In one sentence, describe what the following article is about: Shock occurs when the circulatory system collapses after a traumatic injury. If it is not properly treated, shock can result in death. Check to see if the dog's body is cool to the touch, if its pulse is weak and rapid, its breathing is shallow and rapid, and if its gums are pale or muddy in color. If the dog has any of these symptoms, it may be in shock. If the dog is showing signs of shock, you should try to get it to a vet as soon as possible. In the meantime, however, make sure all of its airways are clear. To do so, open the dog's mouth, pull out the tongue with your fingers, and make sure there is no debris blocking its throat. If there are, use your fingers or a pair of tweezers or pliers to remove the debris. A dog that is in shock may have a drop in body temperature. To keep it warm, cover the dog with a coat, blanket, or a similar item. If you have the dog in your car, you can also turn the heat up to keep it warm. Another symptom of shock is unconsciousness. If the dog is unconscious, keep its head below its body to help blood flow. You can also try massaging the legs and body to help increase blood flow.
Summary: Check the dog for signs of shock. Clear the dog's airways. Cover the dog with a coat or blanket. Keep the dog's head below its body.

Journaling is a great way to express your feelings, encourage yourself, and overcome your fear of success. Writing in your journal on a regular basis can help you identify specific fears as well as the strategies that help you overcome them. It's also a way to document your successes and progress you are making in achieving them. Write about your successes, no matter how large or how small. For instance, if you're elected to speak for your project group, write about it. Take it a step further and write a small statement expressing that you had nothing to fear from the success. For example, you might write, "I aced my test. I was afraid of doing well, but it feels good." Write about other things going on in your life whether they are good or bad, big or small. Write about how you feel about these things. Try to write in your journal at least every few days or so. One way to improve your self-confidence and remind yourself that you can succeed is to write down all of the good things about yourself. Making a list of your strengths, skills, and talents can help you overcome feelings that you don't deserve success or can't achieve it. Include talents and skills you have such as playing an instrument, sports, cooking, typing, programming, singing, writing, dancing, etc. Put personality traits on the list as well. For instance, you might write, "my sense of humor, curiosity, empathy, loyalty." Ask your close friends and family for strengths you might have overlooked. You might say, for example, "Will you look over my list of strengths and see if there's anything I left off?" Part of your fear of success might be because of feelings that you don't deserve success. You can overcome these feelings and your fear of success by maintaining a positive, encouraging, and confident opinion of yourself. Each morning tell yourself, "I'm worthy of success. I can succeed and I deserve to succeed." Make sure to include these positive affirmations in your journaling! Stop yourself when negative self-thoughts creep in. For example, if you find yourself thinking, "I can't do this. I'm not good enough," stop yourself and think, "No, I CAN do this and I AM good enough." If you need to, refer to your list of strengths to find things to tell yourself. You can boost your self-confidence and begin to overcome a fear of success if you congratulate yourself and celebrate your achievements. Practice getting comfortable with success by telling someone about your achievement, however small. Acknowledge small achievements and any time you make an effort to succeed. This will help you become more comfortable with reaching your goals and realize that you have nothing to fear from success. Treat yourself to a cupcake and frozen yogurt if you finish the manuscript you've been working on even if you haven't submitted it yet, for example. Or, for instance, you might reward yourself with a massage if you send your supervisor an email asking to discuss a promotion.
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One-sentence summary -- Start journaling. List your strengths. Use positive self-talk. Reward yourself.

Problem: Article: Put a new speculum, or pointed end, onto your otoscope before each patient. Select the largest possible speculum that your patient's ear will accommodate. When inserted, the speculum should fit snugly into the outer third of the ear canal. Speculums that are too small can cause discomfort and reduce how much of the ear you can examine. Use the following guidelines for speculum size: Adults: 4 to 6 millimeters Children: 3 to 4 millimeters Infants: as small as 2 millimeters Without using the otoscope, take a look at the person's external ear and notice any redness, discharge or swelling. Manipulate the ear gently and ask the patient if there is any pain. With Swimmer's ear there is often pain, swelling, redness, and discharge that can be observed before even using the otoscope. Place the otoscope at your patients ear, not in it. Look into your otoscope and then slowly insert the pointed end of it into the ear canal. Steady your hand on the side of the individuals face if necessary. Slow and gentle insertion can prevent unwanted movement in your patient. It also keeps your hand and scope in line with the ear and minimizes the risk of injury. Avoid putting too much pressure on the otoscope, which can bump the inner canal wall, causing the patient discomfort. Avoid ramming the speculum into the ear canal. Insert it at most 1 to 2 centimeters and then use the light to view beyond the tip of the speculum. Stop the examination immediately if the patient expresses any pain or discomfort. Examine the middle ear and eardrum. Angle the tip of the otoscope towards the person's nose. This follows the normal angle of the ear canal. From here, move the otoscope gently at different angles. This allows you to view the person's eardrum and canal walls. Stop the exam at any sign of increased pain or discomfort. Return the otoscope back to your starting position. As you watch through the speculum, gentle take the speculum and scope out of the person's ear canal and outer ear. Release the person's ear from your grasp. Remove the speculum from the otoscope. Throw it away in a certified medical waste container to minimize the spread of disease or infection to other patients. If you don't have disposable speculums, scrub each tip with hot water to remove excess wax. Then soak the speculum in a covered dish of rubbing alcohol for 10 minutes.
Summary:
Choose the right speculum size. Examine the external ear first. Insert the otoscope slowly into the ear canal. Push the speculum 1 to 2 centimeters into the canal. Angle the otoscope. Remove the otoscope. Throw away the speculum.