which statement is incorrect? a properly applied tourniquet should

opposite arm, then blood should be drawn from BELOW (distal to) the IV. Mil Med 2006 171 352-356. Deciding to use a butterfly and "short draw" evacuated tubes on a tiny cephalic vein on the side of her right arm, the phlebotomist collects one light blue-top tube and then a lavender-top tube. J Trauma 200660432442. Place the tourniquet at the part of the limb that is closest to the heart. Which of the following tests could be affected by carryover from an EDTA tube? It's also hard to know if you're using a tourniquet correctly. Later that day, the lab called the phlebotomist to say that three of the tests would have to be re-drawn. Dengan spesifikasi yang lumayan mumpuni 5 Tips Mengatasi Bau Kolam Lele Budidaya lele merupakan salah satu budidaya yang diminati banyak orang. It was unclear from the data analysis whether the type of tourniquet employed was of the improvised variety or a commercially available type, who in the field might have placed the device, and whether or not it was properly applied. Casual Approach Synonym, Choose the most appropriate puncture site. The tourniquet should be removed and then the needle. Tourniquets also have a dark side. -Acid Citrate Dextrose (ACD)-YELLOW-DNA-HLA-GENETICS Incorrect timing of artificial respiration .. long , bleeding moderately ; wound on inner 17. (1) Tie a half-knot. a properly applied tourniquet should. Ask the patient if they prefer their left or right arm. Which blood specimen additive can inhibit the metabolism of glucose by the cells, Which of the following items is unnecessary when performing a routine venipuncture, A serum specimen is requested which of the following evacuated tubes can be used to collect it, Which of the following are all anticoagulants that remove calcium from the specimen by forming insoluble calcium salts and therefore prevent coagulation, In a successful venipuncture, evacuated tubes fill automatically as soon as the tube stopper is pierced because of, Lavender stopper tubes are most commonly used to collect, Which of the following is one reason the evacuated tube system (ETS) is the preferred blood collection system, Exposure of the blood to contaminants is avoided, Lithium heparin is a suitable anticoagulant for which of the following tests, Which one of the following additives can be found in a royal bluetop collection tube, Measurement of copper, a trace element, requires blood collection in a tube with a, The blood additive ratio is most critical for a specimen collected in this tube, If phlebotomist have dermatitis, they should, Decontamination of hands after glove removal is essential because, Hand contamination might not be visible to the naked eye, Which disinfectant is preferred by the HICPAC for use on surfaces and instruments, EPA-registered sodium hypochlorite products, After a blood spill, a disinfectant is applied and must have at least 10 minutes of contact time for cleanup to be effective, If hands are heavily contaminated with organic material and a sink is not available, the phlebotomist should clean them with, Detergent-containing wipes followed by a sanitizer, The purpose of a transillumination device is to, Which statement is incorrect? This participant's manual covers: assessments ; cardiac and breathing emergencies ; CPR and AED ; sudden illness and injuries ; substance abuse ; care in special situations ; and more.--Back cover. Which behavior indicates to the nurse the client condition is improving? Pull, don't push. [PubMed] [Google Scholar], 20. Pathology residents and fellows of transfusion medicine will find this book useful as a preparation tool for their exams. Which disinfectant is preferred by the HICPAC for use on surfaces and instruments? 0. which statement is incorrect? Which test can be affected by cross-contamination from a light blue top tube? Figure 4-28 shows the proper steps in applying a tourniquet. Which type of test is most affected by tissue thromboplastin contamination? Tourniquets are tight bands that are tied around an arm or leg to stop bleeding from a serious wound, such as from a gunshot. After a blood spill, a disinfectant is applied and must have at least how many minutes of contact time for cleanup to be effective? Emerg Med J 200219494498. [PubMed] [Google Scholar], 23. test 3. A tube with a royal-blue top with lavender color coding on the label contains: It's important to fill oxalate tubes to the stated fill capacity because excess oxalate: Which of the following substances is contained in a serum separator tube? a properly applied tourniquet should, Quarterly Bulletin of the Canadian Mining Institute. Apply the tourniquet 3-4 inches above the selected puncture site. c. Construct a pressure dressing over your leg wound, and remove the tourniquet yourself. J Trauma 20066010611071. Wear a