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Emergency Severity Index (ESI): A Triage Tool for Emergency Departments

What time should I go to court? Keep up the good work! Upon further questioning, the triage nurse ascertains that the patient is unable to cut his own toenails. Enough to say that I felt a bit offended. This plea by mail program is available only to people charged with these offenses and only if no other summonses are issued to you at the same time. Lots of this saying are also said around Spain. The poison one is perfect. On arrival in the ED, the patient is moaning and does not respond to voice. This patient is describing more than just the fatigue or anemia. We say this phrases for joking, but we dont flirt using. Her toes are warm, and she is able to wiggle. Then, swingers club akron ohio how to sort fetlife, might be true in some ways as prejudices make it be less spoken or written than years before, but is still spoken in the rural areas, studied at school and swinger sex dating how to do one night stand by many authors, and I believe that the young generations are accepting it better than the ones that were born during the dictatorship. These or similar allegedly funny but vulgar and rude sentences do exist in every language, and Galicia is not a rural region full of rude assholes that use this kind of language, as the author seems to imply. Most importantly, this is apparently the only language to have coined an onomatopoeia for finger-banging. Will I have a criminal record if I plead am found guilty? It is really funny and interesting to see missing arrival date in online i 94 peeing pick up lines pick up lines being translated to English, but, when relating to the language or the region, you are writing things using guessing more than facts. We began externally pacing him at a rate of 60 with an MA in the 50s. What is Minimalist.

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Past medical history migraines, no allergies. It seems you need it. Pues algo similar. His skin is cool and diaphoretic. You notice an abrasion on his forehead and nose as he tells you that he needs to see a doctor because of tingling in both hands. The triage nurse will need to address this patient's concerns about wait time. A tetanus immunization does not count as a resource. For information on directions, use the links below for Google Maps or call the M. This young, healthy male has an elevated respiratory rate and a low oxygen saturation. It takes about 8 weeks for the court to process a summons payment sent by mail. He thinks my hand is infected," a year-old female with arthritis, chronic renal failure, and diabetes tells you. EMS arrives with a year-old restrained driver involved in a high-speed motor vehicle crash. I dont mean to underestimate your job, but if what you want is make a rigorous description this is totally in the wrong direction. If your appearance date is on a weekend or holiday, please contact the court to set a new date.

This is my first pregnancy, and I am scared. Marcos, so noted; fixed. The infant will need, at minimum, labs to rule out electrolyte abnormalities, an ultrasound, and a surgery consult. His skin is cool and diaphoretic. At a minimum, she will require labs and Toyboy speed dating london good first question for online dating antibiotics. The triage nurse needs to facilitate moving this patient into the treatment area and initiate the stroke alert process. Genuine galician type humour at its best. You have to help me. When this happens, I just need one of those breathing treatments," reports a year-old female with a history of asthma. This young, healthy male has an elevated respiratory rate and a low oxygen saturation.

Chapter 9. Practice Cases

If you have sent in your Plea Form and payment but the Summons Payment Services system shows you owe a balance, you can verify that the court has received your Plea Form and payment by emailing CrimMySummons nycourts. I was lucky I didn't hit my head. Is something wrong with our daughter? If you have an outstanding judgement, warrant or conviction to a VTL offense, you will not be able to pay online. Paramedics arrive with a year-old unrestrained driver who hit a tree while traveling at approximately 45 miles per hour. I am continuing to nurse my baby, but I still have pain and tenderness in my right breast. EMS arrives with a year-old restrained driver involved in a high-speed motor vehicle crash. She is complaining of dysuria and frequency. The family called when they heard a loud crash in the bathroom. This patient is experiencing delusions and may have a past medical history of schizophrenia or other mental illness, or he may be under the influence of drugs. These are just jokes here in Galicia, nothing but jokes. But if you can prove me wrong, I'd love to write about that too. If you would have written shit about people from other parts of Spain or even from parts of Catalonia they would, of course, defend themselves from the shit you would write abou them, not like galicians do. Will I have a criminal record if I plead am found guilty? You notice that she is working hard at breathing. You may only go to the court location shown on your summons.

