Vascular: hilar vascular injury that devascularizes spleen. Management General Trauma Mx. Specific: â¢ Fluid resuscitation â 20% req blood. â¢ Angiography/embolisation if arterial bleeding â¢ Surgery: Non-operative Mx common for Grades I & II, sometimes for III. OT more likely if III, IV, other abdominal injuries, haemodynamically unstable, failure of conservative Mx. Splenorrhaphy, partial or total splenectomy possible.
Pulp at a paper mill near Pensacola, 1947. Pulp is a lignocellulosic fibrous material prepared by chemically or mechanically separating cellulose fibres from wood, fiber crops or waste paper. The wood fiber sources required for pulping are 45% sawmill residue, 21% logs and chips, and 34% recycled paper (Canada, 2014).ood pulp comes from softwood trees such as spruce, pine, fir, larch and hemlock, and hardwoods such as eucalyptus, aspen and birch. A pulp mill is a manufacturing facility that converts wood chips or other plant fibre source into a thick fiberboard which can be shipped to a paper mill for further processing.
Wood is made from cellulose fibres that are bound together by a material called lignin. In a pulp mill, the fibres are separated from one another into a mass of individual fibres and after separation, the fibres are washed and screened to remove any remaining fibre bundles. The pulp may then be used directly to make unbleached paper, or be bleached for white paper. Pulp may be fed directly to a paper machine in an 'integrated paper mill' or dried and pressed into bales to be used as a raw material by paper mills worldwide. Chipping is not necessary when mechanical pulp is produced as it can be made of round wood.