barrier hand cream or . The tourniquet is not placed above an amputation. Walters T J, Mabry R L. Issues related to use of tourniquets on the battlefield. After its removal, you must wait 5 minutes before reapplying it. Trios Primary Care Kennewick, The cleaning agent in hand sanitizers used in healthcare is? Decontamination of the hands after glove removal is essential because? Champion H R, Bellamy R F, Roberts P.et al A profile of combat injury. Which of the following tests would be most affected by carryover of K2EDTA? Champion H R, Bellamy R F, Roberts P.et al A profile of combat injury. He claimed the discovery of a new element, which he named potassium. Which of the following items is unnecessary when performing a routine venipuncture? Take Home Quiz Chapter 7 - ProProfs Quiz King R B, Filips D, Blitz S.et al Evaluation of a possible tourniquet system for use in the Canadian Forces. A properly applied tourniquet should: This needle gauge is used primarily for infant or child veins, and difficult or hard veins of adults: Tubes designed by the manufacturer to be "short draw" are: We all are striving to own our own home. ( c ) Tourniquet applied so as to stop bleeding but at wrong points , or in such way as to injure patient 12 , Not treating shock . Hematoma: The correct rate on tourniquet releasing time was low (18.5%) in our survey. incorrectly loss of limb will result . Situation: Doctor has ordered a CBC and chemistry profile. The use of tourniquet is the most important maneuver saving most of the casualties' lives in the battlefield. Which three test most likely had questionable results and needed to redrawn? J R Army Med Corp 2001147230235. Choose the most appropriate arm for insertion and apply a tourniquet. Lithium heparin is a suitable anticoagulant for which test? Why do phlebotomists use tourniquets for blood draws? 2. 5. Place the tourniquet high and tight on the extremity (arm or leg), near the armpit or groin. This is a good rule to remember and will make application easier if you have to apply a tourniquet on yourself one-handed. What is the difference between the two? Ask the patient to hold the gauze or cotton wool in place, with the arm extended and raised. No tube was drawn to remove air in the butterfly tubing . Found inside Page 10The physician should evaluate the patient's condition before the tourniquet is applied and at frequent intervals that it should be applied lightly and should not be loosened at periodic intervals.5 Incorrect use of a tourniquet by b. If personal protective equipment (PPE) is available (like gloves and masks), put it on before you start giving first aid. However, in the case of severe bleeding and life-or-death emergencies, properly using a tourniquet is an effective way to stop bleeding and keep an injured person stable until they can receive proper medical attention. Research has shown that improvised tourniquets are effective up to 60% of the time. Navein J, Coupland R, Dunn R. The tourniquet controversy. Underfilled additive tube will have incorrect blood to additive ratio: Definition. Which blood specimen additive can inhibit the metabolism of glucose by the cells? A 100-W100\text{-W}100-W heater is designed to operate with an applied voltage of 120V120 \text{~V}120V. (c)(c)(c) Using the Part (b)(b)(b) result, find the approximate power delivered to the heater if the potential difference is decreased to 115V115 \text{~V}115V. Compare your result to the exact answer. the venipuncture should be performed distal to (below) the hematoma. Secure the windlass to keep the tourniquet tight and in place. Tourniquet. Emergencies that could require a non-medical person to use a tourniquet include: Most people will never need to use a commercial tourniquet. We conclude, however, that the court applied an incorrect legal standard in determining whether Victim's extrajudicial statements were admissible under 491.075. Still, knowing the right way to apply a tourniquet could potentially save someone's life. 5. Which of the following stopper colors identifies a tube used for coagulation testing? Apply tourniquet above the pre-selected venipuncture site. What is the difference between the two? er or a corner Toro NBA Total . 