Incident Command Structure

The Incident Command System ICS is a standardized hierarchical structure that allows for a cooperative response by multiple agencies both within and outside of government to organize and coordinate response activities without compromising the decision-making authority of local command. INCIDENT Command System ICS is a nationally adopted standard command-and-control hierarchical structure for.

K 12 Standard Reunification Method Toolkit Texas School Safety Center

The ICS as described in NIMS refers to the combination of facilities equipment personnel procedures and communications operating within a common organizational structure and designed to aid in the management of resources during incident response.

Incident command structure. Sets priorities and objectives and is responsible for overall control of the incident. This type of structure leads to a shared mental model with division of responsibilities that allows institutional adaptations to changing environments and maintenance of specific roles for optimal coordination and communication. Incident Command System.

Here is the backdrop for common understanding. It enables incident managers to identify the key concerns associated with. Fire both structural and wildfire Hazardous material situations.

This course describes the history features and principles and organizational structure of the Incident Command System. Incident Command Structure Create Chain of Command examples like this template called Incident Command Structure that you can easily edit and customize in minutes. Includes Incident Commander Safety Liaison and Communication.

Our organization implemented an Incident Command System ICS based on previous experience to respond to the COVID-19 pandemic in a comprehensive and effective manner. The Incident Command System ICS An incident is an occurrence either human caused or by natural phenomena that requires action by emergency service personnel to prevent or minimize loss of life or damage to property andor natural resources. In an ICS organization Incident Command consists of the Incident Commander and various Command Staff positions.

This structure can expand to meet the specific need of the incident with additional sections and position titles added. As incidents grow the Incident Commander may delegate authority for performing certain activities to others as required. The Incident Command System ICS is a management system designed to enable effective and efficient domestic incident management by integrating a combination of facilities equipment personnel procedures and communications operating within a common organizational structure.

ICS 100 Introduction to the Incident Command System introduces the Incident Command System ICS and provides the foundation for higher level ICS training. ICS Structure and Responsibilities. The Command Staff are specifically designated report directly to the Incident Commander and are assigned responsibility for key activities that are not a part of the General Staff functional elements.

Key components of this ICS include a hospital-wide incident command or Joint Operations Center JOC and an ED Forward Command. ICS provides a command structure for coordination information flow analysis decision-making communications and implementation in an authoritative and standardized manner. The ICS structure is built around five major management activities or functional areas.

Examples of incidents include. The incident command system ICS is a framework for organizing and directing on-site tactical responses to a particular event or series of events. When expansion is required.

At transfer of command the outgoing Incident Commander must give the incoming Incident Commander a full briefing and notify all staff of the change in command. This well-known management and response framework is used by many specialties and organizations in disasters of different complexity and size. If this position is the only one staffed for example the incident commander would also assume responsibility for the four sections outlined above.

ICS ensures that the most pressing needs are met and that precious resources are used. This is the basic structure. Only the Incident Commander will always be staffed.

Coronavirus How Is It Transmitted

The coronavirus which causes the respiratory infection COVID-19 can be detected up to 3 hours after aerosolization and can infect cells throughout that time period the study authors found. COVID-19 is caused by the SARS-CoV-2 virus which spreads between people mainly when an infected person is in close contact with another person.

Reducing Transmission Of Sars Cov 2 Science

Person-to-person contact seems to be the main method of transmission of the novel coronavirus.

Coronavirus how is it transmitted. These are released from the mouth or nose when an infected person coughs. And it does not seem to be carried in food or beverages. People who are infected but do not show symptoms can also spread the virus to others.

The primary way that the new coronavirus spreads is when someone coughs or sneezes and sprays germ-filled droplets of mucus or saliva into the air. These liquid particles are different sizes ranging from. You may touch a countertop or doorknob.

The Centers for Disease Control and Prevention acknowledged Monday that people can sometimes be infected with the coronavirus through airborne transmission especially in. If you are near an. Theres a ton were still learning about the ways this virus gets into your system but the most likely source is another person.

