself a predictor of poor outcome in patients presenting with acute severe head injury. 31 Unfortunately, injuries sustained by motorcyclists tend to have chronic consequences, particularly following brain injury, 10 and this is typically and most tragically among young males in the most productive years of their lives. Airway management and motorcycle helmets Helmets reduce morbidity and mortality, reduce hospitalisation and ICU admission and improve outcome compared to non-helmet users, as well as reducing the financial burden created by motorcycle-related injuries. 4,22,27 Head injury risk is reduced by around 72% 16 and helmeted riders have a higher GCS at presentation 3 and at discharge from hospital. 23 However, benefit is only gained from wearing type-approved standard helmets (British standard BS 6658:1985 or UN ECE regulation 22.05). In fact, wearers of non-standard helmets sustain head injuries more frequently, and of greater severity, than those who wore no helmet at all. 15,20 The benefit of wearing a helmet is only conferred if it is correctly fitting, and the chin-strap appropriately tightened, lest the helmet be displaced or completely removed on impact. 24 It is common practice for pre-hospital medical personnel to transport the helmet to the hospital with the patient, to allow inspection by the hospital medical team. However, the helmet is designed to act like a car s crumple-zone, and with high quality helmets the exterior is typically extensively damaged as the outer layers dissipate the forces of impact; indeed if the outer layer remains intact a greater force is transmitted to the patient s head. Vital information can be gleaned if the inside of the helmet is inspected, where a dissection of the inner layers is a worrisome sign. However, the author also has Fig. 2 Though examination of the helmet may provide clues as to the mechanism, degree of injury may be over or under estimated (motorcycle union of Ireland medical team photo archive, 2005). experience of severe closed-head injury where a rider slid feet-first into a high kerb at speed, with subsequent transmission of energy through the long bones and spine leaving the helmet unmarked Fig. 2. Despite proven benefit in primary injury prevention, full-face helmets make the task of airway evaluation and management extremely difficult. Hospital practitioners should not rely on the helmet having been removed at the scene. In cases of significant maxillofacial trauma, delay in first aid/ retrieval and subsequent swelling may make it impossible to remove the helmet safely at the scene. In addition, the tough weave in some chinstraps may preclude cutting with tools available on-scene if the buckle has been damaged. The chin bar of full-face helmets restricts manipulation of the jaw for simple airway manoeuvres, and precludes the insertion of oropharngeal airways and oral suction devices, occasionally necessitating the use of the nasal route in a group at risk of basal skull fracture. We have experienced difficult helmet removal following multiple facial fractures, where bilateral nasopharyngeal airways combined with log-rolling the patient to the lateral position allowed both a source of suction via a fine bore catheter for profuse airway bleeding, and a patent airway to provide oxygen through the visor aperture via an inverted Hudson mask thus avoiding hypoxaemia and airway soiling prior to helmet removal and tracheal intubation. Though a surgical airway would theoretically be the gold standard in these cases, it may be extremely difficult given the degree of cervical flexion associated with helmeted patients lying in the neutral position, distorting the anatomy. Coupled with the presence of chinstrap and chin bar overlying the surface anatomy, surgical airways in the helmeted patient may be extremely challenging.
4 1134 J.D. Hinds et al. Techniques for helmet removal Modern helmets are quite amenable to removal using a bone-saw, since once the hard outer carapace is breached the inner layers are easily dissected, though this can be a time consuming task. If the tools are available, a technique for cutting the chin-bar from the helmet effectively converting a full-face helmet into an open-face helmet has been described, 5 allowing rapid and definitive access to the airway. Helmet removal is a safe procedure if performed correctly by experienced personnel 5 and is free from secondary neurological sequlae Box 1. Speed humps during intubation and cervical spine control There remains a great degree of confusion about the role of speed humps, even within the motorcycling fraternity itself. They were initially conceived to Box 1. Helmet removal General principles, based on the recommendations of the Trauma working party of the joint colleges ambulance liaison committee (JRCALC), 5 ATLS guidelines 2 and our own clinical experience of around 200 helmet removals per year: It is safest to allow the conscious motorcyclist to remove his own helmet, if alert and cooperative. While this may encourage spinal flexion, alert patients should be limited and protected by pain. 29 If not, the principle of two people using two hands, with the patient lying flat, is required for optimal technique. One person should remove the helmet in a cephaloid direction, the other controlling the head and cervical spine. The chin-bar of the helmet should be held by the assistant at the top of the bed, since this allows better control of the head than the temporal or occipital portion of the helmet; which may be slick with blood, mud or rainwater. While the helmet must be manipulated off the head, there is little room for mediolateral movement, but sufficient scope antero-posteriorly if the head is stabilised. The helmet edges should be pulled in a lateral direction, deforming the helmet carcass and allowing further loosening prior to removal. improve the aerodynamics of a helmeted rider in a racing crouch on a competition motorcycle. In some instances they contain data-logging devices to allow race teams to collect information on the various forces acting on rider and motorcycle, and in hotter climates they have been modified to contain fluid. In recent years they have become a fashion item for the non-competitive motorcyclist, and are now a common feature on leathers. They are not, and never have been, a safety device, and indeed make management of the airway and spine more difficult in the injured motorcyclist Figs. 3 and 4. The effect of a speed hump in the supine position is analogous to having two firm pillows placed under the shoulder-blades, that is, thoracic flexion with cervicothoracic junction hyperextension and potentially craniocervical junction flexion as helmet touches ground. This risks gross spinal displacement, and direct laryngoscopy and intubation become virtually impossible. It is the author s opinion that for spine protection and airway control the speed hump must be removed as soon as possible. The easiest method is to logroll the patient into the lateral position, and run a scalpel blade around the outline of the hump; allowing rapid separation from the leathers. The patient can then be returned to the supine, and now neutral, position Fig. 5. It is hoped that designers and manufacturers will recognise the problems faced by medical staff in these instances and modify the design of humps in the future. Possible solutions include filling humps with air rather than foam to allow deflation or making humps externally detachable, for instance with a zipper or Velcro. Total spine management While cervical spine control is quite rightly emphasised alongside airway management in modern trauma care, 2 in fact motorcyclists sustain thoracic spinal injuries more commonly. 