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http://mcneilrockport.awardspace.com/

ART ON THE RUN

Joey McMahon

It’s 2:00 a.m. Sunday morning. Jake and I are headed down the longest stretch of road in Texas. We have just pulled out of El Paso and are on the way to Fredericksburg to participate in the Frontier Days Rodeo. We were fortunate to have put together a decent run on our last draw and win enough day-money to keep us going for a while. Jake and I are rodeo-bums, to be specific, calf ropers. I am the one who tries to throw the loop of a rope around a calf’s neck and Jake is my partner, the best roping horse a cowboy ever mounted. By the way, how many understand the art of calf roping? I thought so. Let me walk through the steps of what it takes to put together that perfect run, not that I can do it that often.

Contestants arrive at the arena an hour before the performance to draw the calf each will be roping. A large pen of calves is assembled, each calf branded with a different number. Corresponding numbers are placed in a hat and each cowboy draws his calf for the first go-around. There is always some cowboy who knows what rodeo string these particular calves are from and can discuss some trait of nearly all of them. For example, “ number 16 breaks hard and heads straight to the far end of the arena. Number 8 will break hard but tends to veer sharply right on nearly every run. Number 21 breaks slow and many a good horse has run right past him“.

Having studied the calf, the run put together in my head several times, I am ready to rodeo. Jake is anxiously waiting and ready to be saddled. Mounting up, I pat Jake gently on the neck and we make several trips through the parking lot to get warmed up.

The announcer calls my number and I walk Jake into the arena and check the calf in the chute to be sure he is the one we are to rope. I back Jake into the roping box and the judge stretches and secures the barrier. (The barrier is a small piece of rope pulled tight across the exit of the box designed to give the calf a 10- foot head start. If the horse leaves early and breaks the barrier, 10 seconds are added to the completion of the run). I build a small loop in my pigging string, a one-quarter inch, six foot long rope that is used for tying the calf, and place it in my mouth sticking the loose end under my belt, I swing a large loop in my rope, make sure the calf is looking straight ahead and that Jake has his full attention on the calf. With a nod of my head, we’re off.

Four seconds later I have swung the rope around my head two times, made a smooth throw, watched the loop settle over the calf’s head, jerked the slack out of the rope to secure the loop and dismounted Jake to run down the rope and throw the calf to the ground. Jake has come to a complete stop and is backing up to keep the rope taut while the calf is being tied. I throw the calf to the ground flat on its side, loop the pigging string around one front foot and swing the two back feet forward, crossing them over the leg with the string on it. Two wraps around all three feet, a half-hitch knot, hands thrown in the air, the job is done. From start to finish, when done smoothly, the whole process we’ve gone through should take from six to ten seconds.

I hope this has given some insight on how to rope a calf. The next opportunity attend a rodeo and watch the calf roping, this is truly watching art in motion; that is, art as defined by an old cowboy like myself.

http://ftp.ccccd.edu/andrade/1301/examplepc.htm

Paintball, a Sport for Everyone

Ever dream of shooting your boss or coworkers? Perhaps you will get the chance if you offer to organize a company paintball event. It is a great way to promote teamwork and relieve aggression. Even if the coworker from hell is on the same team as you, keep in mind there is such a thing as “friendly fire” (“accidentally” shooting someone on your team).

The first step is to check out local fields. Some things to look for are, the ratio of referees to players, goggle signs, barrel plugs and personality of the staff. Typically, playing fields are crowded on the weekend. Most fields will open during the week for a group of twenty or more, but do ask. Price is also a consideration; this is an expensive hobby. Expect to pay at least $85 for a case of paint, goggle rental and a paintball marker (gun) rental for a four-hour session. Preferably, try to plan the outing when the weather is comfortable. Playing in the 100 degree Texas heat would be rough on most corporate types.

On the day of the event, it is best to dress in layers. Being hit with a paintball does sting. I recommend wearing gloves and a hat as handshots and headshots seem to hurt the most. Wear comfortable shoes, cleats if possible, if not tennis shoes with good tread. Most often, the playing fields are on grass or dirt surfaces. Usually fields have food and drinks for sale but to be on the safe side bring water, as dehydration is common for rookie players.

The first stop after arriving at the field is the “Staging Area”. This area typically has tables to set your equipment on. After picking up the equipment from the staff, the referee will discuss how the markers (guns) work, how to fill the hoppers (what holds the paintballs) and most importantly safety issues. The first is, everyone chronographs their guns to be certain no one is shooting “hot” over 300 fps (feet per second). Secondly, always wear goggles. Eye injuries are the biggest injury risk of playing paintball and wearing goggles faithfully will prevent it. Thirdly, keep the barrel plug in the gun until the game begins. That way if your finger accidentally pulls the trigger the barrel plug slows down the velocity of the paintball and likely will not cause an injury.

The playing fields have different themes. Most common are speedball courses with tires or tubes for bunkers. Fort and western city themes are also common. After walking to the playing field, everyone is given armbands to wear, a different color for each team. Divide into the appropriate teams and each team head to opposite ends of the playing field. Organization is key. Be certain everyone on the team knows which bunker they are going to. Most of the time, it is not a good idea for several people to crowd into a single bunker. The referee gives additional instructions, for instance if “bunkering” is allowed, that is a shot of closer than 10 feet. Usually in recreational play, fields do not allow this, whereas it is commonplace at paintball tournaments. Typically, the referee will count down, “one, two, three, go, go, go” then run to a bunker. Try to observe what bunkers the other team runs to and relay this to your team. One word of caution, look but do not expose any body part. Look for players on the other team hanging out of their bunkers, and focus on shooting first these people. If there is not anyone to shoot at and no one is shooting at you; consider moving to an empty bunker further up the playing field, again look for a shot. The referees are there to help. If you feel a paintball hit but are not sure if it broke, call for a “paintcheck”. If shot, put your hand on your head, gun in the air and quickly get off the playing field or you may be shot again. Typically, the games are elimination, that is, whichever team eliminates the other wins.

