$62 15.5" LED Wheel Ring Light Kit IP68 RGB Color Changing Bluetoot eBay Motors Parts & Accessories Car & Truck Parts & Accessories Ring,$62,Light,IP68,Kit,/minaciously1941064.html,LED,Bluetoot,Color,posimotion.com,Wheel,15.5",eBay Motors , Parts & Accessories , Car & Truck Parts & Accessories,Changing,RGB 15.5" LED Wheel Ring Light Kit RGB Clearance SALE! Limited time! Bluetoot Changing Color IP68 15.5" LED Wheel Ring Light Kit RGB Clearance SALE! Limited time! Bluetoot Changing Color IP68 $62 15.5" LED Wheel Ring Light Kit IP68 RGB Color Changing Bluetoot eBay Motors Parts & Accessories Car & Truck Parts & Accessories Ring,$62,Light,IP68,Kit,/minaciously1941064.html,LED,Bluetoot,Color,posimotion.com,Wheel,15.5",eBay Motors , Parts & Accessories , Car & Truck Parts & Accessories,Changing,RGB

15.5

15.5" LED Wheel Ring Light Kit IP68 RGB Color Changing Bluetoot

$62

15.5" LED Wheel Ring Light Kit IP68 RGB Color Changing Bluetoot

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Item specifics

Condition:
New
Brand:
Unbranded
Bulb Color:
Chase Light Color Change
Bulb Size:
Chase Light
Color Temperature:
Chase Light
Features:
Waterproof
Manufacturer Part Number:
Does Not Apply
Number of Bulbs:
4
Other Part Number:
15.5" single row wheel lights
Placement on Vehicle:
15.5"rings fits for cars with 13.5" Brake Rotors, Mounted to wheel Brake Rotors
To Fit:
15.5" wheel rings use for cars with 13.5" Rotors
Type:
Car Trucks using Driving/Decoration Lights
Voltage:
12V
Wattage:
about 35W of one set single row wheel ligths
UPC:
Does not apply








15.5" LED Wheel Ring Light Kit IP68 RGB Color Changing Bluetoot

Core Emergency Medicine

Ultrasound Guided Lumbar Puncture

How ultrasound can help with this common ED procedure- the lumbar pucture.

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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?