Indian Journal of Surgical Nursing

Majority of the fire-related deaths results not from burns but from inhalation of the toxic products of combustion and inhalation injury has high mortality rate especially when patients require ventilator support for more than 1 week after injury. Early diagnosis of bronchopulmonary injury is thus critical for survival and is conducted primarily clinically, based on a history of closed space exposure, facial burns, and carbonaceous debris in mouth, pharynx, or sputum. Chest radiographs are routinely normal until complications, such as infections, have developed. Neither normal oxygenation nor normal chest radiographs exclude the diagnosis of inhalational burns. However, signs such as hoarseness, carbonaceous sputum, wheeze, and dyspnea are strongly suggestive of inhalation injury. A proper guideline-based management is needed for early diagnosis of inhalational burns and also for keeping a check on unwanted interventions. Here we present a case report on a patient who suffered thermal burns due to kerosene over face, breast and right upper limb who on presentation had clinical signs suggestive of inhalational burns and was managed with International Society For Burn Injuries (ISBI) guidelines.

Introduction: The clinical learning environment is an interactive network of forces influencing student learning outcomes in the clinical setting. This study examined the clinical challenges faced by the nursing students in the clinical environment and to develop the solutions to overcome the barrier. Material and Methods: The research approach used for this study was quantitative approach and the design selected was descriptive study design. By using convenient sampling technique 200 samples of nursing students were selected for this study Results: This study results shows that among 200 samples 53.25% of the students facing psychological problem in the clinical environment and 52% of the students facing physiological problem in the clinical environment and 47.37% of the students are facing professional related problem and 55.8% of the students are facing other problems in clinical environment Conclusion: This study shows that there were majority of the students had face difficulties in the clinical environment with the selected demographic variables such as age, religion, residence, family income, type of family, and interest in nursing.

The aim of this review was to report on the effect of online learning on communication between the instructors and students during COVID-19 pandemic. This is significant because online learning is extremely new to most students and educators as well especially during this period of lockdown. Numerous academic institutions that were prior hesitant to change their conventional academic approach had no choice except for to move completely to web based teaching and learning. The article includes the analysis of various reviews commenting on the effect of online learning on communication. The advancement of good communication skills is a significant part of the instructors capacity to succeed. Effective communication assumes a vital part in successful teaching, since the effective communication affects online educator’s productivity and instructor-student efficiency. Most researchers characterize online learning as getting learning experiences through the use of web technology. Online learning appeals to more number of students since it offers adaptability in cooperation, simple access and accommodation. Anyway for most studies, students recognized issues related to the interpersonal aspects of online interaction. Overall, a large portion of the students actually favor classroom classes over internet based classes. Although many literatures suggest that it is significant for online educators to engage with students by using web innovations for communication in the teaching learning process.