Background:A trauma is a potential life threatening state which demands special resources and optimal care. Trauma doesn't just mean physical violence against the body, it can also put the patient in a psychological crisis. The trauma care in the emergency department is a short and intensive assessment between the patient and the emergency staff, where there is a risk that the patient may feel exposed and uncomfortable. For the nurse to be able to provide security and meet the patients' needs of well-being during the trauma care, the nurse has to try to understand the patients' needs and experiences. Aim: The aim of this study was to illuminate the patient's experiences during trauma care in the emergency department.

A crisis is something that can happen to all of us in an unexpected situation, and the school should be prepared in a way that is the best way to handle a situation with a wide foundation through a crisis plan. On a well-defined way, you should have a developed and relevant emergency plan. Defining the word crisis can be difficult, it is an individual interpretation, and to get found out what the word stands for and it have to be discussed. The two selected schools that I have chosen to interview have discussed the understanding of the word crisis in able to get what the word means for them. The two selected schools have come to the conclusion that a crisis is something that creates disturbances for people or a person concerned to the everyday way of living.

Ten colic horses and seven healthy horses were included in a prospective study aiming to evaluate acid-base disturbances in colic horses. Traditional acid-base methods and measurements of lactate were used to study prognosis and changes before, during and after surgery. Strong ion gap, anion gap and base excess were compared to evaluate their ability to predict lactate. Of the ten colic horses that went through surgery, seven survived, two were euthanised and one died. Significant differences in plasma lactate levels were seen between the group of survivals and non-survivals, p=0,000025. No differences were seen in pH and base excess between the two groups.

To work in an unpredictable work environment requires communication that functions well. In every organization it?s important that employees receive information that is relevant yet not confusing. Due to that, our ambition with this study is to understand how rescue effort organizations communicate in meetings; and whether their communication is clear or not. Our subject for this case study is the Emergency Services in the region of Karlstad.

Syftet med denna studie var att undersöka vad stress innebär, hur det upplevs och orsakas inom Räddningstjänsten, samt hur det kan förebyggas. Enkäten gjordes utifrån ett kvantitativt perspektiv och skickades till larmoperatörer och brandmän på Räddningstjänsten. Enkäten besvarades av totalt 33 respondenter. Deltagarnas ålder togs inte i beaktning, enbart antalet år av yrkeserfarenhet. Datan analyserades I SPSS, med hjälp av ett Chi-tvåtest och ett Pearsons's r-test.

Background: The number of older people is increasing in Sweden. The elderly patient often requires a more complex type of care, than younger patients. The concept of frailty is often used to describe individuals who have a high biological age and a decreased physiologic reserve which could be associated with acute illness and an increased vulnerability. Emergency medical care today is not suitable for elderly patients and adaptions for these elderly patients and the demands this places on the health care is necessary. Mölndal Hospital emergency department has around 42 000 visitors per year, many of the clients have a high age.

The aim of this study was to investigate the effects of an infusion of hypertonic saline solution (HSS) in combination with an oral waterload on cows suffering from rightsided displacement of the abomasum (RDA). Six dairy cows were treated with 7,2% HSS in a dosis of 5 ml per kg bodyweight. They also received an oral waterload of approximately 15 liters. To monitor changes in fluid-, acid-base- and electrolyte-balance, bloodsamples were collected during the next 24 hours. During this period, the cows also underwent surgery to empty and correct the position of the abomasum.

THE CONSTANT IMPROVAL AND REFINEMENT OF THE MOBILE TECHNOLOGY HAVE MADE IT POSSIBLEto use video in settings where such use couldn't be motivated before, due to economicaland practical reasons. The purpose of the study was to identify and explore possiblechallenges in interorganizational use of video during emergency response work. Thiswas done by a case study of a system designed for the use of video in such situations.The study focused on operational challenges for the fire and rescue services and thehealthcare organisations, where the main challenges identified were intended to beanalysed and discussed in terms of design. The empirical results were gathered throughqualitative interviews with representatives from the fire and rescue services and thehealthcare organisations in Göteborg. This material made it clear that contextual aspectsof emergency response work lead to a couple of challenges connected to the use of videoin such situations.

