High Risk (Adrenaline Search & Rescue)

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Lifeline: an elite search-and-rescue squad based out of Banff, Alberta. Specializing in high-risk rescue missions, this team goes wherever the job takes them. Rebecca James was once revered for her devil-may-care attitude and backcountry survival skills. But ever since she lost her partner in a fatal accident, patches of her memory have been missing.

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And until she can recall those final, tragic moments before the accident, she can't move on. Since Marcus Landers was permanently injured during a mission, all his energies have been focused on his Lifeline team. When Becki—whom he had an intense affair with seven years ago—arrives in Banff, he's inspired to reignite the spark they once had. As their mutual ardor slowly awakens Becki's dormant, haunting memories new truths surface—until Becki must at last confront her greatest fear. And remembering the past might mean a future without the man she loves. Vivian Arend takes you on a wild ride of unforgettable emotion, sizzling sensuality, and breathtaking action.

Our Lists. View all online retailers Find local retailers. Related titles. You may have to complete a minimum number of times participating the activity, such as skydiving jumps. Plenty of people go fishing or hunting for recreation, but you could make it your career. After all, people all over the world need to eat, and the meat and fish they consume has to come from somewhere.

If you go fishing or hunting to relax, then a career in the fast-paced fishing industry is probably not right for you. On the job training is often sufficient to get started in this career. However, with the BLS predicting a slight decrease in fishing and hunting jobs over the next 10 years, attaining these roles might be harder than you would think. These programs cover a range of topics, according to the BLS, including:. They use fish-finding equipment to locate fish from large or small boats.

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  • When they make a catch — typically a large one, especially when using gear like nets — they must store the fish in ways that will keep them safe for food consumption or an alternative use. Even before emergency room doctors and critical care nurses get to a patient in need, another medical professional is there to provide life-saving first aid and cardiopulmonary resuscitation CPR.


    Emergency medical technicians EMTs and paramedics travel to the scenes of accidents, disasters, crimes and medical emergencies to provide initial treatment to patients who — in the most serious circumstances — might otherwise not live long enough to reach the hospital.

    EMTs and paramedics need to provide immediate emergency care. While they do treat patients at the scene, they must also care for patients while an ambulance or medical helicopter transfers them to the hospital. EMTs and paramedics need to be able to handle the pressure and keep calm in an emergency situation. These are the most advanced of the emergency medical services professionals, and they need more training, including a two-year college degree in a subject like emergency medical technology.

    Both EMTs and paramedics save lives in emergency situations, but paramedics have more responsibilities and can provide more extensive patient care. EMTs and paramedics need to complete a training program approved by the Commission on Accreditation of Allied Health Education Programs to earn their certification. These programs include to 1, hours of instruction, depending on the level of study, according to the BLS. Not only do you have the opportunity to literally save lives on a daily basis, but you also have a highly positive job outlook. Instead of serving entire communities like police officers, security guards protect the property, workers and visitors of their specific employers.

    Security guards conduct surveillance through in-person patrols and observing security cameras.

    When alarms on the property go off, security guards are responsible for responding to them. They oversee access to restricted areas, implement security checks and stop those suspected of breaking the law. Security guards act to prevent crimes of all kinds, from theft and vandalism to violent crimes and terrorist acts. A high school diploma is sufficient formal education for becoming a security guard, but these protective services professionals typically must undergo training before starting the job and during their first few weeks on the job.

    Through this training, they learn the correct way to handle emergency situations, administer first aid, detain suspects, report incidents and — if applicable — handle weapons like firearms. In addition to undergoing training, security guards in most states must attain a state registration, which includes passing a background check, the BLS reported.

    High Risk | Adrenaline Search & Rescue Series | Author Vivian Arend

    Security guard is a very large occupation, currently employing more than 1,, workers. While the BLS predicts modest growth in opportunities for security guards over a decade, the expected 5 percent increase will translate to more than 55, new jobs. EMT courses often include training and hands-on experience in driving an ambulance as well as performing CPR and first aid. In many locations, EMTs are responsible for operating emergency services vehicles as well as for patient care. You might also need to attain a special type of commercial driving license or a certificate permitting you to drive an ambulance.

