UK Paramedic Rapid Sequence Intubation...Is it viable?

This report details the indications and drug requirements of Rapid Sequence Intubation (RSI), then proceeds to discuss the literature and evidence surrounding RSI with a view to answering the question: Can UK Paramedics perform RSI? And more importantly, should they? The literature reviewed is taken from a variety of sources, including searches of internet material, journal articles and relevant text books, and the information critically reviewed. The report details and critiques the information gleaned and discovers that there is little in the way of research relating to Paramedic RSI, and therefore uses other appropriate studies, for example MacKay [1]. It is soon realised that even the studies that are published are not as concise as they first appear to be, some leaving large breaches in the research, and other failing to answer the questions posed. The report concludes that at present, the data that has been collected is not in favour of Paramedic administered RSI, in fact it is overwhelmingly suggested that pre-hospital RSI is actually detrimental to patient outcomes. Therefore, it is concluded that whilst UK Paramedics would be capable of administering RSI, with the evidence bias, it would not be appropriate

Scale disparities and magnetohydrodynamics in the Earth’s core

Fluid motions driven by convection in the Earth’s fluid core sustain geomagnetic ­ fields by magnetohydrodynamic dynamo processes. The dynamics of the core is critically influenced by the combined effects of rotation and magnetic ­ fields. This paper attempts to illustrate the scale-related difficulties in modelling a convection-driven geodynamo by studying both linear and nonlinear convection in the presence of imposed toroidal and poloidal ­ fields. We show that there exist three extremely large disparities, as a direct consequence of small viscosity and rapid rotation of the Earth’s fluid core, in the spatial, temporal and amplitude scales of a convection-driven geodynamo. We also show that the structure and strength of convective motions, and, hence, the relevant dynamo action, are extremely sensitive to the intricate dynamical balance between the viscous, Coriolis and Lorentz forces; similarly, the structure and strength of the magnetic field generated by the dynamo process can depend very sensitively on the fluid flow. We suggest, therefore, that the zero Ekman number limit is strongly singular and that a stable convection-driven strong-­field geodynamo satisfying Taylor’s constraint may not exist. Instead, the geodynamo may vacillate between a strong ­field state, as at present, and a weak ­ field state, which is also unstable because it fails to convect sufficient heat

The effects of aliasing and lock-in processes on palaeosecular variation records from sediments

Studies of sedimentary records of palaeointensity variation report periods as long as 50 kyr. Archaeointensity data show geomagnetic periods of 2 kyr with large ampli-tudes. Sampling of the sedimentary records can be as coarse as 8 kyr, so the apparent long periods could be caused by aliasing. The sedimentary lock-in process could smooth the record and remove short periods, thereby preventing aliasing from occurring. We examine possible effects of aliasing by creating a 100-kyr-long synthetic sequence of palaeointensity variation with a similar spectrum to that of archaeomagnetic data from the last 12 kyr and resampling at longer intervals. With no lock-in smoothing,aliasing produces spurious energy in the spectra at long periods. When smoothing by the sedimentation process is applied, the amplitudes of the aliased peaks are reduced but still cause significant, spurious, long-period energy in the spectra for some sedi- mentation rates. We restrict our analysis to palaeointensity data but similar problems may also exist for coarsely sampled directional data. To avoid aliasing we recommend a maximum sampling interval of 2 kyr

Kinematic dynamo action in a sphere: Effects of periodic time-dependent flows on solutions with axial dipole symmetry

Choosing a simple class of flows, with characteristics that may be present in the Earth's core, we study the ability to generate a magnetic field when the flow is permitted to oscillate periodically in time. The flow characteristics are parameterised by D, representing a differential rotation, M, a meridional circulation, and C, a component characterising convective rolls. Dynamo action is sensitive to these flow parameters and fails spectacularly for much of the parameter space where magnetic flux is concentrated into small regions. Oscillations of the flow are introduced by varying the flow parameters in time, defining a closed orbit in the space (D,M). Time-dependence appears to smooth out flux concentrations, often enhancing dynamo action. Dynamo action can be impaired, however, when flux concentrations of opposite signs occur close together as smoothing destroys the flux by cancellation. It is possible to produce geomagnetic-type reversals by making the orbit stray into a region where the steady flows generate oscillatory fields. In this case, however, dynamo action was not found to be enhanced by the time-dependence. A novel approach is taken to solving the time-dependent eigenvalue problem, where by combining Floquet theory with a matrix-free Krylov-subspace method we avoid large memory requirements for storing the matrix required by the standard approach.Comment: 22 pages, 12 figures. Geophys. Astrophys. Fluid Dynam., as accepted (2004

