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Let us talk about the days before modern surgical techniques and the routine transfusion of blood (giving of blood from a donor to a recipient) In these times, severe hemorrhaging from cut blood vessels was an especially
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Fig 87 Stopping blood loss on the battle eld Ambroise Par uses a ligature to control e
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blood loss during leg amputation near the battle eld
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common casualty of war and battle This was true in France during the mid-1500s (a few decades before the birth of the Englishman, William Harvey) Ambroise (Am-bwah) Par (par-AY), a French army surgeon, e wanted to treat wounded soldiers on the battle eld in a much kinder and more appropriate manner During his lifetime, injured limbs of soldiers were often amputated (am-pyoo-TAY-ted) or cut around and removed right on the battle eld, with gun re and cannons blazing overhead! (See Figure 87) The traditional practice was for army surgeons to pour boiling oil over the cut stump of the severed limb, thereby achieving hemostasis (he-mus-TAYsis) This literally means a control of (-stasis) bleeding (hemo) But the pain of having boiling oil poured onto a cut limb stump must have been horrible! Being a kind person, Ambroise Par discontinued the use of boiling oil, e and reintroduced the use of ligatures to tie off cut stumps after amputation Therefore, ligation (the process of tying off) gradually came to replace cauterization (the process of burning) with boiling oil, to the relief of thousands of soldiers!
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In conclusion, ligation of hemorrhaging blood vessels is one way to prevent severe hypovolemia and the resulting dangers of hypovolemic shock Summarizing, we obtain:
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ACCIDENTALLY CUT BLOOD VESSELS SEVERE HEMORRHAGING APPLY LIGATURES ACHIEVE HEMOSTASIS (stop blood loss)
SUMMARY TABLE 81
Consult Summary Table 81 for a quick review of some important words and word parts
Important Parameters of Cardiovascular Function
Now that we have a basic understanding of the normal anatomy of the heart and blood vessels, let us now discuss some of the related cardiovascular physiology One of the important physiological parameters often measured in patients is heart rate, sometimes just called the pulse or pulse rate The heart rate or pulse rate (abbreviated as HR) is usually measured in units of number of heart beats per minute Most often, the radial artery, on the thumb side of the wrist, is the place where the HR or pulse is measured (See Figure 88, A) [Thinking probe: Can you name the particular lower arm bone along which this artery runs ] To measure the HR, a health care worker would place several ngers upon the radial artery (which runs along the radius), depressing it just enough to feel the blood pushing back against her ngertips She would then count the number of pulsations (throbbing actions) of the pumped blood against her ngertips This taking of the pulse with the ngertips is a good example of diagnosis by palpation ( touching ; see 5) The results of palpating for the HR result in measurements that re ect different types of cardia (KAR-dee-ah) conditions (-ia) of the heart (card) beat Normocardia (nor-moh-KAR-dee-ah), therefore, denotes a condition of normal heart rate In adults, the resting HR is about 72 beats per minute (bpm) This number, and the normal range around it (Figure 88, B), re ects a condition of normocardia In contrast, tachycardia (tak-e-KAR-dee-ah) is a condition of (-ia) fast (tachy-) heart (card) Tachycardia is commonly de ned as a resting HR exceeding 100 bpm (Figure 88, C) Finally, bradycardia (brad-e-KAR-dee-ah) is a condition of slow (brady-) HR Bradycardia is
Heart, Blood Vessel Disorders
Summary Table 81 Words and Word Parts Write in the exact meaning (literal English translation) for up to 10 key terms selected from the preceding block of text After you are done, check your word meanings with the correct answers, which are given at the end of this chapter
Key Terms circulatory Pre xes (none) Roots circulat little circle cardi heart ; vascul little vessels capill tiny hair ven vein arteri artery pulmon lungs lun moon Suf xes -ory pertaining to -ar relating to Exact Meanings 1
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