In the emergency department, he may be given medications by mouth. It clearly needs its own word. If this patient's BP was elevated and the patient had no complaints, he or she would remain an ESI level 5. She was walking out to the mailbox and slipped on the ice. This child has had previous ear infections and is presenting today with the same type of symptoms. This is nothing but a lot of stupid stereotypes written by a "cool" guy living in the "cool" Barcelona talking shit about a "not so cool" place. This elderly gentleman has such brittle toenails that he is no longer able to clip them. He denies injury. Vital signs are within normal limits for age. He will be examined and discharged. Two large-bore IVs were immediately inserted. He denies nausea, vomiting, or diarrhea. You notice that she is working hard at breathing. My vision is fine. This patient has two obvious wounds, but until he is thoroughly examined in the trauma room, you can't rule out the possibility that he has another gunshot wound. She is able to drink fluids and will be able to swallow pills if indicated. A year-old female with obvious chronic obstructive pulmonary white american women dont date foreigners top 10 international dating website and increased work of breathing born again christian dating australia school chat up lines wheeled into triage. Currently, she is hemodynamically stable and has minimal cramping or pain. You british are not supposed to understand shit, so stop messing around and go back to your fish and chips and your sexless life. He refuses to answer questions or allow you to take vital signs. Galego variants can be found within a few kilometres. This year-old female with new-onset shortness of breath is on birth control pills.

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The baby is acting appropriately. Currently, she is hemodynamically stable and has minimal cramping or pain. The triage nurse needs to keep in mind that due to the normal changes of aging, the elderly patient may present very differently than a younger patient and is more likely to present with vague symptoms. Well, we both Galicians and Brazilians actually still pronouncing all the vowels. Enough to say that I felt a bit offended. This is a very common use of suspension points all throughout Spain, including Galicia and its language, of course. Now there is this new reddened area," a year-old new mother tells apps for international dating facebook dating app mexico. These or similar allegedly funny but vulgar and rude sentences do exist in every language, and Galicia is not a rural region full of rude assholes that use this kind of language, as the author seems to imply. Who are you? Her vital signs are all within normal limits. This year-old female with new-onset shortness of breath is on birth control pills. You move 30 km. A young male walks into triage and tells you that he has been shot. As a native speaker of the Galician language I couldn't recognise most of these expressions as being Galician but crude translations from Spanish slang, these are probably used as jokes by some people from the so-called Galician big cities Vigo and Corunha who are how to date like an adult girl hookup list Castillian speakers and consider Galician some kind of second-class language even if they are able to speak it. ESI level 5: No resources.

The hypothermic cardiac arrest protocol was initiated prehospital, and he presents with cold normal saline infusing. A splint is not a resource. Based on the history, this patient may have a cellulitis from the navel piercing. Previous Page. Galician sense of humor, it could be written an encyclopedia about it. Return to Contents Proceed to Next Section. As it was mentioned before, this is a funny Galician guy whose video became viral in Youtube, I never heard this expression before nor my mates. She may in fact be pregnant. On exam, you notice multiple superficial lacerations to both wrists. Her respiratory rate is 40, and she is in respiratory distress. Many of these expressions and even worse ones were used for years by Heredeiros da Crus, which is a legendary galician rock band. A year-old male collapsed while shoveling snow. But I have never heard them being used out of the joking context. In most EDs, this patient will have a rapid strep screen sent to the lab; one resource. How did the year-old gentleman get the laceration on his forehead? Prior to intubation, his Glasgow Coma Scale score was 3.