9 . No. After six hours, the damage to the muscle tissue can be bad enough that it's necessary to amputate the affected limb. Swanson A B, Livengood L C, Sattel A B. Lakstein D, Blumenfield A, Sokolov T.et al Tourniquets for hemorrhage control on the battlefield: a 4 year accumulated experience. The new WHO guidelines provide recommended steps for safe phlebotomy and reiterate accepted principles for drawing, collecting blood and transporting blood to laboratories/blood banks. Eur J Vasc Surg 19926288292. Place the tourniquet between the injured vessel and the heart, about 2 inches from the closest wound edge. 5. I do believe that statement is not incorrect as often people try to put tourniquets on wounds that . Tourniquets work only on arm and leg injuries; you can't exactly wrap a tight band around a patient's neck and cinch it down to stop the flow of blood. If a serum specimen is requested, what is an evacuated tube that can be used to collect it? On the other hand , the incorrect application of constriction - bands and tourniquets , particularly in Southeast Asia , makes it difficult to (expired or incorrect tubes, incorrect storage temperature, incorrect or expired transport medium) . Incorrect blood/anticoagulant ratio The amount of additive placed in a tube is intended for a certain volume of blood. Which blood specimen additive can inhibit the metabolism of glucose by the cells? Correct Incorrect What is a disinfectant is preferred by the HICPAC for use on surfaces and instruments? Clerical errors can prove fatal. Decontamination of the hands after glove removal is essential because: A. 14 Tourniquet improperly applied . How quickly should a tourniquet be applied? Gauge of needle used primarily for infant or child veins: Definition. Silicone tourniquets were used, by the Israeli Defense Force (IDF) soldiers, for upper extremity and calf injuries, while thigh injuries were treated by an improvised "Russian" tourniquet (IRT). Do not place too tightly or leave on more than 2 minutes (and no more than a minute to avoid increasing risk for hemoconcentration). A properly applied tourniquet should: Distend or inflate the veins of choice, Make veins larger and easier to find, Restrict venous and arterial blood flow, Stretch vein walls so that they are thinner. [PubMed] [Google Scholar], 10. In an emergency, you may not be able to get a hold of a tourniquet quickly. Tourniquets 101: When And How To Use Them - Urban Survival Site The client begins to write a book about life c. The client sits and eats with other clients on unit d. EPA-registered sodium hypochlorite product. No. For all the biology lovers out there who enjoy finding out about how stuff in the body works, then this is the quiz for you. Which term means matching up rock layers in different places? The chosen vein should be large, visible, straight and clear. B. Correct procedure is to disengage the fasteners and reapply the cuff. Kelly C, Creagh T, Grace P A.et al Regional hypothermia protects against tourniquet neuropathy. Measurement of copper, a trace element, requires blood collection in a tube with a? Due to premature depletion of the tube vacuum when a vein is missed. A Tourniquet Is the Most Important Thing Your Kit Needs - Verywell Health Found inside Page 1010 Failure to have on hand sufficient and proper material to complete a dressing .. 11 Lack of neatness . Conditional Formatting provides an easy way to automatically format the Google Sheets using a formula or condition as and per requirements of the problem. This will make it easier for you to check them over from head to toe. Gloves cause pathogens to multiply on the surface of the skin. In a successful venipuncture, evacuated tubes fill automatically as soon as the stopper is pierced because of: Lavender-stopper tubes are most commonly used to collect: Which of the following is one reason the ETS is the preferred blood collection system? Blood should flash into the catheter if done properly. They will briefly apply it to your upper arm (only a few seconds) to help locate the vein they will use to take the blood. Mil Med 2004169(12 Suppl)810. Tubes designed by the manufacturer to be "short draw" are: All of the following: Anticoagulants, Clot activators, Separator gels. To help prevent antimicrobial skin prep solutions and other fluids from running under the cuff, cover the tourniquet cuff with adhesive drape. . What gauge needle is used primarily for infant or child veins, & difficult or hard veins of adults? The goal of applying a tourniquet is to restrict blood flow to the injured limb and prevent life-threatening blood loss. Be sure, therefore, to draw the tourniquet tight enough to stop the bleeding. Found inside Page 148 , Failure to have on hand sufficient and proper material to complete dressings . The purpose of a transiliumination device is to? If phlebotomists have dermatitis, they should? Exposure of the blood to contaminants is avoided. Tactical tourniquet use - Part two - Police1 Choose the most appropriate arm for insertion and apply a tourniquet. A properly applied tourniquet should: restrict venous and . Blackstone Music Group, Categories . Figure 2: Proper, snug application of a tourniquet cuff. Thanks to GWOT experience, the training and gear are available to citizens nationwide. It's not ideal to use a belt as a tourniquet. A tourniquet should never be loosened or removed by anyone other than a healthcare provider in the emergency department. Apply tourniquet (1A) the patient and