There have been around 96000 reported cases of coronavirus disease 2019 COVID-2019 and 3300 reported deaths to date 05032020. For months the US. WHO has also reported that there is no evidence that coronavirus can be transmitted by mosquitoes or other insects.

The disease is transmitted by inhalation or contact with infected droplets and the incubation period ranges from 2 to 14 d. Centers for Disease Control and Prevention and the World Health Organization have maintained that the novel coronavirus is primarily spread by droplets. Another way to catch the new coronavirus is when you touch surfaces that someone who has the virus has coughed or sneezed on.

These include saliva respiratory secretions or secretion droplets. Cases of reinfection with COVID-19 have been reported but are rare. Current evidence suggests that COVID-19 spreads between people through direct indirect through contaminated objects or surfaces or close contact with infected people via mouth and nose secretions.

COVID-19 is thought to spread mainly through close contact from person to person including between people who are physically near each other within about 6 feet. Transmission typically occurs when. In general respiratory viruses are not known to be transmitted by blood transfusion and there have been no reported cases of transfusion-transmitted coronavirus.

The virus can spread from an infected persons mouth or nose in small liquid particles when they cough sneeze speak sing or breathe heavily. We are still learning about how the virus spreads and the severity of illness it causes. According to the Centers for Disease Control and Prevention COVID-19 is spread mainly from person-to-person usually via close contact within six feet.

How Is the Novel Coronavirus Transmitted. According to the Centers for Disease Control and Prevention CDC coronaviruses are common in camels cattle cats and bats. Person-to-person transmissions are thought to.

Cologuard Versus Colonoscopy

Here is what you need to know about cologuard vs colonoscopy. A false negative result occurs when Cologuard test shows a negative result when a colonoscopy identifies the presence of colon cancer or precancerous polyps.

Colonoscopy Vs Cologuard Pros And Cons Matthew Eidem Md

What distinguishes the two tests.

Cologuard versus colonoscopy. The test is recommended every five years but is not often used in the United States because a colonoscopy requires similar preparation and checks the entire colon. Cologuard is the recently Food and Drug Administration FDA-approved stool deoxyribonucleic acid DNA. Cologuard is the recently Food and Drug Administration FDA-approved stool deoxyribonucleic acid DNA screening test for detecting colon cancer.

Cologuard vs Colonoscopy. Effectiveness of Cologuard vs. In conclusion Cologuard is not as good as colonoscopy because colonoscopy identifies more accurate results.

Cologuard has recently gained popularity as its less invasive and more convenient than a traditional colonoscopy. Stool DNA Cologuard testing are designed for cancer detection not prevention. A Cologuard test detects polyps and colon cancer symptoms.

This test can be used as an alternative test for people who are unable to have a colonoscopy. Cologuard test vs. The implication of the previous sentence is that the Cologuard test is primarily an early detection test for colon cancerbasically you have to get colon cancer first and then detect it early.

That being said there are pros and cons to the Cologuard at-home test and Colonoscopy which is considered the gold standard colon cancer screening exam since it is the only exam that allows your doctor the ability to identify and remove polyps. Colonoscopy is detection and prevention and only needs to be done every 10 years for cancer-free patients. The Cologuard test is designed to detect cancer not prevent it.

When testing for colorectal cancer a cologuard searches for DNA and blood mutations in your stool while a colonoscopy searches your entire colon for any indications of the disease. Stool DNA Cologuard testing has a 12 false positive rate. Below is a comparison of both tests.

The Colorguard test is different from a colonoscopy because you can do it at home and you do not need to prepare by fasting or discontinuing medications before or after the test. When polyps are detected during a colonoscopy they are removed at the same time. Unfortunately the answer no.

This has been proven over. There are chances of complications that include bowel puncturing and allergic reactions to sedatives with a colonoscopy test. Cologuard can only detect 42 of large polyps while a colonoscopy can detect 95 of large polyps.

