Penetrating cardiac injury (PCI) is gradually increasing in developing countries owing to large-scale manufacturing of illegal country-made weapons. These injuries are associated with significant morbidity and mortality. Logistically it is difficult to have all organ-based specialists arrive together and attend every critically injured patient round-the-clock in developing countries. It is therefore important for doctors (physicians, surgeons and anaesthetists) to be trained for adequate management of critically injured patients following trauma. We report the approach towards 2 cases of haemodynamically unstable PCI managed by a team of trauma doctors. Time lag (duration between injury and arrival at hospital) and quick horizontal resuscitation are important considerations in the treatment. By not referring these patients to different hospitals the team actually reduced the time lag, and a quick life-saving surgery by trauma surgeons (trained in torso surgery) offered these almost dying patients a chance of survival.
The study was undertaken to identify the most frequent bullying behaviour encountered by the student nurses, the source that most frequently bullies them and the most frequent coping behaviour employed by them against the bullying. The descriptive research design involving a sample size of 200 nursing students was used for the study. The findings of the study revealed that the most frequent bullying behaviour was spreading of rumors or gossips, the sources that most frequently bullies them is their own classmates No Response is the most frequent coping behaviour employed by the student nurses. From this study it was very evident that the nursing students are also the victims of bullying.
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