12,25,26 The mechanism typically involves flexion injury. 7,25 Some workers advocate performing an over penetrated upper thoracic film as part of the motorcyclist trauma screen 7, although a strong case for CT can be made. Non-contiguous spinal injuries are common, and protocols concentrating on the clearing the cervical spine may miss a significant proportion of thoracolumbar spinal injuries. 11,25,26 Helmets do not in themselves confer protection against cervical spine injury, but neither do they increase the risk. 15,16,19,28 Certainly management of the spine is complicated by the presence of a helmet; indeed the injured adult helmet-wearing motorcyclist can be thought of much like a neonate,
5 Trauma and motorcyclists; born to be wild, bound to be injured? 1135 Fig Irish road race superbike crash, where the mechanism of injury was exacerbated by the motorcycle following the rider and impacting rear of helmet. Note speed hump on leathers and how this complicated attaining in-line immobilisation in this instance. (Stephen Davidson Pacemaker Press, 2006). Fig. 4 Helmet off, in-line immobilisation, speed hump cut from rear of leathers and only then spinal-boarded with collar/tapes/sandbags (Stephen Davidson Pacemaker Press, 2006). with relatively large occiput and disproportionately large head compared to body weight, and the smooth surface of the helmet promotes a significant degree of rotation of the head. In what may appear to be the neutral position, the helmet causes flexion of the cervical spine, and may be further compromised by the presence of a speed hump, where mid-thoracic flexion and pseudo-extension of the cervicothoracic occurs. Furthermore, the application of a cervical collar is impossible in the presence of a full-face helmet and risks further airway compromise. Therefore, spinal immobilisation in the injured motorcyclist requires helmet and speed hump removal, and the patient returned to the neutral position on a firm surface (we advocate a spinal mattress or firm mattress of a transfer trolley) with cervical collar, sandbags and tapes or manual in-line immobilisation. 2 The efficacy of spinal immo-
6 1136 J.D. Hinds et al. Fig. 5 Scalpel used to remove foam from speed hump with minimal manipulation of patients position (motorcycle union of Ireland photo archive, 2007). bilisation techniques has been considered elsewhere, 13,18,29 and the ubiquitous use of spinal boards risks cutaneous necrosis and malalignment of the spine. They were designed as a pre-hospital extrication device and patients should be removed from them following the primary survey. 2,30 Back protectors Back protectors have yet to be studied as a protective item, but circumstantial evidence abounds, and almost no competitive motorcyclist participates without one. Back protectors come in a range of designs, but the philosophy is similar between brands. Essentially they are a piece of armour, either strapped to the body, or attached to the inside of the leathers, extending from the upper thoracic to lower lumbar region. Some designs also incorporate sacral portions or kidney protectors. Back protectors tend to be rigid on the outside and padded on the inside, and the design of some brands also limits extension of the spine, thereby theoretically providing a degree of protection against penetrative, impact and hyperextension mechanisms. Due to their ergonomic shape, back protectors may be left in place for transport to hospital, along with standard spinal precautions, to avoid having to remove the riders leathers (see below), but they should be removed as part of the riders exposure during the in-hospital primary survey. It is not uncommon for healthcare staff unfamiliar with motorcycling paraphernalia to mis-diagnose injury and steps at several spinal levels when a backprotector is palpated underneath a rider s t-shirt! Circulatory management Wearing a good quality set of leathers proffers a great deal of protection to the motorcyclist. Despite developments of space-age materials, no synthetic fibre has yet been developed to match the friction resistant qualities of leather. While cow-hide had prevailed, there has been a trend towards kangaroo leather, since it offers similar abrasive-resistant qualities with the benefit of being significantly lighter. In combination with internal armour and Kevlar reinforcing competition riders have walked away unscathed from what would otherwise have been fatal accidents. The Kawasaki rider Shinyo Nakano walked away from his 2005 Moto Grand Prix accident at 200 miles-per-hour, and his kangaroo-skin leathers withstood sliding to a standstill on highly abrasive tarmac. Leathers help to prevent or reduce injury by abrasion and impact, but they may also serve as an effective splinting system when injury does occur. This is of particular importance if trauma has occurred below the waist, where a good fitting set of leathers can effectively splint otherwise open pelvis and femoral shaft fractures. Considering the high incidence of this type of bony injury in motorcyclists, 3,21,22 removal of motorcycle leathers should be considered as part circulation in the primary trauma survey, and should certainly only be considered after establishing adequate intravenous access and in anticipation of circulatory deterioration. Complete removal of leathers outside of a dedicated medical facility in the motorcyclist with trauma below the waist is contraindicated. The authors have experienced complete circulatory collapse of a previous awake and alert patient following the cutting-away of the lower portion of a set of one-piece race leathers, which had stabilised an open-book pelvic fracture and bilateral fractured femurs. Ideally, leathers should be removed by cutting along the natural seams; this avoids the tough reinforced panels common in newer suits, and allows the suit to be repaired for future use since good leathers are hand-made to measure and typically very expensive. Summary All motorcyclists who suffer significant trauma will require helmet removal if only for assessment, and techniques for doing so are described.