    However, the BLS expects opportunities for ambulance drivers to grow by 33 percent over a decade, adding 6, new jobs.

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    You may be deployed far from your loved ones, and you may face danger and stress in a number of forms. However, you can also encounter adventure as you travel the world protecting your nation. There are numerous roles you can hold in the various branches of the armed forces, with varying level of job responsibilities and pay grades. Some military personnel are entry-level enlisted members, while others are high-level officers with decades of experience. Whether you enlist in the Army, Navy, Air Force, Marine Corps or Coast Guard, you can find various work opportunities that will allow you to train in a career field.

    To begin your career as an enlisted member of the United States military, you must earn a high school diploma. For certain roles, or to advance to a position such as officer, you will need a college education. You must also meet age, physical fitness, citizenship and other requirements and pass a background check. This is because subsequent reactions depending on aetiology may be less severe, for example if exposed to a smaller amount of allergen which should be the case in most patients with food allergy who were provided with appropriate advice, but then suffered inadvertent exposure.

    If symptoms are mild to moderate, initially, oral antihistamines should be given at the onset of the reaction to all patients, an approach demonstrated to be effective, for example, in a large series of nut allergy The precise physiological dose of adrenaline as a treatment for anaphylaxis is not known. The dose of adrenaline is therefore empirical. An AAI delivering 0. Avoidance advice should be provided for food allergens, drugs including antibiotics, latex, exercise and food plus exercise.

    For venom allergy, avoidance advice has much less impact, but still needs providing. Specialist allergy clinics have their own exclusion diet sheets drawn up with dietetic advice, but this must be combined with detailed verbal explanations. Standard practice for healthcare professionals, particularly in the hospital setting, is to use a vial of adrenaline, syringe and needle, and administer intramuscularly in the upper outer quadrant of the buttock.

    Ideally, they should also be small and portable, but a device incorporating all these features has not developed yet. The cartridge device has a compression force delivering the adrenaline deeper than the needle length 49 ; however, it is now apparent that this is only if the needle tip has penetrated the fascia and the delivery was intramuscular The needle length, depth reached by the needle tip and thickness of subcutaneous fat determine the site of delivery of adrenaline 51 , There is limited data on absorption.

    One study compared three sites of injection and showed that absorption was greater from intramuscular injection in the thigh, than either by subcutaneous or by intramuscular injection into the deltoid Thus, intramuscular IM absorption is greater from the thigh vastus lateralis muscle than the arm deltoid , presumably related to musk bulk and perfusion Intramuscular administration in the thigh thus appears preferable. If the AAI needle tip only reaches the subcutaneous tissue, the deep fascia of the thigh prevents fluid from entering the muscle Although the intramuscular route rather than the subcutaneous route is recommended, there are no studies that directly compare clinical effectiveness of the two routes in anaphylaxis.

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    It is essential for patients to practise with a trainer device regularly to maintain technique. With some devices, patients can check that the solution remains clear and colourless. Anapen has been withdrawn in the United Kingdom. This device is therefore not used and has been superseded by other devices, which automatically deliver a fixed dose. Below this age, avoidance should be possible and cover most of those at risk.

    High Risk: An Adrenaline Novel Book 1

    Allergists treating reactions in clinic, for example anaphylaxis induced during a diagnostic challenge or by immunotherapy, have extensive experience and recognize the beneficial effect of a single timely dose of adrenaline. This is delivering adrenaline IM using a vial, syringe and needle. The same prompt response to adrenaline administration is evident in the anaesthetic records of patients who developed anaphylaxis during anaesthesia.

    In clinical practice, the very large number of reports of benefit from patients, although anecdotal, is compelling. Tricyclic antidepressants such as imipramine inhibit reuptake of directly acting sympathomimetic agents and theoretically may potentiate the effect of adrenaline, increasing the risk of development of hypertension and cardiac arrhythmias. It is not known whether this occurs in practice.

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    Patients on these drugs should not be denied adrenaline in anaphylaxis, but adrenaline use should be restricted to severe reactions and there should be caution with dose.