TiAlN,LGT010HSRE,3,$43,Pack,Industrial Scientific , Cutting Tools , Indexable Inserts,THINBIT,Depth,,/discredence270046.html,brandorella.com,Width,0.010",0.030",Coate THINBIT 3 Pack LGT010HSRE Virginia Beach Mall 0.010" 0.030" TiAlN Width Depth Coate $43 THINBIT 3 Pack LGT010HSRE 0.010" Width 0.030" Depth, TiAlN Coate Industrial Scientific Cutting Tools Indexable Inserts TiAlN,LGT010HSRE,3,$43,Pack,Industrial Scientific , Cutting Tools , Indexable Inserts,THINBIT,Depth,,/discredence270046.html,brandorella.com,Width,0.010",0.030",Coate THINBIT 3 Pack LGT010HSRE Virginia Beach Mall 0.010" 0.030" TiAlN Width Depth Coate $43 THINBIT 3 Pack LGT010HSRE 0.010" Width 0.030" Depth, TiAlN Coate Industrial Scientific Cutting Tools Indexable Inserts

THINBIT 3 Pack LGT010HSRE Virginia Beach Mall 0.010

THINBIT 3 Pack LGT010HSRE 0.010" Width 0.030" Depth, TiAlN Coate

$43

THINBIT 3 Pack LGT010HSRE 0.010" Width 0.030" Depth, TiAlN Coate

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Product description

Buy direct from THINBIT. GROOVE 'N TURN 3 Pack LGT010HSRE 'L' Series, TiAlN Coated high speed steel, Grooving insert. .010" wide, Sharp Corner, 0 radius, .030" depth of cut. High speed steel will cut most materials. It will take considerable abuse. However, high speed steel will not wear as well as carbide. We suggest the use of high speed steel for jobs of 500 cuts or less. It also works well on older machines which do not have high enough spindle speeds to take advantage of carbide. TiAlN is a high performance PVD coating which excels in cutting abrasive or difficult-to-machine materials such as titanium, inconel, waspaloy, hastelloy, high nickel alloys and harder varieties of stainless steel. TiAlN performs well in high temperatures, interrupted cuts and dry machining. Kaiser Tool Company, Inc. makes all products in Fort Wayne, Indiana and has over 50 years producing THINBIT products. Our principles are Quality Products, Fast Delivery and Superior Customer Service. Please Note: Final shipping costs will be calculated at checkout based on value of all THINBIT items ordered. THINBIT and GROOVE 'N TURN are registered trademarks exclusively licensed to Kaiser Tool Company, Inc. in the U.S. and/or other countries.

THINBIT 3 Pack LGT010HSRE 0.010" Width 0.030" Depth, TiAlN Coate

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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.”

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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?