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Tourniquet
A tourniquet is a device that is used to apply pressure to a limb or extremity in order to create ischemia or stopping the flow of blood. It may be used in emergencies, in surgery, or in post-operative rehabilitation. A simple tourniquet can be made from a stick and a rope, but the use of makeshift tourniquets has been reduced over time due to their ineffectiveness compared to a commercial and professional tourniquet. This may stem the flow of blood, but side effects such as soft tissue damage and nerve damage may occur. History During Alexander the Great’s military campaigns in the fourth century BC, tourniquets were used to stanch the bleeding of wounded soldiers. Romans used them to control bleeding, especially during amputations. These tourniquets were narrow straps made of bronze, using only leather for comfort. In 1718, French surgeon Jean Louis Petit developed a screw device for occluding blood flow in surgical sites. Before this invention, the ''tourniquet' ...
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Esmarch Bandage
Esmarch bandage (also known as Esmarch's bandage for surgical haemostasis or Esmarch's tourniquet) in its modern form is a narrow ( wide) soft rubber bandage that is used to expel venous blood from a limb (exsanguinate) that has had its arterial supply cut off by a tourniquet. The limb is often elevated as the elastic pressure is applied. The exsanguination is necessary to enable some types of delicate reconstructive surgery where bleeding would obscure the working area. A bloodless area is also required to introduce local anaesthetic agents for a regional nerve block. This method was first described by Augustus Bier in 1908. The original version was designed by Friedrich von Esmarch, professor of surgery at the University of Kiel, Germany, and is generally used in battlefield medicine. Esmarch himself had been surgeon general to the German army during the Franco-German War. It consisted of a three-sided piece of linen or cotton, the base measuring and the sides . It could be u ...
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Ischemia
Ischemia or ischaemia is a restriction in blood supply to any tissue, muscle group, or organ of the body, causing a shortage of oxygen that is needed for cellular metabolism (to keep tissue alive). Ischemia is generally caused by problems with blood vessels, with resultant damage to or dysfunction of tissue, i.e., hypoxia and microvascular dysfunction. It also implies local hypoxia in a part of a body resulting from constriction (such as vasoconstriction, thrombosis, or embolism). Ischemia causes not only insufficiency of oxygen but also reduced availability of nutrients and inadequate removal of metabolic wastes. Ischemia can be partial (poor perfusion) or total blockage. The inadequate delivery of oxygenated blood to the organs must be resolved either by treating the cause of the inadequate delivery or reducing the oxygen demand of the system that needs it. For example, patients with myocardial ischemia have a decreased blood flow to the heart and are prescribe ...
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James McEwen (engineer)
James McEwen (born June 10, 1948) is a Canadian biomedical engineer and the inventor of the microprocessor-controlled automatic tourniquet system, which is now standard for 15,000-20,000 procedures daily in operating rooms worldwide. Their widespread adoption and use has significantly improved surgical safety, quality and economy. McEwen is President of Western Clinical Engineering Ltd., a biomedical engineering research and development company and he is a director of Delfi Medical Innovations Inc., a company he founded to commercialize some results of that research and development. He is also an adjunct professor in the School of Biomedical Engineering, in the Department of Orthopaedics and in the Department of Electrical and Computer Engineering at the University of British Columbia. In 2020, to recognize his invention of automatic tourniquets for surgery and other applications he was inducted to the U.S. National Inventors Hall of Fame, joining others including Thomas Edison ...
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Exsanguination
Exsanguination is the loss of blood from the circulatory system of a vertebrate, usually leading to death. The word comes from the Latin 'sanguis', meaning blood, and the prefix 'ex-', meaning 'out of'. Exsanguination has long been used as a method of animal slaughter. Humane slaughter must ensure the animal is rendered insensible to pain, whether through a captive bolt or other process, prior to the bloodletting. Depending upon the health of the individual, a person usually dies from losing half to two-thirds of their blood; a loss of roughly one-third of the blood volume is Critical condition, considered very serious. Even a single deep cut can warrant Surgical suture, suturing and Inpatient care, hospitalization, especially if Trauma (medicine), trauma, a vein or artery, or another comorbidity is involved. In the past, bloodletting was a common medical procedure or therapy, now rarely used in medicine. Slaughtering of animals Exsanguination is used as a Animal slaughter, s ...
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Gilbert Blane
Sir Gilbert Blane of Blanefield, 1st Baronet FRSE FRS MRCP (29 August 174926 June 1834) was a Scottish physician who instituted health reform in the Royal Navy. He saw action against both the French and Spanish fleets, and later served as a Commissioner on the Sick and Wounded Board of the Admiralty. He was President of the Medical and Chirurgical Society of London in 1813. Life Born in Blanefield, by Kirkoswald, in Ayrshire, he was the fourth son of Gilbert Blane of Blanefield (d.1771) and Agnes McFadzen. He studied medicine at Edinburgh University and Glasgow University (MD 1778) before moving to London. The challenge of establishing a practice in London was eased by his friendship with Dr William Hunter, elder brother of the famous John Hunter who is now widely regarded as the father of modern surgery in Britain. Dr William Hunter introduced Blane to Lord Rodney who appointed Blane as his personal physician aboard HMS ''Sandwich''. Blane was appointed Physician to ...