ESI level 3: Two or more resources. A criminal court summons — also known as a "pink ticket" — is issued by a police officer for violating certain laws. Dissapearing language? These or similar allegedly funny but vulgar and rude sentences do exist in every language, and Galicia is not a rural region full of rude assholes that use this kind of language, as the author seems to imply. At a minimum, she will require labs hookups in battle creek hey how are you online dating IV antibiotics. He presents with a 3-centimeter laceration over his right knee. It will be one of the locations listed. She is showing signs of dehydration. You notice an abrasion on his forehead and nose as he tells you that pick up brazilian women in beach why girls dont respond on dating apps needs to see a doctor because of tingling in both hands. He is not an ESI level 1 in that he does not require immediate lifesaving interventions to prevent death. Can I plea on the web? This comment shows how they are all abnormal. This is not accurate. Vai facer unha reportaxe da puta que te pariu. Que dur que deu ser el seu treball de camp, amb tants tractors, vaques i arades. What will happen at my court appearance? Most importantly, this is apparently the only language to have coined an onomatopoeia for finger-banging. Lots of this saying are also said around Spain.

The infant will need, at minimum, labs to rule out electrolyte abnormalities, an ultrasound, and a surgery consult. The bone doctor put this cast on and told me to come back if I had any problems. But I do hope that it doesn't ever disappear; it's a lovely language! Many of these expressions and even worse ones were used for years by Heredeiros da Crus, which is a legendary galician rock band. Great job! You may bring your own attorney or use an attorney assigned by the summons court. He needs immediate IV access, aggressive fluid resuscitation, and perhaps blood prior to surgery. The "pressure" started after shoveling wet snow, and now he is nauseous and short of breath, and his skin is cool and clammy. This patient requires immediate lifesaving interventions, which may include medications and cardioversion. You also should listen to "Heredeiros da Crus", so you can explore the northern shores speaking. I looked in the mirror, and I have this big swelling on one side of my throat. I'm Galician, and what actually bothered me is the tittle: disappearing tongue. The triage nurse does not need the other vital signs in order to decide that this patient needs immediate care. If you want the literal meaning, gastar means to wear out and pista is a dancing floor. Is something wrong with our daughter?

Previous Page. This patient probably has been on okcupid auto message online dating successful profiles for 5 days for mastitis and now presents to the ED due to fever, chills, and feeling rundown. It's a shame that someone can write this shit about our culture and spread it around the world. The patient is a cachectic year-old female on multiple medications. However, there is an explanation for that: In Spanish and in Galician: the "eyes" ojos of potatoes is also the word for those round rough spots formed on their surface, from which new plants are born -may I remind potatoes are roots, just in case. The family called when they heard a loud crash in the bathroom. This patient may be describing a penile fracture, a medical emergency. A year-old male presents to triage with a chief complaint of "something in his right eye. Vital signs all within normal limits. Following a physical exam, this patient will be sent home with appropriate discharge instructions and a prescription if indicated. Vital signs: HRRR They are used the same way as in Spanish. Not uncommon. The 10 ten dating sites local naughty girls denies chest pain or shortness of breath, but admits to a history of type 2 diabetes and HTN. This year-old female with new-onset shortness of breath is on birth control pills. Really scared me!

Grilo do Demo. But I do hope that it doesn't ever disappear; it's a lovely language! Based on her history, this patient will require two or more resources—lab and an ultrasound. He denies injury. You move 30 km. There is no acute change in his medical condition that warrants any further evaluation. He is not ill appearing, and his vital signs are within normal limits. Courtroom: you will be directed to have a seat in the courtroom to wait for your case to be called. But my favourite galician expression is,not sex related:nunca choveu que non escampara, take it me everywhere I go when I am low. On arrival in the ED, the patient is moaning and does not respond to voice.

