TJ.MOREE 11 x 14 Shadow Box for Flowers Carbonized Black and Whi
TJ.MOREE 11 x 14 Shadow Box for Flowers Carbonized Black and Whi
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Memory Box - Protect and share your most precious moments and memorabilia. You can arrange a personalized collage with photos, cards, military memorabilia, pet memorabilia, concert tickets, medals, bouquets, etc.
Hinged Door - The front display door makes it easy to place or exchange items inside. The retro horn lock makes the shadow box lockable and more secure, and prevents the items inside from falling out.
Decorative Frame - The wooden vintage look complements any decoration, and it has two hooks on the back for easy wall mounting.
High-Quality Materials â The 11â x 14â shadow box comes with a solid, durable wood frame, woven fabric interior with 8 stick pins, hasp horn lock door with a transparent shatterproof glass window, and two metal sawtooth hanging hooks on its back.
Rest Assured Purchase - If at any time our product does not meet your expectations, simply contact us to solve the problem.
shadow box for flowers
TJ.MOREE 11 x 14 Shadow Box for Flowers Carbonized Black and Whi
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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?