7 Things You Need To Know To Respond To Bus Incidents

Multitasking has long been a part of emergency services but only recently have advances in neuroscience, cognitive psychology and functional MRI studies allowed us to peer into the multitasking mind and the parts of the brain that control it. New information shows us how we can better train our students and ourselves to improve multitasking, filter out “task noise” and identify when to sidestep multitasking to avoid costly clinical, tactical and managerial mistakes. Teaching Formats: -Lecture -Demonstration Exercises -Question and Answer Learning Objectives: Students will learn: - The difference between multitasking and task-switching. - The function of the Executive System of the brain. - The difference between automatic and controlled thought processes. - How to focus training to prepare students for a multitasking environment. - When and how to avoid multitasking for better trouble-shooting and decision-making (clinical, tactical, managerial). Find more at www.romduckworth.com

Multitasking: Maximum Effectiveness, Minimum Errors.

Pediatric fever can be a benign symptom of common childhood illness. But what about when it isn't? When bacterial or viral infection triggers Systemic Inflammatory Disease Syndrome (SIRS) it's known as pediatric sepsis. In the United States each year there are approximately 430,000 cases of pediatric sepsis, approximately 10% of which are considered pediatric severe sepsis. Of these, approximately 4,300 children die each year, often due to missed or delayed diagnosis. But today EMS plays a decisive role in the identi-fication and early treatment of these critically ill children. This program will show advanced EMS providers how to assess, treatment, and coordinate care for these very sickest children. Take home the knowledge of how you can make the biggest difference for our lit-tlest patients. www.Romduck.com www.RescueDigest.com

EMS Care for Pediatric Septic Shock

Failure to recognize unsafe situations. Failure to prevent unsafe actions. Failure to deliver effective operations. These are the results of poor situational awareness in emergency responders of all levels. This program uses real-life case studies and in-class exercises to train emergency responders in applying the six steps of situational awareness and action so that on the fireground and in the field they can be aware, alert, aggressive, always! Who - Emergency Responders of all levels What - Situational Awareness Where - on the fireground / in the field When - at all times Why - for safe and effective action How - through understanding and applying the six steps of Situational Awareness and ACTION WOW - using real life case studies and in-class exercises

Situational Awareness for Fire and EMS

Pinned in a car for two hours, trapped in a building collapse for 12, fallen on the floor for 24. Each of these patients may be experiencing different, but deadly aspects of crush injury, compartment syndrome, and rhabdomyolysis. Why are some victims okay under pressure, but die suddenly when rescued and what, if anything, can EMS do about it? Real-world case-studies bring this presentation to life as it answers these questions and more by bringing you evidence based best practices, protocols and resources that you can use to treat these high-pressure and high-profile patients. For More Information See: www.RomDuck.com www.RescueDigest.com Learning Objectives: Students will be able to: - Identify crush injury, compartment syndrome and injuries consistent with rhabdo-myolysis. - Utilize model pre-hospital protocols for advanced care for crush injury, compart-ment syndrome and rhabdomyolysis patients. - Integrate with trauma systems of care to provide crush injury, compartment syn-drome and rhabdomyolysis patients with the best chance of outcome.

Squeeze Play: Compartment Syndrome, Crush Injury & Rhabdomyolosis

Much of what we've been taught in trauma care from the "ABC's", to "raising patients legs", to "giving oxygen can't hurt" we now know to be wrong. As providers we’re left with the questions "Why?", "When did this happen?", and "What should we do now?" Answering these questions and more this presentation busts major trauma myths, looks forward to coming trauma innovations, and explains the all-important "Trauma Triad of Death!" Teaching Formats: -Demonstration -Student Centered Activities -Question and Answer Learning Objectives: Students will learn: - How to rapidly identify and assess a critically injured trauma patient. - How to prioritize and provide care for the five primary causes of death in victims of trauma. - The actions and interrelations of hypothermia, hypocoagulation (including DIC) and acidosis, the three components of the Trauma Triad of Death. - How to integrate new and evolving treatment solutions involving bleeding control, fluid replacement and patient stabilization to reduce sequelae from injury and im-prove overall patient outcome. www.RescueDigest.com www.RomDuck.com

IOS multitasking is a lie, and that's totally fine.

James Jennings

Innovations in Trauma Care

Accelerating Performance In Your Education Programs: Prepping Students for Real World Work. Description: What can you do to “up your game” as an emergency service educator and ensure that your student come out both prepared for the test and ready for the street? Why is it so difficult for good teachers to connect with some students? The key is applying new twists on tried and true education methods. Attendees will learn the origins and current applications of adult education theory as well as how to set and use “on the fly objectives”. Most importantly, this program presents instructors with the techniques to troubleshoot training program issues and keys to motivating students who don’t seem to otherwise re-spond to your best efforts. Teaching Formats: -Lecture -Interactive Role Play Learning Objectives: Students will learn: -How to improve not just test scores, but the also retention of knowledge and the ability to apply that knowledge in real-world emergency services. -How to conduct an assessment of learning factors pertinent to an entire education pro-gram, a single class or even a specific student. -The identification and application of “on the fly objectives” using the GNOME method. -How to follow the path of development from “Trainer” to “Instructor” to “Educator”. -How the application of higher education theories such as Perry’s “journey of growth” from received knowledge to constructed knowledge is critical to create effective EMS field care providers. www.romduck.com www.RescueDigest.com

Accelerating performance in your education programs slide share

We may have been motivated, educated and entertained, but we can easily wonder what difference it will ultimately make to our work in the "real world". We have to be more than ready, willing, and able to do better. To put theory into practice we have to be intelligent, inspired, and influential. This presentation poises us to take the knowledge, enthusiasm and resources that we have now, bring them home to our own agencies and effect change in a way that's meaningful to our membership and to those who call upon us in their time of crises. www.RescueDigest.com www.RomDuck.com

Bringing It Home: Connecting Theory With Real World Practice

The Know-it-all. The Worrier. The Heckler. The Rambler. The Cheater. Is one rotten apple going to spoil your whole program? This program provides educators of all levels with insight into the sources of student issues as well as the mistakes that instructors commonly make that contribute to classroom unrest. Using lecture, role-play, and comedy, Rom Duckworth shows how educators can differentiate between difficult students and difficult behaviors, how to deal with immediate classroom problems, and what can be done to avoid trouble before it begins. Teaching Formats: -Lecture -Q & A -Role-Play Learning Objectives: Students will learn: - The application of differing instructional and disciplinary approaches based on an as-sessment of the students’ difficult behaviors. - The primary policies and practices to have in place to prevent problem pupils. - Key methods of targeting and eliminating difficult behaviors in the classroom. - Keeping difficult students on track using the PREPS, LEAST and CCMP methods. Find more information and presentations at www.romduckworth.com

Dont Lose Your Cool: Dealing With Difficult students

Traumatic Brain Injuries (TBI’s) account for approximately 2.5 million annual ED visits. Of these, many patients leave with lifelong disabilities and more than 50,000 don’t leave at all (one third of ALL injury related deaths). In those first moments following impact, the EMS care that you provide is a major factor in your patient's outcome. Hyperventilate? Intubate? Permissive hypotension? Do you know what to do? Using case-studies, evidence based guidelines and a common-sense approach, this program gives you strategies for the prehospital management of traumatic brain injuries in a way that real-world medics and EMTs can use them in real world trauma settings. For More Information See: www.RomDuck.com www.RescueDigest.com Learning Objectives: Students will learn: - How to recognize traumatic brain injuries of all levels as they present in the field. - How to perform field and clinical differentiation between concussion, mild TBI, moderate TBI and severe TBI. - How to prioritize field assessment and treatment of TBI patients according to cur-rent clinical guidelines for immediate prehospital care. - How to best coordinate with hospital trauma teams for improved outcomes for TBI patients. - How to implement local TBI prevention strategies.