Gross thermodynamics of two-component core convection

We model the inner core by an alloy of iron and 8 per cent sulphur or silicon and the outer core by the same mix with an additional 8 per cent oxygen. This composition matches the densities of seismic model, Preliminary Reference Earth Model (PR-EM). When the liquid core freezes S and Si remain with the Fe to form the solid and excess 0 is ejected into the liquid. Properties of Fe, diffusion constants for S, Si, 0 and chemical potentials are calculated by first-principles methods under the assumption that S, 0, and Si react with the Fe and themselves, however, not with each other. This gives the parameters required to calculate the power supply to the geodynamo as the Earth's core cools. Compositional convection, driven by light O released at the inner-core boundary on freezing, accounts for half the entropy balance and 15 per cent of the heat balance. This means the same magnetic field can be generated with approximately half the heat throughput needed if the geodynamo were driven by heat alone. Chemical effects are significant: heat absorbed by disassociation of Fe and 0 almost nullify the effect of latent heat of freezing in driving the dynamo. Cooling rates below 69 K Gyr(-1) are too low to maintain thermal convection everywhere; when the cooling rate lies between 35 and 69 K Gyr(-1) convection at the top of the core is maintained compositionally against a stabilizing temperature gradient; below 35 K Gyr(-1) the dynamo fails completely. All cooling rates freeze the inner core in less than 1.2 Gyr, in agreement with other recent calculations. The presence of radioactive heating will extend the life of the inner core, however, it requires a high heat flux across the core-mantle boundary. Heating is dominated by radioactivity when the inner core age is 3.5 Gyr. We, also, give calculations for larger concentrations of O in the outer core suggested by a recent estimation of the density jump at the inner-core boundary, which is larger than that of PREM. Compositional convection is enhanced for the higher density jumps and overall heat flux is reduced for the same dynamo dissipation, however, not by enough to alter the qualitative conclusions based on PREM. Our preferred model has the core convecting near the limit of thermal stability, an inner-core age of 3.5 Gyr and a core heat flux of 9 TW or 20 per cent of the Earth's surface heat flux, 80 per cent of which originates from radioactive heating

Dynamos with weakly convecting outer layers: implications for core-mantle boundary interaction

Convection in the Earth's core is driven much harder at the bottom than the top. This is partly because the adiabatic gradient steepens towards the top, partly because the spherical geometry means the area involved increases towards the top, and partly because compositional convection is driven by light material released at the lower boundary and remixed uniformly throughout the outer core, providing a volumetric sink of buoyancy. We have therefore investigated dynamo action of thermal convection in a Boussinesq fluid contained within a rotating spherical shell driven by a combination of bottom and internal heating or cooling. We first apply a homogeneous temperature on the outer boundary in order to explore the effects of heat sinks on dynamo action; we then impose an inhomogeneous temperature proportional to a single spherical harmonic Y2² in order to explore core-mantle interactions. With homogeneous boundary conditions and moderate Rayleigh numbers, a heat sink reduces the generated magnetic field appreciably; the magnetic Reynolds number remains high because the dominant toroidal component of flow is not reduced significantly. The dipolar structure of the field becomes more pronounced as found by other authors. Increasing the Rayleigh number yields a regime in which convection inside the tangent cylinder is strongly affected by the magnetic field. With inhomogeneous boundary conditions, a heat sink promotes boundary effects and locking of the magnetic field to boundary anomalies. We show that boundary locking is inhibited by advection of heat in the outer regions. With uniform heating, the boundary effects are only significant at low Rayleigh numbers, when dynamo action is only possible for artificially low magnetic diffusivity. With heat sinks, the boundary effects remain significant at higher Rayleigh numbers provided the convection remains weak or the fluid is stably stratified at the top. Dynamo action is driven by vigorous convection at depth while boundary thermal anomalies dominate in the upper regions. This is a likely regime for the Earth's core

Generic baggage: encountering other people in “À une passante” and “Les Veuves"

Baudelaire’s exploitation and challenging of generic conventions have implications for readers’ impressions of a text, including their perceptions of the other people with whom the speaker comes into contact. This article explores these issues in relation to two short texts: ‘À une passante’ – a sonnet evoking one of the most celebrated Baudelairean encounters – and ‘Les Veuves’, a poème en prose in which an apparently similar subject is treated very differently. I conclude that generic baggage can be as problematic as the heuristic assumptions we bring to our everyday dealings with other people

Convection in the Earth's core driven by lateral variations in the core-mantle boundary heat flux

Moving core fluid maintains an isothermal core-mantle boundary (CMB), so lateral variations in the CMB heat flow result from mantle convection. Such variations will drive thermal winds, even if the top of the core is stably stratified. These flows may contribute to the magnetic secular variation and are investigated here using a simple, non-magnetic numerical model of the core. The results depend on the equatorial symmetry of the boundary heat flux variation. Large-scale equatorially symmetric (ES) heat flux variations at the outer surface of a rapidly rotating spherical shell drive deeply penetrating flows that are strongly suppressed in stratified fluid. Smaller-scale ES heat flux variations drive flows less dominated by rotation and so less inhibited by stratification. Equatorially anti-symmetric flux variations drive flows an order of magnitude less energetic than those driven by ES patterns but, due to the nature of the Coriolis force, are less suppressed by stratification. The response of the rotating core fluid to a general CMB heat flow pattern will then depend strongly on the subadiabatic temperature profile. Imposing a lateral heat flux variation linearly related to a model of seismic tomography in the lowermost mantle drives flow in a density stratified fluid that reproduces some features found in flows inverted from geomagnetic data