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![]() ![]() At Bagram, when the initial surge ended, trauma surgeons cleaned floors and administrative staff rounded to identify patients ready for discharge. Physicians applied their skills in non-traditional roles, such as the urologist who served as an operative assistant to the trauma surgeon and performed wound care duties. In OPF, non-medical personnel assisted with patient movement and stocking supplies. As such, administrative nurses assumed clinical duties and medics moved from the prehospital to the inpatient setting to assist with patient care. In Mogadishu, more than 200 casualties arrived at the hospital during a time when staffing was already short due to a reduction of hospital personnel. When resources are stretched thin, delegation may require assigning personnel to tasks that are outside the scope of their typical duties. The content of this article is drawn from the lessons learned after MCEs in military and civilian healthcare settings.ĭelegation of tasks is key to maintaining quality care during a surge and returning to normal functions promptly. Whereas much has been written about delivering care during an MCE, the focus of this article is to highlight shared strategies to deal with the aftermath of MCEs. ![]() The speakers described their experience dealing with multiple casualties and strategies to handle the aftermath after the initial surge as they transitioned their hospitals to normal operation. To expand on this theme, the American Association for the Surgery of Trauma (AAST) assembled a cadre of military and civilian physicians with experience in mass casualty trauma care to facilitate domestic preparedness for the next MCE. Partnerships have formed, with a combined military–civilian response to Hurricane Harvey, a train derailment in Tacoma, Washington, and the Las Vegas massacre. 1 As such, lessons borrowed from the military have been applied to domestic healthcare. The last 15 years of war have advanced care after mass casualty events (MCEs), dramatically improving patient survival. This article focuses on the lessons learned from military and civilian surgeons in the days after MCEs. The events described were the First Battle of Mogadishu (1993), the Second Battle of Fallujah (2004), the Bagram Detention Center Rocket Attack (2014), the Boston Marathon Bombing (2013), the Asiana Flight 214 Plane Crash (2013), the Baltimore Riots (2015), and the Orlando Pulse Night Club Shooting (2016). A panel discussion entitled The Day(s) After: Lessons Learned from Trauma Team Management in the Aftermath of an Unexpected Mass Casualty Event at the 76th Annual American Association for the Surgery of Trauma meeting on Septembrought together a cadre of military and civilian surgeons with experience in MCEs. Much has been written about strategies to deliver care during an MCE, but there is little about how to transition back to normal operations after an event. Military and civilian collaboration has led to partnerships which augment the response to MCE. Care during mass casualty events (MCE) has improved during the last 15 years. ![]() ![]() The song spent 13 weeks in the UK Singles Chart, and originally peaked at number 15 upon its initial release. The following month, on 6 and 20 October, the band played the song on BBC TV show Top of the Pops. On 6 September 1980, Lemmy was interviewed by Graham Neale on BBC Radio 1's Rock on Saturday show, " Bomber", "Ace of Spades" and "Love Me Like a Reptile" were played. For the lyrics, he said he "used gambling metaphors, mostly cards and dice-when it comes to that sort of thing, I'm more into the one-arm bandits actually, but you can't really sing about spinning fruit, and the wheels coming down". The song opens with an overdriven bass intro played by Lemmy. ![]() One sided test pressings (not mis-presses, but used in the trade) escaped the pressing plant and are on the market. īronze also issued German and Spanish 7" vinyl versions which had a different sleeves, as well as a Japanese release, with a colour picture insert with song lyrics in English and Japanese. The picture of the band in Santa outfits used on the cover was taken at the Aylesbury Fair, while the band were on tour. Initially issued as a 7" vinyl single in October 1980 as a preview to the album Ace of Spades and autumn tour, the song was also released by Bronze Records as a 12" vinyl pressing in special Christmas picture sleeves, limited to 50,000 copies. It was released as a single in October 1980. ![]() " Ace of Spades" is a song by English heavy metal band Motörhead and the title track to the album Ace of Spades. ![]() ![]() ![]() Ashley, director of the Office of Compliance at the FDA’s Center for Drug Evaluation and Research. 64-bit Intel or AMD processor (Not ARM) 8 GB memory (RAM) or more is recommended. “Over the past few years, the FDA has been combatting the retail sale of male enhancement drug products that are frequently misrepresented as dietary supplements and that contain hidden and potentially harmful active drug ingredients,” said Donald D. 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The title track Raum makes a nod towards the early live studio performances like Zeit and Phaedra - the melody accompanied by a chorus-like Roland Jupiter 8 part. ![]() You're Always On Time is built on PPG wavetable sounds and eerie field recordings. Continuum, with its repetitive sequence and broken beat shows glimpses of acid sounds and increasing choral atmospheres. With the 17-minute In 256 Zeichen they lay the fundament of this record. Composed and produced with full access to Edgar Froese's Cubase arrangements (and Otari Tape Archive with recordings from 1977-2013), Thorsten Quaeschning, Hoshiko Yamane and Paul Frick deliver late-night real time compositions combined with classic studio productions, sequencer driven haunting soundscapes alternate with anthemic warm synthesizers.Ĭomposed in a time of social distancing and cancelled shows, the tracks cannot exactly be recreated (or will at least need significant re-instrumentation for a live performance). On their new album, Tangerine Dream develop the concept of its precursor EP ( Probe 6-8) further. Raum feels a little bit more like a transitional work than the unexpectedly solid Quantum Gate, but that album seemed like more of an overt revisit of the band's classic sound, while Raum finds them taking more chances and exploring fresh ideas.Tangerine Dream are happy to announce their latest studio album 'Raum' which was released on February 25, 2022. As Tangerine Dream's influence seemed more prominent throughout electronic music during the 2010s than it had since the group's heyday, the existing lineup produced the band's most inspired work in ages. The rhythmic pulsations and arpeggios build up without fully locking into a beat pattern, and after it feels like the band is pausing to avoid the risk of burnout, wisps of synth and violin textures begin to seep in, and the track momentarily returns to full bloom. "Raum" is the album's other epic, and it's somewhere in between '90s ambient techno and space rock, with lush synth pads accompanied by distorted leads that come close to sounding like soaring guitars. "Along the Canal" is filled with jittery arpeggios and flute-like synth trails, and like the band's mid-'70s work, it feels like it's being shaped by human hands in real time rather than meticulously programmed. While moments like this are a thrilling blend of old and new, one of the record's best tracks is much more in line with vintage Tangerine Dream. ![]() The horizon clears for a stunning burst of light, which gives way to the album's sweetest, most hopeful melodies. Raum's centerpiece is the 19-minute "In 256 Zeichen." Following a nebulous intro, Yamane's mesmerizing violin loops emerge, and they become swept away in a current of percolating synths and intricate beats. ![]() Notably absent is Ulrich Schnauss, who joined the band in 2014, yet curiously enough, the album often sounds more like his own work than Tangerine Dream's - glimmering opener "Continuum" and the downtempo crawl "You're Always on Time" are both easy to mistake for Schnauss, or contemporaries such as Tycho. For this recording, Thorsten Quaeschning, Hoshiko Yamane, and recent addition Paul Frick (of Brandt Brauer Frick) were given access to Froese's archive of Cubase arrangements and tape recordings dating back to the 1970s, so like their previous studio album, 2017's Quantum Gate, he's still present in spirit. Raum is Tangerine Dream's second studio full-length since founder Edgar Froese died in 2015, though the group has additionally released several live albums and EPs. ![]() |
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