Cologuard has gained immense popularity in the last a few years because it is less invasive and more convenient than traditional colonoscopy. Colonoscopy While Cologuard and a colonoscopy can both be used as screening tests they take two different approaches and provide different information. Both Cologuard and colonoscopy are screening tests but both work differently and the results also vary.

This test is best for individuals who have an average risk for colon cancer in other words no family history of colon cancer or polyps and no symptoms. The group wants long-term studies that show Cologuard. Colonoscopy One of the first questions patients ask regarding Cologuard is if it is as effective as a colonoscopy.

If you want to avoid colonoscopy Cologuard is a better procedure to screen for colorectal cancer. My hope is that this analysis helps to increase awareness and interest in colon cancer screening. The Colorguard test is different from a colonoscopy because you can do it at home and you do not need to prepare by fasting or discontinuing medications before or after the test.

In contrast the optical colonoscopy is a preventative test as you ideally will find adenomas and remove them long before they progress to colon cancer. Cologuard vs Colonoscopy Pt. If polyps are detected with Cologuard a colonoscopy must be performed to remove them.

From an insurance perspective a colonoscopy for evaluation of an abnormal test such as Cologuard is usually considered a diagnostic test subject to deductibles and copays. That panel gives Cologuard a tier 2 recommendation compared with tier 1 for the immunochemical test and the colonoscopy. The Multi-Society Task Force ranks Cologuard as a tier 2 test compared to colonoscopy being considered tier 1.

A positive test requires a diagnostic. Colonoscopy has the highest detection rate of small tumors and polyps and It is the cancer screening that can prevent colon cancer by removing precancerous polyps. Cologuard is a relatively inexpensive in-home screening test that checks for DNA and blood abnormalities that would indicate potential cancer growth.

Colonoscopies are the gold standard in detecting colorectal cancer as well as precancerous lesions through the use of a camera-enabled scope. But should you schedule for a colonoscopy or a cologuard. Physicians who work in the field largely regard colonoscopy as the gold standard.

Here are some facts about Cologuard vs Colonoscopy.

How To Cure A Head Cold

Move the jaw muscles to help pop congested ears. Drink plenty of fluids.

10 Tips For How To Get Rid Of A Cold Fast The Science Behind Them

However do not ask your doctor for antibiotics.

How to cure a head cold. Since breathing in dry air will dry out your sinuses its best to add moisture back into your environment by using a cool-mist. Unless instructed otherwise by your vet allow them to free-feed until their. Chew gum or open and close your mouth several times to work the jaw muscles and unblock ears.

To treat the underlying viral infection causing your head cold use an Echinacea extract to help relieve symptoms. Turn Up the Heat Cats are not generally known for being aquatic creatures but getting them to spend five to ten minutes a in a hot steamy bathroom can help open their airways. Theyll dehydrate you even more.

No medication or home remedy can cure a common cold. Go see a doctor. Some common home remedies for a head cold include.

Try a nasal spray. Rest as much as you can to give your body time to recover. It works on the immune system and also has anti-viral and anti-inflammatory properties.

Staying hydrated helps loosen congestion in the nose and sinuses while soothing the throat. Soothe a sore throat. The illness will go away on its own without medical treatment.

There are a number of remedies which can help ease the symptoms of a head cold. You should provide your dog with ample food while they are fighting their cold. Popping the ears is a quick way to clear blockage.

How to Identify Treat and Prevent a Head Cold. Resting helps the body heal. A saltwater gargle 14 to 12 teaspoon salt dissolved in an.

Stay away from caffeinated drinks like soda and coffee. Drink lots of fluids preferably water and fruit juices. Drink plenty of water juices and teas to get rid of remnants of mucus after a head cold.

Feed them a warm hearty diet. However some evidence suggests that. Avoid alcohol coffee and.

SINUS NASAL CONGESTION. Your body has the capabilities to fight off most colds but a doctor can provide prescription assistance to relieve symptoms. Water and diluted.