7 Trauma and motorcyclists; born to be wild, bound to be injured? 1137 The airway and (cervical and thoracolumbar) spine cannot be managed effectively in the helmeted patient with a speed hump in place and intubation by direct laryngoscopy is almost impossible with a speed hump in place. The helmet should be removed and the patient logrolled to the lateral position, where the speed hump can be cut from the leathers quickly and effectively using a scalpel. Leathers act as fracture splints, particularly for pelvis and lower extremities. Removal or extensive cutting away of the lower portion of leathers should be considered as part of circulation, and only take place in a medical facility with adequately established IV access and in anticipation of circulatory deterioration. Cutting along the natural seams avoids reinforced panels common in newer suits, and allows the suit to be repaired for future use. Motorcyclists sustaining thoracic spinal damage more frequently than cervical and spinal fractures at multiple levels are common. Whilst back protectors have not been formally evaluated in the prevention of spinal injuries, few competition riders participate without one. It is quite acceptable to leave these in situ for immobilisation on a spinal board, but they should be removed in-hospital to allow full assessment of the spine. Injury prevention will require coordinated research and development of a number of key pieces of equipment and design in particular helmets, speed humps and clothing/textiles. In managing the injured motorcyclist in the pre or in-hospital settings, health professionals require greater awareness of the implications of such devices, which at the present time appears largely restricted to motorcycle enthusiasts Box 2. Box 2. Additional educational resources American college of surgeons. Advanced Trauma Life Support (ATLS) student manual. 6th ed. Chicago, IL: American college of surgeons, Recommendations of the trauma working party of the joint colleges ambulance liaison committee (JRCALC) 5 motorcycle accident in depth study (MAIDS) Hats Off emergency helmet removal system Ambulance service association/institute health and care development ambulance service basic training manual, 3rd Edition 2003 (Revised April 2006), Section 10.8 Acknowledgements We thank Dr Fred MacSorley, Dr David McManus of the Motorcycle Union of Ireland Medical Team for their input. References 1. Aare M, von Holst H. Injuries from motorcycle and moped crashes in Sweden from 1987 to Inj Control Saf Promot 2003;10(3): American college of surgeons. Advanced Trauma Life Support (ATLS), 6th ed., Chicago, IL: American College of Surgeons; Ankarath S, Giannoudis PV, Barlow I, Bellamy MC, Matthews SJ, Smith RM. Injury patterns associated with mortality following motorcycle crashes. Injury 2002;33(6): Brandt MM, Ahrns KS, Corpron CA, Franklin GA, Wahl WL. Hospital cost is reduced by motorcycle helmet use. J Trauma 2002;53(3): Branfoot T. Motorcyclists, full-face helmets and neck injuries: can you take the helmet off safely, and if so, how? J Accid Emerg Med 1994;11: Chesham DJ, Rutter DR, Quine L. Motorcycle safety research: a review of the social and behaviour literature. Soc Sci Med 1993;37(3): Daffner RH, Deeb ZL, Rothfus WE. Thoracic fractures and dislocations in motorcyclists. Skeletal Radiol 1987;16(4): Department of the evironment, transport and regions (DETR). Tomorrow s roads safer for everyone: The Government s road safety strategy and casualty reduction targets for DETR Report London HMSO. 9. Haug RH, Savage JD, Likavec MJ, Conforti PJ. A review of 100 closed head injuries associated with facial fractures. J Oral Maxillofac Surg 1992;50(3): Hotz GA, Cohn SM, Mishkin D, et al. Outcome of motorcycle riders at one year postinjury. Traffic Inj Prev 2004;5(1): Howes MC, Pearce AP. State of play: clearing the thoracolumbar spine in blunt trauma victims. Emerg Med Australas 2006;18: Kupferschmid JP, Weaver ML, Raves JJ, Diamond DL. Thoracic spine injuries in victims of motorcycle accidents. J Trauma 1989;29(5): Kwan I, Bunn F, Roberts I, on behalf of the WHO Pre-Hospital Trauma Care Steering Committee. Spinal immobilisation for (2000) trauma patients. en/ab html. 14. Lateef F. Riding motorcycles: is it a lower limb hazard? Singapore Med J 2002;11: Lin MR, Tsauo JY, Hwang HF, et al. Relationship between motorcycle helmet use and cervical spinal cord injury. Neuroepidemiology 2004;23(6): Liu B, Ivers R, Norton R, Blows S, Lo SK. Helmets for preventing injury in motorcycle riders. Cochrane Database Syst Rev 2003;4:CD Mannering FL, Grodsky LL. Statistical analysis of motorcyclists perceived accident risk. Accid Anal Prev 1995;27(1): Morris CG, McCoy EP, Lavery GG. Spinal immobilisation for unconscious patients with multiple injuries. BMJ 2004;329:
8 1138 J.D. Hinds et al. 19. O Connor PJ. Motorcycle helmets and spinal cord injury: helmet usage and type. Traffic Inj Prev 2005;6(1): Peck-asa C, McArthur DL, Kraus JF. The prevalence of nonstandard helmet use and head injury among motorcycle riders. Accid Anal Prev 1999;31: Peretti de F, Cambas PM, Hovorka I, Veneau B, Argenson C. Motorcycle petrol tanks and their role in severe pelvic injuries. Injury 1994;25(4): Poole GV, Ward EF. Causes of mortality in patients with pelvic fractures. Orthopedics 1994;17(8): Proscia N, Sullivan T, Cuff S, Nealon P, Atweh N, DiRusso SM, et al. The effects of motorcycle helmet use between hospitals in states with and without a mandatory helmet law. Conn Med 2002;66(4): Richards PG. Detachment of crash helmets during motorcycle accidents. Br Med J 1984;10(288 (6419)): Robertson A, Giannoudis PV, Branfoot T, Barlow I, Matthews SJ, Smith RM. Spinal injuries in motorcycle crashes: patterns and outcomes. J Trauma 2002;53(1): Robertson A, Branfoot T, Barlow IF, Giannoudis PV. Spinal injury patterns resulting from car and motorcycle accidents. Spine 2002;27(24): Rowland J, Rivara F, Salzberg P, Soderberg R, Maier R, Koepsell T. Motorcycle helmet use and injury outcome and hospitalisation costs from crashes in Washington state. Am J Public Health 1996;86(1): Sauter C, Zhu S, Allen S, Hargarten S, Layde PM. Increased risk of death or disability in unhelmeted Wisconsin motorcyclists. WMJ 2005;104(2): Stiell IG, Clement CM, McKnight RD, Brison R, Schull MJ, Rowe BH, et al. The Canadian C-spine rule versus the NEXUS lowrisk criteria in patients with trauma. N Engl J Med 2003;349: Yeung JHH, Cheung NK, Graham CA, Rainer TH. Reduced time on the spinal board-effects of guidelines and education for emergency department staff. Injury 2006;37: Wilberger JE, Harris M, Diamond DL. Acute subdural haematoma: morbidity, mortality and operative timing. J Neurosurg 1991;74(2):212 8.
