Admissible risk

One strategy which is oriented less toward personal life style and its exposure times but more toward a single technical installation and the risk field which is created in its vicinity and which can be registered in an inventory, is the following For the admissibility criterion for an installation it is stated that the impressed risk held R r) caused by the installation in its vicinity (see Chapter 2) is everywhere less than the determined, maximum admissible risk... 

It seems necessary, however, to weigh possible incidents with a particularly extensive loss level more strongly. Tlie threshold value for major incidents in our geographical area can be considered to be about 100 fatalities. In the event that a major technical installation causes this threshold value to be exceeded under certain circumstances, then the admissible death risk for the individual should be reduced in a ratio inverse to the number of those possibly affected. This means that in the case of an expected loss of 1000 fatalities the admissible risk value may be lowered to only / adm/10 of 10,000 fatalities adm/lOO so on (Figure 9.6). In this overall formulation the procedure was as though the individual death risk for every person within the population considered was the same. In the vicinity of technical installations the individual risk R is, however, as a rule, a function of the site r. 

Expert commissions should be given the task of establishing admissible risk values and of updating them according to the state of science and economic feasibility. Table 9,3 shows a review of the proposed system of risk base values and admissible risks. 

Depending upon the location and severity of the stroke at admission, patients may have cardiac and/or respiratory instability at the time of presentation to the emergency department (ED). They may need to be stabilized hemodynamically or intubated for airway protection or respiratory distress. Blood pressure management is often a crucial management issue, and the use of vasopressor or antihypertensive medications is common. In stroke patients at risk for malignant cerebral... 

General treatment measures for all STE ACS and high- and intermediate-risk NSTE patients include admission to hospital, oxygen administration (if oxygen saturation is low, less than 90%), continuous multi-lead ST-segment monitoring for arrhythmias and ischemia, frequent measurement of vital signs, bed rest for 12 hours in hemodynamically stable patients, avoidance of Valsalva maneuver (prescribe stool softeners routinely), and pain relief (Fig. 5-3). 

At the time of hospital admission, all patients should be evaluated for their risk of VTE, and strategies to prevent VTE... 

The goal of an effective VTE prophylaxis program is to identify all patients at risk, determine each patient s level of risk, and select and implement regimens that provide sufficient protection for the level of risk. OAt the time of hospital admission, all patients should be evaluated for their risk of VTE, and strategies to prevent VTE appropriate for each patient s level of risk should be routinely employed. Prophylaxis should be continued throughout the period of risk. The risk classification criteria and recommended prophylaxis strategies published... 

Professor Waitz, who was working in Monowitz as an internee doctor, advised me against seeking admission to the sick bay so as not to run the risk of being selected, i.e., to be sent to Birkenau. I made friends with an I.G. man named Malzer and discussed our prison existence with him. He knew.. . . The Amsterdam chemist Beinima worked in the chemistry squad. He was very ill (jaundice and tuberculosis) and was chosen to be picked out. 

The Joint Commission on Accreditation of Healthcare Organizations standards require a nutrition screening typically within 24 to 72 hours of hospital admission. Patients determined not to be at risk for malnutrition should be reevaluated every 7 to 14 days. Patients determined to be at risk for malnutrition need a nutrition assessment and care plan. 

Jick H, Derby LE, Myers MW, Vasilakis C, Newton KM (1996) Risk of hospital admission for idiopathic venous thromboembolism among users of postmenopausal oestrogens. Lancet 348 981-983... 

Huerta C, Varas-Lorenzo C, Castellsague J et al. (2006) Non-steroidal anti-inflammatory drags and risk of first hospital admission for heart failure in the general population. Heart 92(11) 1610-1615... 

Several of the individual problems and risks increasing and cumulating the risk for morbidity and mortality in the elderly are presented in this book. Each of them is presented in more detail elsewhere. Special attention should be given to patients with severe diseases, polypharmacy, high-alert medications, several prescribers, several acute hospital admissions, and low compliance. It is important to understand that the problems and risks are interconnected. One problem lead to another in a cascade, where the net benefit to harm relation, might be negative. 

The cocaine addict most often presents during withdrawal after a binge of cocaine use. Cocaine withdrawal is not life threatening and does not require medical intervention in the same sense as alcohol or opiate withdrawal. It is, however, associated with a profound depression that can render the addict suicidal for 24-48 hours. The crashing cocaine addict should be assessed for suicide risk and, if indicated, the patient should be monitored in an emergency psychiatric setting or may require a brief 1-2 day inpatient psychiatric admission until the withdrawal resolves and the suicide risk is relieved. 

Avoid cliches. The typical admissions officer reads hundreds of essays each winter. You won t stand out, and you ll run the risk of boring him or her, if you write about a subject also chosen by dozens of other students. What s been done too many times before Here are a few subjects virtually guaranteed to bore your audience how you ve been influenced by a famous person, the death of a grandparent, losing the big game, why you want peace in the Middle East, etc. 

---