Honolulu Emergency Services Audit

Honolulu Civil Beat

EMS and TBI: Immediate Field Care for High Impact Injuries

The proliferation of social media and mobile technology is creating new challenges for emergency responders. On virtually every call smart phones, helmet cams and more are capturing images and information ready to be uploaded and shared with the world. New questions of personal privacy and freedom of speech for responders using social media off-duty need to be addressed. How do agencies navigate the minefield that is the new social media landscape? This program gives emergency services leaders and providers plenty of take-home resources to create or revise their social media policies and practices including the twenty points that need to be addressed in any guiding social media documents and ten recommendations for responsible social media use by responders. www.RescueDigest.com wwwRomDuck.com

Social Media Policies and Practices for Emergency Services

SCENARIO SHEETS AVAILABLE AT http://bit.ly/14wYpmz Your work in emergency services involves making critical decisions with little information in a short amount of time. How can you obtain the most important patient information in the time you have? How can you sort through this information to identify key decision points? This presentation shows the Context-CUPS-Care methods to rapidly gather and prioritize the information that you’ll need to best care for your patients. More at www.romduck.com and www.RescueDigest.com

Rock Your Assessment: EMS Tricks, Tips & Techniques to Maximize Patient Infor...

Good vehicle extrication demands a unique collaboration between rescue and emergency medical personnel. Incorporating key victim assessment information in the extrication size-up will improve your strategic and tactical plans. To save a patient (not just chop up a vehicle) rescue and EMS must understand each other’s’ jobs and work together effectively. This program uses a real-world approach to incorporate EMS care considerations in the extrication strategy and shows how most critical trauma encountered in vehicle collisions can be managed quickly and effectively by first re-sponders. This program will help you make better strategic extrication decisions and more safely deliver immediate life-saving treatment, reducing time from patient contact to patient removal to pa-tient surgery.

Multi tasking ppt

Daria Frauenfelder

How to Make Awesome SlideShares: Tips & Tricks

SlideShare

Getting Started With SlideShare

SlideShare

Destacado (17)

20 Things EMS Can Do With Capnography!

Multitasking: Maximum Effectiveness, Minimum Errors.

EMS Care for Pediatric Septic Shock

Situational Awareness for Fire and EMS

Squeeze Play: Compartment Syndrome, Crush Injury & Rhabdomyolosis

IOS multitasking is a lie, and that's totally fine.

Innovations in Trauma Care

Accelerating performance in your education programs slide share

Bringing It Home: Connecting Theory With Real World Practice

Dont Lose Your Cool: Dealing With Difficult students

Honolulu Emergency Services Audit

EMS and TBI: Immediate Field Care for High Impact Injuries

Social Media Policies and Practices for Emergency Services

Rock Your Assessment: EMS Tricks, Tips & Techniques to Maximize Patient Infor...

Multi tasking ppt

How to Make Awesome SlideShares: Tips & Tricks

Getting Started With SlideShare

Similar a 7 Things You Need To Know To Respond To Bus Incidents

Tata cara mengemudi ambulance yang baik

GaluhDwiSasongko

Ambulance Operations

paramedicbob

Prehospital atr training final 2020

CurtisMurray5

Transport operations

Nursing Hi Nursing

Transportation in Hospitals- Dr. Ruchi Kushwaha.pptx

Transport operations

Transport operations

Transport operations

32overviewofhazmatandmci 090910172527-phpapp02

Gerald Revilla

32overviewofhazmatandmci 090910172527-phpapp02 (1)

Gerald Revilla

JWHSC Presentation - May 2015

Don Sharpe

MODULE ON TRAFFIC WARDEN- traffic warden training manual on how to divert tra...

Neha Kajulkar

Emerging technologies

Harsh Pandya

Similar a 7 Things You Need To Know To Respond To Bus Incidents (13)

Tata cara mengemudi ambulance yang baik

Ambulance Operations

Prehospital atr training final 2020

Transport operations

Transportation in Hospitals- Dr. Ruchi Kushwaha.pptx

Transport operations

32overviewofhazmatandmci 090910172527-phpapp02

32overviewofhazmatandmci 090910172527-phpapp02 (1)

JWHSC Presentation - May 2015

MODULE ON TRAFFIC WARDEN- traffic warden training manual on how to divert tra...

Emerging technologies

Más de Rommie Duckworth

EMS and Extrication: Coordinating Critical Care

Recently published papers have given us new insights into the next steps for prehospital care for sepsis patients. By looking at both macro and micro views of patient management this program presents our new understanding of the role of antibiotics, fluid administration, and coordination of clinical care as well as future tools, including advanced biomarkers and the application of antimicrobial nanotechnology. Arm yourself with indispensable knowledge to elevate your prehospital practice and make a real difference in patient outcomes. Rommie L. Duckworth is a dedicated emergency responder, author, and educator from the United States with more than thirty years of experience working in fire departments, hospital healthcare systems, and private emergency medical services. Rom is a career fire captain and paramedic EMS Coordinator for Ridgefield (CT) Fire Department and director of the New England Center for Rescue and Emergency Medicine. Rom holds a master’s degree in public administration, is a graduate of the US National Fire Academy’s Executive Fire Officer program, and is the recipient of the NAEMT Presidential Award, American Red Cross Hero Award, Sepsis Alliance Sepsis Hero Award, and the EMS 10 Innovators Award for Sepsis Education. Rom is the author of "Duckworth on Education," as well as chapters in more than a dozen EMS, fire, rescue, and medical textbooks and over 100 published articles in fire and EMS magazines. A member of the NAEMT Board of Directors and the Sepsis Alliance Advisory Board Rom continues to work for the advancement of emergency services. www.RomDuck.com

Prehospital Sepsis Research Update 2024 Rom Duckworth

Debriefing for Real World Learning I.pptx

Identifying and preparing the next generation of leaders for your department is a critical responsi-bility. What will happen to all of the hard work you’ve put into your organization when it comes time for you to leave? Who will take your organization to the next level? Will they be ready to face the challenges that await them? Will they know how? Training your replacement takes work. Mak-ing a plan, finding a candidate, helping them develop, and handing off the reins isn’t just a good strategy; it is the only choice for your organization to survive. It can take time, money, and work and may seem counterintuitive to train people for a job they aren’t currently doing, but the “Train Your Replacement” mindset, and the four steps it requires, will help your organization get ready for the next set of challenges. This intensively participative workshop helps attendees evaluate their organization and themselves with the goal of “deepening the bench” of future emergency services leaders. Teaching Formats: -Lecture -Question and Answer Learning Objectives: At the conclusion of this program students will be able to: - Utilize the “first steps-next steps-step up-step out” format of successful succession planning. - Ask the key questions necessary to frame a succession plan or program. - Outline the job requirements as they exist now and as they may exist 5 to 15 years into the leader-ship development process. - Apply NFPA 1020 or NEMSMA 7 Pillars to leadership development in their organization. - Link job performance requirements to knowledge, skills, and attitude requirements for positions that will need to be filled.