Maricopa Integrated Health System: Administrative Policy & Procedure
Maricopa Integrated Health System: Administrative Policy & Procedure Effective Date: 03/05 Reviewed Dates: 09/05, 9/08 Revision Dates: Policy #: 64500 S Policy Title: Cervical & Total Spine Clearance andMore information
Faculty of Pre-hospital Care Consensus Statement: Minimal Patient Handling
Faculty of Pre-hospital Care Consensus Statement: Minimal Patient Handling Moss R, Porter KM Introduction Safe and effective patient packaging is a vital step in the safe transport of trauma patients toMore information
Injuries caused by motorcycle accidents a 5-year survey of patients treated in Kuopio University Hospital
Injuries caused by motorcycle accidents a 5-year survey of patients treated in Kuopio University Hospital Imke Höfling, Paula Keinänen, Heikki Kröger Department of Orthopaedics, Kuopio University HospitalMore information
6.0 Management of Head Injuries for Maxillofacial SHOs
6.0 Management of Head Injuries for Maxillofacial SHOs As a Maxillofacial SHO you are not required to manage established head injury, however an awareness of the process is essential when dealing withMore information
Emergency First Response (EFR) Assessment Sheets V 3 (October 2014)
Emergency First Response () Assessment Sheets V 3 (October 2014) Airway management & ventilation Airway management & ventilation TRAUMA JAW THRUST 1 Hand positions 2 Perform jaw thrust / mouth open 3 NoMore information
.org. Fractures of the Thoracic and Lumbar Spine. Cause. Description
Fractures of the Thoracic and Lumbar Spine Page ( 1 ) Spinal fractures can vary widely in severity. While some fractures are very serious injuries that require emergency treatment, other fractures canMore information
Key Words: motorcycle helmet; functional outcomes; speech deficit; locomotion deficit; feeding deficit; National Trauma Data Bank; trauma.
Journal of Surgical Research 158, 1 5 (2010) doi:10.1016/j.jss.2009.06.034 ASSOCIATION FOR ACADEMIC SURGERY Motorcycle Helmets Save Lives, But Not Limbs: A National Trauma Data Bank Analysis of FunctionalMore information
Pain and tissue-interface pressures during spineboard immobilization.
Ann Emerg Med. 1995 Jul;26(1):31-6. Links Pain and tissue-interface pressures during spineboard immobilization. Cordell WH, Hollingsworth JC, Olinger ML, Stroman SJ, elson DR. Emergency Medicine and TraumaMore information
STANDARD OPERATING PROCEDURE PELVIC INJURY AND SPLINTAGE DATE APPROVED: 11 August 2015 APPROVED BY: Clinical Governance & Quality Committee IMPLEMENTATION DATE: 13 August 2015 REVIEW DATE: June 2018 LEADMore information
Nursing. Management of Spinal Trauma. Content. Objectives. Objectives
7 cervical vertebrae Content 12 thoracic vertebrae Nursing 5 sacral vertebrae Management of Spinal Trauma Kwai Fung Betty Siu Ward Manager O&T Dept TKOH Date : 22nd April 2007 5 lumbar vertebrae 4 coccygealMore information
CHAPTER 32 QUIZ. Handout 32-1. Write the letter of the best answer in the space provided.
Handout 32-1 QUIZ Write the letter of the best answer in the space provided. 1. All of the following are signs and symptoms in patients with spinal injuries except A. paralysis. C. hyperglycemia. B. priapism.More information
Increased Risk of Death or Disability in Unhelmeted Wisconsin Motorcyclists
Increased Risk of Death or Disability in Unhelmeted Wisconsin Motorcyclists Carley Sauter, BA; Shankuan Zhu, MD, PhD; Shane Allen, BS, MPH; Stephen Hargarten, MD, MPH; Peter M. Layde, MD, MSc ABSTRACTMore information
Analysis of Patients with Severe Trauma Caused by Motorcycle Accidents 1
Analysis of Patients with Severe Trauma Caused by Motorcycle Accidents 1 1 You In-Gyu, 2 Lim Chung Hwan, 3 Shim Jae Goo 1, First Author Dept of Health Care, Hanseo University, email@example.com *2,CorrespondingMore information
Fractures of the Thoracic and Lumbar Spine
Copyright 2010 American Academy of Orthopaedic Surgeons A spinal fracture is a serious injury. Fractures of the Thoracic and Lumbar Spine The most common fractures of the spine occur in the thoracic (midback)More information
Aids in the safe removal of helmets when neck and spinal injuries are suspected.
Aids in the safe removal of helmets when neck and spinal injuries are suspected. Eject HRS helps prevent further neck and spine injury of crash victims. Pulling the helmet off a crash victim can, in seconds,More information
Crash Outcome Data Evaluation System
Crash Outcome Data Evaluation System HEALTH AND COST OUTCOMES RESULTING FROM TRAUMATIC BRAIN INJURY CAUSED BY NOT WEARING A HELMET, FOR MOTORCYCLE CRASHES IN WISCONSIN, 2011 Wayne Bigelow Center for HealthMore information
INSTRUCTOR GUIDE. Time Required: 3 Hours
INSTRUCTOR GUIDE Time Required: 3 Hours Teaching/Learning Materials: Easel pad and markers or board and chalk, optional LCD and laptop for PowerPoint slides; various helmets, shoulder pads, collars, padding,More information
An Article Critique - Helmet Use and Associated Spinal Fractures in Motorcycle Crash Victims. Ashley Roberts. University of Cincinnati
Epidemiology Article Critique 1 Running head: Epidemiology Article Critique An Article Critique - Helmet Use and Associated Spinal Fractures in Motorcycle Crash Victims Ashley Roberts University of CincinnatiMore information
THE EFFECTIVENESS OF MOUTH GUARDS AND FACE MASKS IN REDUCING FACIAL AND ORAL INJURY IN ICE HOCKEY PLAYERS ABSTRACT Purpose: The purpose of this study was to evaluate the use and the effect of mouth guardsMore information
TITLE 836 INDIANA EMERGENCY MEDICAL SERVICES COMMISSION. ARTICLE 1.5 Trauma Field Triage and Transport Destination Requirements
TITLE 836 INDIANA EMERGENCY MEDICAL SERVICES COMMISSION ARTICLE 1.5 Trauma Field Triage and Transport Destination Requirements 836 IAC 1.5-1 Purpose Affected: [IC 10-14-3-12; IC 16-18; IC 16-21-2; IC 16-31-2-9;More information
Large increases in motorcycle-related head injury deaths, hospitalizations, and hospital
Large increases in motorcycle-related head injury deaths, hospitalizations, and hospital charges following the repeal of Pennsylvania s mandatory motorcycle helmet law Word count abstract: 80 Word countMore information
Motorcycle Safety A Trauma Surgeon s Perspective Sean A. Nix, D.O.