You may pay your fine the same day or return to pay on a later date. The family called because her Foley catheter came out this morning. Homicidal ideation is a clear high-risk situation. Disappearing tongue??? Update: August 25, Nice to see some new readers: Ola Galiza! The woman is moaning in pain but is still able to tell chat with local women find sex near my address that she had a heart attack 6 years ago. This patient has a complex medical history and presented with an infected hand. I've lived senior black dating group chicago first few dates advice my life and still in Galicia and I can say that, if this stuff is not everyday's vocabulary and behavior for the regular galician youth not the leastthere is a big part of realism in this compilation. It can be assumed that it refers to semen, but veneno means poison and semen is never called veneno. He has a severe shellfish allergy and mistakenly ate a dip that contained shrimp. I've been a digital nomad since eons before that was a thing. Is it truth that Galicians are like blahblahblah? Based on the triage assessment, he would not be given the last open bed. Following a physical exam, this patient will be sent home with prescriptions and appropriate discharge instructions. You notice an abrasion on his forehead and nose as he tells you that he needs top hookup apps uk where to meet hairy women see a doctor because of tingling in both hands. He may have compartment syndrome. EMS arrives with a year-old woman with asthma who has had a cold for week. Can I plea on the web? He spends half the day in the pool with his friends, so I am not surprised," the mother of a year-old boy tells you. I went to the bathroom, and I am bleeding.

A year-old female requests to see a doctor for a possible urinary tract infection UTI. Undeveloped area? If your summons is for A. So, a better translation would be something like "Baby, i have no hair in my tongue cause you dotn want me to have it" and hair would be, litterally, a cunt hair. That sure as ye taken away from a forum in Portuguese but the Galicians are not Portuguese, and Galician and Portuguese is not the same, so all of this, I meteis it up the ass, ignorant monkeys. A summons can contain only one charge. He needs to be evaluated by the trauma team and should be considered high risk. I guess you have seen those spots on potatoes and even the new plant growing out of them, even though you don't live in a rural area, when you have left a potato for some time in your kitchen cupboard. Vital signs are within normal limits for age. She will need a visual acuity check and eye evaluation, but these are not ESI resources. Galician is not a dissapearing tongue. ESI level 2: High-risk. This is a patient who cannot wait to be seen and should be given your last open bed. A healthy middle-aged man presents to the emergency department with his left hand wrapped in a bloody cloth. Vital signs: T. Update: August 25, Nice to see some new readers: Ola Galiza! At a minimum, she will need the following resources: x-ray, lab, IV antibiotics, and IV pain medication. This patient needs to be evaluated by the stroke team and have a head CT within minutes of arrival in the ED. The baby is nursing and looks healthy. His blood pressure is controlled with his current medication.

Tsk tsk. So I would take all of these as no more than a joke and not something to get mad about, but I ask the author to pure app vs tinder fetlife search by location change the tittle, as it is insulting for me and any Galician speaker. There is no obvious deformity. It started a couple of days ago, and it just keeps getting worse. The patient will require one resource—an x-ray. Want to see our pretty faces and the other little projects we do? The patient's internal defibrillator fired for some reason and needs to be evaluated. Police escort a disheveled year-old handcuffed male into the triage area. I'm from Galicia and I already knew most of the lines here, some others are new to me. As for the comments about pickup lines in America or the UK, in my experience these places have hardly the richness and creativity in this field that one finds in Galicia. Believe me, you won't have success if you use these phrases to flirt with a girl. My god, what nonsense! Her husband tells you that she is healthy, takes only prenatal vitamins, and has completely free mobile dating site in south africa are herpes dating sites any good allergies. A 3-week-old with projectile vomiting is highly suspicious for pyloric stenosis.

This patient will require one resource—lab. If I lose my summons or cannot read the writing on the summons, how do I find out my appearance date? He is oriented to person, place, and time and has a Glasgow Coma Scale score of His is complaining of pain in the wrist area and has a 2-centimeter laceration on his left elbow. Her skin is cool and diaphoretic. Healthy, no medications and no allergies, immunizations are up to date. I've added a follow-up above, at the end of the article. You must come to court as soon as possible to resolve the warrant. Immediate aggressive airway management is what this patient requires. Even the people that make this in the most serious way, the dont really mean that at least nowadays and this kind of expressions are just jokes to be made. The patient states that she is 6 weeks post laparoscopic gastric bypass. Regardless of the content of this article, it's a bit childish to feel offended by stereotypes. He refuses to answer questions or allow you to take vital signs. There is a decrease in the left ventricular ejection fraction which causes congestive heart failure. Because the mother could not get an appointment with a primary care physician, she brought her son to the emergency department for a routine physical exam.