Staying home from work or school also reduces the risk of transmitting the virus to others. Vitamin C and apple cider vinegar are commonly discussed on the internet but are not recommended by veterinarians to treat cats with colds. Water juice clear broth or warm lemon water with honey helps loosen congestion and prevents dehydration.

Cold remedies that work. Soothe your sore. Your body needs rest to heal.

Reach for a warm compress.

Taking A Tick Off A Dog

You dont want that to happen because youd want the entire tick off of your pet. Once you have gathered the tools follow the following steps to safely remove the tick from your dog Put on the gloves and gently dab the tick and surrounding areas with the alcohol.

Have You Left A Tick Head In Your Cat Or Dog Here S What You Need To Know

This would either be using a scalpel knife to surgically slice out the tick with a bit of dog skin under anesthesia.

Taking a tick off a dog. This means that there is time for the tick to release diseases into your dogs blood. What if theres a tick on your dog and you dont find it. These are especially useful when dealing with puppies that have not yet been vaccinated because they do not reach the appropriate age.

How To Remove Ticks From Dogs Step 3. The first one is to use a tweezer. Mans best friend has a funny way of communicating sometimes but.

You might think that yanking them out by hand works but actually the ticks mouth might break and remain on the skin. But the bad news is this can take anywhere for 3 days to two whole weeks. 3 Grip the tick very close to your dogs skin when removing.

Get your tick remover and slowly push it under the tick. If you have to remove the entire tick without risking the head of the tick getting stuck you are better off taking the dog to your local vet who will examine the tick and come up with a removal plan to discuss with you. You want to remove ticks within 24 to 36 hours of a bite.

This cleans and disinfects the area. This is the actual tick removal part of the procedure. In this video Instructor Shannon will show you how to take a tick off your dog.

If youre not sure how to remove the tick or you have difficulty trying to get it all out take your dog to a vet. When you have a firm grasp of the tick twist it in a clockwise direction several times until the tick comes loose. If your dogs out every day in areas with ticks then you need to check him every day.

Instead take your dog to the veterinarian to remove any remaining embedded pieces of the tick. And that its strongly recommended that you take the tag off your dog while its in the water during the first 4 weeks. Otherwise check him when hes been in the woods or any tick-infested area.

Once the tick has safely been removed place it in a jar or small container that is filled with isopropyl alcohol and put the lid on the jar. Spread your dogs fur then grasp the tick as close to the skin as possible. Pop the tick in a tissue and place it.

Use clean tweezers or a tick remover to pluck the tick off of your dog carefully. How to Kill a Tick. Very gently pull straight upward in a slow steady motion.

How Long Does it Take for a Tick to Fall off a Dog. With tweezers grab the tick as close to the point of contact as possible as low as you can without tweezing your dog. There are many different parasites that can pose a threat to your pet.

Removing a tick from a dog can be difficult because its important that you get the whole tick out without leaving its mouthparts buried in your dogs skin as this could lead to an infection. Removing Ticks in dogs is possible with home remedies such as chamomile apple cider vinegar or rosemary cinnamon or almond oil. Part the dogs hair and swab the tick area of the skin with the rubbing alcohol.

The Best Ways to Remove a Tick from a Dog. Clean the bite location with an antiseptic and. There are two most common ways to remove these pests safely.

To remove a tick dog owners should use tweezers to grasp the tick just behind its head and as close to the skin of the dog as possible. Take a look at your dogs skin and make sure the tick is completely removed. This will cause more irritation and inflammation and will open the skin to infection.

Try to use a single slow motion to help you remove all of the ticks body in one piece. The first rule is to get ticks off your dog quickly. Good news is that once ticks are full of blood they will detach from your dog.

This will prevent the ticks mouth from breaking off and. Do not try to dig the head of the tick out of your dogs skin. How to Remove a Tick from a Dog.

