UFO Alien Cow Pendant Ornaments Painted UFO Pendant Hanging Stai
UFO Alien Cow Pendant Ornaments Painted UFO Pendant Hanging Stai
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Material: Made of high-quality and durable acrylic material, sturdy and durable, can hang for a long time, the colored glass reflects beautiful light in the sun
Pattern: UFO alien cow pendant jewelry consists of three patterns of alien + cow + spaceship; it is equipped with a lanyard, which is convenient for you to hang and store, very practical and beautiful wall decoration
Door and window decoration: Stained glass UFO window panels can be used as pendants hanging on doors and windows. Reasonable color matching can add a dreamy effect to your living space. The size of the painted UFO pendant is about 20 * 13cm / 7.87inch * 5.11inch, applicable For most of the most pendant needs
Uses: can be used as birthday gifts, children's day gifts, Christmas gifts, Halloween gifts to children. Fantasy pattern design, can bring unlimited imagination to children
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“There are some things you learn best in calm, and some in storm.”
– Willa Cather
Over the past several years, I’ve thought a lot about what to say during the immediate moments after a failed cardiac arrest or traumatic resuscitation. When the rush of adrenaline comes to a screeching halt and all that is left is a deafening silence, Read More
Acid-Base Workshop: At the beginning of the conference year, multiple faculty members ran a workshop on acid-base abnormalities where we worked on identifying acid-base disturbances, determining primary respiratory or metabolic abnormalities, causes of such disturbances, and if compensation was appropriate. Perhaps one of the most challenging types of patients we encounter with an acid-base disturbance is an acidemic patient who we believe requires intubation. Below you will find a variety of resources on acid-base disturbances and more specifically, intubation and ventilation in this patient population. Read the case, consider reviewing the resources below, and think how you would approach this tenuous patient.
A 23 yo F with a PMH of poorly controlled T1DM presents to your ED complaining of nausea, vomiting, and abdominal pain. She ran out of her insulin 3 days ago and didn’t have the funds to refill it. Her FS is 415 on POC testing.
Vitals: 123/80, HR 120s, O2 98%, RR 32, Temp 98.2
General: sleepy but arousable to voice
HEENT: dry mucous membranes
Chest: CTAB, kussmaul breathing
Cardiac: regular rhythm, tachycardic
Abdomen: soft, NTND
VBG: 7.03/14/65, Calculated Bicarb 5
You hang fluids and start an insulin drip, but the patient becomes progressively lethargic and has vomited twice despite anti-emetics. You decide you need to intubate. What next?
What are the risks of intubating this patient?
What would be your intubation strategy? Method, intubation medications, and things to pay attention to?
Would you consider giving any additional medications (apart from paralytics or sedation medications) prior to intubating? If so, why, and what would be the dosing?