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Item #ANM11045 — Source #1
|Alkalosis - Medical Animation
|MEDICAL ANIMATION TRANSCRIPT: |
Acid-base balance is the precise maintenance of the hydrogen ion concentration in blood and tissue fluids so the body will function properly. This concentration of hydrogen in body fluids is called PH, and the acidity or alkalinity of the fluid is expressed as a pH value. Normal blood pH ranges from 7.35 to 7.45. Metabolic processes constantly release acids, which freely release hydrogen ions, resulting in increased acidity and lower blood pH. In response, the body can use chemical buffers such as bases to neutralize the acids and physiological buffers to facilitate their excretion through the kidney. Respiratory alkalosis occurs when hyperventilation causes too much carbon dioxide to be exhaled. If respiration removes carbon dioxide faster than the body produces it, a carbon dioxide deficit ensues. As a result, less carbon dioxide is available to combine with water to produce carbonic acid. Less carbonic acid dissociates into fewer free hydrogen ions. A deficit of hydrogen ions raises pH and causes alkalosis. Metabolic alkalosis occurs when hydrogen ion concentration decreases or bicarbonate increases. Conditions causing metabolic alkalosis include depletion of gastric acid through chronic vomiting or nasogastric suction and introduction of excess bicarbonate such as intravenous bicarbonate solutions or antacids. Primary treatment for respiratory alkalosis is reduction of respiratory rate to allow carbon dioxide to return to normal levels. Treatment for metabolic alkalosis from excess bicarbonate intake includes decreasing bicarbonate administration while allowing the kidneys to excrete the excess. For metabolic alkalosis resulting from vomiting, administration of antiemetic drugs will reduce nausea and vomiting. ♪ [music] ♪
|What attorneys say about MLA and The Doe Report:
|"For us, the defining feature of effective demonstrative evidence is
whether, by itself, the piece will tell the story of the case. Medical legal
Art provides our firm with illustrations and animations that are clear and
persuasive. Their exhibits tell the story in a way that allows the jury to
understand a very complex subject, very quickly."
James D. Horwitz
Koskoff, Koskoff & Bieder, P.C.
|"Whether it's demonstrating a rotator cuff tear, neck movement a few
milliseconds after rear impact, or a proposed lumbar fusion, the Doe Report
represents an instant on-line database of medical illustration for
health-care and legal professionals.
Illustrations can be purchased 'as is' or modified within hours and sent
either electronically or mounted on posterboard. An illustration is worth a
thousand words, as juries perk up and look intently to capture concepts
that are otherwise too abstract. Start with good illustrations, a clear and
direct voice, a view of the jury as 12 medical students on day one of
training, and your expert testimony becomes a pleasure, even on cross
examination. An experienced trial lawyer should also emphasize these
illustrations at the end of trial, as a means of visually reinforcing key
As a treating physician, I also use these accurate illustrations to educate
my own patients about their medical conditions. The Doe Report is an
invaluable resource, and its authors at MLA have always been a pleasure to
Richard E. Seroussi M.D., M.Sc.
Diplomate, American Boards of Electrodiagnostic Medicine and PM&R
Seattle Spine & Rehabilitation Medicine
|"Medical illustrations are essential during trial for any medical malpractice case. The people at MLA have the uncanny ability of creating medical illustrations that simplify the most complex of medical concepts and human anatomy to a lay audience. The exhibits of MLA allow experts to easily describe complex concepts and human anatomy in a manner that could
not be done otherwise.
In addition, their custom illustrations show in great detail the extent of
injuries suffered and the devastating effects they have had on the client's
anatomy. These custom illustration can show, side by side, the body before
and after a catastrophic injury. The effect of this juxtaposition is
unmatched by any testimony that can be adduced at the time of trial.
Even jurors after trial have commented on the ease with which they grasp
medical concepts and anatomy once the MLA exhibits were introduced and
used by my experts. Even judges who have "seen it all" are thoroughly
impressed by the detail and sophistication of the illustrations.
I would not want to try a case without them."
Lambros Y. Lambrou
McHUGH & LAMBROU, LLP
New York, NY
|"The Doe Report's Do-It-Yourself Exhibits program enables easy customization
of complex medical exhibits at a reasonable expense and in a timely manner.
Practically speaking, custom medical exhibits are no longer an unthinkable
luxury, but a routine necessity."
Jack S. Cohen
Levy, Angstreich, Finney, Baldante & Coren