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Max 69% OFF 2 Attention brand Lined regular standard opening Pum Galvanized with Lid Black

(2) Lined regular/standard opening Galvanized Lid with Black Pum

$7

(2) Lined regular/standard opening Galvanized Lid with Black Pum

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Convert any regular/standard opening canning jar and add some elegance with this high quality lotion or soap dispenser converter. This one piece Galvanized lid comes with a 2 piece black pump and fits regular jars (2.5" rim - lids are 2-3/4" in diameter). Black pumps have 9.85" dip tube. Just unlock the pump and cut the tube to fit. Place rubber ring on jar, then lid. See other listings for chose of single (1 dispenser), double (2 dispensers) or triple packs (3 dispensers) to match your kitchen, bath, mud room, garage or camper or get. Make sure to fill jar to leave at least a 1" air space at the top. Do not let water, lotion or soap touch the underside of lid. You need to keep it dry. These will come in 2 pieces and you will need to assemble the pump to the top (screw on top). **These will not work on jars that grocery store sauces come in** ** Jar not included - used for display purposes only. These lids are protective sprayed and fully lined.

(2) Lined regular/standard opening Galvanized Lid with Black Pum

Core Podcast See More →

Episode 181.0: Subarachnoid Hemorrhage

We discuss EM presentation, diagnosis, and management of subarachnoid hemorrhage.

Hosts:
Mark Iscoe, MD
Brian Gilberti, MD
Bree Tse, MD

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Cordis Insertion into the Femoral Vein

How to insert a cordis/ introducer sheath into the femoral vein with Dr. Weber and Dr. Adams!

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Ultrasound Guided Peripheral IV Placement

How to place ultrasound guided peripheral IVs with our very own amazing senior residents, Dr. Charlotte Croteau and Dr. Jay Lin.

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Jan292020

Learning to interpret ECGs is not easy – but there’s a world of help out there.

Authors: Bennett J, Rhee D, Wagh A, Pusic M, Tse AB.

Being able to efficiently and accurately read an ECG is an important yet very difficult skill to learn. Online resources can help you improve your abilities at any learner level;
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Dec102019

“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,
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Core Cases More Cases →

CC

Nausea, vomiting, and abdominal pain

HPI

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.


The Case:

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.

Physical Exam

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

Extremities: MAE

Labs

VBG: 7.03/14/65, Calculated Bicarb 5

BMP: 132/4.3/99/3/20/.09>423


What next?

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?

Questions

  1. What are the risks of intubating this patient?

  2. What would be your intubation strategy? Method, intubation medications, and things to pay attention to?

  3. 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?

  4. What would be your ventilator settings?