The next step is to draw upward with a steady even pressure in order to avoid leaving behind the ticks mouth parts. Dogs can come into contact with ticks and fleas from an early age.

24 Hour Flu Bug

Know Its Signs Treatments. Diarrhea went away for a day i had normal stool.

Stomach Flu Signs Symptoms And Complications

Yesterday morning woke up feeling sorta bad.

24 hour flu bug. Muscle aches came on first then headache followed by chills and low grade fever all day and into the night. This can occur when proper hygiene or food handling practices arent carried out. The day after the diarrhea returned.

It isnt the flu you were poisoned. The 24 Hour Bug. These dangerous guys are the ones responsible for the vomiting and nausea that is commonly associated with the 24 hour bug.

So before we go into that be sure to get vaccinated against the flu. When flu season comes that miserable virus will last 2 to 3 weeks. Had a 24 hour flu bug w diarrhea.

Viruses dont replicate to the point where youll even feel their presence for at least 18 72 hours then the immune system has to eliminate them. By 8 this morning I felt more or less well. Along with a low grade fever you may feel fatigued and weak.

However these symptoms can be caused by a variety of viruses which can create symptoms that last for a few hours or continue to plague you for over a week. After a fair bit of searching I found this thread. A 24-hour stomach bug is a viral infection that passes from person to person.

24-Hour Flu Symptoms The 24-hour flu or stomach flu are common terms that refers to an illness with short-lived gastrointestinal symptoms such as nausea diarrhea and vomiting. The 24-hour flu is a common strain that causes symptoms for about one day. So if you find yourself suddenly curled up on the bathroom floor its unlikely you have the flu.

Both viruses are shed in the stool of an infected person meaning that you can become infected if you ingest tiny particles of stool from an infected person. It causes symptoms such as vomiting and diarrhea which usually last 13 days in adults. Most of the symptoms are related to the gastrointestinal tract.

No there really is NOT a 24 flu virus. Is this normal for the flu. What does last for that period of time is food born illness.

Many cases of the. Raj Borade answered 19 years experience Gastroenterology. The 24-hour flu is often caused by one of two viruses.

The 24 hour bug generally hits quickly and ends quickly. All of a sudden you feel achy chilly and the belly is upset. 24 Hour Bug Symptoms.

THERE IS NO SUCH THING as the infamous 24 Hour Flu Used to be called 24 hour grip due to muscle pain which accompanied it Probably arose because. When people say they have the 24 hour flu they typically mean a stomach virus that leads to diarrhea and vomiting. Kitchen Safety and Avoiding Food Poisoning.

Stomach bug and stomach flu are both terms for viral gastroenteritis. I also have had this weird 24 hour flu that you all are discussing. The term 24-hour flu is a bit of a misnomer as.

Respiratory symptoms rarely occur with this temporary flu bug. More accurately termed gastroenteritis this illness is typically caused by a virus and sometimes is transmitted through food or water. No virus influenza or otherwise lasts for only 24 hours.

For some the effects can be severe while others may barely be affected by it. Anything lasting 24 hours is bacterial and is mild food poisoning or something you ingested that did not agree with you. The stomach flu can be caused by the rotavirus adenovirus norovirus and more.

The 24-hour flu is a highly contagious and short-lasting condition thats caused by infection with a virus. People typically develop stomach bug symptoms within 24 to 72 hours of being exposed to the virus.

Egfr African American Vs Non African American

A weight difference was observed among African American versus non-African Americans harboring common EGFR mutations 784 kg vs. The researchers decided to account for this raising their eGFR by 159 percent.

Egfr Understanding Your Lab Values Renadyl Blog

53 suggests stage 3 kidney damage - moderate reduction in GFR.

Egfr african american vs non african american. For any given individual a black individual who has the same serum creatinine as. An eGFR of less than 15 indicates kidney failure and requires prompt medical care. Its the same as having curly hair versus straight hair.

