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First Page True Stories

Truth really can be stranger than fiction.

First Page - Now launched! All the stories are true, or based on real events. Unlimited reading for $4.99 / month. No downloads. Read on your phone, tablet or computer.

La verdad puede ser más extraña que la ficción.

First Page - ¡Ya está en marcha! Todas las historias son verídicas, o están basadas en hechos reales. Lectura ilimitada por $4.99 / mes. No hay que descargar nada. Lea en su teléfono, tableta u ordenador.

Manna Minutes Christian Podcast

Manna Minutes Podcast: Eye-opening Bible study in less than five minutes! Access all episodes here.

Podcast cristiano Manna Minutes

El podcast Manna Minutes: ¡Estudio bíblico que nos hace abrir los ojos en menos de cinco minutos! Acceda a todos los episodios aquí.

Manna Minutes Christian Podcast

Manna Minutes Podcast Auf Deutsch: Augenöffnendes Bibelstudium in weniger als fünf Minuten! Alle Episoden finden Sie hier.

Is The Covid-19 Vaccine Mandate Of God? Or Is It Evil?

Did you know the Word of God (the Christian Bible) speaks directly against what governments are doing with Covid-19 vaccine mandates? Get the facts here

¿Viene de Dios el mandato de vacuna contra el Covid-19? O ¿acaso es malo?

¿Sabía que la Palabra de Dios (la Biblia cristiana) condena de manera directa lo que los gobiernos están haciendo a través de los mandatos de vacuna contra el Covid-19? Obtenga los hechos aquí.


The Third Man by Angela Sheffield

Was There A Curse On Helen's Romantic Life?

The Third Man by Angela Sheffield is based on a true story. Read chapter one now!

Should A Christian Practice Yoga Or Pilates? The Shocking Truth

Perhaps you practice yoga for health reasons, or to reduce stress. But, do you really know the diabolical goal of any form or style of yoga, including pilates? Get your answers here

La verdad espeluznante sobre el yoga revelada por la Biblia cristiana

Quizás practiques yoga por motivos de salud o para reducir el estrés. Pero, ¿realmente conoces el objetivo diabólico de cualquier forma o estilo de yoga, incluido el pilates? Obten tus respuestas aquí.

Communicating With The Dead: Learn The Shocking Truth

The spirit you think is mom, dad, or some other loved one from beyond the grave is NOT your loved one. But, what about the "proof" that the living can indeed talk to the dead? Let God's Word open your eyes to a deception that is pure evil. Read Spirits Of The Deceased

Comunicarse con los muertos: La impactante verdad

El espíritu que parece ser tu madre, padre o algún otro ser querido tuyo desde el más allá NO es tu ser querido. Pero, ¿qué hay de "la prueba" de que los vivos pueden comunicarse con los muertos? Permite que la Palabra de Dios te abra los ojos para que veas el engaño que es de la maldad pura. Te invitamos a leer ¿Están los muertos entre los vivos?

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Capital Punishment Is Sanctioned By The Bible

Christians and believers in the Bible, the Word of God calls for the death penalty for first degree murder, rape, and other acts of violence. The Bible tells us to behold the goodness AND the severity of God whose Word--including in the New Testament--does NOT speak against capital punishment Read the scriptural proof now.

La Biblia sanciona la pena capital

Cristianos y creyentes en la Biblia, la Palabra de Dios pide la pena de muerte para el asesinato en primer grado, la violación y otros actos de violencia. La Biblia nos dice que contemplemos la bondad Y la severidad de Dios, cuya Palabra -incluso en el Nuevo Testamento- NO habla en contra de la pena capital. Lea ahora la prueba bíblica.

traducciones inglés español

Teofila Gottfried book

¿Qué tiene que ver conmigo? por Teófila Gottfried

Lo que leemos en la Biblia tiene que ver con todos los seres humanos, sean cristianos o judíos, ateos o agnósticos, budistas, musulmanes o adherentes a alguna de las filosofías o nuevas religiones que surgen en el mundo. ¿Por qué? Ver mayor información sobre este interesante libro.