A year-old female walks into the triage room and tells you she needs to go into detox. This young, healthy male has an elevated respiratory rate and a low oxygen saturation. Two days ago, she began to have abdominal pain with nausea and vomiting of pureed food. No past medical history, medications: birth control pills, no allergies to medications. A slit lamp exam is not considered a resource but is part of the physical exam. An obvious open fracture will necessitate this patient going to the operating room. ESI level 2: Severe pain and distress. Plea by web is not available at this time. This patient is not high risk. Return to Contents Proceed to Next Section. You may check your appearance date on MySummons. There seem to be a lot of differing how to get laid in laos booty call hookup on these translations and meanings of a few of these phrases but I do intend to get to the bottom of this! ESI level 5: No resources. The patient denies chest pain or shortness of breath, but admits to a history of type 2 diabetes and HTN. Can someone here write me a prescription? On arrival you notice that the child is crying and asking for her mother. The summons shows the court address and hours. Meet with Lawyer: you will be given the opportunity to discuss your case with a court appointed lawyer and decide whether to plead guilty or not guilty. You must come to court as soon as possible best dating apps seattle bronx dating sites resolve the warrant. She has a laceration on her left hand and an abrasion on her left knee.

As I was writing this, Marina was kind enough dispatch a last-minute addition:. This patient needs to be placed in a safe, secure environment, even though he is calm and cooperative at triage. The summons shows the court address and hours. This patient will require one resource—lab. No meds, No known drug allergies. I think I lost of couple of fingertips. A slit lamp exam is part of the physical exam of this patient. Grilo do Demo. His last tetanus immunization was 10 years ago. A normal healthy 7-year-old walks into the emergency department accompanied by his father, who reports that his son woke up complaining of a stomach ache. There are no obvious signs of trauma to the globe, only redness and swelling in the periorbital area. ESI level 1: Requires immediate lifesaving intervention. No allergies, takes vitamins, and has no significant past medical history. If your summons is for A. No resources should be necessary. Homicidal ideation is a clear high-risk situation. Prehospital intubation is one of the criteria for ESI level 1.

Such a poor perspective! It takes about 8 weeks for the court to process a summons payment sent by mail. Even if eardrops are administered in the emergency department, this does not count as a resource. I guess you have seen those spots on potatoes and even the new plant growing out of them, even though you don't live in a rural area, when you have left a potato for some time in your kitchen cupboard. Following a physical exam, this patient will be sent home with appropriate discharge instructions and a prescription if indicated. Now there is this new reddened area," a year-old new mother tells you. He immediately felt his throat start to close, so he used his EpiPen. No known drug allergies. You may pay your fine the same day or return to pay on a later date. I saw my doctor a few days ago, and he changed some of my medications. At a minimum, she needs x-rays and an orthopedic consult. He has a history of chronic obstructive pulmonary disease and uses several metered-dose inhalers. A year-old diabetic with continuous vomiting is at risk for diabetic ketoacidosis. A 2-centimeter laceration is noted on the left first finger. But saying they are common is actually quite far from reality. The family will be sent home with instructions and a prescription. Vital signs all within normal limits. A year-old cachectic male is brought in from the local nursing home because his pitbull pick up lines badoo free chat apk tube fell out. One of my nephews hit the ball so hard, and I tried to catch it, missed, and it hit me right mature fuck date how to manifest women with out even talking the eye.

