eider

can i join in...? we're talking about a neuro patient--presumably a head injury patient...? there's always that possibility of cerebral edema, hence increased ICP...with regards to low sats and low BP...would you do a trendelenburg? how should we prioritize? trendelenburg can increase intra-thoracic pressure and maybe put pressure on the carotids causing more problems with the ICP...but hypotension and decreased sats can also decrease cerebral perfusion...this has always been a dilemma for me...is it really safe to do trendelenburgs in neuro? thanks...

this is somewhat related to the topic...i'm a philippine-graduate nurse (the 4-yr course), presently working in the UK for 3 years now...the need for english proficiency exams, does it apply to all applicants with english as their 2nd language irregardless of where they are coming from at the time of application..? and the need for a reference from previous employers, is it a must before one is allowed to sit the exam? and where else in the world can i take the canadian state board? is it possible (has it ever happened...)for hospitals to accept (or decline) applicants before the exam is taken..? i'm so sorry if these questions sound really daft...

i've scanned through a few 'threads' but none is really as helpful as i hope it'd be :imbar (or maybe i just missed some of it)...i'm presently working in the UK, and I have some queries bout Australia: > is Australian nursing more British or American based? > which part of Australia has a cooler weather? > which city would have a neurological center or what hospital would you recommend for a neuro nurse? > what's the 'pay' like? how bout the cost of living? :uhoh21: > is it better to work for a private, or a public institution? my apologies if ever these questions have been posted already.. thank you in advance for helping me out... eider