Motorcycle Safety A Trauma Surgeon s Perspective Sean A. Nix, D.O. Disclosure I have nothing to disclose No political or financial attachments I do take care of injured patients Motorcycle Safety InjuryMore information
National Registry of Emergency Medical Technicians Emergency Medical Technician Psychomotor Examination BLEEDING CONTROL/SHOCK MANAGEMENT
BLEEDING CONTROL/SHOCK MANAGEMENT Candidate: Examiner: Date: Signature: Possible Applies direct pressure to the wound 1 NOTE: The examiner must now inform the candidate that the wound continues to bleed.More information
Vacuum mattress, Bariatric Transfer, Monitoring Documents Lisa Curatolo / Pete Davis Reviewer Stephen Hearns / Alistair Kennedy
Emergency Medical Retrieval Service (EMRS) www.emrs.scot.nhs.uk Standard Operating Procedure Public Distribution Title Packaging Version 9 Related Vacuum mattress, Bariatric Transfer, Monitoring DocumentsMore information
England & Wales SEVERE INJURY IN CHILDREN
England & Wales SEVERE INJURY IN CHILDREN 2012 THE TRAUMA AUDIT AND RESEARCH NETWORK The TARNlet Committee Mr Ross Fisher Co-chairman of TARNlet Consultant in Paediatric Surgery Sheffi eld Children s NHSMore information
NICE guideline Published: 17 February 2016 nice.org.uk/guidance/ng41
Spinal injury: assessment and initial management NICE guideline Published: 17 February 2016 nice.org.uk/guidance/ng41 NICE 2016. All rights reserved. Contents Recommendations... 3 1.1 Assessment and managementMore information
Guideline for the initial management of Severe Traumatic Brain injury in children (GCS 8 or less)
Guideline for the initial management of Severe Traumatic Brain injury in children (GCS 8 or less) Guideline for the initial management of severe traumatic brain injury in children (GCS 8 or less) IntroductionMore information
Risk of Head, Facial and Neck Injury in Bicycle and Motorcycle Crashes in relation to Helmet Use. Email: firstname.lastname@example.com
Risk of Head, Facial and Neck Injury in Bicycle and Motorcycle Crashes in relation to Helmet Use T.Y. Pang 1, K.T. Thai 1, T. Rankin 2, K. Curtis 2,3, E. Schilter 1, A.S. McIntosh 1 1 School of Risk andMore information
Cervical Spine Imaging
March 20, 2006 Cervical Spine Imaging Johannes Kratz, Harvard Medical School Year IV 1 Overview Background Clinical Cases Diagnostic Tests and a Decision-Tree Algorithm Examples of Cervical Spine EvaluationsMore information
First Aid as a Life Skill. Training Requirements for Quality Provision of Unit Standard-based First Aid Training
First Aid as a Life Skill Training Requirements for Quality Provision of Unit Standard-based First Aid Training New Zealand Qualifications Authority 2010 2 Index Introduction 3 Section One: Framework outlineMore information
A DESCRIPTION OF MOTORCYCLE CRASH INJURIES AND HELMET USE IN A SAMPLE OF MARYLAND TRAUMA PATIENTS Timothy J. Kerns, MS, Cynthia A. Burch, MPH, Patricia C. Dischinger, PhD University of Maryland NationalMore information
REC 2 first aid. Course Syllabus
REC 2 first aid. Course Syllabus Registered providers of: Health & Safety authority approved Occupational First aid training No 321 Registered providers of: Health & Safety executive approved (UK) RescueMore information
GWAS Competency Mapping Levels of Medical Support Within GWAS
GWAS Competency Mapping Levels of Medical Support Within GWAS Great Western Ambulance Service NHS Trust is pleased to be able to work with a range of doctors in delivering effective pre-hospital care.More information
EMERGENCY MEDICAL RESPONDER (EMR) PRACTICAL SKILLS EXAMINATION REPORT State Form 54407 (R / 5-13)
EMERGENCY MEDICAL RESPONDER (EMR) PRACTICAL SKILLS EXAMINATION REPT State Form 54407 (R / 5-3) INDIANA DEPARTMENT OF HOMELAND SECURITY EMERGENCY MEDICAL SERVICES CERTIFICATION 302 West Washington Street,More information
Clinical Policy Title: Air Ambulance Transport
Clinical Policy Title: Air Ambulance Transport Clinical Policy Number: 18.02.02 Effective Date: Sept. 1, 2014 Initial Review Date: April 16, 2014 Most Recent Review Date: May 21, 2014 Next Review Date:More information
Spinal Immobilization Scenarios
Spinal Immobilization Scenarios Scenario 1: Medic 2 and 3112 arrive to find a 24 y/o male sitting on the sidewalk on Pacific Ave. Per witnesses he was punched in the head multiple times and fell down toMore information
BMX bicycles: accident comparison with other models
Archives of Emergency Medicine, 1985, 2, 209-213 BMX bicycles: accident comparison with other models J. WORRELL Senior Registrar, Accident and Emergency Department, Queen Alexandra Hospital, Portsmouth,More information
Guidelines for Prehospital Management of Traumatic Brain Injury
Guidelines for Prehospital Management of Traumatic Brain Injury Protocol Example & Patient Case Study Brain Trauma Foundation Prehospital Care Epidemiology Traumatic Brain Injury (TBI) is the leading causeMore information
Resuscitation and preparation for anaesthesia and surgery
13 Resuscitation and preparation for anaesthesia and surgery Key Points 13.1 MANAGEMENT OF EMERGENCIES AND CARDIOPULMONARY RESUSCITATION ESSENTIAL HEALTH TECHNOLOGIES The emergency measures that are familiarMore information
EMS POLICIES AND PROCEDURES POLICY #: 13 EFFECT DATE: xx/xx/05 PAGE: 1 of 4 *** DRAFT *** SUBJECT: TRIAGE OF TRAUMA PATIENTS *** DRAFT *** APPROVED BY: I. PURPOSE Art Lathrop, EMS Director Joseph A. Barger,More information
Clinical Policy Title: Air Ambulance Transport
Clinical Policy Title: Air Ambulance Transport Clinical Policy Number: 18.02.02 Effective Date: Oct. 1, 2014 Initial Review Date: April 16, 2014 Most Recent Review Date: May 21, 2014 Next Review Date:More information