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Vascular Occlusion
Vascular occlusion is a blockage of a blood vessel, usually with a clot. It differs from thrombosis in that it can be used to describe any form of blockage, not just one formed by a clot. When it occurs in a major vein, it can, in some cases, cause deep vein thrombosis. The condition is also relatively common in the retina, and can cause partial or total loss of vision. An occlusion can often be diagnosed using Doppler sonography (a form of ultrasound). Some medical procedures, such as embolisation, involve occluding a blood vessel to treat a particular condition. This can be to reduce pressure on aneurysms (weakened blood vessels) or to restrict a haemorrhage. It can also be used to reduce blood supply to tumours or growths in the body, and therefore restrict their development. Occlusion can be carried out using a ligature; by implanting small coils which stimulate the formation of clots; or, particularly in the case of cerebral aneurysms, by clipping. See also * Cent ...
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Vietnam War
The Vietnam War (1 November 1955 – 30 April 1975) was an armed conflict in Vietnam, Laos, and Cambodia fought between North Vietnam (Democratic Republic of Vietnam) and South Vietnam (Republic of Vietnam) and their allies. North Vietnam was supported by the Soviet Union and China, while South Vietnam was supported by the United States and other anti-communist nations. The conflict was the second of the Indochina wars and a proxy war of the Cold War between the Soviet Union and US. The Vietnam War was one of the postcolonial wars of national liberation, a theater in the Cold War, and a civil war, with civil warfare a defining feature from the outset. Direct United States in the Vietnam War, US military involvement escalated from 1965 until its withdrawal in 1973. The fighting spilled into the Laotian Civil War, Laotian and Cambodian Civil Wars, which ended with all three countries becoming Communism, communist in 1975. After the defeat of the French Union in the First Indoc ...
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Defibrillator
Defibrillation is a treatment for life-threatening cardiac arrhythmias, specifically ventricular fibrillation (V-Fib) and non-perfusing ventricular tachycardia (V-Tach). Defibrillation delivers a dose of electric current (often called a ''counter-shock'') to the heart. Although not fully understood, this process depolarizes a large amount of the heart muscle, ending the arrhythmia. Subsequently, the body's natural pacemaker in the sinoatrial node of the heart is able to re-establish normal sinus rhythm. A heart which is in asystole (flatline) cannot be restarted by defibrillation; it would be treated only by cardiopulmonary resuscitation (CPR) and medication, and then by cardioversion or defibrillation if it converts into a shockable rhythm. A device that administers defibrillation is called a defibrillator. In contrast to defibrillation, synchronized electrical cardioversion is an electrical shock delivered in synchrony to the cardiac cycle. Although the person may still b ...
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The Economist
''The Economist'' is a British newspaper published weekly in printed magazine format and daily on Electronic publishing, digital platforms. It publishes stories on topics that include economics, business, geopolitics, technology and culture. Mostly written and edited in London, it has other editorial offices in the United States and in major cities in continental Europe, Asia, and the Middle East. The newspaper has a prominent focus on data journalism and interpretive analysis over News media, original reporting, to both criticism and acclaim. Founded in 1843, ''The Economist'' was first circulated by Scottish economist James Wilson (businessman), James Wilson to muster support for abolishing the British Corn Laws (1815–1846), a system of import tariffs. Over time, the newspaper's coverage expanded further into political economy and eventually began running articles on current events, finance, commerce, and British politics. Throughout the mid-to-late 20th century, it greatl ...
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Harvey Cushing
Harvey Williams Cushing (April 8, 1869 – October 7, 1939) was an American neurosurgery, neurosurgeon, pathologist, writer, and draftsman. A pioneer of brain surgery, he was the first exclusive neurosurgeon and the first person to describe Cushing's disease. He wrote a biography of physician William Osler in three volumes. Early life and education Cushing was born in Cleveland, Ohio. His parents were Elizabeth Maria "Betsey M." Williams (sister of Edward Williams (businessman), Edward and Charles Tudor Williams, Charles Williams) and Henry Kirke Cushing, a physician whose ancestors came to Hingham, Massachusetts, Hingham, Massachusetts, as Puritans in the 17th century. Harvey, the fourth generation of a line of physicians founded by his great-grandfather Dr. David Cushing (1768–1814), was the youngest of ten children. As a child, Cushing attended the Cleveland Manual Training School, which expanded his interest in science and medicine. The school's emphasis on experimental tr ...
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Open-source Hardware
Open-source hardware (OSH, OSHW) consists of physical artifact (software development), artifacts of technology designed and offered by the open-design movement. Both free and open-source software (FOSS) and open-source hardware are created by this open-source#Society, open-source culture movement and apply a like concept to a variety of components. It is sometimes, thus, referred to as free and open-source hardware (FOSH), meaning that the design is easily available ("open") and that it can be used, modified and shared freely ("free"). The term usually means that information about the hardware is easily discerned so that others can make it – coupling it closely to the maker culture, maker movement. Hardware design (i.e. mechanical drawings, circuit diagram, schematics, bills of material, printed circuit board, PCB layout data, hardware description language, HDL source code and integrated circuit layout data), in addition to the software that device driver, drives the hardware, a ...
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