After the game is over the teams go back to the staging area. While there, be sure to wipe off any hits so a referee does not pull you the next game for an old hit. Secondly, fill the hopper with paint and the marker with air, if needed. After everyone is ready, the next game will start. Expect to play six to eight games in a four-hour session.

Back at the office, no doubt there will countless stories of heroics displayed on the playing field. Try to smile sweetly and offer to play again knowing he who brags the most usually is shot the most.

http://ftp.ccccd.edu/andrade/1301/pa2.htm

IV Catheter Placement

Several skills are beneficial to the nurse and paramedic, but perhaps one of the most important skills is the ability to place an intravenous catheter into a vein. This procedure is most commonly referred to as “starting an IV”. In today’s medical community, intravenous cannulation is necessary for the administration of many antibiotics and other therapeutic drugs. Listed below are the procedures and guidelines for starting a successful IV. Following these instructions will provide a positive experience for the patient and clinician.

First, you must obtain all of the necessary supplies: gloves, alcohol or Betadine preps, a tourniquet, tape, an appropriately sized IV catheter, a bag of IV solution, the IV tubing, and gauze pads. While obtaining the supplies, you should inform the patient that IV catheter placement is necessary, and why. Do not lie to the patient and tell him or her that it is a painless procedure. Instead, be honest with them and explain that the initial puncture feels like a sharp pinch on the skin and that the pain and discomfort associated with the IV placement is only temporary. You may find it helpful to demonstrate to the patient the amount of pain to expect by pinching the skin on the back of their hand. This is especially helpful for younger patients or patients who are more concrete in their thinking.

Now, assemble and arrange all of the needed supplies so that they are easily accessible. Connect the IV tubing to the solution bag and allow the fluid in the bag to run through the entire length of the tubing, also known as priming the tubing. When this is done, clamp the tubing closed. You will then need to tear several pieces of tape, six to eight inches in length, to later secure the IV catheter and tubing to the patient’s skin. Keeping these items within close reach will help with the success of the IV catheter placement.

Before continuing any further, place protective gloves on your hands, as there will be direct contact with bodily fluids. Then, you will need to locate a suitable venipuncture site. Some common placement sites for IVs include the back of the hand, the forearm, the antecubital fossa (inside of the elbow), foot, or ankle. After choosing an appropriate site, place a tourniquet above the desired puncture area. Tie the tourniquet using a slip-knot, leaving one end of the knot exposed for rapid removal. The tourniquet slows the venous blood return and increases the vein’s size, thus increasing the ability to see and feel the vein. Now, choose a vein that is well fixed (not rolling) by palpating it with your fingers. The vein will feel spongy and spring back to the surface when you remove your finger. Be careful not to choose a vein with multiple valves near the cannulation site, as this will decrease your chances for a successful IV start.

Next, cleanse the chosen site with the alcohol or Betadine prep and allow it to fully dry. While the prepared area is drying, you should inspect the IV catheter for any manufacturer defects and ensure it functions properly before use. Once the prepped area is dry, place the catheter between your thumb and middle finger with your index finger resting on the top of the catheter. This is the preferred holding method of most nurses and paramedics. Now, it is important to inform your patient that you are about to begin with catheter placement and that his or her cooperation is essential for the best outcome. Holding the catheter at a thirty to forty-five degree angle, enter the skin with the needle’s bevel facing up. Continue to advance the catheter until you feel a pop and see the flashback of blood within the needle’s transparent chamber. Once you have done this, reduce the angle of the needle and advance it approximately five millimeters more.

After needle advancement, the next step is to slide the catheter off of the needle in a gentle twisting motion, while continuing to hold the catheter hub. You should continue advancing the catheter until it is approximately one to three millimeters from the puncture site in the skin. Now, remove the tourniquet by gently tugging on the shorter end. The needle needs to be immediately discarded in the sharp’s container to decrease the likelihood of an accidental needle stick to the practitioner or the patient.

Finally, while you continue to occlude the venous blood flow and hold the catheter hub with one hand, use your other hand to firmly attach the IV tubing set, which has already been primed. Remove the finger that has been occluding the blood flow and open all of the clamps on the tubing to allow the IV solution to run freely. Slowly, decrease the flow of the solution to the appropriate rate as ordered by the physician. Using a small gauze pad, wipe away any excess blood or fluid on the surface of the skin. Then, using the pre-torn pieces of tape, secure the catheter hub and the IV tubing to the patient’s skin. Take extra caution not to kink the tubing. Once everything is secured, recheck the IV solution’s flow and then attend to the rest of your patients needs.

Starting a successful IV takes practice, time, and patience. Once you have perfected this procedure, you will see that the above steps are simply guidelines to help beginners. As your experience grows, you will develop your own techniques and preferences. Remember these steps, and both you and your patient will have a successful IV catheter placement experience.

http://ftp.ccccd.edu/andrade/1301/pa.htm