The Steps to Succession Planning Emergency Services

Title: Designer Drug Evolution: Managing Uncontrolled Patients On Controlled Substances Description: Emergency services are confronted by horrific events caused by a surge in the use of new types of designer drugs. In this program we'll use real world case studies to discuss the up-surge in mephedrone based drugs (“bath salts” and more), synthetic marijuana, salvia divinorum, datura weed, molly and more; what these drugs are, where they've come from, and what form they may take in the future. We'll also discuss what regulators and law enforcement are doing to stop them, and what field providers can do to manage the fallout from this new wave of designer drugs. Teaching Formats: -Lecture -Discussion -Case Studies -Question and Answer Learning Objectives: Students will be able to: - Identify, assess and manage designer drug abusers in acute crises and overdose situations. - Coordinate response and scene management across emergency services for designer drug emergencies. - Provide both basic and advanced emergency medical care for designer drug abuse and ex-cited delirium. - Understand past, present and future development of designer drugs presented through his-torical and contemporary case studies. As seen in Fire Engineering Magazine’s Fire/EMS Column Revised for 2024

Duckworth Designer Drugs.pptx

To think of stroke as a life or death situation is to over-simplify. The concept of “Time Is Brain” doesn’t refer to inanimate neurons that die as a stroke progresses. Each moment of delay in stroke care can destroy not only a patient’s ability to perform activities to get through the day can also lose cells that contain personality and memories. Even patients who survive may lose part of their life. As hospitals are developing new methods of treatment for stroke victims, what role is there for EMS? This program will examine new in-hospital treatments like site-specific thrombolytics, clot corkscrews, cranial hypothermia, and the critical role of EMS in each phase of Stroke Systems of Care. These systems rely on both ALS and BLS providers to not simply save patients’ lives. This lively, pertinent, and through-provoking lecture shows how the actions of EMS providers are critical to every step of saving stroke patients’ life’s. www.ROMDUCK.com

Innovations in Stroke Care FB2023.pptx

This program can help you answer the following ques-tions about UAVs and fire department operations • How can sUAS be used to enhance emergency and non-emergency fire department operations? • How do federal, state, and local laws and regulations impact fire de-partment use of sUAS? • What are the potential costs of using SUASs in fire department opera-tions? • What are the political, social, and other non-regulatory considerations of using sUAS in fire department operations? Presented by Capt. Rommie L. Duckworth, MPA, LP, EFO Ridgefield (CT) Fire Department

Drones for Fire Departments UAVs.pptx

What’s the difference between anaphylactic and anaphylactoid, and should I care? Can a patient have a life-threatening reaction on a first exposure? What are the most important ALS medications for anaphylaxis after epinephrine? How bad is it to give epinephrine for a panic attack? What the heck is Kounis syndrome? Why didn't they teach me this in class? The past ten years have seen a dramatic increase in the number of cases of anaphylaxis across the United States. In response, the American College of Emergency Physicians and the World Allergy Organization have issued im-portant updates on initial emergency treatment for patients suffering from anaphylaxis. While epi-nephrine remains the front-line drug for all levels of care, recent studies show that in-hospital and pre-hospital providers alike aren’t giving it as often or as early as they should. This interactive case-study and pub-quiz style presentation answers these questions and many more with a focus on a rapid differential of anaphylaxis and effective initial and secondary treatments to manage these immediately life-threatening emergencies.

What they didn't tell you about Anaphylaxis 2023.pptx

Regular medical and recreational use of cannabis is on the rise among all age groups. In most cases, this is associated with few side effects, but some regular users experience a wildly paradoxical reaction. While cannabis will normally suppress nausea and pain and stimulate appetite, weekly cannabis use can sometimes produce severe cramping, abdominal pain, vomiting, and nausea, known as cannabinoid hyperemesis syndrome (CHS). In this program, we explore the pathophysiology of CHS, discuss presentations that EMS may encounter, and review the current diagnostic and treatment criteria. Current estimates of cannabinoid hyperemesis syndrome affecting potentially 2.7 million people in the US annually, with significant increases in states with legalization. With complica-tions of CHS including kidney failure, electrolyte imbalance and skin burns on patient seeking self-treatment, can EMS providers afford to be unprepared? Teaching Formats: -Lecture -Discussion -Case Studies -Question and Answer Learning Objectives: Students will be able to: - Appreciate the acute and chronic hazards presented by cannabinoid hyperemesis syndrome - Describe the three phases of cannabinoid hyperemesis syndrome - Identify prehospital presentation signs and symptoms of cannabinoid hyperemesis syndrome with a focus on differential diagnosis - Debate current theories of the pathogenesis of cannabinoid hyperemesis syndrome - Describe immediate EMS as well as long-term treatment for cannabinoid hyperemesis syndrome

Cannabinoid Hyperemesis Syndrome.pptx

Work in any organization, large or small, paid or volunteer, involves transactions of value where the member gets value from the organization and gives value back. Volunteer and employment ex-changes have traditionally focused on the perspective of the organization and what they could get from members. Today, leaders must flip that perspective and consider what the member is looking to gain rather than just what the organization is willing to give to the employee or volunteer. Getting this "employee value proposition" right can help organizations attract high-quality candidates, engage current members to boost performance, and improve the customer experience and business operations. With quality EMS candidates and providers at a premium, organizations that can provide good employee value propositions will thrive, and those that do not will fail to survive.

Catch Them and Keep Them: Recruiting and retaining top employees and volunteers

We’ve all heard controversies about cardiac resuscitation. “Use the right medications.”, “Medications don’t matter.”, “Airway first!”, “Don’t worry about the airway!” It is confusing for EMS professionals to sort out exactly what they’re supposed to do. Taking a look at the Top Ten Headlines for cardiac resuscitation, this program evaluates the strength of the science behind each recommendation as well as how they might be implemented in different EMS systems. Getting past the “Headlines,” attendees will return home well-equipped to open up discussions about optimizing EMS cardiac arrest resuscitation in their systems beyond “I read this study once” or “This is what the algorithms say now.”

The Top 10 Resuscitation Headlines and Controversies: And How To Read Past Th...

We’ve all heard the legends of trauma care. “ABCs vs. CABs!”, “Mechanism of Injury Matters!”, “Never remove a dressing!”, “Hyperventilate that head injury!” But what happens when what you were taught no longer matches what science says? Taking a look at the Top Ten Trauma Myths and Legends, this program evaluates the strength of the science behind each recommendation as well as how they might be implemented in different EMS systems. Getting past “we’ve always done it this way,” attendees will return home well-equipped to open up discussions about trauma care in their systems beyond, “This is what I was taught in class.” and “I read this study once.”

The Top 10 Trauma Myths and Legends: Seeking the science beyond the textbooks

Vince Lombardi said, “The quality of a person’s life is in direct proportion to their commitment to excellence.” In our work, the quality of the lives of others is also in direct proportion to our commitment to excellence. So, if we have all agreed to work in the service of others in their time of need, why do some people in emergency services only go as far as “good enough”? How do people slide from doing what’s right to doing what’s “good enough,” and how do we reconnect them to a commitment to excellence? Inspiring and informative, Rom Duckworth shows how easy it can be for organizations and individuals to stray from the path of excellence and reminds us of the importance of what we do and why, in our unique profession, good enough is simply not good enough. www.RomDuck.com

Good Enough is NOT Good Enough

Prehospital traumatic cardiac arrest is relatively rare and highly complex event that will challenge even the most skilled providers and resuscitation teams. This is further complicated by a shortfall of clear consensus guidelines to help EMS providers rapidly identify, assess, prioritize and care for underlying life-threats as they simultaneously work to resuscitate the patient. What is the best bal-ance between simple algorithms that focus on core priorities versus critical think-ing recommendations that address issues more specifically? This session looks at the latest research and guidelines from key organizations such as the National Association of EMS Physicians, American College of Surgeons Committee on Trauma, and the American Heart Association as well as similar organizations from around the world to help us make the best decisions and take rapid action to give our patients the best hope of survival. Find more at www.RomDuck.com

EMS Management of Traumatic Cardiac Arrest

Sepsis is an emergent medical condition that kills more people annually than prostate cancer, breast cancer, and AIDS combined. For every two heart attack patients cared for by EMS, five patients are hospitalized by sepsis. EMS transports 60% of patients with severe sepsis arriving at the ED and yet EMS providers are often unaware of its presence or what they should do if they find it. This presentation discusses new sepsis criteria along with expert commentary as to how they can be applied in the field. This program includes real-world, practical methods for EMS identification, assessment and field treatment of life-threatening sepsis and looks at the current state of sepsis critical care as well as what we can anticipate in the coming months and years.

