Make sure this fits
by entering your model number.
Can be used with 200/300mm long steel ruler
Strong locking ability, it will not drop easily
The knob can be adjusted quickly and can be measured after locking the edge of the ruler anywhere along the cable.
Made of brass material, high hardness and not easy to damage
Suitable for steel ruler with width of 26mm and thickness less than 1.1mm
Features: 1. Made of brass material, high hardnessÂ and not easy to damage 2. The knob can be adjusted quickly and can be measured after locking the edge of the ruler anywhere along the cable. 3. Strong locking ability, it will not drop easily 4. Suitable for steel ruler with width of 26mm and thickness less than 1.1mm 5. Can be used with 200/300mm long steel ruler Â Specification: Condition: 100% Brand new Item Type: Ruler Locating Block Material: Brass Groove:Â Approx.Â 28 x 1.5mm / 1.1 x 0.1in Size: Approx. 40 x 10 x 20mm / 1.6 x 0.4 x 0.8in Â Package List: 1 x Ruler Locating Block
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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?