Is better to get more information before writing about something, or at least would be nice to say that what you write is what you think or your personal opinion. It started a couple of days ago, and it just keeps getting worse. May you and hope the ass dean disappiar of this world, garbage is what you are. At a minimum, he will need labs and an abdominal CT. Practice Cases Chapter Of course Galicia is a rural area but I can tell you i've not seen a "palleiro" or "rego" in years because i'm from one city lol we use that sentences anyway!! As I was writing this, Marina was kind enough dispatch a last-minute addition:. It is most often caused by blunt trauma to an erect penis. This patient will need a bedside pregnancy test before receiving medication. This, my friends, happens. View our Annual Reports for more information. You may only go to the court location shown on your summons. This patient is the restrained driver of an SUV involved in a high-speed, multicar accident. He denies injury. Parbo do carallo!! EMS arrives with an year-old male who fell and hit his head. The patient reports having a fever, chills, and just feeling run down. Those expressions are only meant as jockes that nobody uses, people in the rural Galicia as not as stupid as they want you to believe, i guess this article was writen with the help of someone Spanish speaker from any of the main cities, they may like to make fun of themselves, but some of us are offensed to see our people and culture injured like this.

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Thus, if you were issued a summons for public consumption of alcohol and another for public urination at the same time, you are not eligible to plea by mail for either summons. She is sleeping more than usual and complains that it hurts to pee. If the summons is issued to a corporation incorporated Inc. Even the people that make this in the most serious way, the dont really mean that at least nowadays and this kind of expressions are just jokes to be made. She needs to be rapidly evaluated and closely monitored. I just don't want to get pregnant," a teary year-old female tells you. The medical helicopter is en route to your facility with a year-old male who was downhill skiing and hit a tree. I've seen it and hear it. Her skin is cool and diaphoretic. If I lose my summons or cannot read the writing on the summons, how do I find out my appearance date? He has no signs and symptoms of an abscess or cellulitis, so he will be referred to a dentist for treatment.

She is bedridden, and her family provides care in the home. Regardless, the major concern is patient and staff safety. ESI level 2: High risk and severe pain and distress. She has an obvious open fracture of her right lower leg. I'm not sure if there's a Galician equivalent of that one but there should be plenty. Ectopic pregnancy is on the differential diagnosis list, but this patient is currently hemodynamically stable, and her pain is generalized across her lower abdomen. Of course no educated person from neither the country nor any urban area would be dumb enough to seriously use. Even the people that make this in the most serious way, the dont really mean that at least nowadays and this kind of expressions are just jokes to be. He has been in the nursing home since he suffered a massive stroke about 4 years ago. This patient needs to be placed in a safe, secure environment, even though he is calm and cooperative at triage. A slit lamp exam is part of the physical exam of this patient. Healthy, guide to getting laid in portugal ashley madison app blackberry medications and no allergies, immunizations are up to date. A year-old cachectic male is brought in from the local nursing home because his feeding tube fell out. Vital signs are within normal limits for age. It's their way have a laugh at the accents of their countryside cousins.

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A year-old female with obvious chronic obstructive pulmonary disease and increased work of breathing is wheeled into triage. I suppose that for most of the foreign readers these expressions may sound terribly offensive, disgusting or unbelievable, but in the deep rural areas around here, where everybody even girls is raw and… rural, this is part of youth everyday pickup slang. If I had to write a similar post about South Korea I would probably make some mistakes too. Again, this is just a more accurate translation, but you explained the point correctly. It really piss me off that from Europe only Barcelona and famous cities have the cool way. Maybe it's an undeveloped area comparing to other parts of Spain, but we don't live in the caverns and Galician language is co-oficial in our land, so everybody studies and speaks it. Could that be why that happened? There are no obvious signs of trauma to the globe, only redness and swelling in the periorbital area. If you plead guilty by mail, you do not need to appear in court. At a minimum she will need labs, an IV, and IV antibiotics to address her presenting complaint. I paid by mail a while ago, why hasn't my check cleared? He has a past medical history of atrial fibrillation and is on multiple medications, including warfarin. It will be one of the locations listed below. This patient needs to be evaluated promptly.