It's Not Always Sepsis

In the United States each year approximately 75,00 children develop severe sepsis, ap-proximately 6,800 of whom will die. Many of these cases may include missed or delayed diagnosis. As an EMS provider you play a decisive role in the identification and early treatment of these critically ill children. This program will show EMS providers how to identify, assess, and begin treatment for pediatric patients with sepsis as well as how to coordinate care with emergency department and critical care staff. This program is in-tended for both advanced and basic providers whether working or not your EMS system currently has formal sepsis alert protocols. Learn the latest updates and take home the knowledge of how you can make the biggest difference for our littlest patients. For more information go to www.RomDuck.com

Pediatric Septic Shock for EMS: Rom Duckworth

We’ve all heard the controversies for cardiac resuscitation. “Use the right medications.”, “Medications don’t matter.”, “Airway first!”, “Don’t worry about the airway!” It is confus-ing for EMS professionals to sort out exactly what they’re supposed to do. Taking a look at the Top Ten Headlines for cardiac resuscitation this program evaluates the strength of the science behind each recommendation as well as how they might be implemented in dif-ferent EMS systems. Getting past the “Headlines”, attendees will return home well-equipped to open up discussions about optimizing EMS cardiac arrest resuscitation in their systems beyond “I read this study once” or “This is what the algorithms say now.”

The Top 10 Resuscitation Headlines and Controversies: And How To Read Past Th...

Top Emergency Services Educator Tips

Top Emergency Services Educator Tips

As a profession, emergency services is nearly unique in it’s demands for providers to be able to act as both coordinated team members and independent operators. Critical concepts such as group dynamics, teambuilding, leadership, followership, and interpersonal communications can be difficult to introduce in cognitive and affective domains, let alone practice as psychomotor skills. While there are plenty of “Get out of your seat” activities out there, many of them entertain and fill time, but few focus on teaching and evaluating team-based competencies. Featuring fifteen exercises that you can bring back to your EMS classroom today this program will help you help your students work together better both in the classroom and on the street.

Putting hands on teamwork back in your classroom ss

💚Chandigarh Call Girls Service 💯Jiya 📲🔝8868886958🔝Call Girls In Chandigarh No💰Advance Cash On Delivery Service Chandigarh Call Girls Service punjab ❤️🍑 📲Jiya 8868886958📲 💚👄🫦 Independent Escort Service Chandigarh Call Now :- 8868886958 Lucky Call Girl In Chandigarh | Chandigarh Call Girl | Call girl service in Chandigarh | Call Girls In Chandigarh | Chandigarh Call Girls Their services range from erotic encounters and movie dates to in-call and out-call services, making this option available 24/7. Available for services including NSA, threesomes and foursomes sessions as well as massage services and casual foreplay - they even provide real girlfriend experience. Find one online or visit local women's clubs, hotels or restaurants. Hiring a Chandigarh call girl for an evening or day out can be the perfect addition to your social gathering or office event, or you could arrange for her to visit your home or hotel room. Not only are these women gorgeous, they're intelligent as well, with great senses of humor - sure to please and leave you wanting more. If you want a cheap escort in Chandigarh, look for someone who is either a student or works part time so that she will always be available when you need her. In addition to this, look for housewives as this ensures they have stable lives that can keep you satisfied for extended periods. These beautiful ladies will capture your attention at first sight with stunning eyes and full, seductive lips; not to mention a seductive personality that makes you want to spend more time with them; moreover they are discreet enough to meet up anywhere nearby! Hiring a call girl in Chandigarh can be done through either the internet or calling her directly, with services like massage or sex sessions offered to request from specific agencies within a few hours of making contact. Furthermore, text the girl directly for price quotes!

Más de Rommie Duckworth (20)

EMS and Extrication: Coordinating Critical Care

Prehospital Sepsis Research Update 2024 Rom Duckworth

Debriefing for Real World Learning I.pptx

The Steps to Succession Planning Emergency Services

Duckworth Designer Drugs.pptx

Innovations in Stroke Care FB2023.pptx

Drones for Fire Departments UAVs.pptx

What they didn't tell you about Anaphylaxis 2023.pptx

Cannabinoid Hyperemesis Syndrome.pptx

Catch Them and Keep Them: Recruiting and retaining top employees and volunteers

The Top 10 Resuscitation Headlines and Controversies: And How To Read Past Th...

The Top 10 Trauma Myths and Legends: Seeking the science beyond the textbooks

Good Enough is NOT Good Enough

EMS Management of Traumatic Cardiac Arrest

It's Not Always Sepsis

Pediatric Septic Shock for EMS: Rom Duckworth

The Top 10 Resuscitation Headlines and Controversies: And How To Read Past Th...

Top Emergency Services Educator Tips

Putting hands on teamwork back in your classroom ss

Último

💚Chandigarh Call Girls Service 💯Jiya 📲🔝8868886958🔝Call Girls In Chandigarh No...

Call Girls Service In Mumbai ❤️🍑 9xx000xx09 👄🫦Independent Escort Service Mumbai Maharashtra WhatsApp Chat: ☎️ +91-9xx000xx09 Call Girl Near Me, Mumbai Call Girls, Mumbai Call Girl Booking Details Are here: just visit website: https://hotbabe24.com #Call Girl In Mumbai, #Mumbaicallgirls #CallgirlserviceMumbai, #CallgirlsinMumbai Website on rent : mailto:indiancallgirl4rent@gmail.com Call Girls Mumbai offer you everything from intimate moments to wild nights - be it intimate or wild. Their girls are always prepared to meet all your needs and desires so you're assured a memorable experience with them. Beautiful Babes are sure to turn heads wherever they go, captivating men with their seductive personalities and captivating looks - not to mention their sensually alluring bodies that are sure to satisfy all your naughty fantasies, from blowjobs to anal massages; not forgetting BDSM and orgies as well. Show them some appreciation when the time is right. Call Girl Mumbai that their clients can be very demanding. To maintain their reputation and gain more clients, these sexy call girls always work tirelessly to provide exceptional service that ensures each customer's happiness - so much so that many men seek them out to have an unforgettable experience with Passionate about providing erotic pleasure for their clients - fulfilling all sexy fantasies while offering role play services such as BDSM. ★OUR BEST SERVICES: - FOR BOOKING ★ A-Level (5-star escort) ★ Strip-tease ★ BBBJ (Bareback Blowjob) ★ Spending time in my rooms ★ BJ (Blowjob Without a Condom) ★. Extra ball (Have ride many times) ☛ ☛ ☛ ✔✔ secure✔✔ 100% safe WHATSAPP CALL ME💥✨✨⭐⭐⚡💦💦💨🔥💫💫 Their services range from erotic encounters and movie dates to in-call and out-call services, making this option available 24/7. Available for services including NSA, threesomes and foursomes sessions as well as massage services and casual foreplay - they even provide real girlfriend experience. Find one online or visit local women's clubs, hotels or restaurants. Hiring a Mumbai call girl for an evening or day out can be the perfect addition to your social gathering or office event, or you could arrange for her to visit your home or hotel room. Not only are these women gorgeous, they're intelligent as well, with great senses of humor - sure to please and leave you wanting more. If you want a cheap escort in Mumbai, look for someone who is either a student or works part time so that she will always be available when you need her. In addition to this, look for housewives as this ensures they have stable lives that can keep you satisfied for extended periods. These beautiful ladies will capture your attention at first sight with stunning eyes and full, seductive lips; not to mention a seductive personality that makes you want to spend more time with them; moreover they are discreet enough to meet up anywhere nearby! Hiring a call girl in Mumbai can be done through either the internet

Call Girl Service In Mumbai ❤️🍑 9xx000xx09 👄🫦Independent Escort Service Mumba...