the staff performing the venous blood sampling. . . Date lab test that was ordered is documented by the nurse. Location: American College of Surgeons, Chicago, USA, 2004, 8. All articles published on or before September 30th 2019, in all languages, were included. Which statement is incorrect? Chapter 7 Phlebotomy Flashcards | Quizlet Lakstein D, Blumenfield A, Sokolov T.et al Tourniquets for hemorrhage control on the battlefield: a 4 year accumulated experience. c. Applying the Tourniquet. A tube with a royal-blue top with lavender color coding on the label contains: It's important to fill oxalate tubes to the stated fill capacity because excess oxalate: Which of the following substances is contained in a serum separator tube? Participants correctly applied the CAT at a significantly higher rate (92.2%) than all other commercial tourniquet types (Special Operation Forces Tactical Tourniquet, 68.6%; Stretch-Wrap-and-Tuck Tourniquet, 11.8%; Rapid Application Tourniquet System, 11.8%) and the improvised tourniquet (32.4%) (P < .001 for each pairwise comparison). What Dog Breed Does Your Personality Match With Quiz. 17 Failure to be aseptic .. 18 Incorrect treatment . Define hemolysis and state causes from Box 9-3, p. 293 1. Tourniquets are tight bands used to completely stop the blood flow to a wound. A prothrombin time (PT) & platelet count are ordered on an 80-year-old female patient. If it does not, then a tourniquet should be used. incorrectly loss of limb will result . EMJ 200623745746. As he collected the tests in the following order-CBC, K, & finally the PT & PTT-he was careful to invert the tubes as required. Tourniquet should be applied mid-upper arm. The blood-to-additive ratio is most critical for a specimen collected in what tube? A 2018 study found that when civilians without medical training performed prehospital tourniquet application, the risk for mortality was six times lower in patients with peripheral vascular injuries or blunt trauma to the extremities. [PubMed] [Google Scholar], 2. 30. J Trauma 200354S13S19. Which additive can be found in four separate tubes with different stopper colors? What Is Your Future Home Going To Look Like? How to Apply a Tourniquet: 9 Steps (with Pictures) - wikiHow A solution used to clean the site before routine venipuncture is? (1) The tourniquet can be applied 'high and tight' as an interim measure.In a multi-casualty, time critical setting it is reasonable to apply the first tourniquet 'high and tight' over clothing until a more considered assessment and reapplication may be considered. b. This Instructable will teach you about the parts of the CAT, correct placement on the extremity, and how to secure it in place. Bellamy R F. Combat trauma overview. Discuss how to properly apply a tourniquet and associated problems with incorrect use 12. If compression does not stop bleeding, a tourniquet 2 to 3 inches above the bleeding site should be applied. Additionally you can purchase a military surplus tourniquet for about 10.00 or even cheaper use that ugly real tie (not the clip on) someone gave you as a gift. This makes it easier for the surgeons to see what they're doing since there isn't as much blood in the way. Failure to he antiseptic Incorrect treatment 11 . opposite arm, then blood should be drawn from BELOW (distal to) the IV. How to Use a Combat Application Tourniquet (CAT) Indicate whether the following statements are true or false. Here are three top tips for effective hands-on tourniquet training. Tourniquet cuff with releasable application handle stabilizer A properly applied tourniquet should Restrict venous and arterial blood flow This needle gauge is used for autologous blood collection 15 to 17 Needle safety features work by All of the above OSHA regulations require that after use Tube holders with needle attached be disposed of as unit Which of the following additives is most commonly used for chemistry tests? If possible, have the injured person lie down. [PubMed] [Google Scholar], 11. Which of the following tubes will yield a serum sample? Restrict venous and arterial blood flow. In those days, before the advent of modern instruments, what was the basis on which one could claim that a substance was an element? Apply the tourniquet between the heart and injury. Which blood specimen additive can inhibit the metabolism of glucose by the cells? Which of the following additives is least likely to affect an alkaline phosphatase test? Australian Whistleblower, Found inside Page 247with a bandage, splint, or cast should be given written instructions on home care and inspection of all forms of external coaptation (Fig. 1). Space inside a colored utbe stopper that should not touch the blood. Red Nose Pitbull Puppies Near Me, Blood Collection Equipment, Additives and Order of Draw. Later that day, the lab called the phlebotomist to say that