Lisa Schwing, RN Trauma Program Manager Dayton Children s
Little Kids in Big Crashes The Bio-mechanics of Kids in Car Crashes Lisa Schwing, RN Trauma Program Manager Dayton Children s Very Little Research There has been very little research on the forces a crashMore information
THE BASICS. Wesley A. Cottrell
ARKANSAS MOTORCYCLE ACCIDENTS: THE BASICS Deciding the Type and Extent of Compensation You May Be Entitled to in a Motorcycle Accident Takes Experience and Knowledge of the Law Regarding Personal InjuryMore information
PATTERN OF INJURIES TO MOTORCYCLISTS IN FATAL ROAD TRAFFIC ACCIDENTS Dr. Srinivasulu Pothireddy* 1, Dr. Naresh Karukutla 2 1. Associate Professor 2. Assistant Professor Dept of Forensic Medicine, KaturiMore information
GUIDELINES FOR ASSESSMENT OF SPINAL STABILITY THE CHRISTIE, GREATER MANCHESTER & CHESHIRE. CP57 Version: V3
GUIDELINES FOR ASSESSMENT OF SPINAL STABILITY THE CHRISTIE, GREATER MANCHESTER & CHESHIRE Procedure Reference: Document Owner: CP57 Version: V3 Dr V. Misra Accountable Committee: Acute Oncology Group NetworkMore information
Trauma Patient Assessment Spelled out Systematically the Fix-it Way
Trauma Patient Assessment Spelled out Systematically the Fix-it Way The Fix It Process Experience has shown that most mistakes occur because the team leader stops to perform an intervention and forgetsMore information
Statement before the Maryland House Environmental Matters Committee. Motorcycle Helmet Laws. Michael Fagin
Statement before the Maryland House Environmental Matters Committee Motorcycle Helmet Laws Michael Fagin The Insurance Institute for Highway Safety is a nonprofit research and communications organizationMore information
Originals and Papers
Originals and Papers A comprehensive study of motorcycle fatalities in South Delhi C. Behera*, (Lt. Col.) Ravi Rautji **, Sanjeev Lalwani*** & T. D. Dogra **** Abstract Ninety four of motorcycle fatalitiesMore information
Guideline for Emergency CT scanning Tony Bleetman Aidan Macnamara October 2008. June annually Emergency Department guidelines
Meta Data Guideline Title: Guideline Author: Guideline Sponsor: Date of Ratification (CSC): Review Date: Related Policies/Topic/Driver Stored Centrally: Guideline for Emergency CT scanning Tony BleetmanMore information
Patient Assessment/Management Trauma
Patient Assessment/Management Trauma Date: / / Test Site Location: Station #: Takes or verbalizes standard precautions (BSI) if appropriate based on patient scenario SCENE SIZE-UP Determines the sceneMore information
HEAD INJURY WITH HELMET USE by Greg Doc TrojanIntroduction While motorcycling has been targeted as a public burden and garners most of the public attention concerning head injury, it is actually a minorMore information
First Responder (FR) and Emergency Medical Responder (EMR) Progress Log
First Responder (FR) and Emergency Medical Responder (EMR) Progress Log Note: Those competencies that are for EMR only are denoted by boldface type. For further details on the National Occupational CompetenciesMore information
Guidelines and Protocols
TITLE: TRAUMA TEAM ROLES / RESPONSIBILITIES PURPOSE: A trauma team is a group of specially trained health care professionals organized to provide care to the trauma patient in a coordinated and timelyMore information
Oxfordshire Local Transport Plan 2011-2030 Revised April 2012. Objective 3 Reduce casualties and the dangers associated with travel
6. Road Safety Objective 3 Reduce casualties and the dangers associated with travel Road safety continues to be a core priority both nationally and locally reflecting the very high human and other costsMore information
Total hip replacement
Patient Information to be retained by patient What is a total hip replacement? In a total hip replacement both the ball (femoral or thigh bone) side of the hip joint and the socket (acetabular or pelvicMore information
SSMJ Issue 2 Vol 4. Downloaded from http://www.southernsudanmedicaljournal.com
Motorcycle-Related Trauma in South Sudan: a cross sectional observational study. Andrew Allan, University of Birmingham. email@example.com Abstract Motorcycle related trauma is a major cause of morbidityMore information
Clinical Policy Title: Air Ambulance Transport
Clinical Policy Title: Air Ambulance Transport Clinical Policy Number: 18.02.02 Effective Date: September 1, 2014 Initial Review Date: April 16, 2014 Most Recent Review Date: May 20, 2015 Next Review Date:More information
ORIGINAL ARTICLE JUMMEC 2008:11(1) ROAD TRAFFIC INJURIES AMONG PATIENTS WHO ATTENDED THE ACCIDENT AND EMERGENCY UNIT OF THE UNIVERSITY OF MALAYA MEDICAL CENTRE, KUALA LUMPUR Moe H Department of SocialMore information
Pennsylvania Trauma Nursing Core Curriculum. Posted to PTSF Website: 10/30/2014
Pennsylvania Trauma Nursing Core Curriculum Posted to PTSF Website: 10/30/2014 PREFACE Care of the trauma patient has evolved since 1985, when the Pennsylvania Trauma Systems Foundation (PTSF) Board ofMore information
UTILIZING COMPUTED TOMOGRAPHY SCANS FOR ANALYSIS OF MOTORCYCLE HELMETS IN REAL-WORLD CRASHES Kathryn L. Loftis 1, Daniel P. Moreno 1, Joshua Tan 2, Hampton C. Gabler 1, Joel D. Stitzel 1 1 Virginia Tech-More information
the right stuff Guide to protective riding gear
the right stuff Guide to protective riding gear stuff d the facts about the right stuff the wrong stuff the right stuff 1 2 Motorcycle and scooter crashes can happen anywhere, anytime even on short tripsMore information
INCREASING MOTORCYCLE HELMET USE Head injuries among motorcyclists are a growing concern Rapid growth in the use of motorized twowheeled vehicles in many countries has been accompanied by increases inMore information
