Superior Electric YGA028 Twist Lock Plug 250V 125 Limited time trial price 20A Electrical $110 Superior Electric YGA028 Twist Lock Electrical Plug 20A 125/250V Tools Home Improvement Electrical Plugs 20A,empiregym.online,YGA028,Electric,Superior,Tools Home Improvement , Electrical , Plugs,Electrical,125/250V,Lock,Plug,/dorsabdominal543946.html,$110,Twist Superior Electric YGA028 Twist Lock Plug 250V 125 Limited time trial price 20A Electrical $110 Superior Electric YGA028 Twist Lock Electrical Plug 20A 125/250V Tools Home Improvement Electrical Plugs 20A,empiregym.online,YGA028,Electric,Superior,Tools Home Improvement , Electrical , Plugs,Electrical,125/250V,Lock,Plug,/dorsabdominal543946.html,$110,Twist

Superior Choice Electric YGA028 Twist Lock Plug 250V 125 Limited time trial price 20A Electrical

Superior Electric YGA028 Twist Lock Electrical Plug 20A 125/250V

$110

Superior Electric YGA028 Twist Lock Electrical Plug 20A 125/250V

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Product description

Superior Electric YGA028 Twist Lock Electrical Plug 20A 125/250V NEMA L14-20P. Replace worn or broken plugs to bring new life back to power tools amp; extension cords. Process takes just couple of minutes with easy-to-use galvanized steel internal posts with screws. Black wire terminal clamps for easy secure wiring. Twist lock feature makes for a more reliable connection in industrial and commercial applications where sudden movement and incidental impact can disconnect the non-locking plug

Superior Electric YGA028 Twist Lock Electrical Plug 20A 125/250V

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Hosts:
Mark Iscoe, MD
Brian Gilberti, MD
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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.

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Dec102019

“There are some things you learn best in calm, and some in storm.”

– Willa Cather

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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?