three of the tests would have to be redrawn. into sharps container immediately following venipuncture. Intravenous therapy/Blood Transfusions - If it is not possible to draw the. The book is well illustrated, providing step-by-step instructions for obtaining blood by venipuncture and skin puncture from adult and pediatric patients. Density of gel is between that of cells and serum or plasma. What are all anticoagulants that remove calcium from the specimen by forming insoluble calcium salts and therefore preventing coagulation? Chapter 7 Blood Collection Equipment, Additiv, Chapter 10- Capillary Puncture Equipment and, Exercise Physiology: Theory and Application to Fitness and Performance, Edward Howley, John Quindry, Scott Powers. Phlebotomy equipment can be organized in all the following except: A. infant cradle pads B.trays C. drawing station D.Mobile workstations. Found insideMost serious haemolytic transfusion reactions arise from careless identification of patients and incorrect form labelling. [PubMed] [Google Scholar] 3. How long should a tourniquet be applied? If that's not possible, knowing how to apply a tourniquet correctly can be a life-saving skill to have. Casualties who are alert and can swallow should not be allowed to take fluids by mouth. If a person is bleeding uncontrollably and help is not nearby, they may bleed out before first responders can get there to provide necessary medical care. Decontamination of the hands after glove removal is essential because? What is the proper placement of a tourniquet? - MassInitiative Which statement is incorrect? American College of Surgeons Advanced trauma life support, 7th ed. La palanca es una maquina simple, cuntos tipos de grados de palancas hay? , at proper time --- 4 the beginning of the contest . Home Office Statistical Bulletin. Wolff L, Adkins T. Tourniquet problems in war injuries. We have dreams and imaginations of what it might look like. Black Doctors Near Alabama. Use sanitizer instead of soap and water. Mil Med 2005170776781. Ask the patient to hold the gauze or cotton wool in place, with the arm extended and raised. Which of the following statements is true? A prothrombin time (PT) & platelet count are ordered on an 80-year-old female patient. Found inside Page 17If the test is done correctly , a wheal will be raised at the site of the injection . 7. Other items that you may have on hand that can be used include shirts or towels. Applying direct pressure to the injury and . a. Ondansetron Oral Disintegrating Tablet works almost as . Keep an eye on the bleeding and note when it begins to slow. Found inside Page 17If the test is done correctly , a wheal will be raised at the site of the injection . [PubMed] [Google Scholar], 5. Make five qualitative and five quantitative observations about the room in which you now sit. Which of the following tests could be affected by carryover from an EDTA tube? Answer. There is a permanently attached needle with a sleeve inside the transfer device. What is the fewest number of tubes needed to collect a CBC and protime when using a butterfly on a patient who is a difficult draw? Quarterly Bulletin of the Canadian Mining Institute. This forth updated edition contains the latest developments in analytical techniques. During venipuncture the tourniquet should not be left on longer than: This test is collected in a tube with a light-blue top: Which of the following STAT tests is typically collected in a lithium heparin tube? the max time a tourniquet should remain on the patients arm is: A 1 minute B 2 minutes C 3 minutes D 5 minutes: A 1 minute: the vein of choice for veinpuncture is the : A basilic B cephalic C median cubital D radial: C median cubital: the vein located on the thumb side of the arm is the: A median cubital B basilic C cephalic D brachial: C cephalic Proper use of tourniquet is beyond the scope of this article , but tourniquets . Found inside Page 107 Tight , loose , or iin properly applied bandages . Tourniquets 101 Nursing CEU - Nursing CE Central Textbook of military medicine part IV: surgical combat casualty care. Withdraw the needle gently and apply gentle pressure to the site with a clean gauze or dry cotton-wool ball. Navein J, Coupland R, Dunn R. The tourniquet controversy. 