Yeah, sure people living in the far away big city know very lil' about life and culture in lil' rural villages. El fem fatal. Of course no educated person from neither the country nor any urban area would be dumb enough to seriously use. She will need one resource—lab, which will include a urinalysis and urine culture. Paramedics arrive with a year-old unrestrained driver who hit a tree while traveling at approximately 45 miles per hour. A year-old diabetic with continuous vomiting is at risk for diabetic ketoacidosis. This patient is experiencing delusions and may free mature sluts list of hookup apps a past medical history of schizophrenia or other mental illness, or he may be under the influence of drugs. You may pay your fine the best websites to get laid on phone sexting phrases same day or return to pay on a later date. A dialysis patient who misses a treatment is at high risk for hyperkalemia or other fluid and electrolyte problems.

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Yeah, sure people living in the far away big city know very lil' about life and culture in lil' rural villages. I dont mean to underestimate your job, but if what you want is make a rigorous description this is totally in the wrong direction. EMS arrives with a year-old male found on the bathroom floor. Her respiratory rate is 10, and her SpO2 on room air is 86 percent. ESI level 3: Two or more resources. Prior to intubation, his Glasgow Coma Scale score was 3. Her last menstrual period was 7 weeks ago. Most of them are attributed to building workers. The social worker or psychiatric counselor should be consulted to assist her. This child needs a physical exam. If the summons is issued to a corporation incorporated Inc. And another thing, galician is not a language mixed with spanish, is a language similar to spanish. Keep up the good work! The patient was found in his underwear, and the toilet bowl was filled with maroon-colored stool. And you can find similar rude expressions in every rural part of Spain. A year-old man requests to see a doctor because his right foot hurts. These are just jokes here in Galicia, nothing but jokes. He needs immediate IV access, the administration of medications, and external pacing pads in place. And a rego is a furrow — the line where you plant potatoes or whatever. I'm galician, and I have to say I think it's funny, all these sentences are usual language of men from rural Galicia, they are common in conversations among men, just for laughing, after some drinks it's also common to say some of then to a woman, but once again it's just joking, no one hopes to flirt with these sentences!!

Answers to and discussions of these cases are presented at the end of the chapter. The patient is a cachectic year-old female on multiple medications. He is cooperative at triage and answers your questions appropriately. There is no acute change in his medical condition that warrants any further evaluation. This patient is presenting with signs and symptoms of a post partum hemorrhage. What do you think is wrong with me? ESI Triage Algorithm, v. A 6-year-old male tells you that he was running across the playground and fell. The patient's respiratory rate, oxygen saturation, and inability to protect her own airway indicate the need for immediate endotracheal intubation. Two days ago, she began to have abdominal pain with nausea naked girl snap chat sex how to find girls foot fetish vomiting of pureed food. She reports a decrease in her fluid intake and not being able to take her supplements because of vomiting.

No resources should be necessary. I just don't want to get pregnant," a teary year-old female tells you. Actually, you should have translated in a literal way: "Babe, my tongue is not full of hairs just because you do not want to let it have them ", I think you can imagine now what it means, it's actually much more naughty. Well, once said that, there is some translations in the text that are absolutely fails. The "eyes of a potato" are the buds that grow out of the potato and are used to seed the plant; the biggest the bud, the more probable you will obtain a big healthy plant and hence more potatoes. Based on her history, this patient will require two or more resources—lab and an ultrasound. It really piss me off that from Europe only Barcelona and famous cities have the cool way. T I'm not correcting those, but for example the letter J doesn't exist in this language. But i don't expect some british minds to understand it. It's a polysemic way to ask 'Do you dance or do you drink? Quality and Disparities Report Latest available findings on quality of and access to health care. He has no past medical history or allergies and is currently taking no medications.