Indore Call Girl Service 📞9235973566📞Just Call Inaaya📲 Call Girls In Indore No💰Advance Cash On Delivery Service "Call Girls Indore VIP Call Girls Service Indore.. Booking Open Now We Are Providing Safe & Secure High Class girl women sucking men Services Affordable Rate 100% Satisfaction, Unlimited Enjoyment. Any Time for Model/ women seeking men in royal call girl High class luxury and premium call girl agency. ✔️High class luxury and premium escorts agency We Provide Well Educated, Royal Class Female, High-class Escorts agency offering a top high class escort service in the royal Escorts ✔️ Get High Profile queens , Well Educated , Good Looking , Full Cooperative Model Services. you can see me at my comfortable Hotels or I can visit you in hotel Our Service Available IN All Services 3/5/7 Star Hotels, In call /Out call Service 24/7.. ✔️ All Meetings We Provide Hottest Female With Me Are Safe And Consensual With Most Limits Respected Complete Satisfaction Guaranteed...Service Available In:- 24/7 3 * 5 *7 *Star Hotel Service In. In Call Out call service Avilable also. ✔️ I guarantee you to have an unforgettable experience with me A curvy body, long hair and silky smooth skin. She is an independent royal Escorts/Women Seeking Men model will give you more pleasure & Full satisfaction. ✔️ I am very sensual and flirtatious with charming personality! I love to laugh and my bright smile is ever Present. ,Hotel & Home Services CALL PLZZ ✔️Available Near All 3* 4* 5* 7* Hotels Of I Want Only Hotel Name , Guest Name , Room No. Only For Confirmation.✔️ Nandani... agency...⭐⭐⭐⭐⭐ VIP...Service ✣ ✤ ✥ ✦ TIME WASTERS AND BARGAINERS ARE PLEASE EXCUSE, WE RESPECT YOUR SAFETY AND PRIVACY AND EXPECT TH WHATSAPP: 9235973566 CALL ME" 9235973566

Indore Call Girl Service 📞9235973566📞Just Call Inaaya📲 Call Girls In Indore N...

❤️Chandigarh Escorts Service☎️8868886958☎️ Call Girl service in Chandigarh☎️ Chandigarh Call Girls Service ☎️ Call Girls In Chandigarh BEST Call Girls in CHANDIGARH Escort Service provide Cute Nice sweet and Sexy Models in beautiful CHANDIGARH city cash in hand to hand call girl in CHANDIGARH and CHANDIGARH escorts. HOT & SEXY MODELS // COLLEGE GIRLS IN CHANDIGARH AVAILABLE FOR COMPLETE ENJOYMENT WITH HIGH PROFILE INDIAN MODEL AVAILABLE HOTEL & HOME ★ SAFE AND SECURE HIGH CLASS SERVICE AFFORDABLE RATE ★ 100% SATISFACTION,UNLIMITED ENJOYMENT. ★ All Meetings are confidential and no information is provided to any one at any cost. ★ EXCLUSIVE Profiles Are Safe and Consensual with Most Limits Respected ★ Service Available In: - HOME & 24x7 :: 3 * 5 *7 *Star Hotel Service .In Call & Out call Services : ★ A-Level (5 star escort) ★ Strip-tease ★ BBBJ (Bareback Blowjob)Receive advanced sexual techniques in different mode make their life more pleasurable. ★ Spending time in hotel rooms ★ BJ (Blowjob Without a Condom) ★ Completion (Oral to completion) ★ Covered (Covered blowjob Without a Condom)Chandigarh Call Girls

💚Trustworthy Call Girls Chandigarh 💯Niamh 📲🔝8868886958🔝Call Girls In Chandiga...

Low Rate Call Girls Nagpur {9xx000xx09} ❤️VVIP NISHA Call Girls in Nagpur Maharashtra. Exclusive Nagpur Escorts 👉 Just Call Us: 9xx000xx09 VIP Call Girls Nagpur 100% Genuine at your Door Step Available 24x7 Booking Details Are here: just visit website: https://www.callgirlescortservice.com/nagpur-call-girls.html #Call Girl In Nagpur, #Nagpurcallgirls #CallgirlserviceNagpur, #CallgirlsinNagpur Website on rent : mailto:indiancallgirl4rent@gmail.com 09-May-2024( Mj) Click On WhatsApp Chat +91-9xx000xx09 Escort Service In Nagpur Nagpur Escorts Make You Feel Like Royalty Nagpur Escorts catering to high profile clients are available 24-7 to meet their clients' needs and are also available for dinner dates, business conferences, foreign travel trips and clubbing activities. Their customers are contacted directly through in order to prevent risky situations from developing.is home to some of Maharashtra's most beautiful women. These girls come highly educated with great backgrounds; furthermore they are extremely beautiful and will make you feel like royalty if hired for hours or days! Siya Khan | FOR BOOKING CALL Our All Services :- 1 )★ (Oral to consummation) bjnonCovered 2 )★ Special Massage 3 )★ O-Level (Oral sex) 4 )★ Blow Job; 5 )★ COB (Come On Body) 6 )★. Extraball (Have sex ordinarily) 7 )★ A-Level (5 star escort) 8 )★ Strip-bother 9 )★ BBBJ (Bareback Blowjob) 10 )★ Spending time in my rooms 11 )★ BJ (Blowjob Without a Condom) 12 )★ COF (Come On Face) 13 )★ Completion

Low Rate Call Girls Nagpur {9xx000xx09} ❤️VVIP NISHA Call Girls in Nagpur Mah...

These lecture slides, by Dr Sidra Arshad, offer a comprehensive description of the events of a cardiac cycle. Learning objectives: 1. Describe a cardiac cycle 2. Explain the mechanical events of cardiac cycle with reference to volume and pressure changes 3. Correlate the mechanical events of cardiac cycle with the electrical events of the heart Study Resources: 1. Chapter 9, Guyton and Hall Textbook of Medical Physiology, 14th edition 2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition 3. Chapter 30, Ganong’s Review of Medical Physiology, 26th edition 4. Cardiac Cycle - StatPearls, https://www.ncbi.nlm.nih.gov/books/NBK459327/ 5. Chapter 14, Human Physiology An Integrated Approach, Dee Silverthorn, 8th ed

The Events of Cardiac Cycle - Wigger's Diagram

MedicoseAcademics

💸Cash Payment No Advance Call Girls Hyderabad 🧿 9332606886 🧿 High Class Call Girl Service Available 9332606886 THE GENUINE ESCORT AGENCY VIP LUXURY CALL GIRLS HIGH CLASS MODELS CALL GIRLS GENUINE ESCORT BOOK BOOK APPOINTMENT - 9332606886 THE GENUINE ESCORT AGENCY BEST VIP CALL GIRLS & ESCORTS SERVICE 9332606886 VIP CALL GIRLS ALL TYPE WOMEN AVAILABLE INCALL & OUTCALL BOTH AVAILABLE BOOK NOW 9332606886 VIP GENUINE INDEPENDENT ESCORT AGENCY VIP PRIVATE AUNTIES BEAUTIFUL LOOKING HOT AND SEXT GIRLS AND PARTY TYPE GIRLS YOU WANT SERVICE THEN CALL THIS NUMBER 9332606886 ROOM ALSO PROVIDE HOME & HOTELS SERVICE FULL SAFE AND SECURE WORK WITHOUT CONDOMS, ORAL, SUCKING, LIP TO LIP, ANAL, BACK SHOTS, SEX 69, WITHOUT BLOWJOB AND MUCH MORE #G05-Our All Services :- 1 )★ (Oral to consummation) bjnonCovered 2 )★ Special Massage 3 )★ O-Level (Oral sex) 4 )★ Blow Job; 5 )★ COB (Come On Body) 6 )★. Extraball (Have sex ordinarily) 7 )★ A-Level (5 star escort) 8 )★ Strip-bother 9 )★ BBBJ (Bareback Blowjob) 10 )★ Spending time in my rooms 11 )★ BJ (Blowjob Without a Condom) 12 )★ COF (Come On Face) 13 )★ Completion FOR BOOKING 9332606886

💸Cash Payment No Advance Call Girls Hyderabad 🧿 9332606886 🧿 High Class Call ...