GFR African American vs non AA Anonymous The eGFR is calculated using isotope dilution mass spectrometry IDMS-traceable serum creatinine measurements and the patients age 18 years and older gender and race African American vs non-African American according to the Chronic Kidney Disease Epidemiology Collaboration CKD-EPI equation. This is based on different muscle masses between different races. While African Americans represent 35 of people receiving dialysis in the United States they are less likely to be identified as kidney transplant candidates compared to Non-Hispanic Whites.

What is the controversy over using race in measuring eGFR. Race is used to estimate. Many different equations can be used to derive an estimated glomerular filtration rate eGFR.

It is usually ordered along with several other test when the kidney status is evaluated. Its simply a genetic expression that branched off millenia ago. The estimating equation for the glomerular filtration rate eGFR uses a different correcting factor for black African American individuals and individuals who are of other races non-African American.

The eGFR indicates how well the kidneys are filtering waste from the blood and it is calculated using a formula that includes age ethnicity creatinine level gender height and weight. EGFR for African American non-African American GFR glomerular filtration rate is equal to the total of the filtration rates of the functioning nephrons in the kidney it is usually accepted as the best overall index of kidney function. SCr-1154x age-0203x 0742 if female x 1210 if African American Assume an American white and an African American have the same serum creatinine level are at the same age and weight if the American white gets a GFR value 65 mLmin173 the African American gets a GFR value 7865 mLmin173.

EGFR if African American 34 mLmin173 m 2 eGFR if non-African American 28 mLmin173 m 2 Sample eGFR report for a 63-year-old woman identified as African American Creatinine 182 mgdL. Choose the one that best applies to you. Leidner1 1Departments of Medicine and Biostatistics University Hospitals - Case Medical Center Case Western Reserve University Cleveland OH USA.

For this reason a creatinine number may be slightly higher in young males. If female x 1210 if African American The equation was re-expressed in 2005 for use with a standardized serum creatinine assay which yields 5 lower values for serum creati-nine concentration4 6 GFR 175 x Standardized S Cr-1154 x age-0203 x 0742 if female x 1210 if African American GFR is expressed in mLmin173 m2 S Cr is. EGFR molecular testing in African-American non-small cell lung cancer patients - a review of discrepant data Bradley T.

Values for both African American and non-African American individuals are reported for each patient. Some labs will report two values African American and non-African American. Pennell2 Balazs Halmos3 Rom S.

P 0051 but the difference was insignificant in terms of the uses of EGFR TKIs P 40 among those with metastatic NSCLC with common EGFR mutations. They called their formula the CKD-EPI equation and published it in the Annals of Internal Medicine in 2009. Also normal GFR will vary among ethnic groups.

Values less than 60 mLmin173 m 2 are consistent with chronic kidney disease and values less than 15 mLmin173 m 2 are consistent with kidney failure. Male with Creatinine09mgdL. Clifford1 Pingfu Fu1 Nathan A.

All equations will provide a range of values between 0 and. An eGFR below 60 mlmin suggests that some kidney damage has occurred normal values are 90-120 mlmin. African Americans have on average higher muscle mass than white Americans.

When a person has either diabetes or hypertension or there is other reason to monitor the kidneys it is usually ordered. It is a genetic difference based on evolution. The eGFR Glomurular Filtration Rate is one of those rare lab tests that have different reference ranges for African Americans versus non African Americans.

A normal eGFR ranges from 90 to 120 milliliters per minute per 173 square meters notes MedlinePlus. GFR 186 x Stand. HelloThe eGFR test is used to screen for and detect early kidney damage and to monitor kidney status.

The eGFR non -African American is a test that is ordered to check for early kidney damage and to monitor kidney function. Working as a Doctor who Cares since 2001. Numbers will be higher than that of females.

African Americans also have their eGFR numbers adjusted as their creatinine can be higher and still within a normal range. Measured GFR is the best way to report kidney function but this is too complicated for routine medical care. EGFR Normal Range.

Generally males have greater muscle mass so their creatinine.