MINGMIN-DZ Boat Navigation Lights 2Pcs 12V Universal LED Navigat
MINGMIN-DZ Boat Navigation Lights 2Pcs 12V Universal LED Navigat
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Product Name: Led navigation lights
Material: Stainless Steel
Housing Color: Silver
2Pcs 12V Universal LED Navigation Light Signal Warning Lamp Signal Lamp For Marine Boat Yacht Truck Trailer Camper AccessoriesDescription: Product Name: Led navigation lights Material: Stainless Steel Length: 7.74" Width: 2.3" Housing Color: Silver Bulb Type: Nature White LED "5050" 0.5W Light Color: Red Green Working Voltage: 12V Effective Lumen: Green: 61.5LM, Red: 19 LM LED Beam Angle: 120 Degrees Wattage: 1W (Green)/ 1W (Red) Visibility:1NM Water-proofing and dust-proofing: IP66 lIFE TEST For LED LAMP (1000 hours) : Lumen Maintenace Percentagegt;90% Specifications: Vertical mount navigation lights, Green starboard Package Included: 1 x Green LED Side Navigation Light 1 x Red LED Side Navigation Light 1x Instruction Notes: 1.We provide clear pictures, measurements where possible. Please check as much as possible to make sure the item is the one that you need. 2.Please allow 0.5-1 inch difference due to manual measurement.(1inch=2.54cm) 3.Although instruction is included.Professional Installation Is Highly Recommended! 4.The light is for type âZâ attachments. The external flexible cable or cord of this luminarire cannot be replaced, if the cord is damaged, the luminaire shell be destroyed.
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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?