Top 20 sexiest Indian pornstars list rated by popularity and hotness. Best Indian pornstar are Sunny Leone, Anjali Kara, Shazia Sahari. Browse the list of the hottest indian pornstars at pornpics.de. ❤️Here you can find FREE porn pics of the best female pornstars from India. INDIAN TOP PORNSTAR – #1 ANJALI KARA. Anjali Kara Indian Porn Star. The name Anjali Kara comes to mind when talking the top Indian female porn star name. CheckOut My website : https://www.niamh.in/indian-pornstars.html If you are a fan of Indian Porn Star then you will get here lots of Hot photos of Indian Porn Star. One of the top best Hot Indian Porn Star Name. You know that peoples are crazy about watching the videos of Indian Porn Stars. And here you will find the best porn star name to have fun with. Top Indian Pornstars We have to tell you about all the porn star models ( https://www.niamh.in ) who have made Indian XXX videos so far. Because in today’s time, many women and girls of our age have started having sex a lot. If you look, the list of all Indian porn star is given below for you. Here it will also be told which porn star’s hot sex video is uploaded on which website. How many more videos have been made? All kinds of information about all Indian sex girls will also be provided to you. Many of you have had to go through this. All are Hot Indian porn star girls. Which one is there and a new desi girl porn star’s video has come. Or we have to find out his name and information. Or there are many people like this in our India. Who like to watch sex videos as per their choice. बॉलीवुड एक्ट्रेस सनी लियोनी को हम एक ऐसी पोर्न स्टार के तौर पर जानते हैं जो भारतीय मूल की हैं.

Top 20 Famous Indian Female Pornstars Name List 2024

Low Rate Call Girls Pune {9142599079} ❤️VVIP NISHA Call Girls in Pune Maharashtra Exclusive Pune Escorts 👉 Just Call Us: 9142599079 VIP Call Girls Pune 100% Genuine at your Door Step Available 24x7 Booking Details Are here: just visit website: https://www.callgirlescortservice.com/pune-call-girls.html #Call Girl In Pune, #Punecallgirls #CallgirlservicePune, #CallgirlsinPune 09-May-2024( Mj) Click On WhatsApp Chat +91-9142599079 Pune Escorts Make You Feel Like Royalty Pune Escorts catering to high profile clients are available 24-7 to meet their clients' needs and are also available for dinner dates, business conferences, foreign travel trips and clubbing activities. Their customers are contacted directly through in order to prevent risky situations from developing.is home to some of Maharashtra's most beautiful women. These girls come highly educated with great backgrounds; furthermore they are extremely beautiful and will make you feel like royalty if hired for hours or days! Siya Khan | FOR BOOKING CALL Our All Services :- 1 )★ (Oral to consummation) bjnonCovered 2 )★ Special Massage 3 )★ O-Level (Oral sex) 4 )★ Blow Job; 5 )★ COB (Come On Body) 6 )★. Extraball (Have sex ordinarily) 7 )★ A-Level (5 star escort) 8 )★ Strip-bother 9 )★ BBBJ (Bareback Blowjob) 10 )★ Spending time in my rooms 11 )★ BJ (Blowjob Without a Condom) 12 )★ COF (Come On Face) 13 )★ Completion

Low Rate Call Girls Pune {9142599079} ❤️VVIP NISHA Call Girls in Pune Maharas...

❤️Amritsar Call Girls Service☎️98151-129OO☎️ Call Girl service in Amritsar☎️ Amritsar Call Girls Service ☎️ Call Girls In Amritsar BEST Call Girls in Amritsar Escort Service provide Cute Nice sweet and Sexy Models in beautiful Amritsar city cash in hand to hand call girl in Amritsar and Amritsar escorts. HOT & SEXY MODELS // COLLEGE GIRLS IN Amritsar AVAILABLE FOR COMPLETE ENJOYMENT WITH HIGH PROFILE INDIAN MODEL AVAILABLE HOTEL & HOME ★ SAFE AND SECURE HIGH CLASS SERVICE AFFORDABLE RATE ★ 100% SATISFACTION,UNLIMITED ENJOYMENT. ★ All Meetings are confidential and no information is provided to any one at any cost. ★ EXCLUSIVE Profiles Are Safe and Consensual with Most Limits Respected ★ Service Available In: - HOME & 24x7 :: 3 * 5 *7 *Star Hotel Service .In Call & Out call Services : ★ A-Level (5 star escort) ★ Strip-tease ★ BBBJ (Bareback Blowjob)Receive advanced sexual techniques in different mode make their life more pleasurable. ★ Spending time in hotel rooms ★ BJ (Blowjob Without a Condom) ★ Completion (Oral to completion) ★ Covered (Covered blowjob Without a Condom)Amritsar Call Girls

❤️Amritsar Call Girls Service☎️98151-129OO☎️ Call Girl service in Amritsar☎️ ...

shallyentertainment1

Call Girls Service Chandigarh punjab ❤️🍑 📲8868886958📲 💚👄🫦 Independent Escort Service Chandigarh Call Now :- 8868886958 Malik Call Girl In Chandigarh | Chandigarh Call Girl | Call girl service in Chandigarh | Call Girls In Chandigarh | Chandigarh Call Girls Their services range from erotic encounters and movie dates to in-call and out-call services, making this option available 24/7. Available for services including NSA, threesomes and foursomes sessions as well as massage services and casual foreplay - they even provide real girlfriend experience. Find one online or visit local women's clubs, hotels or restaurants. Hiring a Chandigarh call girl for an evening or day out can be the perfect addition to your social gathering or office event, or you could arrange for her to visit your home or hotel room. Not only are these women gorgeous, they're intelligent as well, with great senses of humor - sure to please and leave you wanting more. If you want a cheap escort in Chandigarh, look for someone who is either a student or works part time so that she will always be available when you need her. In addition to this, look for housewives as this ensures they have stable lives that can keep you satisfied for extended periods. These beautiful ladies will capture your attention at first sight with stunning eyes and full, seductive lips; not to mention a seductive personality that makes you want to spend more time with them; moreover they are discreet enough to meet up anywhere nearby! Hiring a call girl in Chandigarh can be done through either the internet or calling her directly, with services like massage or sex sessions offered to request from specific agencies within a few hours of making contact. Furthermore, text the girl directly for price quotes!

💚 Low Rate Call Girls In Chandigarh 💯Lucky 📲🔝8868886958🔝Call Girl In Chandig...