23: Term. Hand contamination might not be visible to the naked eye. Patients should sit or lie A tourniquet is applied well proximal to the site. List tests affected by diurnal variations 1. Issues related to the use of tourniquets on the battlefield 7.The patient begins to sweat and tells you that he or she feels warm and light-headed. J Trauma 2003 54 (5 Suppl)S219-S220. Light-green top D. Royal-blue top 12. Which statement is incorrect a properly applied tourniquet should. Irving G A, Noakes T D. The protective role of local hypothermia in tourniquetinduced ischaemia of muscle. What is an appropriate com 9 . However, improper or prolonged placement of a tourniquet because of poor medical training can lead to serious injuries, such as nerve paralysis and limb ischemia. The purpose of a transiliumination device is to? Can exponential growth occur in a population of organisms that take a long time to reproduce? Next, you'll need to make a lever you can use to twist the tourniquet tighter. J Am Acad Orthop Surg 20019345351. However, femoral nerve injury has an iatrogenic aetiology in as many as 60 % of cases, according to data obtained from large-scale studies [].The first case of postoperative femoral palsy was described in 1896 by Gumpertz, who reported a case of post-hysterectomy . Crime in England and Wales 2005/06. Use a common square knotlike tying your shoelaces, but without making a bowto tie the tourniquet around the limb. Which one of the following statements gives a proper rule for tightening a tourniquet? Thanks to GWOT experience, the training and gear are available to citizens nationwide. Walker A, Kershaw C, Nicholas S.Home Office Statistical Bulletin. Blackwood M. Treatment of wounds from fire trench to field ambulance 1916. A tourniquet can remain in place for 2 minutes. Once the bleeding has slowed or stopped, secure the windlass by tying one or both of its ends to the injured person's arm or leg. What is a disinfectant is preferred by the HICPAC for use on surfaces and instruments? Which type of test is most affected by tissue thromboplastin contamination? b. A consistent amount of airspace left when a tube is filled properly. What is the fewest number of tubes needed to collect a CBC and protime when using a butterfly on a patient who is a difficult draw? The present augmented reality (AR) system allows the surgeon to view the tibial and femur axis superimposed on the . ( c ) Tourniquet applied so as to stop bleeding but at wrong points , or in such way as to injure patient 12 , Not treating shock . Mdpi Predatory Publishers, Definition. Found inside Page 66 the fellows of the tunity should be afforded of discussing this subject , blood Howed into the aneurismal cavity . A home care phlebotomist had a requisition to collect a complete blood count (CBC), plasma K, partial thromboplastin time (PTT), and prothrombin time (PT). This should cause distension of the veins but not discomfort. If the bleeding does not slow or stop when pressure is put on it, you will need to find (or fasten) a tourniquet. All of the aboveCovering or shielding the needle, retracting the needle after the use, using a device to blunt the needle. Place used needles. a. Ondansetron Oral Disintegrating Tablet works almost as . The tourniquet should be painful to the patient if applied correctly; this confirms that arterial bleeding is controlled (1). Walters T J, Wenke J C, Kauvar D S.et al Effectiveness of selfapplied tourniquets in human volunteers. Found inside Page 498( a ) Failure to temporarily control hemorrhage previous to application of tourniquet 1 ( b ) Failure to remove patient from dangerous gas , roof , or ground , electric wire , etc. To be effective, a tourniquet must be tight enough to stop the arterial blood flow to the limb. If bullets or knives penetrate an arm or leg . If a suitable vein proves elusive it b. Venous distension may take longer in elderly patients. spurting or pulsating blood a deep or large wound multiple sources of bleeding or wounds lost consciousness while bleeding Avoid using tourniquets, or use them with caution, if the person has: a. 25. Ask the patient to hold the gauze or cotton wool in place, with the arm extended and raised. 13. A phlebotomy needle that does not have a safety feature: Must be used with a holder that has a safety feature. Orient the Tourniquet: The direction of pull to tighten the tourniquet should be towards the midline of the body. Local hypothermia to prolong safe tourniquet time. As the last amount of blood is drawn, remove the tourniquet. Glass particles present in serum separator tubes: Which is the best tube for collecting an ETOH (ethanol) specimen? (4) Twist the stick until the tourniquet is tight around the limb and/or the bright red bleeding has stopped. "Designed to be used in combination with the fifth edition of the 'Phlebotomy essentials' textbook as a valuable learning resource that will help the student master the principles of phlebotomy by reinforcing key concepts and procedures 1.Set up-Vacutainer system, alcohol, gauze, bandage, tourniquet, gloves, sanitizer, sharps 2.Arm prep-locate vein, tourniquet, close hand, disinfect, let dry 3.Specimen collection-anchor vein, bevel up, quick insert, fill, release, and tilt tubes 4.Arm care-release tourniquet and fist . In an emergency, you may not have enough help or resources, and you will likely face many distractions.

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