Q: A business mission statement is a short paragraph that explains what your business’s goals, means, and specialties are. Come up with a name and hire a graphic designer to create a logo. You can also create your own logo in Photoshop or Illustrator if you have a little design experience.  Order some business cards with your name and company logo. Print a few mission statements with the logo and include your mission statement. These will be incredibly helpful when you’re starting out as you try to network and appeal to customers. Most nurseries work with a few different varieties of plants. If you’re absolutely certain that you want to focus on a specific species or style of plant, emphasize it in your statement and logo. For example, a business statement might start, “Peach Orchard Nursery is a local Nebraskan plant nursery that focuses on succulents and cactus plants. Our goal at Peach Orchard is to bring the absolutely highest-quality plants to the public using eco-friendly growing practices.” Add up the prices for your seeds, soil, and potters. Add another $250-1,000 for your business license based on where you live. If you know that you’re going to be hiring employees, calculate the cost of hiring employees for at least 3 months to give yourself some space to breathe at the start. Use this estimate to inform how much of your savings you’ll need to use or whether or not you need an investor or loan.  If you’re trying to appeal to investors or a bank for a loan, they’ll want to see an estimate of your costs. Retail stores need to pay rent or a mortgage. Calculate this cost based on averages for available commercial properties in your area. Every business needs general liability insurance. If you plan on hiring employees, you’ll need to buy insurance for your workers as well. The process for obtaining a business license and permit is different based on where you live. Start by contacting your local government’s business department—they’ll be able to tell you everything that you need to know about setting up a business in your area. Once you find out what forms you need to fill out, complete them.  Business licenses always have a fee attached to them. This can range from $25-1,000 based on where you are. Make sure that you’re getting a home-business license if you’re going to operate a backyard nursery. Purchase some advanced nursery books, and subscribe to some nursery journals, like Garden Center and Nursery Management. If you have a university or college near you, sign up for some horticultural or botany classes. If you’re really dedicated, consider enrolling full-time for an undergraduate or graduate degree in horticulture, botany, farming, or plant studies.  Botany tends to be a more scientific field, while horticulture focuses more on practical growing methods. Horticulture may be more helpful, but they’ll both be useful fields to learn more about. If you’re enrolling at a college or university, consider double-majoring in business. The business degree will provide you with a ton of useful information on how to run a business.
A: Create a mission statement and some preliminary marketing materials. Estimate how much money you’ll need to start by adding initial expenses. Apply for the necessary business licenses and permits. Master your craft by studying and enrolling in classes.

Q: If a pulmonary embolism is confirmed as the cause of obstructive shock, it is key to have this treated as soon as possible. Sometimes a "thrombolytic" (clot-busting) drug can be considered to treat a large pulmonary embolism. However, in cases of severe shock, surgery or a catheter removal is usually the fastest and most effective way to remove the PE and thus relieve the obstruction. If a tension pneumothorax is responsible for the onset of obstructive shock, insert a needle in the affected area for decompression. This procedure is called a "needle decompression." Following insertion of the needle, treatment of the pneumothorax, and stabilization of shock symptoms, you will get a chest tube for ongoing management to prevent any recurrence of the tension pneumothorax. This procedure also involves using a needle. However, in this case, the needle is used to remove fluid from the pericardial sac. Removal of the fluid (normally blood) from the pericardial sac in turn relieves the pressure on the heart, and removes the obstruction that was the underlying cause of shock.  Of course, it is key to determine what caused the cardiac tamponade in order to have complete and lasting resolution of shock. The needle pericardiocentesis can be done repeatedly, if necessary, to alleviate pressure on the heart until the underlying cause is resolved. In other cases, a surgical procedure known as a pericardial window is done to relieve the accumulation of the fluid. If constrictive pericarditis (or a related condition) is responsible for obstructive shock, it is key to determine what is causing compression and tightening of the heart sac (called the "pericardium"). If this is unable to be resolved and treated promptly, the heart sac (pericardium) may need to be cut open surgically to relieve pressure on the heart, and to resolve the symptoms of obstructive shock. An intra-aortic balloon pump (IABP) can be used to help open the aortic valve. This, in turn, will allow blood to exit the heart and to more effectively supply the body's vital organs. The IABP intervention has been shown to relieve symptoms of obstructive shock when aortic stenosis is diagnosed as the underlying etiology (cause). The aortic valve should be evaluated, and replaced if it meets the criteria.
A:
Remove the clot from a massive PE (pulmonary embolism). Use needle decompression and a chest tube to treat a tension pneumothorax. Opt for pericardiocentesis to treat a cardiac tamponade. Treat the underlying cause of constrictive pericarditis as needed. Treat severe aortic stenosis if this is the underlying cause of shock.