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" Massive hemorrhage in the operative setting is a critical event that must be managed effectively by an interdisciplinary team to avoid adverse outcomes and patient death. The purpose of this project was to increase knowledge and self-efficacy of anesthesia providers and perioperative staff members related to the management of hemorrhagic crises and use of the massive transfusion protocol (MTP). A two-part educational bundle consisting of pre-education and low-fidelity simulation (LFS) via computer-based training (CBT) modules and hands-on skills sessions were utilized. Pre-educational materials consisted of narrated PowerPoint presentations and tutorials. A video simulation depicted the management of a massive blood loss scenario with an interdisciplinary team in the operative setting. Individualized hands-on skills sessions reviewed role-specific responsibilities regarding use of the MTP. Participants completed a knowledge test and self-efficacy survey pre-and-post intervention. After completing the educational bundle, an increase in knowledge and self-efficacy was observed. The overall group mean total score on the knowledge test changed from 12.38 to 13.08. Aggregated mean score increased by 5.65%. Self-efficacy related to role-specific responsibilities and the team's ability to carry out the MTP increased significantly for all participants. This project serves as an example of how a multimodal educational bundle can improve knowledge, confidence, and overall readiness to respond to critical events involving massive hemorrhage. This model can be utilized for crisis management education for other potential perioperative crises and demonstrates how pre-education and low-fidelity simulation (LFS) enable crisis management training to be readily accessible to the entire interdisciplinary team. Keywords: perioperative interdisciplinary education, massive transfusion protocol, crisis management, pre-education, low-fidelity simulation " -- Abstract

NUEVA YORK, LOS ÁNGELES Y WASHINGTON D. C. HAN SIDO EVACUADOS. La Declaración de Derechos ha sido abolida y reemplazada con los Estatutos Morales. Ya no hay más policías, únicamente soldados. Tampoco se multa el mal comportamiento. En su lugar hay arrestos, juicios y quizá cosas peores: por lo general, quienes son detenidos nunca regresan. Ember Miller, de diecisiete años, vive con su madre soltera rebelde y ha perfeccionado el arte de pasar desapercibida: sabe conseguir todo lo que necesita y la forma de pasar las inspecciones al azar que los militares hacen a las viviendas. Su vida es tan tranquila como las circunstancias lo permiten. Pero todo cambia cuando su madre es arrestada por infringir el artículo 5 de los Estatutos Morales, y uno de los agentes que la detienen es Chase Jennings... El único chico al que Ember ha amado.

Biography of early hip-hop mogul Russell Simmons.

The authors discuss a technique, called the Family Stock Option Plan (FSOP), which utilizes a Stock Option eligible Grantor Retained Annuity Trust (SOGRAT) to move appreciation of nonqualified stock options out of an executive's estate. The authors compare the FSOP technique with other common methods of transferring nonqualified stock options.

New York City, Los Angeles, and Washington, DC have all been evacuated. The Bill of Rights has been abolished and replaced with the Moral Statutes. There are no more cops, just soldiers, and bad behavior is not punished. Instead of trials, people tend to just disappear. Seventeen-year-old Ember Miller lives with her single mother. She has mastered the art of going unnoticed while getting what she needs. Everything changes once her mother is arrested for noncompliance of Article 5 of the Moral Statutes. One of the people who comes to get her is none other than Chase Jennings...the only boy Ember has ever loved.