💸Cash Payment No Advance Call Girls Nagpur 🧿 9332606886 🧿 High Class Call Girl Service Available 9332606886 THE GENUINE ESCORT AGENCY VIP LUXURY CALL GIRLS HIGH CLASS MODELS CALL GIRLS GENUINE ESCORT BOOK BOOK APPOINTMENT - 9332606886 THE GENUINE ESCORT AGENCY BEST VIP CALL GIRLS & ESCORTS SERVICE 9332606886 VIP CALL GIRLS ALL TYPE WOMEN AVAILABLE INCALL & OUTCALL BOTH AVAILABLE BOOK NOW 9332606886 VIP GENUINE INDEPENDENT ESCORT AGENCY VIP PRIVATE AUNTIES BEAUTIFUL LOOKING HOT AND SEXT GIRLS AND PARTY TYPE GIRLS YOU WANT SERVICE THEN CALL THIS NUMBER 9332606886 ROOM ALSO PROVIDE HOME & HOTELS SERVICE FULL SAFE AND SECURE WORK WITHOUT CONDOMS, ORAL, SUCKING, LIP TO LIP, ANAL, BACK SHOTS, SEX 69, WITHOUT BLOWJOB AND MUCH MORE #G05-Our All Services :- 1 )★ (Oral to consummation) bjnonCovered 2 )★ Special Massage 3 )★ O-Level (Oral sex) 4 )★ Blow Job; 5 )★ COB (Come On Body) 6 )★. Extraball (Have sex ordinarily) 7 )★ A-Level (5 star escort) 8 )★ Strip-bother 9 )★ BBBJ (Bareback Blowjob) 10 )★ Spending time in my rooms 11 )★ BJ (Blowjob Without a Condom) 12 )★ COF (Come On Face) 13 )★ Completion FOR BOOKING 9332606886

💸Cash Payment No Advance Call Girls Nagpur 🧿 9332606886 🧿 High Class Call Gir...

Gorgeous Call Girls In Pune {9xx000xx09} ❤️VVIP ANKITA Call Girl in Pune Maharashtra Exclusive Pune Escorts 👉 Just Call Us: 9xx000xx09 VIP Call Girls Pune 100% Genuine at your Door Step Available 24x7 Booking Details Are here: just visit website: https://www.callgirlescortservice.com/pune-call-girls.html #Call Girl In Pune, #Punecallgirls #CallgirlservicePune, #CallgirlsinPune Website on rent : mailto:indiancallgirl4rent@gmail.com 09-May-2024( Mj) Click On WhatsApp Chat +91-9xx000xx09 Pune Escorts Make You Feel Like Royalty Pune Escorts catering to high profile clients are available 24-7 to meet their clients' needs and are also available for dinner dates, business conferences, foreign travel trips and clubbing activities. Their customers are contacted directly through in order to prevent risky situations from developing.is home to some of Maharashtra's most beautiful women. These girls come highly educated with great backgrounds; furthermore they are extremely beautiful and will make you feel like royalty if hired for hours or days! Siya Khan | FOR BOOKING CALL Our All Services :- 1 )★ (Oral to consummation) bjnonCovered 2 )★ Special Massage 3 )★ O-Level (Oral sex) 4 )★ Blow Job; 5 )★ COB (Come On Body) 6 )★. Extraball (Have sex ordinarily) 7 )★ A-Level (5 star escort) 8 )★ Strip-bother 9 )★ BBBJ (Bareback Blowjob) 10 )★ Spending time in my rooms 11 )★ BJ (Blowjob Without a Condom) 12 )★ COF (Come On Face) 13 )★ Completion

Gorgeous Call Girls In Pune {9xx000xx09} ❤️VVIP ANKITA Call Girl in Pune Maha...

Premium Call Girls Bangalore {9179660964} ❤️VVIP POOJA Mehra Call Girls in Bangalore Karnataka Booking Details Are here: just visit website: https://girlsinbangalore.com #Call Girl In Bangalore, #Bangalorecallgirls #CallgirlserviceBangalore, #CallgirlsinBangalore 07-May-2024( Mj) Click On WhatsApp Chat +91-9179660964 POOJA MEHRA Bangalore Escorts Make You Feel Like Royalty Bangalore Escorts catering to high profile clients are available 24-7 to meet their clients' needs and are also available for dinner dates, business conferences, foreign travel trips and clubbing activities. Their customers are contacted directly through in order to prevent risky situations from developing.is home to some of India's most beautiful women. These girls come highly educated with great backgrounds; furthermore they are extremely beautiful and will make you feel like royalty if hired for hours or days! Siya Khan | FOR BOOKING CALL Our All Services :- 1 )★ (Oral to consummation) bjnonCovered 2 )★ Special Massage 3 )★ O-Level (Oral sex) 4 )★ Blow Job; 5 )★ COB (Come On Body) 6 )★. Extraball (Have sex ordinarily) 7 )★ A-Level (5 star escort) 8 )★ Strip-bother 9 )★ BBBJ (Bareback Blowjob) 10 )★ Spending time in my rooms 11 )★ BJ (Blowjob Without a Condom) 12 )★ COF (Come On Face) 13 )★ Completion

Premium Call Girls Bangalore {9179660964} ❤️VVIP POOJA Call Girls in Bangalor...

Low Rate Call Girls Udaipur {9xx000xx09} ❤️VVIP NISHA CCall Girls in Udaipur Escort service book now Rajasthan. Exclusive Udaipur Escorts 👉 Just Call Us: 9xx000xx09 VIP Call Girls Udaipur 100% Genuine at your Door Step Available 24x7 Booking Details Are here: just visit website: https://www.callgirlescortservice.com/udaipur-call-girls.html #Call Girl In Udaipur, #Udaipurcallgirls #CallgirlserviceUdaipur, #CallgirlsinUdaipur Website on rent : mailto:indiancallgirl4rent@gmail.com 09-May-2024( Mj) Click On WhatsApp Chat +91-9xx000xx09 Escort Service In Udaipur Udaipur Escorts Make You Feel Like Royalty Udaipur Escorts catering to high profile clients are available 24-7 to meet their clients' needs and are also available for dinner dates, business conferences, foreign travel trips and clubbing activities. Their customers are contacted directly through in order to prevent risky situations from developing.is home to some of Rajasthan's most beautiful women. These girls come highly educated with great backgrounds; furthermore they are extremely beautiful and will make you feel like royalty if hired for hours or days! Siya Khan | FOR BOOKING CALL Our All Services :- 1 )★ (Oral to consummation) bjnonCovered 2 )★ Special Massage 3 )★ O-Level (Oral sex) 4 )★ Blow Job; 5 )★ COB (Come On Body) 6 )★. Extraball (Have sex ordinarily) 7 )★ A-Level (5 star escort) 8 )★ Strip-bother 9 )★ BBBJ (Bareback Blowjob) 10 )★ Spending time in my rooms 11 )★ BJ (Blowjob Without a Condom) 12 )★ COF (Come On Face) 13 )★ Completion

Low Rate Call Girls Udaipur {9xx000xx09} ❤️VVIP NISHA CCall Girls in Udaipur ...

💞 Safe And Secure Call Girls gaya 🧿 9332606886 🧿 High Class Call Girl Service Available 9332606886 THE GENUINE ESCORT AGENCY VIP LUXURY CALL GIRLS HIGH CLASS MODELS CALL GIRLS GENUINE ESCORT BOOK BOOK APPOINTMENT - 9332606886 THE GENUINE ESCORT AGENCY BEST VIP CALL GIRLS & ESCORTS SERVICE 9332606886 VIP CALL GIRLS ALL TYPE WOMEN AVAILABLE INCALL & OUTCALL BOTH AVAILABLE BOOK NOW 9332606886 VIP GENUINE INDEPENDENT ESCORT AGENCY VIP PRIVATE AUNTIES BEAUTIFUL LOOKING HOT AND SEXT GIRLS AND PARTY TYPE GIRLS YOU WANT SERVICE THEN CALL THIS NUMBER 9332606886 ROOM ALSO PROVIDE HOME & HOTELS SERVICE FULL SAFE AND SECURE WORK WITHOUT CONDOMS, ORAL, SUCKING, LIP TO LIP, ANAL, BACK SHOTS, SEX 69, WITHOUT BLOWJOB AND MUCH MORE #G05-Our All Services :- 1 )★ (Oral to consummation) bjnonCovered 2 )★ Special Massage 3 )★ O-Level (Oral sex) 4 )★ Blow Job; 5 )★ COB (Come On Body) 6 )★. Extraball (Have sex ordinarily) 7 )★ A-Level (5 star escort) 8 )★ Strip-bother 9 )★ BBBJ (Bareback Blowjob) 10 )★ Spending time in my rooms 11 )★ BJ (Blowjob Without a Condom) 12 )★ COF (Come On Face) 13 )★ Completion FOR BOOKING 9332606886

💞 Safe And Secure Call Girls gaya 🧿 9332606886 🧿 High Class Call Girl Service...