Epidemiologic Features of Facial Injuries among Motorcyclists using Abbreviated Injury Scale (AIS)
Epidemiologic Features of Facial Injuries among Motorcyclists using Abbreviated Injury Scale (AIS) Hamed Akhlaghi 1, Ali Adibi 2 and Mohammad Reza Zafarghandi 3 Sina Trauma Research Center, Sina GeneralMore information
Rapid Sequence Intubation in Pre-Hospital Care
Rapid Sequence Intubation in Pre-Hospital Care Dr Adam Chesters Specialist Registrar in Emergency Medicine and Pre-Hospital Care London s Air Ambulance CV University of Leicester Medical School EmergencyMore information
Basic ATLS. The Primary Survey. Jason Smith MD DMI FRCS(Gen.Surg) Consultant Surgeon
Basic ATLS The Primary Survey Jason Smith MD DMI FRCS(Gen.Surg) Consultant Surgeon Trauma - expression comprising a spectrum of severity of mechanical violation of tissues, from a little scratch to a multiplyMore information
Professor McLellan Emeritus Professor of Rehabilitation
Brain injury can be devastating for families and carers as well as the people directly affected. These cases require specialist advice and support and that is what the Brain Injury Group provides. It isMore information
Guideline Health Service Directive
Guideline Health Service Directive Guideline QH-HSDGDL-025-3:2014 Effective Date: 17 January 2014 Review Date: 17 January 2016 Supersedes: qh-hsdptl-025-3:2012 Patient Access and Flow Health Service DirectiveMore information
Head & Spinal Trauma. Lesson Goal. Lesson Objectives 9/10/2012
Head & Spinal Trauma Lesson Goal Learn assessment of patients with head or spinal injuries and how to treat those injuries Lesson Objectives State nervous system components List central nervous systemMore information
404 Section 5 Shock and Resuscitation. Scene Size-up. Primary Assessment. History Taking
404 Section 5 and Resuscitation Scene Size-up Scene Safety Mechanism of Injury (MOI)/ Nature of Illness (NOI) Ensure scene safety and address hazards. Standard precautions should include a minimum of glovesMore information
Levels of Critical Care for Adult Patients
LEVELS OF CARE 1 Levels of Critical Care for Adult Patients STANDARDS AND GUIDELINES LEVELS OF CARE 2 Intensive Care Society 2009 All rights reserved. No reproduction, copy or transmission of this publicationMore information
HEAD INJURIES Table 1
NEISS HORSE RELATED EMERGENCY ROOM ADMISSIONS HEAD INJURY Edited 5-31-08 Word count 3,694 Characters 17,297 The first part of the report concerned the National Electronic Injury Surveillance System (NEISS)More information
Upper Cervical Spine - Occult Injury and Trigger for CT Exam
Upper Cervical Spine - Occult Injury and Trigger for CT Exam Bakman M, Chan K, Bang C, Basu A, Seo G, Monu JUV Department of Imaging Sciences University of Rochester Medical Center, Rochester, NY IntroductionMore information
the Ministry of Transport is attributed as the source of the material
Disclaimer All reasonable endeavours are made to ensure the accuracy of the information in this report. However, the information is provided without warranties of any kind including accuracy, completeness,More information
Clinical guidance for MRI referral
MRI for cervical radiculopathy Referral by a medical practitioner (excluding a specialist or consultant physician) for a scan of spine for a patient 16 years or older for suspected: cervical radiculopathyMore information
Emergency Medical Technician Basic. Practical Skills Examination Sheets
New York State Department of Health Basic Practical Skills Examination Sheets Rev 07/12 Basic Practical Skills Examination Sheets Updates Included on this page are the changes or updates that have beenMore information
POLICY NAME: VANDERBILT UNIVERSITY HOSPITAL CHEST PROTOCOL FOR BLUNT FORCE THORACIC TRAUMA Policy Description: Managing patients with multiple rib fractures or flail chest requires significant health careMore information
National Motorcycle Conference. Jim Hand Head of Crash Mitigation Department for Transport
National Motorcycle Conference Jim Hand Head of Crash Mitigation Department for Transport NATIONAL MOTORCYCLE CONFERENCE Jim Hand 27 August 2014 The Issue The safety of motorcyclists is very important.More information
Unintentional injury remains the leading cause of death and
CHAPTER 18 SAM HASSENBUSCH YOUNG NEUROSURGEON AWARD Helmeted vs Nonhelmeted: A Retrospective Review of Outcomes From 2-Wheeled Vehicle Accidents at a Level 1 Trauma Center Kristopher G. Hooten, MD, andMore information
PEER REVIEW VISIT REPORT (MULTI-DISCIPLINARY TEAM) Regional Trauma Network Trauma Centre Trauma Service RMTN Network Organisation Measures (T13-1C-1) - 2013/14 Peer Review Visit Date 27th February 2014More information
CASE RESULTS INFORMATION Please note that every case is different and these verdicts and settlements, while accurate, do not represent what we may obtain for you in your case. Nor does it mean that weMore information
Trauma Distinction Information Package
Accredited by ISQua 2014 Accreditation Canada 1150, Cyrville Road Ottawa, Ontario K1J 7S9 613-738-3800 1-800-814-7769 accreditation.ca Table of contents Overview.... iv Standards of excellence... 1 PerformanceMore information
The Work At Height Safety Association
The Work At Height Safety Association Technical Guidance Note 5 Guidance on rescue during work at height A series of informative notes for all industries involved with work at height or rescue. The informationMore information
If you or a loved one have suffered because of a negligent error during spinal surgery, you will be going through a difficult time.