Background: Encounters between patient and health care have been shortened and fragmented. Times when the patient is in the continuum of care is related to how well the patient feels confirmed in the meeting with his/her carers. Aim : The aim of this study is to highlight skills that nurses use to provide good care relationships with patients in the ambulance and emergency room. Method: A literature review was done. Search for articles was conducted in the databases Cinahl and Pubmed.

Vid större olyckor och kriser kan Försvarsmaktens helikoptrar nyttjas för bland annat sjukvårds-, transport-,släck-, flygräddnings- och sjöräddningsuppdrag. Sedan 2010 är Rakel det kommunikationssystem som används av de så kallade blåljusorganisationerna (Polis, Räddningstjänst, Ambulans, etc) samt vid krisledning i Sverige. I och med införandet av Rakel tappade Försvarsmaktens helikoptrar förmågan att kunna kommunicera och samverka effektivt vid olyckor och kriser med blåljusorganisationerna. Rakel är operativt i Försvarsmakten och Helikopterflottiljen men systemet finns inte att tillgå i helikoptrarna där behovet är störst.Målet med detta examensarbete var att ta fram ett tekniskt och taktiskt underlag för att undersöka om det är möjligt att installera Rakelsystemet i Försvarsmaktens helikoptrar och undersöka behovsbilden av Rakel vid insatser av civil karaktär..

Limb-sparing surgery aims to provide a functional pain free leg for the patient after removal of a local tumour in the leg. Reasons to perform limb-sparing instead of amputation can be arthrosis or hipdysplasia or other problems with the locomotor apparatus that makes the patient unsuitable for amputataion. Owner reluctance to amputate is another reason for limb-sparing. This master?s thesis is a case study of a dog with an osteosarcoma in its distal radius. The dog was treated by a limb-sparing method that uses the ipsilateral ulna as a vascularized roll-over autograft.

Introduction: Sex and education level has demonstrated effects on health status.Osteoarthritis is a widespread disease that causes reduced health-related quality of life and isthe most common reason for total hip replacement. Osteoarthritis was ranked as the 11thhighest contributor to global disability as reported in the Global Burden of Disease 2010.Aim: The aim of this study was to explore how sex and education level together affectedhealth-related quality of life after total hip replacement. The aim was also to examine whatdimensions of EQ-5D that changed.Methods: The study is a prospective observational study with a quantitative approach. Dataconsisted of education level, obtained from Statistics Sweden (SCB) and health-relatedquality of life before and one year after total hip replacement from the Swedish HipArthroplasty Register (SHAR). Health-related quality of life was measured with astandardised instrument, the EQ-5D, and the study population consisted of 39,141 patients.Results: Womens? EQ-5D-value, before and one year after surgery, were lower in alleducational categories compared with men.

Syftet med denna studie var att undersöka vad stress innebär, hur det upplevs och orsakas inom Räddningstjänsten, samt hur det kan förebyggas. Enkäten gjordes utifrån ett kvantitativt perspektiv och skickades till larmoperatörer och brandmän på Räddningstjänsten. Enkäten besvarades av totalt 33 respondenter. Deltagarnas ålder togs inte i beaktning, enbart antalet år av yrkeserfarenhet. Datan analyserades I SPSS, med hjälp av ett Chi-tvåtest och ett Pearsons's r-test.

To work in an unpredictable work environment requires communication that functions well. In every organization it?s important that employees receive information that is relevant yet not confusing. Due to that, our ambition with this study is to understand how rescue effort organizations communicate in meetings; and whether their communication is clear or not. Our subject for this case study is the Emergency Services in the region of Karlstad.

The high incidence of cranial cruciate ligament injury in dogs results in both suffering and significant costs due to treatment and care of affected dogs. Today there are several different technics for surgical treatment in dogs with ruptured cranial cruciate ligament. At University Animal Hospital (UDS), SLU, in Uppsala two fundamentally different methods; TPLO (Tibial Plateau Leveling Osteotomy) and external fixation with suture material are practiced. The aim of this study was to estimate if the different surgery technics result in any difference regarding the function of the dog in a long term perspective. Since motion and function are very affected by arthritis, was the purpose also to determine if there are any differences in developing arthritis between dogs surgical treated with external fixation respectively with TPLO. Development of arthritis is common after surgery or traumatic injuries in a joint, such as cruciate ligament rupture. Unfortunately was the number of dogs in the study to small to achieve two comparable groups.