💸Cash Payment No Advance Call Girls Kolkata 🧿 9332606886 🧿 High Class Call Girl Service Available 9332606886 THE GENUINE ESCORT AGENCY VIP LUXURY CALL GIRLS HIGH CLASS MODELS CALL GIRLS GENUINE ESCORT BOOK BOOK APPOINTMENT - 9332606886 THE GENUINE ESCORT AGENCY BEST VIP CALL GIRLS & ESCORTS SERVICE 9332606886 VIP CALL GIRLS ALL TYPE WOMEN AVAILABLE INCALL & OUTCALL BOTH AVAILABLE BOOK NOW 9332606886 VIP GENUINE INDEPENDENT ESCORT AGENCY VIP PRIVATE AUNTIES BEAUTIFUL LOOKING HOT AND SEXT GIRLS AND PARTY TYPE GIRLS YOU WANT SERVICE THEN CALL THIS NUMBER 9332606886 ROOM ALSO PROVIDE HOME & HOTELS SERVICE FULL SAFE AND SECURE WORK WITHOUT CONDOMS, ORAL, SUCKING, LIP TO LIP, ANAL, BACK SHOTS, SEX 69, WITHOUT BLOWJOB AND MUCH MORE #G05-Our All Services :- 1 )★ (Oral to consummation) bjnonCovered 2 )★ Special Massage 3 )★ O-Level (Oral sex) 4 )★ Blow Job; 5 )★ COB (Come On Body) 6 )★. Extraball (Have sex ordinarily) 7 )★ A-Level (5 star escort) 8 )★ Strip-bother 9 )★ BBBJ (Bareback Blowjob) 10 )★ Spending time in my rooms 11 )★ BJ (Blowjob Without a Condom) 12 )★ COF (Come On Face) 13 )★ Completion FOR BOOKING 9332606886

💸Cash Payment No Advance Call Girls Kolkata 🧿 9332606886 🧿 High Class Call Gi...

Delhi Call Girl Service 📞8650700400📞Just Call Divya📲 Call Girl In Delhi No💰Advance Cash On Delivery Service Booking Details Are here: just visit website: https://hotbabe24.com #Call Girl In Delhi, #Delhicallgirls #CallgirlserviceDelhi, #CallgirlsinDelhi Website on rent : mailto:indiancallgirl4rent@gmail.com "Call Girls Delhi VIP Call Girls Service Delhi.. Booking Open Now We Are Providing Safe & Secure High Class girl women sucking men Services Affordable Rate 100% Satisfaction, Unlimited Enjoyment. Any Time for Model/ women seeking men in royal call girl High class luxury and premium call girl agency. ✔️High class luxury and premium escorts agency We Provide Well Educated, Royal Class Female, High-class Escorts agency offering a top high class escort service in the royal Escorts ✔️ Get High Profile queens , Well Educated , Good Looking , Full Cooperative Model Services. you can see me at my comfortable Hotels or I can visit you in hotel Our Service Available IN All Services 3/5/7 Star Hotels, In call /Out call Service 24/7.. ✔️ All Meetings We Provide Hottest Female With Me Are Safe And Consensual With Most Limits Respected Complete Satisfaction Guaranteed...Service Available In:- 24/7 3 * 5 *7 *Star Hotel Service In. In Call Out call service Avilable also. ✔️ I guarantee you to have an unforgettable experience with me A curvy body, long hair and silky smooth skin. She is an independent royal Escorts/Women Seeking Men model will give you more pleasure & Full satisfaction. ✔️ I am very sensual and flirtatious with charming personality! I love to laugh and my bright smile is ever Present. ,Hotel & Home Services CALL PLZZ ✔️Available Near All 3* 4* 5* 7* Hotels Of I Want Only Hotel Name , Guest Name , Room No. Only For Confirmation.✔️ Nandani... agency...⭐⭐⭐⭐⭐ VIP...Service ✣ ✤ ✥ ✦ TIME WASTERS AND BARGAINERS ARE PLEASE EXCUSE, WE RESPECT YOUR SAFETY AND PRIVACY AND EXPECT TH WHATSAPP: 8650700400 CALL ME" 8650700400

Delhi Call Girl Service 📞8650700400📞Just Call Divya📲 Call Girl In Delhi No💰Ad...

Call Girls In Indore 📞9235973566📞Just Call Inaaya📲 Call Girls Service In Indore No💰Advance Cash On Delivery Service "Call Girls Indore VIP Call Girls Service Indore.. Booking Open Now We Are Providing Safe & Secure High Class girl women sucking men Services Affordable Rate 100% Satisfaction, Unlimited Enjoyment. Any Time for Model/ women seeking men in royal call girl High class luxury and premium call girl agency. ✔️High class luxury and premium escorts agency We Provide Well Educated, Royal Class Female, High-class Escorts agency offering a top high class escort service in the royal Escorts ✔️ Get High Profile queens , Well Educated , Good Looking , Full Cooperative Model Services. you can see me at my comfortable Hotels or I can visit you in hotel Our Service Available IN All Services 3/5/7 Star Hotels, In call /Out call Service 24/7.. ✔️ All Meetings We Provide Hottest Female With Me Are Safe And Consensual With Most Limits Respected Complete Satisfaction Guaranteed...Service Available In:- 24/7 3 * 5 *7 *Star Hotel Service In. In Call Out call service Avilable also. ✔️ I guarantee you to have an unforgettable experience with me A curvy body, long hair and silky smooth skin. She is an independent royal Escorts/Women Seeking Men model will give you more pleasure & Full satisfaction. ✔️ I am very sensual and flirtatious with charming personality! I love to laugh and my bright smile is ever Present. ,Hotel & Home Services CALL PLZZ ✔️Available Near All 3* 4* 5* 7* Hotels Of I Want Only Hotel Name , Guest Name , Room No. Only For Confirmation.✔️ Nandani... agency...⭐⭐⭐⭐⭐ VIP...Service ✣ ✤ ✥ ✦ TIME WASTERS AND BARGAINERS ARE PLEASE EXCUSE, WE RESPECT YOUR SAFETY AND PRIVACY AND EXPECT TH WHATSAPP: 9235973566 CALL ME" 9235973566

Call Girls In Indore 📞9235973566📞Just Call Inaaya📲 Call Girls Service In Indo...

Call Now ☎ 8868886958 || Call Girls in Chandigarh Escort Service Chandigarh WhatsApp Chat : +91-8868886958 For Escort Service In Chandigarh Get More Information About Chandigarh Escorts Service Chandigarh Escorts offer their services to their clients at any time of day or night - including sex, travel and tours. Contact them via telephone or the internet. Hire an escort as your movie partner, date or party companion - they're sure to exceed all your expectations. Girls available 24/7 make for great companions who offer sensual body massages and drinks/food service during your time together. Find one who fits with your personality or budget - these girls have you covered.

Call Now ☎ 8868886958 || Call Girls in Chandigarh Escort Service Chandigarh