Inch,devdraftday.com,Sports Outdoors , Outdoor Recreation , Camping Hiking,Handsaw,$69,Nordic,Saw,Chainsaw,-,/joey488746.html,Survival,Pocket,25.6,Camping New product! New type Nordic Pocket Saw Survival Chainsaw - Inch 25.6 Camping Handsaw $69 Nordic Pocket Saw Survival Chainsaw - 25.6 Inch Camping Handsaw Sports Outdoors Outdoor Recreation Camping Hiking $69 Nordic Pocket Saw Survival Chainsaw - 25.6 Inch Camping Handsaw Sports Outdoors Outdoor Recreation Camping Hiking New product! New type Nordic Pocket Saw Survival Chainsaw - Inch 25.6 Camping Handsaw Inch,devdraftday.com,Sports Outdoors , Outdoor Recreation , Camping Hiking,Handsaw,$69,Nordic,Saw,Chainsaw,-,/joey488746.html,Survival,Pocket,25.6,Camping

New product type Nordic Pocket Saw Survival Chainsaw - Inch Ultra-Cheap Deals 25.6 Camping Handsaw

Nordic Pocket Saw Survival Chainsaw - 25.6 Inch Camping Handsaw

$69

Nordic Pocket Saw Survival Chainsaw - 25.6 Inch Camping Handsaw

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Product Description

The Nordic Pocket Saw Premium is a more classic and robust version for those who prefer natural materials. The leather comes from Tärnsjö tannery who only use organic leather supplied by local Swedish farmers.

The chain measures 65 cm long and is made of heat treated high carbon steel with 33 bi-directional teeth, which ensure maximum performance when in use. Since leather is a natural material it put higher demand on maintenance.

Be sure to lubricate the leather every now and then with leather balm, since this will decrease the risk of dry cracks and extend the life time of the leather. When maintaining your Premium version properly, the leather will develop a beautiful patina over time. Also be aware that the handles may be stretched to some extent, however, this is considered normal for leather materials.

To maximize the lifetime of your Nordic Pocket Saw, be sure to always keep the chain clean, lubricate it with chainsaw oil and sharpen it with a 4 mm round file.

The manual chainsaw Nordic Pocket Saw Premium comes in brown leather.

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ORIGINAL Version - Nordic Pocket Saw X-LONG Version - Nordic Pocket Saw PREMIUM Version - Nordic Pocket Saw ARBORIST Version - Nordic Pocket Saw FOLD Version - Nordic Pocket Saw
Total length 111 cm / 43.7 in 140 cm / 55.2 in 109 cm / 42.9 in 130 cm / 51,2 in 40,5 cm / 15.95 in
Chain length cm/in 65 cm / 25.6 in 93 cm / 36.6 in 65 cm / 25.6 in 83 cm / 32.7 in 20 cm / 7.87 in
Product weight g/oz 132 g / 4.7 oz 173 g / 6.1 oz 145 g / 5.1 oz 1222 g / 43.1 oz 170 g / 6.0 oz
Number of cutting teeth 33 50 33 43 x 2 = 86 6 teeth per inch
Handles and case material Nylon Nylon Organic Leather Nylon PS
Size of Nylon/Leather case 11.9 x 10.7 x 3.0 cm - 4.7 x 4.1 x 1.2 in 11.9 x 10.7 x 3.0 cm - 4.7 x 4.1 x 1.2 in 11.5 x 10.0 x 4.2 cm - 4.5 x 3.9 x 1.7 in 12,5 x 11,5 x 4,5 cm - 4.9 x 4.3 x 1.8 in
For single use ✓ ✓ ✓
For two persons ✓ ✓
Round sharpener size 4 mm / 5/32 in 4 mm / 5/32 in 4 mm / 5/32 in 4 mm / 5/32 in
Bi-directional teeth ✓ ✓ ✓ ✓

Nordic Pocket Saw Survival Chainsaw - 25.6 Inch Camping Handsaw

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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?