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The Complexities of Mechanical Ventilation: Toppling the Tower of Babel.

Respir Care

June 2023

Enterprise Respiratory Care Research, Cleveland Clinic, Cleveland, Ohio; and Department of Medicine, Lerner College of Medicine of Case Western Reserve University, Cleveland, Ohio.

The exponential increase in the complexity of ventilator technology has created a growing knowledge gap that hinders education, research, and ultimately the quality of patient care. This gap is best addressed with a standardized approach to educating clinicians, just as education for basic and advanced life support classes is standardized. We have developed such a program, called Standardized Education for Ventilatory Assistance (SEVA), based on a formal taxonomy for modes of mechanical ventilation.

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Unlabelled: On January 15th, 2022, at approximately 4:47 pm local time (0347 UTC), several weeks of heightened activity at the Hunga volcano 65 km northwest of Tongatapu, culminated in an 11-h long violent eruption which generated a significant near-field tsunami. Although the Kingdom of Tonga lies astride a large and tsunamigenic subduction zone, it has relatively few records of significant tsunami. Assessment activities took place both remotely and locally.

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Background: Women are under-represented in surgery and leave training in higher proportions than men. Studies in this area are without a feminist lens and predominantly use quantitative methods not well suited to the complexity of the problem.

Methods: In this qualitative study, a researcher interviewed women who had chosen to leave surgical training.

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