If you or a loved one have suffered because of a negligent error during spinal surgery, you will be going through a difficult time. You may be worried about your future, both in respect of finances andMore information
INTRODUCTION TO THE EMERGENCY DEPARTMENT Welcome to the Emergency Department. It is hoped that your time here will be both educational and enjoyable. The emergency department is called the gateway to theMore information
Cervical-Spine Injuries: Catastrophic Injury to Neck Sprain. Seth Cheatham, MD
Cervical-Spine Injuries: Catastrophic Injury to Neck Sprain Seth Cheatham, MD 236 Seth A. Cheatham, MD VCU Sports Medicine I have no financial disclosures Contact sports, specifically football, placesMore information
Head Injury. Dr Sally McCarthy Medical Director ECI
Head Injury Dr Sally McCarthy Medical Director ECI Head injury in the emergency department A common presentation 80% Mild Head Injury = GCS 14 15 10% Moderate Head Injury = GCS 9 13 10% Severe Head InjuryMore information
Blood Pressure Measurement Palpation... 1 Blood Pressure Measurement Auscultation... 2 Conscious, Choking Adult or Child... 3 Conscious, Choking
! Blood Pressure Measurement Palpation... 1 Blood Pressure Measurement Auscultation... 2 Conscious, Choking Adult or Child... 3 Conscious, Choking Baby... 4 Unconscious, Choking Adult, Child, or Baby...More information
National Registry Skill Sheets
Bleeding Control/Shock Management BVM Ventilation of an Apneic Adult Patient Cardiac Arrest Management/AED Joint Immobilization Long Bone Immobilization Oxygen Administration By Non-Rebreather Mask PatientMore information
EMS Patient Care Report Navigation Logic for Record Creation
EMS Patient Report Navigation Logic for Record Creation This document serves to provide specifications regarding data entry and data element completion requirements for PreMIS Version 2 web-based applicationMore information
Vanderbilt University Medical Center Division of Trauma & Surgical Critical Care. Clinical Management Guideline: Standard Trauma Resuscitation
Vanderbilt University Medical Center Division of Trauma & Surgical Critical Care Clinical Management Guideline: Standard Trauma Resuscitation Global Communication is the key to a well organized and efficientMore information
A systematic review of focused topics for the management of spinal cord injury and impairment
A systematic review of focused topics for the management of spinal cord injury and impairment icahe, University of South Australia For the NZ Spinal Cord Impairment Strategy Introduction This was the thirdMore information
TOPIC 1: What do we know about injury and mortality from cycling?
1 Cycling Seminar Can advances in medicine and research at Barts Health impact the number of killed or seriously injured people from cycling incidents? A hotly debated topic with wider implications acrossMore information
Welsh Fire and Rescue Services Road Safety Strategy 2015-2020
All Wales Call Challenge Welsh Fire and Rescue Services Road Safety Strategy 2015-2020 GWASANAETH TÂN AC ACHUB Canolbarth a Gorllewin Cymru Mid and West Wales FIRE AND RESCUE SERVICE 2 Contents ExecutiveMore information
Pain In The Neck? C- Spine Immobilization. Jamie Sklar, RN, BSN, MS, CCRN Pediatric Intensive Care Unit The Children s Hospital of Philadelphia
Pain In The Neck? C- Spine Immobilization Jamie Sklar, RN, BSN, MS, CCRN Pediatric Intensive Care Unit The Children s Hospital of Philadelphia Objectives Discuss developmental differences in children andMore information
First Responder: The National EMS Scope of Practice changes the name to Emergency Medical Responder.
APPROVED SCOPE 2/8/08 BOARD MTG First Responder: The National EMS Scope of Practice changes the name to Emergency Medical Responder. Emergency Medical Responder (EMR) Description of the Profession TheMore information
Spinal Cord Injury Education. An Overview for Patients, Families, and Caregivers
Spinal Cord Injury Education An Overview for Patients, Families, and Caregivers Spinal Cord Anatomy A major component of the Central Nervous System (CNS) It is 15 to 16 inches long, and weighs 1 to 2 ouncesMore information
Epidurals and spinals: information about their operation for anyone who may benefit from an epidural or spinal
Information for patients : information about their operation for anyone who may benefit from an epidural or spinal This leaflet has been made using information from the Royal College of Anaesthetists informationMore information
PROTOCOL FOR ASSESSMENT AND MANAGEMENT OF PATIENTS REQUIRING HARD CERVICAL COLLARS DUE TO UNSTABLE CERVICAL SPINE / OR AT RISK OF THE CHRISTIE, GREATER MANCHESTER & CHESHIRE Procedure Reference: DocumentMore information
40,46 16,22 16,25. no fx thoracic sp. Fx lumbar spine. no fx lumbar. spine
Spine injuries in motor vehicle accidents an analysis of 34188 injured front passengers with special consideration of injuries of the thoracolumbar in relation to injury mechanisms C. W. Müller, D. Otte,More information
Acute traumatic spinal injury following bicycle accidents : a report of three cases
Acta Orthop. Belg., 2012, 78, 409-413 CASE REPORT Acute traumatic spinal injury following bicycle accidents : a report of three cases Niall P. MCGOlDRICK, Connor GREEN, Neil BURKE, Keith SyNNOTT From theMore information


text:
|Jeff Abrahamson on 4 Apr 2005 15:22:14 -0000
On an archived mailman list I admin, I've noticed recently that we've begun to get a lot of spam at fake addresses that mimic subscriber addresses. That is, if firstname.lastname@example.com is subscribed to the list, we'll get spam from firstname.lastname@example.com or some such. I suspect the tact is to entice the moderator to accidentally approve the held messages. Just fyi, since I know there are a bunch of list administrators on this list. -- Jeff Jeff Abrahamson <http://www.purple.com/jeff/> +1 215/837-2287 GPG fingerprint: 1A1A BA95 D082 A558 A276 63C6 16BF 8C4C 0D1D AE4B
___________________________________________________________________________ Philadelphia Linux Users Group -- http://www.phillylinux.org Announcements - http://lists.phillylinux.org/mailman/listinfo/plug-announce General Discussion -- http://lists.phillylinux.org/mailman/listinfo/plug