What Are the Different Types of Shock?


What Is Shock?

Perfusion is a term used among health care providers indicating supply of oxygen to the cells of the body and removal of wastes from those cells resulting from blood flow through capillaries. Capillaries are the smallest of blood vessels. Hypoperfusion is inadequate perfusion, commonly known as shock. Few laypeople are aware of the fact that there are different types of shock.

Simple Definitions for Different Types of Shock

Hypovolemic, cardiogenic, and neurogenic shock are the three major types of shock. Hypvolemic shock is hypoperfusion resulting from a loss of blood or fluid. When it sets in as a result of a loss of blood, it is often referred to as hemorrhagic shock. Hemorrhage means bleeding, particularly uncontrolled bleeding. Remember that bleeding can be internal, external, or a combination of both. Therefore, a person can suffer hemorrhagic shock in the absence of visible external bleeding. Victims of burns lose some plasma (the fluid portion of blood). Again, when hypoperfusion is caused by blood OR fluid loss, it is hypovolemic shock, the most commonly seen type of shock by emergency medical technicians (EMTs).

Cardiogenic shock does not result from a loss of blood or plasma. However, it is still considered a life-threatening condition. When the pumping action of the heart becomes inadequate, cells of the body can suffer "starvation" of oxygen and contamination due to the retention of waste products. This type of shock can result from a myocardial infarction (heart attack) or congestive heart failure (CHF).

Nerve paralysis can give rise to neurogenic shock, which is hypoperfusion caused by dilated blood vessels. Wider (dilated) blood vessels might not be able to be filled with blood, resulting in inadequate flow of blood to the cells of the body. It can occur after an injury to the spinal cord.

Signs and Symptoms of Different Types of Shock

Whether the cause of shock is hypovolemic, cardiogenic, or neurogenic, most of the signs and symptoms for one type are identical to another type. One of the most important things to remember about these different types of shock is that there are early signs and symptoms and there are late signs and symptoms. If you know the early signs and symptoms, the victim might have a better chance of survival because of early detection and early intervention.

Below is a list of the signs and symptoms of the different types of shock in the order in which they almost always appear.

1. Altered mental status - The brain is one of the most sensitive organs to insufficient oxygen. Consequently, even slight alterations in mental status can be an indication of possible shock. The person might become very anxious or even combative.

2. Pale, cool, clammy skin - The body is the "first responder" to its medical emergencies. One of the ways it attempts to help itself when facing shock is to divert life-giving blood away from the skin toward vital organs. As blood is diverted away from the skin for the sake of organs such as the heart and brain, temperature decreases and skin color "fades." Note that this particular sign is not typically seen in neurogenic shock.

3. Organs such as the heart and brain are more important than those of the digestive system. Therefore, the body, in an attempt to save itself can divert blood away from the digestive system in favor of more vital organs, resulting in nausea and vomiting. If someone in shock says that he is thirsty, this is not a good sign.

4. Changes in vital signs - The first of the vital signs to change are respiratory and pulse rates. The pulse increases--evidence that the heart is trying to protect itself and the rest of the body by pumping faster. However, as it keeps this up, the pulse eventually becomes weak as the amount of blood it is pumping decreases. Breathing also increases in a desperate attempt to take in more oxygen to be delivered to cells to keep them alive. Eventually, respirations can become shallow and labored.

5. Drop in blood pressure - This is a very late sign indicating that the person is very close to slipping away.

Other signs and symptoms of the different types of shock are pupils that are dilated and cyanosis (bluish color) around the lips and the beds of the nails.

The Third Man by Angela Sheffield Based on true events, The Third Man by Angela Sheffield, brings the Bible up close and personal as the characters face real issues of life: Betrayal, deceit, romance, bitterness, anger against God, hopelessness, will power, perplexity, triumph, unforgiveness, mental illness, and the "Alcohol made me do it" excuse. Read chapter one FREE now.

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